Document Detail

The Effect of Delivery Method on Breastfeeding Initiation from the The Ontario Mother and Infant Study (TOMIS) III.
MedLine Citation:
PMID:  22823063     Owner:  NLM     Status:  Publisher    
OBJECTIVE: To report on the relationship between delivery method (cesarean vs. vaginal) and type (planned vs. unplanned) and breastfeeding initiation in hospital and continuation to 6 weeks postpartum as self-reported by study participants. DESIGN: Quantitative sequential mixed methods design. SETTING: Women were recruited from 11 hospital sites in Ontario, Canada. PARTICIPANTS: Participants included 2,560 women age 16 years or older who delivered live, full-term, singleton infants. METHODS: Data were collected from an in-hospital questionnaire, hospital records, and a 6-week postpartum interview. RESULTS: Ninety-two percent of women reported initiating breastfeeding, and 74% continued to 6 weeks. The method of delivery, when defined as cesarean versus vaginal, was not a determining factor in breastfeeding initiation in hospital or in the early postdischarge period. An unexpected delivery method (i.e., unplanned cesarean or instrument-assisted vaginal deliveries) was associated, at a statistically significant level, with an increased likelihood of initiating breastfeeding and continuation to 6 weeks postdischarge. CONCLUSION: Breastfeeding can be considered a coping strategy that serves to normalize an abnormal experience and allows the individual to once again assume control. These unexpected results warrant further investigation to understand why women make the decision to initiate breastfeeding, why they choose to continue breastfeeding, and how they can be supported to achieve exclusive breastfeeding as recommended for infants in the first 6 months.
Susan Watt; Wendy Sword; Debbie Sheehan; Gary Foster; Lehana Thabane; Paul Krueger; Christine Kurtz Landy
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-7-23
Journal Detail:
Title:  Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG     Volume:  -     ISSN:  1552-6909     ISO Abbreviation:  -     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2012-7-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8503123     Medline TA:  J Obstet Gynecol Neonatal Nurs     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses.
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