Document Detail

Effect of operative delivery in the second stage of labor on breastfeeding success.
MedLine Citation:
PMID:  14992156     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Operative delivery rates are currently rising in many countries, but the effects of this factor on the initiation and duration of breastfeeding are unclear. The purpose of this study was to evaluate breastfeeding success after instrumental vaginal delivery or cesarean section at full dilatation, and to investigate whether timing of discharge after operative delivery affects breastfeeding rates. METHODS: A prospective cohort study was conducted of 393 women with term, singleton, live, cephalic pregnancies who required delivery in theater during the second stage of labor between February 1999 and February 2000. Postal questionnaires were mailed to participants at 6 weeks and 1 year. Logistic regression models were used to explore the relationships between infant feeding and mode of delivery, controlling for factors previously correlated with breastfeeding success. RESULTS: Rates of exclusive breastfeeding at discharge and 6 weeks postpartum were 70 and 44 percent, respectively. No significant differences occurred when instrumental vaginal delivery was compared with cesarean section, adjusted OR 0.84 (95% CI 0.50, 1.41) and 1.15 (95% CI 0.69, 1.93) respectively. Breastfeeding rates after failed instrumental delivery were similar to those after immediate cesarean section, adjusted OR 0.99 (95% CI 0.72, 1.38) and 1.28 (95% CI 0.91, 1.78). Women who had a longer in-patient stay after cesarean section were more likely to achieve exclusive breastfeeding at hospital discharge (78% vs 66%, p = 0.03). CONCLUSIONS: Method of operative delivery in the second stage of labor does not appear to influence initiation or duration of exclusive breastfeeding. A longer inpatient stay may help cesarean-delivered women to initiate breastfeeding.
Roshni R Patel; Rachel E Liebling; Deirdre J Murphy
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Birth (Berkeley, Calif.)     Volume:  30     ISSN:  0730-7659     ISO Abbreviation:  Birth     Publication Date:  2003 Dec 
Date Detail:
Created Date:  2004-03-02     Completed Date:  2004-05-04     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8302042     Medline TA:  Birth     Country:  United States    
Other Details:
Languages:  eng     Pagination:  255-60     Citation Subset:  IM    
Division of Obstetrics and Gynaecology, St. Michael's Hospital, University of Bristol, Bristol, United Kingdom.
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MeSH Terms
Breast Feeding / psychology,  statistics & numerical data*
Cesarean Section / psychology,  statistics & numerical data*
Cohort Studies
Extraction, Obstetrical / psychology,  statistics & numerical data*
Labor Stage, Second
Length of Stay
Logistic Models
Patient Discharge
Prospective Studies
Comment In:
Birth. 2004 Jun;31(2):159; author reply 159   [PMID:  15153139 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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