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Related Concept Videos

Development of Human Microbiota01:30

Development of Human Microbiota

The human microbiota begins developing at birth and undergoes continual change as we age. Infancy marks a critical period of microbial sensitivity, offering a “window of opportunity” during which beneficial microbes help mature the immune system. By age three, children typically develop a more stable and diverse microbial community. Newborns acquire microbes from their immediate environment; vaginal delivery favors maternal vaginal microbes, while cesarean births favor microbes from the skin...
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Development of the Oral Microbiota

The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...
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Anatomy of the Intestines

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Small Intestines
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Development of Immunocompetence01:22

Development of Immunocompetence

The initiation of cell-mediated immunity can be observed as early as the third month of fetal growth, with active antibody-mediated immunity following approximately one month later.
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Factors Affecting Drug Biotransformation: Biological01:19

Factors Affecting Drug Biotransformation: Biological

Biological factors significantly impact drug metabolism, influencing drug clearance, efficacy, and potential toxicity.
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Parental Care00:55

Parental Care

Many animals exhibit parental care behavior, including feeding, grooming, and protecting young offspring. Parental care is universal in mammals and birds, which often have young that are born relatively helpless. Several species of insects and fish, as well as some amphibians, also care for their young.

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A Common Marmoset Model of Mother-Infant Intervention for Breastfeeding Disorders in the Presence of Paternal Inhibition and Maternal Neglect
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[Factors that affect time between birth and first breastfeeding].

Cristiano Siqueira Boccolini1, Márcia Lázaro de Carvalho, Maria Inês Couto de Oliveira

  • 1Secretaria Municipal de Saúde de Queimados, Queimados, Brasil. cboccolini@oi.com.br

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PubMed
Summary

Time to first breastfeeding is longer after cesarean delivery compared to vaginal birth. Factors like maternal age, birth complications, and care practices influence breastfeeding initiation timing.

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Area of Science:

  • Public Health
  • Maternal and Child Health
  • Epidemiology

Context:

  • Investigated the critical period between birth and first breastfeeding.
  • Utilized data from a large, representative sample of 10,077 mothers across 47 maternity hospitals in Rio de Janeiro, Brazil.
  • Employed a three-tier hierarchical random effects proportional risks survival model, analyzing data separately for vaginal and cesarean deliveries.

Purpose:

  • To identify and analyze factors influencing the time from delivery to the initiation of first breastfeeding.
  • To understand variations in breastfeeding timeliness based on delivery mode and other maternal and neonatal characteristics.

Summary:

  • Breastfeeding initiation was significantly delayed following cesarean section (median 10 hours) compared to vaginal delivery (median 4 hours).
  • Key factors affecting time to first breastfeeding included maternal age, neonatal complications, perceived sub-optimal neonatal care, newborn nursery admission, parity, and birth weight.
  • The developed model explained 33% of the variance in the timing of first breastfeeding.

Impact:

  • Highlights the impact of delivery mode, particularly high cesarean rates, on delayed breastfeeding initiation.
  • Identifies specific biological, care-related, and practice-based factors that prolong the time to first breastfeeding.
  • Provides evidence for improving childbirth and neonatal care practices to support timely breastfeeding, crucial for maternal and infant health outcomes.