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Related Concept Videos

Development of the Oral Microbiota01:28

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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A Common Marmoset Model of Mother-Infant Intervention for Breastfeeding Disorders in the Presence of Paternal Inhibition and Maternal Neglect
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Association between intrapartum interventions and breastfeeding duration.

Dorothy Li Bai1, Kendra M Wu, Marie Tarrant

  • 1School of Nursing, University of Hong Kong, Hong Kong. baili1204@gmail.com

Journal of Midwifery & Women'S Health
|January 16, 2013
PubMed
Summary

Intrapartum interventions like labor induction or emergency cesarean birth were initially linked to shorter breastfeeding durations. However, after controlling for confounding factors, this association disappeared, highlighting the need for support during difficult births.

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Area of Science:

  • Obstetrics and Gynecology
  • Public Health
  • Lactation Science

Background:

  • Breastfeeding initiation and duration are critical public health concerns.
  • Few women in Hong Kong exclusively breastfeed, with many stopping within months.
  • Research on intrapartum interventions' impact on breastfeeding duration in this population is limited.

Purpose of the Study:

  • To investigate the association between intrapartum interventions and breastfeeding duration in Hong Kong.
  • To identify specific interventions that may affect the duration of any and exclusive breastfeeding.

Main Methods:

  • Prospective cohort study of 1280 mother-infant pairs in Hong Kong.
  • Assessed duration of any and exclusive breastfeeding.
  • Analyzed four intrapartum interventions: opioid pain medication, labor induction, epidural, and mode of birth using Cox proportional hazards modeling.

Main Results:

  • Bivariate analysis indicated shorter breastfeeding durations with labor induction, opioid use, and emergency cesarean birth.
  • After adjusting for confounders, no individual intervention showed a significant association with breastfeeding duration.
  • Median breastfeeding duration was 9 weeks with no interventions versus 5 weeks with multiple interventions.

Conclusions:

  • While individual intrapartum interventions may not independently predict breastfeeding duration after adjustment, a difficult labor with multiple interventions is associated with shorter breastfeeding.
  • Clinicians should offer enhanced support to mothers experiencing complex labor and birth processes to improve breastfeeding outcomes.