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Breastfeeding in babies delivered by cesarean section
G P Mathur1, P K Pandey, S Mathur
1Department of Pediatrics, G.S.V.M. Medical College, Kanpur.
Indian Pediatrics
|November 1, 1993
Summary
Elective cesarean sections with spinal anesthesia and early breastfeeding initiation significantly improve breastfeeding success. Avoiding baby separation also promotes better breastfeeding establishment in mothers after cesarean delivery.
Area of Science:
- Obstetrics and Gynecology
- Neonatal Care
- Lactation Studies
Background:
- Cesarean section delivery rates are increasing globally.
- Establishing successful breastfeeding postpartum can be challenging for mothers, particularly after cesarean delivery.
- Factors influencing breastfeeding establishment require further investigation in this population.
Purpose of the Study:
- To identify factors associated with successful breastfeeding establishment in mothers who delivered via cesarean section.
- To compare breastfeeding rates based on type of cesarean section, anesthesia, and timing of initiation.
- To assess the impact of early mother-infant contact and prelacteal feeding methods on breastfeeding outcomes.
Main Methods:
- A prospective study of 100 mothers and their infants following cesarean section.
- Data collection on cesarean delivery type, anesthesia, timing of breastfeeding initiation, prelacteal feeding, and mother-infant separation.
- Assessment of exclusive and total breastfeeding practices during hospitalization.
Main Results:
- Elective cesarean sections (65.7%) and spinal anesthesia (62.8%) were associated with higher exclusive breastfeeding rates compared to emergency cesarean sections (53.8%) and general anesthesia (28.6%).
- Breastfeeding within 12 hours of surgery resulted in 100% total breastfeeding, while initiation after 96 hours showed only 5.8% exclusive breastfeeding.
- Total breastfeeding was higher with spoon-fed prelacteal feeds (86.8%) versus bottle-fed (33.3%), and when infants were not separated from mothers (68.1% vs. 35.5%).
Conclusions:
- Elective cesarean sections under spinal anesthesia, combined with early breastfeeding initiation, promote successful breastfeeding establishment.
- Early initiation of breastfeeding (within 12 hours) is strongly correlated with successful breastfeeding.
- Minimizing mother-infant separation and utilizing spoon-feeding for prelacteal feeds are beneficial for breastfeeding success post-cesarean delivery.