Early lactation failure and formula adoption after elective caesarean delivery: cohort study.
Arch Dis Child Fetal Neonatal Ed
; 98(1): F37-41, 2013 Jan.
Article
em En
| MEDLINE
| ID: mdl-22516475
ABSTRACT
OBJECTIVE:
To investigate the effects of elective primary and elective repeat caesarean deliveries on lactation at hospital discharge.DESIGN:
Cohort study.SETTING:
Four Italian teaching hospitals - Padua, Brescia, L'Aquila and Udine.INTERVENTIONS:
Deliveries were classified as vaginal, elective caesarean (primary and repeat) or emergency caesarean. A total of 2296 (24.7%) infants born by caesarean section (CS), 816 of which (35.5%) classified as primary elective CS and 796 (34.7%) as repeat elective CS, were studied. Moreover, 30.2% of the elective CS deliveries took place before 39 weeks. MAIN OUTCOMEMEASURES:
Feeding modalities at discharge formula, complementary and breastfeeding.RESULTS:
At discharge, 6.9% of the vaginal delivery mothers, 8.3% of the emergency CS mothers, 18.6% of the elective CS mothers, 23.3% of the primary CS mothers and 13.9% of the repeat CS mothers were using infant formula exclusively. Multivariate analysis (OR; 95% CI) identified primary elective delivery (3.74; 3.0 to 4.60), lower gestational age (1.16; 1.10 to 1.23), and place L'Aquila versus Udine (1.42; 1.01 to 2.09) and of Brescia versus Udine hospitals (6.16; 4.53 to 8.37) as independent predictors of formula feeding at discharge.CONCLUSIONS:
These findings provide new information about the risks of breastfeeding failure connected to elective CS delivery, particularly if primary and scheduled before 39 weeks of gestation.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Aleitamento Materno
/
Lactação
/
Cesárea
/
Fórmulas Infantis
Tipo de estudo:
Clinical_trials
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
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Female
/
Humans
/
Newborn
/
Pregnancy
Idioma:
En
Ano de publicação:
2013
Tipo de documento:
Article