Caesarian-sections and early initiation of breast-feeding practices in tertiary care hospitals of Islamabad (original) (raw)
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2021
Background: Caesarean birth is associated with higher rate of non-exclusive breastfeeding (NEBF) than vaginal birth. NEBF refers to the provision of food or fluid besides breast milk, excluding drugs and vitamins, to infants before 6 months of age. This study determined the prevalence and factors associated with NEBF practice during the first 6 months after an elective caesarean birth.Methods: This prospective cohort study recruited 171 mothers who underwent an elective caesarean birth at two tertiary hospitals in Kelantan, Malaysia. Face-to-face interviews were conducted 2 days after the caesarean birth to obtain information on the variables of interest. Follow-up phone calls were made at 1, 3 and 6 months after birth to determine the prevalence of NEBF. Simple and multiple logistic regressions were used for data analysis.Results: The prevalence of NEBF was 19.9%, 40.4% and 57.9% at 1 month, 3 months and 6 months, respectively. Factors found to be associated with NEBF practice at 1...
Nutrients
The World Health Organization (WHO) recommends the early initiation of breastfeeding. Research shows that factors such as mode of delivery may interfere with the early initiation of breastfeeding. However, data in the United Arab Emirates (UAE) on these findings is limited. Thus, the aim of this study was to describe the prevalence of caesarean sections (CSs) and evaluate their effect on breastfeeding initiation among mothers of children under the age of two years in Abu Dhabi. Data were collected in clinical and non-clinical settings across various geographical areas in Abu Dhabi during 2017 using consent and structured questionnaires for interviews with mothers. Data analysis included both descriptive and inferential statistics. Among the 1624 participants, one-third (30.2%) reportedly delivered by CS, of which 71.1% were planned, while 28.9% were emergency CS. More than half of all mothers (62.5%) initiated early breastfeeding. Multivariable logistic regression indicated factors ...
https://www.ijhsr.org/IJHSR\_Vol.6\_Issue.3\_March2016/33.pdf, 2016
Background: The immunological and nutritive values of breast milk are most suited for an infant. With the increase in the incidence of caesarean section, problems in breastfeeding in the first 24-48 hours have increased because of pain, discomfort, exhaustion and sedation effects of anesthesia. Materials and methods: A descriptive, cross-sectional study was conducted among 30 mothers of BPKIHS, Dharan, who had undergone cesarean section to assess knowledge and practice related to breastfeeding. Knowledge regarding breastfeeding was assessed by self-prepared structured interview schedule and practice was observed using observational checklist. Results: The study revealed that 50% of the respondent had knowledge about breastfeeding above median score (IQR) [7.5(6-9)]. Only 11.11% of respondents breastfed their infants effectively. Most of the mothers (83%) initiated feeding after one hour of birth. The reasons for delayed initiation were late shifting, pain and discomfort and inadequate milk secretion. The main problems during breastfeeding were pain and discomfort at incision site, inadequate milk secretion, pain in breast during sucking and poor sucking by the infant. Colostrum was fed by 93% of the mothers whereas 17% of the mothers fed prelacteal feeds. There was significant association of knowledge score and education (p-0.02) and there was a significant association between effectiveness of breastfeeding and age group (p-0.007). Conclusion: Maternal knowledge regarding breastfeeding is inadequate. In our context, still there is persistence of cultural belief related to prelacteal feeds. The mothers are not able to practice effective techniques of breastfeeding. There is difficulty in initiation and establishment of breastfeeding after cesarean section.
Does cesarean section have an impact on the successful initiation of breastfeeding in Saudi Arabia?
Saudi medical journal, 2014
To investigate whether the type of birth influenced breastfeeding outcomes. This study used a quantitative descriptive correlation design study in a sample of 60 primigravida mothers. Participants were recruited over a 2-month period from June to July 2011 in the postnatal ward at King AbdulAziz University Hospital (KAUH) in Jeddah city, Kingdom of Saudi Arabia (KSA). The results of the study indicated that women who gave birth vaginally were more likely to breastfeed within the first hour, and at 24 hours after birth than those who had a cesarean section. The mothers who had cesarean section stated that pain interfered with their ability to hold, breastfeed, and care for their baby. Healthy term babies at KAUH are routinely separated from their mothers, and given infant formula supplementation. The findings in this study reinforce the importance of appropriate pain management, keeping well babies with their mothers to remain together, 24 hours a day, and avoidance of non-medically...
Proceedings of the 8th International Nursing Conference on Education, Practice and Research Development in Nursing (INC 2017), 2017
Early Initiation of Breastfeeding in the process of labor in Section Caesarean (SC) is rarely implemented because of pain from the surgical wound, the effect of anesthesia, discomfort mother, and yet the milk discharge after surgery. The purpose of the research was to create a model of comfort nursing care to the needs of comfort in SC mothers. Method: Design used in the study was an explanation with a population of women in the SC at RSUD Jombang and RSUD Madiun in February to May 2016. The samples were 282 with total sampling technique. The research variables of maternal factors were a father, infant, and provider, health care need, nursing intervention, comfort and implementation of early initiation of breastfeeding. Data were analyzed by Partial Least Square (PLS). The second phase of the study used quasi-experimental. The patient sample of the SC women in RSUD Jombang as the treatment group and the RSUD Sogaten Madiun was the control group. Results: Factors that directly influence were a baby, provider, health care need and comfort. While, factors that not directly affected were a mother, husband, and nursing intervention. The value of t ≥ 1.96. T-test showed a significant difference to improve the implementation of early initiation of breastfeeding in SC mother between the treatment group and the control group, with the increasing 0.9 higher in treatment group. The new finding was an increase of the implementation of early initiation of breastfeeding in the SC mother after nursing care comfort was done. New research finding was found the increase the implementation of early breastfeeding initiation in the post-SC mother after nursing care comfort was done. Discussion and conclusion: the condition of maternal health, the support of her spouse, infant reflexes and providers have a significant impact to the successfulness of early maternal initiation of breastfeeding in SC mother. The condition of the mother after surgery is that the mother feels very uncomfortable, so she needs support from nurses and midwives to create a sense of comfort. It is recommended that Relaxation and distraction techniques can provide comfort to the mother. Finally, the mother can carry out the early initiation of breastfeeding.
Breast Feeding Technique Education to Onset of Lactation of Caesarean Section-Delivered Mother
2016
Introduction. The woman that did her delivery by caesarean section would have slower onset of lactation compared to normal delivery, because surgical procedure would resist breast milk production process. This study aimed to analyze the effectivity of breastfeeding technique education related to lactation onset of caesarean section-delivered mother in Mataram City General Hospital. Method. This research was a quasi-experimental research. This research was held in Mataram City General Hospital. There were 24 intervention and 24 control samples. The independent variable was breastfeeding technique education, and the dependent variable was onset of lactation of caesarean section-delivered mother. Other variables measured were age, occupation, education, number (times) of giving birth, and caesarean section delivery. Sample collection technique was using consecutive sampling and data analysis was using univariable and bivariable chi-square. Result. There was signifi cant relation betwee...
BMC pregnancy and childbirth, 2016
The caesarean section (c-section) rate in Canada is 27.1 %, well above the 5-15 % of deliveries suggested by the World Health Organization in 2009. Emergency and planned c-sections may adversely affect breastfeeding initiation, milk supply and infant breastfeeding receptivity compared to vaginal deliveries. Our study examined mode of delivery and breastfeeding initiation, duration, and difficulties reported by mothers at 4 months postpartum. The All Our Babies study is a prospective pregnancy cohort in Calgary, Alberta, that began in 2008. Participants completed questionnaires at <25 and 34-36 weeks gestation and approximately 4 months postpartum. Demographic, mental health, lifestyle, and health services data were obtained. Women giving birth to singleton infants were included (n = 3021). Breastfeeding rates and difficulties according to mode of birth (vaginal, planned c-section and emergency c-section) were compared using cross-tabulations and chi-square tests. A multivariable ...
2016
Introduction : Globally, World Health Organization (WHO) and United Nations Children (UNICEF) have urged about giving exclusive breastfeed for newborn baby. Indonesian Government had already targeted 80% of the newborn to be given exclusive breastfeed. But the reality told that exclusive breastfeed program wasn’t done well. Although there were a lot of benefits for giving exclusive breastfeed especially for newborn baby and mother, but in fact there were still a lot of mothers that didn’t give it to their baby. One of the reasons was caused by the lactation onset. The woman that did her delivery by caesarean section would have slower onset of lactation compared to normal delivery, because surgical procedure would resist breast milk production process. Objective : To identify the effectivity of breastfeeding technique education related to lactation onset of caesarean section-delivered mother in Mataram City General Hospital. Research method : This research was a quasi-experimental re...
Communication, Society and Media, 2020
Background: The benefits of breast milk are greatly enhanced if breastfeeding starts within one hour after birth. Hunan milk contains a host of dynamic and unique feeding properties. Breast engorgement is one of the most common minor discomforts confronting nursing women after delivery, especially Primiparous. The aim of the study was to investigate the breastfeeding knowledge and practices among primiparous women with a cesarean section and its impact on breast engorgement in Upper Egypt. The study was conducted in the postnatal unit of Beni-Suef University Hospital. The study design was a descriptive study. The type of sample was a simple random sample. The study comprised 90 Primiparous cesarean section mothers; suffer from breast engorgement. Tools of Data Collection were interview questionnaire sheet, knowledge assessment sheet, observational checklist, and engorgement assessment scale. The study revealed that the studied women's knowledge and technique of breastfeeding were not adequate among the whole study sample. Breast engorgement was more prevalent among the younger, less educated, housewives, low social class's women and those who were rural dwellers. Recommendation: Providing the mother with guidance and support on positioning and latching and modification of hospital practices are effective in reducing breast problems.
IOSR Journal of Engineering, 2014
Background: Breast feeding is the best way to provide unique biological and emotional effects on mothers and their newborn babies. Objectives: To identify women's awareness about initiation and continuation of breastfeeding among cesarean section and predict the variables which contribute in initiation and continuation of breastfeeding. Methodology: Non probability-a purposive sample of 30 women who had caesarean section and follow them for the first month after birth at Fatima Al-Zahra'a Maternity and Pediatric Teaching Hospital through the period from 16 May to 2 August 2011. Questionnaire developed by the researcher was based on review of literature and related studies and background experience as a tool of data collection. It was consisted of four parts (demographic , reproductive , initiation and continuation of breastfeeding). Content validity was carried out through eleven experts. A pilot study was conducted to test the reliability of the questionnaire and descriptive and inferential statistics were used to analysis of data. Results: Results of the study revealed that 43.3% of study sample initiation of breastfeeding during 24 hours after cesarean section, 76.7% of them had continued breastfeeding, 26% of them had exclusive breastfeeding. Prediction of six variables which contribute in initiation and continuation of breast feeding (age, parity, number of alive children, age at marriage, place of previous delivery and previous initiation of breastfeeding). Conclusions: Most of the study sample did not aware about the exclusive breastfeeding; one quarter of them had discontinuation of breastfeeding due to inadequate of their milk and newborn refused to take the breast during breastfeeding. Recommendations: Reactivated the role of Baby Friendly hospital Initiative in promoting breastfeeding by implementation of ten steps successful breastfeeding and counseling women during pregnancy and immediate postpartum about initiation and maintenance of breastfeeding for six months after birth.