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Delivery mode and breastfeeding outcomes among new mothers in Nicaragua.
- Source :
-
Maternal & child nutrition [Matern Child Nutr] 2018 Jan; Vol. 14 (1). Date of Electronic Publication: 2017 Jun 16. - Publication Year :
- 2018
-
Abstract
- Breastfeeding has been shown to benefit infants and mothers. Women who have caesarean deliveries (C-sections) are expected to be less likely to initiate and continue breastfeeding than those who have vaginal deliveries. Given the high rate of C-sections in Nicaragua, the importance of breastfeeding, and the centrality of culture in choices about breastfeeding, this study sought to examine if mode of delivery relates with breastfeeding initiation and exclusivity in Nicaragua. Two hundred fifty mothers were surveyed about birth experiences and breastfeeding behaviour in 3 public clinics in León, Nicaragua, between June and August 2015. Logistic regression analyses were performed to examine the association of mode of delivery with initiation of breastfeeding within 1 hr of birth (early initiation) and exclusive breastfeeding for 6 months post-partum. The rate of early initiation was 68.8% and that of exclusively breastfeeding for 6 months was 12.7%. Mode of delivery was not significantly associated with early initiation (p = .383) or exclusive breastfeeding (p = .518). Early initiation was negatively associated with prelacteal feeding, AOR = 0.30, 95% CI [0.16, 0.58]; p = .001. Mothers who had perceived their infants as large at birth were significantly less likely to exclusively breastfeed for 6 months, AOR (95%CI) = 0.25 (0.06-0.97); p = 0.046. Mode of delivery was not significantly associated with optimal breastfeeding initiation and exclusivity among mothers in Nicaragua. The 2 risk factors identified for delayed initiation of breastfeeding and lack of exclusive breastfeeding were prelacteal feeding and maternal perception of a large infant at birth, respectively.<br /> (© 2017 John Wiley & Sons Ltd.)
- Subjects :
- Adult
Birth Weight
Bottle Feeding ethnology
Cross-Sectional Studies
Diagnostic Self Evaluation
Feeding Methods
Female
Humans
Infant, Newborn
Lactation Disorders diagnosis
Lactation Disorders ethnology
Lactation Disorders etiology
Lactation Disorders physiopathology
Male
Nicaragua
Nutrition Surveys
Pregnancy
Primary Health Care
Qualitative Research
Retrospective Studies
Breast Feeding ethnology
Cesarean Section adverse effects
Health Knowledge, Attitudes, Practice ethnology
Infant Nutritional Physiological Phenomena ethnology
Mothers
Urban Health ethnology
Subjects
Details
- Language :
- English
- ISSN :
- 1740-8709
- Volume :
- 14
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Maternal & child nutrition
- Publication Type :
- Academic Journal
- Accession number :
- 28621054
- Full Text :
- https://doi.org/10.1111/mcn.12474