+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Prospective observational study on the effects of caesarean section on breastfeeding



Prospective observational study on the effects of caesarean section on breastfeeding



Zhonghua Fu Chan Ke Za Zhi 41(4): 246-248



To study the effects of caesarean section on breastfeeding. Six hundred and two [301 cases was caesarean section (caesarean section group) and 301 cases was vaginal delivery (vaginal delivery group)] nulliparas were interviewed face-to-face at antepartum and postpartum in an indication-matched prospective study. There was a significantly lower postpartum prolactin (PRL) level in the caesarean section group (8.48 nmol/L, 95% CI: 7.80 - 9.21 nmol/L) compared with vaginal delivery group (9.61 nmol/L, 95% CI: 8.99 - 10.26 nmol/L) during 6 - 24 hours in the daytime after delivery. The median time of breastfeeding initiation was 12 hours and 2 hours after birth for caesarean section and vaginal delivery groups respectively. Caesarean section was an important hazard for a shorter duration of breastfeeding (RR = 1.21; 95% CI: 1.10 - 1.33) within one year after childbirth. Caesarean section is associated with significantly lower postpartum PRL, which is in line with the longer breastfeeding initiation and lower rate of successful breastfeeding. Necessary measures including promoting the secretion of postpartum PRL such as early contact, early sucking and analgesic method should be taken to improve the successful breastfeeding rate.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 050049069

Download citation: RISBibTeXText

PMID: 16759459


Related references

Acupuncture for pain control after Caesarean section: a prospective observational pilot study. Acupuncture in Medicine 34(1): 14-19, 2016

A prospective observational study of the subjective experience of caesarean section under regional anaesthesia. International Journal of Obstetric Anesthesia 11(4): 242-245, 2002

The impact of anaesthetic trainees on elective caesarean section procedural times: a prospective observational study. Anaesthesia and Intensive Care 39(5): 936-940, 2011

Differences between native and immigrant women in Taiwan in factors associated with caesarean section: A prospective observational study. Women & Health (): 1-15, 2016

An observational prospective cohort study of incidence and characteristics of failed spinal anaesthesia for caesarean section. International Journal of Obstetric Anesthesia 18(3): 237-241, 2009

A prospective observational study of emergency caesarean section rates and the effect of the labour ward experience. Journal of Obstetrics and Gynaecology 25(7): 666-668, 2005

Can point-of-care ultrasound predict spinal hypotension during caesarean section? A prospective observational study. Anaesthesia 73(1): 15-22, 2018

The predictive ability of non-invasive haemodynamic parameters for hypotension during caesarean section: a prospective observational study. Anaesthesia 70(5): 555-562, 2015

Post-caesarean section surgical site infections at a Tanzanian tertiary hospital: a prospective observational study. Journal of Hospital Infection 93(4): 355-359, 2016

Blood transfusion in patients having caesarean section: a prospective multicentre observational study of practice in three Pakistan hospitals. International Journal of Obstetric Anesthesia 23(3): 253-259, 2014

Heart rate variability as a predictor of hypotension following spinal for elective caesarean section: a prospective observational study. Anaesthesia 72(5): 603-608, 2017

Associations between maternal size and health outcomes for women undergoing caesarean section: a multicentre prospective observational study (The MUM SIZE Study). Bmj Open 7(6): E015630, 2017

Blood loss and blood transfusion at caesarean section: a prospective observational study covering 30 years. European Journal of Obstetrics Gynecology and Reproductive Biology 181: 72-77, 2014

Studies on the influence of certoparin (Monoembolex) an postoperative laboratory parameters after caesarean section: An observational study on 156 caesarean sections. Geburtshilfe und Frauenheilkunde 58(4): 228-232, 1998

Comparison of the breastfeeding patterns of mothers who delivered their babies per vagina and via cesarean section: an observational study using the LATCH breastfeeding charting system. International Journal of Nursing Studies 44(7): 1128-1137, 2007