Breastfeeding Initiation in Mothers with Repeat Cesarean Section: The Impact of Marital Status
| Autor: | Jordyn T. Wallenborn, Saba W. Masho, Whitney C Graves |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Postnatal Care Health Knowledge Attitudes Practice medicine.medical_specialty Pregnancy risk Repeat Cesarean Section Breastfeeding Mothers Health Promotion Choice Behavior Risk Assessment Pediatrics Young Adult 03 medical and health sciences 0302 clinical medicine Maternity and Midwifery Odds Ratio Humans Medicine Cesarean Section Repeat 030212 general & internal medicine Infant Nutritional Physiological Phenomena Maternal Behavior 030219 obstetrics & reproductive medicine Marital Status Singleton business.industry Obstetrics Health Policy Infant Newborn Social Support Obstetrics and Gynecology Monitoring system Vaginal Birth after Cesarean Breast Feeding Cross-Sectional Studies Marital status Female business Live birth |
| Zdroj: | Breastfeeding Medicine. 12:227-232 |
| ISSN: | 1556-8342 1556-8253 |
| DOI: | 10.1089/bfm.2016.0205 |
| Popis: | Approximately 90% of mothers with a primary C-section have a subsequent C-section. To date, research has demonstrated that primary C-sections are associated with breastfeeding noninitiation. However, it is unknown if this association persists after the primary C-section. Furthermore, literature has shown a differing relationship between breastfeeding initiations by marital status. Due to the high proportion of women who give birth while unmarried, investigating differences by marital status will add a significant contribution to breastfeeding literature. This study investigates the association between repeat C-section and breastfeeding initiation within marital status groups using a nationally representative cross-sectional survey.Data from the 2004 to 2011 Pregnancy Risk Assessment Monitoring System were analyzed. The sample was restricted to women with a previous singleton live birth who had C-section and whose infant was alive at the time of interview (N = 34,854). Multiple logistic regression analyses were conducted to obtain crude and adjusted odds ratio (AOR) and 95% confidence intervals (CIs).After adjusting for potential confounders, married women who had a repeat C-section were 2.2 times (AOR = 2.16, 95% CI = 1.69-2.77) more likely to never breastfeed compared to women with vaginal birth after caesarean section (VBAC). Similarly, the odds of breastfeeding noninitiation were 76% (AOR = 1.76, 95% CI = 1.47-2.12) higher among women with a repeat C-section compared to women with VBAC. No significant associations were exhibited among nonmarried women.Enhanced educational programs and counseling support may be needed to help families cope with delivery challenges and resulting stressors that may reduce their desire to initiate breastfeeding in the postpartum period. |
| Databáze: | OpenAIRE |
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