Breastfeeding after cesarean delivery: a systematic review and meta-analysis of world literature

Prior, Emily; Santhakumaran, Shalini; Gale, Chris; Philipps, L.; Modi, Neena; Hyde, Matthew J.

doi:10.3945/ajcn.111.030254

Cited by 465 publications

(466 citation statements)

References 124 publications

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“…Na Figura 2, são apresentados os efeitos aleatórios No presente trabalho, a cesariana foi o fator de risco mais fortemente associado ao início tardio da amamentação, corroborando o resultado de revisão sistemática sobre este tema, na qual este foi o fator de risco identificado de forma mais consistente 18 . Essa modalidade de parto tem sido descrita como uma importante barreira para o início oportuno da amamentação 27 , em geral devido às rotinas de cuidados pós-operatórios que retardam ou interrompem o contato entre mãe e filho no período pós-parto 28 . A proporção de cesarianas em nosso estudo (32,2%) foi mais que o dobro da considerada aceitável pela OMS (10 a 15%) 29 , embora inferior à encontrada no mesmo município por Boccolini et al 20 (49,4%) em estudo que incluiu a rede hospitalar privada.…”

Section: Resultsunclassified

Fatores associados ao início tardio da amamentação em hospitais do Sistema Único de Saúde no Município do Rio de Janeiro, Brasil, 2009

et al. 2015

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Resumo O objetivo do trabalho foi analisar os fatores associados com o início tardio da amamentação (não amamentar na primeira hora de vida). Estudo transversal conduzido em 2009 com 673 puérperas internadas em hospitais do Sistema Único de Saúde (SUS) do Município do Rio de Janeiro, Brasil. Um modelo de regressão logística multinível com dois níveis (individual e hospitalar) foi utilizado nas análises estatísticas. A prevalência de início tardio da amamentação foi de 49,2%. O parto em Hospital Amigo da Criança (HAC) teve um efeito protetor contra o atraso no início da amamentação (OR = 0,17; IC95%: 0,05-0,55), enquanto a cesariana (OR = 5,95; IC95%: 3,88-9,12) e o desconhecimento do resultado do exame anti-HIV até o parto (OR = 2,16; IC95%: 1,04-4,50) aumentaram a chance de atraso. Redução das taxas de cesariana, adesão aos protocolos de atenção pré-natal e ampliação do credenciamento dos hospitais como HAC são estratégias importantes para promover o aleitamento materno na primeira hora de vida.

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Section: Resultsunclassified

Fatores associados ao início tardio da amamentação em hospitais do Sistema Único de Saúde no Município do Rio de Janeiro, Brasil, 2009

et al. 2015

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“…In this sample set, none of the infants delivered by Caesarean section were exclusively breastfed, which likely reflects clinical reality in this population; also elsewhere Caesarean section is associated with lower rates of breastfeeding, e.g. (Prior et al, 2012). All of the Caesarean section deliveries in this study were performed before the onset of labour, so there was no exposure of the neonates to the vaginal microbiome (Prior et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

“…(Prior et al, 2012). All of the Caesarean section deliveries in this study were performed before the onset of labour, so there was no exposure of the neonates to the vaginal microbiome (Prior et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

Does the maternal vaginal microbiota play a role in seeding the microbiota of neonatal gut and nose?

Sakwińska

Foata

Berger

et al. 2017

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The acquisition and early maturation of infant microbiota is not well understood despite its likely influence on later health. We investigated the contribution of the maternal microbiota to the microbiota of infant gut and nose in the context of mode of delivery and feeding. Using 16S rRNA sequencing and specific qPCR, we profiled microbiota of 42 mother-infant pairs from the GUSTO birth cohort, at body sites including maternal vagina, rectum and skin; and infant stool and nose. In our study, overlap between maternal vaginal microbiota and infant faecal microbiota was minimal, while the similarity between maternal rectal microbiota and infant microbiota was more pronounced. However, an infant's nasal and gut microbiota were no more similar to that of its own mother, than to that of unrelated mothers. These findings were independent of delivery mode. We conclude that the transfer of maternal vaginal microbes play a minor role in seeding infant stool microbiota. Transfer of maternal rectal microbiota could play a larger role in seeding infant stool microbiota, but approaches other than the generally used analyses of community similarity measures are likely to be needed to quantify bacterial transmission. We confirmed the clear difference between microbiota of infants born by Caesarean section compared to vaginally delivered infants and the impact of feeding mode on infant gut microbiota. Only vaginally delivered, fully breastfed infants had gut microbiota dominated by Bifidobacteria. Our data suggest that reduced transfer of maternal vaginal microbial is not the main mechanism underlying the differential infant microbiota composition associated with Caesarean delivery. The sources of a large proportion of infant microbiota could not be identified in maternal microbiota, and the sources of seeding of infant gut and nasal microbiota remain to be elucidated.

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“…Multiparity also has a positive influence on mother's confidence and knowledge about breastfeeding technique, enabling mothers to have successful lactation. Mode of delivery has a strong influence on lactation [9]. Women with vaginal delivery are more comfortable to initiate early breastfeeding compared to cesarean deliveries [10].…”

Section: Discussionmentioning

confidence: 99%

Effect of Antenatal Breast Milk Expression at Term Pregnancy to Improve Post Natal Lactational Performance

Lamba

Chopra

Negi

2015

J Obstet Gynecol India

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Objectives To study the effect of antenatal breast milk expression at term pregnancy and subsequent effect on postnatal lactation performance. Methods A sample size of 200 pregnant women who had completed 37 weeks of gestational period was selected. The sample size was divided equally into study (group 1) and control (group 2). The pregnant women in study (group 1) were advised to gently manually express their breasts at least once daily at any time, preferably during bathing. The remaining women constituted the group 2. At the time of delivery, all the mothers were advised to initiate breastfeeding their baby within half an hour of delivery. The time from initiation of lactation to full lactation when no top feed is required was noted. Assessment of sufficient lactation was judged by the objective and subjective criteria. Result In the group 1, 89 % of the cases established full lactation within 6 h of delivery, whereas in the group 2 only 72 % of the cases had established full lactation within 6 h. The difference in the group 1 and the group 2 is statistically significant (P \ 0.05) with regard to time interval from initiation of lactation to full lactation. Maternal perception of satisfactory lactation was statistically significantly higher in group 1 compared with group 2. In the group 1, 100 % of vaginal delivery (FTND) cases had established full lactation within 6 h compared with 81 % in the group 2. The result is statistically significant (P \ 0.10). In the group 1, 80 % of the lower segment cesarean section deliveries established full lactation within 6 h, whereas in the group 2, it was 61 %. The result is statistically significant (P \ 0.10). In objective criteria, the post-feed weight gain was higher in the group 1. 123Conclusions Antenatal manual breast milk expression at term shortens the time taken to from initiation to full establishment of lactation, thus significantly improving postnatal lactational performance by early establishment of plentiful milk secretion.

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Breastfeeding after cesarean delivery: a systematic review and meta-analysis of world literature

Cited by 465 publications

References 124 publications

Fatores associados ao início tardio da amamentação em hospitais do Sistema Único de Saúde no Município do Rio de Janeiro, Brasil, 2009

Fatores associados ao início tardio da amamentação em hospitais do Sistema Único de Saúde no Município do Rio de Janeiro, Brasil, 2009

Does the maternal vaginal microbiota play a role in seeding the microbiota of neonatal gut and nose?

Effect of Antenatal Breast Milk Expression at Term Pregnancy to Improve Post Natal Lactational Performance

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