Background: We compared early breastfeeding practices, including initiation, exclusivity, and intensity among women who had an unplanned caesarean section (c-section), a planned c-section, vaginal induced delivery, and a vaginally but not induced delivery.
Methods:This was a retrospective study involving secondary data analysis using the Infant Feeding Practices Study II, a longitudinal national survey, which followed women from pregnancy to 1 year postpartum. Data were obtained from the prenatal, neonatal and 2-month surveys for 2541 mothers and their infants. Descriptive statistics and chisquare analysis were conducted to identify any associations between mode of delivery and maternal characteristics, breastfeeding patterns in the first two months of infancy, prenatal breastfeeding attitudes, sources of breastfeeding information and reasons for not initiating breastfeeding.
Results:Women with a planned c-section had a significantly lower breastfeeding initiation rate (80%). Further, they were least likely to report a clinician's support for breastfeeding (40.2%) and more likely to disagree with benefits of breastfeeding (26.3%). Those with vaginally non-induced deliveries were least likely to receive breastfeeding information during the postpartum period from lactation consultants (56.5%), while women who had a planned c-section were less likely to receive breastfeeding information from relatives/ friends (48.9%).
Conclusion:Findings suggest that breastfeeding practices vary considerably by mode of delivery and this should be taken into consideration when offering lactation services and information to women. Women may need encouragement from family members and clinicians in initiating breastfeeding as well as adequate breastfeeding support through month 2 postpartum.