Improving First-hour Breastfeeding Initiation Rate After Cesarean Deliveries: A Quality Improvement Study

Dudeja, Sankalp; Sikka, Pooja; Jain, Kajal; Suri, Vanita; Kumar, Praveen

doi:10.1007/s13312-018-1376-3

Cited by 33 publications

(29 citation statements)

References 11 publications

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“…15 Studies have confirmed this result even in hospitals that adopt practices that promote the use of breastfeeding. [16][17][18] In relation to forceps delivery, there was a higher risk of not performing SSC followed by breastfeeding in the first hour of life, likely due to the presence of analgesia, which may interfere with breastfeeding in the first hour of life. 19 The country's high cesarean section rates and childbirth interventions such as the use of oxytocin, early rupture of the amniotic membrane and other unnecessary procedures have been a national concern due to the consequences for women and children.…”

Section: Discussionmentioning

confidence: 99%

Skin-to-Skin Contact Followed by Breastfeeding in the First Hour of Life: Associated Factors and Influences on Exclusive Breastfeeding

Saco

Coca

Marcacine

et al. 2019

Texto contexto - enferm.

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Objective: to verify the factors associated with the practice of skin-to-skin contact with breastfeeding in the first hour of life and its influence on exclusive breastfeeding in the first month. Method: a retrospective cross-sectional study with medical records from a breastfeeding outpatient clinic in São Paulo, Brazil. The sample included all the medical records of the mother-baby dyad who had been consulted by nurses between 2004 and 2010. Data were collected from the medical records between 2014 and 2015. Results: 1,030 medical records were identified, 71 were excluded and the final sample was 959. The prevalence of skin-to-skin contact with breastfeeding in the first hour was 37.2%. The Apgar score between 8 and 10 in the first minute of life and the higher birth weight of the newborn were protective factors of contact with early breastfeeding; lower maternal age and cesarean delivery and forceps were risk factors for this practice. Exclusive breastfeeding was statistically higher in the group of newborns who had contact with breastfeeding in the first hour; however, there was no association with duration of exclusive breastfeeding. Conclusion: good birth conditions were protective factors for breastfeeding followed by skin-to-skin contact in the first hour, while younger maternal age and surgical deliveries proved to be risk factors. Exclusive breastfeeding in the baby´s first month of life was not associated with skin-to-skin contact followed by breastfeeding in the first hour of life.

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Section: Discussionmentioning

confidence: 99%

Skin-to-Skin Contact Followed by Breastfeeding in the First Hour of Life: Associated Factors and Influences on Exclusive Breastfeeding

Saco

Coca

Marcacine

et al. 2019

Texto contexto - enferm.

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“…Similar quality improvement studies had been undertaken but the factors involved in each centre may be different. 12,13…”

Section: Resultsmentioning

confidence: 99%

A quality improvement study on breastfeeding initiation rate within 1 hour of life in inborn neonates in a tertiary care centre

Devi¹,

Nalini²,

Raghupathy³

2020

Int J Contemp Pediatr

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Background: Breastfeeding is a well-established key of success to improve the outcome in neonates. Early initiation of breastfeeding in neonates refers to the provision of mother’s milk to their own babies as early as possible after delivery. Despite the established benefits of breastfeeding, early initiation of breastfeeding is found to be suboptimal in our country. Early initiation of breastfeeding has many challenges like no bedding in, availability of lactation counsellors and staff nurses, procedural delay (episiotomy, skin suture) and shifting from the recovery room. Objective of the study was to improve the rate of initiation of breastfeeding stable term and preterm neonates within 1 hour of life in both normal vaginal delivery and caesarean section conducted in our hospital from baseline to 95% over 3 months period by Quality improvement approach.Methods: Eligible inborn mother-infant dyads were enrolled in this study. A team formed, baseline data and rate of early initiation of breastfeeding collected and factors for delayed initiation analysed by Flowchart process, Fishbone analysis and 5 why’s, 3 PDSA cycles were done.Results: Total 50 mother-infant dyads assessed. Rate of early initiation of breastfeeding within 1 hour of life increased from 25% to 100% over 3 months.Conclusions: This quality improvement study was able to accomplish sustained improvement in the rate of breastfeeding the neonates in the first hour of life.

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“…It is more common that women breastfeed earlier after a vaginal delivery than a cesarean, and again, if the population under study desires to address this issue, interventions targeted at this outcome exist for replication. [12][13][14][15] It is notable that at the 12-month timepoint, an interval longer than a year was marginally (not statistically) associated with an increased odds of breastfeeding after delivery.…”

Section: Discussionmentioning

confidence: 99%

The association of interpregnancy interval and mode of delivery with outcomes among a cohort of Guatemalan women with a history of prior cesarean

Harrison

Garces

Figueroa

et al. 2020

Preprint

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Design: Our objectives were to analyze how interpregnancy interval (IPI) was associated with delivery mode and how outcomes varied by these characteristics.Methods: This secondary analysis used data from a prospective study conducted in Chimaltenango, Guatemala from January 2017 through April 2020.Results: Of 26,465 Guatemalan women, 3,170 (12.0%) had a history of prior cesarean. 560 (20.1%) women delivered by vaginal birth after cesarean with the remaining 2,233 (79.9%) delivered by repeat cesarean delivery. Repeat cesarean reduced the risk of needing a dilation and curettage compared to vaginal birth after cesarean, but this association did not vary by IPI (AOR 0.01 – 0.03, p < 0.001). Repeat cesarean delivery, as compared to vaginal birth after cesarean, significantly reduced the likelihood a woman breastfeeding within one hour of birth (AOR 0.009 – 0.10, p < 0.001), but IPI was not associated with the outcome. Regarding stillbirth, repeat cesarean birth reduced the likelihood of stillbirth as compared to vaginal birth (AOR 0.2, p = 0.001 – 0.002), but again IPI was not associated with the outcome.Conclusion: Outcomes by mode of delivery among a Guatemalan cohort of women with a history of prior cesarean birth do not vary by IPI.

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Improving First-hour Breastfeeding Initiation Rate After Cesarean Deliveries: A Quality Improvement Study

Cited by 33 publications

References 11 publications

Skin-to-Skin Contact Followed by Breastfeeding in the First Hour of Life: Associated Factors and Influences on Exclusive Breastfeeding

Skin-to-Skin Contact Followed by Breastfeeding in the First Hour of Life: Associated Factors and Influences on Exclusive Breastfeeding

A quality improvement study on breastfeeding initiation rate within 1 hour of life in inborn neonates in a tertiary care centre

The association of interpregnancy interval and mode of delivery with outcomes among a cohort of Guatemalan women with a history of prior cesarean

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