The Relationship of Early Breastfeeding Initiation With Postpartum Maternal Prolactin Levels

Putri, Arfianingsih Dwi

doi:10.31674/mjmr.2019.v03i01.002

Cited by 4 publications

(3 citation statements)

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“…The present study findings on perineal pain in the immediate postpartum period following vaginal delivery may encourage health professionals to be more involved and better understand the consequences of pain to the quality of life of the parturient, hence improve their assistance during and after delivery. Proper management of postpartum pain is also important to encourage early breastfeeding (Dwi Putri, 2019;Hasan & Hasan, 2020) and foster patients' satisfaction (Amasha, Abdel-Haleem, & Gamal, 2020). Proper identification of pain intensity among susceptible mothers will also allow early interventions to ensure optimised healthcare services and making childbirth a positive experience for all mothers.…”

Section: Discussionmentioning

confidence: 99%

Paracetamol as Analgesia Following Spontaneous Vaginal Delivery: Reappraisal of Practice

Mukhtar

Nazli²,

Ahmad³

et al. 2023

MJN

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Background: We aim to determine the prevalence of perineal pain following postpartum vaginal delivery, the requirement of paracetamol as analgesia, and its associated factors. Methods: The study was performed from December 14, 2020, until February 14, 2021, in a single tertiary centre in northwest Malaysia. The pain score was assessed immediately postpartum and every six hours for the next 48 hours, and the requirement for paracetamol as analgesia was documented. Maternal sociodemographic data and baseline clinical details associated with the requirement for paracetamol were analysed. Results: A total of 285 study participants were included. The majority (93.0%) were Malays, with a mean age of 31.0 6.08 years. Majority of the women delivered their second child (36.1%) with a first-degree tear (46.7%). The majority neither required any analgesia within the first few hours of delivery in the labour room (71.3%) nor in the next 48 hours of ward observation (54.4%). The mean pain score following spontaneous vaginal delivery in the labour room was 4.0 1.07, while the mean pain score in the ward was 2.8 ± 1.05 (p<0.001). Logistic regression analysis determined that maternal weight (cOR: 1.02, 95% CI: 1.01, 1.04) and episiotomy (cOR: 3.28, 95% CI: 1.52, 7.08) were significantly predictive of paracetamol requirement as analgesia. Conclusion: Most of our population did not require oral analgesia in the postpartum period. However, the identification of susceptible individuals may guide clinicians to have a targeted approach for early management to ensure a positive birthing experience for all mothers.

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Section: Discussionmentioning

confidence: 99%

Paracetamol as Analgesia Following Spontaneous Vaginal Delivery: Reappraisal of Practice

Mukhtar

Nazli²,

Ahmad³

et al. 2023

MJN

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“…The impact of not giving exclusive breastfeeding is a higher risk of death due to diarrhea for babies who receive non-exclusive or no breast milk (Astuti et al, 2015). So, breastfeeding is the best way to provide essential nutrients and antibodies for infants' growth and health, with the potential to prevent thousands of infant deaths in Indonesia and millions worldwide if practiced exclusively for the first six months (Putri, 2019).…”

Section: Introductionmentioning

confidence: 99%

The Perceptions of Pregnant Mothers on Exclusive Breastfeeding: Motivation to Perform Early Breastfeeding Initiation (EBI) at Hayati Clinic Medan

Wahyuni,

Santri P,

Kencana

et al. 2023

MJN

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Introduction: Pregnancy is a natural and physiological process that brings happiness to mothers with the arrival of their newborn. When a baby is born, it is placed on its mother's chest, where it will have physical contact with its mother and instinctively search for its mother's nipple to breastfeed. This is where the process of early breastfeeding initiation (EBI) occurs. Breast milk is a natural food for babies, and the World Health Organization recommends exclusive breastfeeding for six months. Despite a 49% decrease in under-five mortality rates worldwide, child mortality remains a significant issue, with almost half of all child deaths occurring in the last two decades. The aim of this study is to determine the relationship between pregnant women's attitudes towards exclusive breastfeeding and their motivation to perform EBI. Methods: This study used a cross-sectional analytical survey design, with data collected through questionnaires distributed to 44 pregnant mothers at Hayati Clinic. The sampling technique used was saturation sampling, and the data were analyzed using chi-square statistical tests with α 0.05. Results: Based on the research results, the relationship between pregnant mothers' perceptions of exclusive breastfeeding and their motivation to perform EBI was significant, with p (0.000) < α (0.05), indicating that mothers with less favorable perceptions were less motivated to perform EBI. Conclusion: From the study's findings, it is recommended that pregnant mothers increase their knowledge and seek more information about exclusive breastfeeding and motivation to achieve successful early breastfeeding initiation (EBI).

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“…Breastfeeding within the first hour post-delivery has also been cited as an important predictor of continued breastfeeding 13,14,15 as a result of higher levels of prolactin release in these mothers, compared to those, who delayed in initiating breastfeeding. 16,17,18,19,20 Oxytocin-related lowered stress levels in mothers, who promptly initiated breastfeeding, have also been noted to sustain continued breastfeeding. 21 According to WHO global report [12], only 39.7% (60.3% delayed) of women, who had c-section delivery started to breastfeed their infant within one hour of birth [22,23]; rural residence and poor socioeconomic status, rather than urban residence and wealth, were protective factors for timely breastfeeding initiation and avoidance of prelacteal feeds.…”

Section: Introductionmentioning

confidence: 99%

Magnitude and Determinants of Delayed Breastfeeding Initiation Among Mothers Who Deliver by Cesarean Section in a Rural General Hospital in East Africa

Ogah

Kapasa

2023

Preprint

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Background The BFHI program and timely breastfeeding initiation may be threatened by the worldwide rise in cesarean section deliveries, and this might promote prelacteal feeding. What is the current burden and determinants of delayed breastfeeding initiation among mothers, who gave birth via cesarean section? Subject and methods This was the baseline data of a prospective cohort study, where 529 healthy, singleton mother-newborn pairs were recruited consecutively at birth, from Gitwe district hospital in Rwanda. Results Overall, the burden of cesarean section delivery, delayed initiation of breastfeeding and prelacteal feeding were 38.8%, 17.0% and 6.0%, respectively. Rate of delayed breastfeeding initiation among mothers, who delivered by cesarean section was 37.6%, compared to 4.0% among those that delivered vaginally, p<0.001. Prelacteal feeds were given to 12.7% of the babies that were delivered by cesarean section, compared to 1.9% among those delivered vaginally, p<0.001. Use of probably unsafe water sources located in the household yards was strongly linked to both cesarean section delivery (p<0.000; OR=5.71; 95%CI=2.43, 13.41) and delayed breastfeeding initiation (p<0.000; OR=44.40; 95% CI 7.97, 247.32). Mothers delivered by c-section, who were prenatally exposed to potentially harmful substances, were more likely to delay breastfeeding initiation compared to unexposed mothers (p=0.001; OR=3.14; 95% CI 1.56, 6.31). Cesarean section delivery was more likely with HIV positive mothers (p=0.010; OR=7.14; 95% CI:1.61, 33.33), teenage and entrepreneur mothers. Rate of cesarean section delivery amongst HIV positive mothers was 88.9%, compared to 36.1% among HIV negative mothers. Conclusion and Recommendations HIV positivity and non-medical causes still drive the over-use of cesarean section for delivery in this rural community, and this impacted negatively on breastfeeding initiation, thereby promoting prelacteal feeding. The uncertain safety of the water sources and prenatal exposures to harmful social habits also need to be addressed. KEY WORDS: Breastfeeding initiation, cesarean section delivery, prelacteal feeds, unsafe water, antenatal breastmilk expression.

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The Relationship of Early Breastfeeding Initiation With Postpartum Maternal Prolactin Levels

Cited by 4 publications

References 0 publications

Paracetamol as Analgesia Following Spontaneous Vaginal Delivery: Reappraisal of Practice

Paracetamol as Analgesia Following Spontaneous Vaginal Delivery: Reappraisal of Practice

The Perceptions of Pregnant Mothers on Exclusive Breastfeeding: Motivation to Perform Early Breastfeeding Initiation (EBI) at Hayati Clinic Medan

Magnitude and Determinants of Delayed Breastfeeding Initiation Among Mothers Who Deliver by Cesarean Section in a Rural General Hospital in East Africa

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