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Research article
Nuket Paksoy Erbaydar
Hacettepe Universitesi
Corresponding Author
ORCiD: https://orcid.org/0000-0001-8004-4342
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This work is licensed under a CC BY 4.0 License. Read Full License
Background The mode of delivery influences breastfeeding practices. High caesarean section and low breastfeeding rates are important public health concerns for all developing countries. This study aimed to determine the relationship between caesarean section and early breastfeeding practices among primiparas. Methods Data for primiparas with a singleton birth (n = 777) obtained from the 2013 Turkish Demographic and Health Survey were used in this retrospective cohort study. Early initiation of breastfeeding within one hour of delivery and exclusive breastfeeding during the first three days after delivery were evaluated. Standardized incidence rates and standardized rate ratios of non-early initiation of breastfeeding and non-exclusive breastfeeding were calculated according to mode of delivery. Results The late initiation of breastfeeding and non-exclusive breastfeeding incidence rates were 42.7% and 41.0%, respectively. The standardized incidence rate of late initiation of breastfeeding among women with vaginal delivery was 35.34%, versus 50.49% for those with caesarean delivery. The standardized rate ratios for late initiation of breastfeeding and non-exclusive breastfeeding were 1.428 (95% CI: 1.212, 1.683) and 1.468 (95% CI: 1.236-1.762), respectively. Women that underwent caesarean section had a higher risk of late initiation of breastfeeding and non-exclusive breastfeeding during the three days following delivery, after controlling for socio-demographic and delivery-related factors. Conclusions This study provides evidence useful for implementing strategies to prevent unnecessary caesarean sections, which negatively affect not only maternal health, but also neonatal health as well. Promotion of mother-friendly policies by healthcare institutions that are implemented in a baby-friendly manner are essential.
Keywords
Caesarean section; breastfeeding; cohort study; demographic and health survey
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CURRENT STATUS: Published
View the published article at BMC Pregnancy and Childbirth.
No community comments so far
Editor assigned
On 30 Dec, 2019
Submission checks complete
On 29 Dec, 2019
Editor invited
On 29 Dec, 2019
Version 2
Posted 13 Dec, 2019
No comments provided
Editorial decision: Minor revision
On 18 Dec, 2019
Editor assigned
On 09 Dec, 2019
Submission checks complete
On 08 Dec, 2019
Editor invited
On 08 Dec, 2019
No comments provided
Editorial decision: Minor revision
On 25 Nov, 2019
Review #2 received
Received 23 Nov, 2019
Reviewer #2 agreed
On 22 Nov, 2019
Review #1 received
Received 20 Nov, 2019
Reviewer #1 agreed
On 05 Nov, 2019
Reviewers invited
Invitations sent on 04 Nov, 2019
Submission checks complete
On 22 Oct, 2019
Editor assigned
On 11 Oct, 2019
Editor invited
On 10 Oct, 2019
First submitted
On 09 Oct, 2019
Metrics
Comments: 0
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Subject Areas
Maternal & Fetal Medicine
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A new preprint design is coming!
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See the published version of this preprint at BMC Pregnancy and Childbirth.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Nuket Paksoy Erbaydar
Hacettepe Universitesi
Corresponding Author
ORCiD: https://orcid.org/0000-0001-8004-4342
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Pregnancy and Childbirth.
No community comments so far
Editor assigned
On 30 Dec, 2019
Submission checks complete
On 29 Dec, 2019
Editor invited
On 29 Dec, 2019
Version 2
Posted 13 Dec, 2019
No comments provided
Editorial decision: Minor revision
On 18 Dec, 2019
Editor assigned
On 09 Dec, 2019
Submission checks complete
On 08 Dec, 2019
Editor invited
On 08 Dec, 2019
No comments provided
Editorial decision: Minor revision
On 25 Nov, 2019
Review #2 received
Received 23 Nov, 2019
Reviewer #2 agreed
On 22 Nov, 2019
Review #1 received
Received 20 Nov, 2019
Reviewer #1 agreed
On 05 Nov, 2019
Reviewers invited
Invitations sent on 04 Nov, 2019
Submission checks complete
On 22 Oct, 2019
Editor assigned
On 11 Oct, 2019
Editor invited
On 10 Oct, 2019
First submitted
On 09 Oct, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Maternal & Fetal Medicine
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Pregnancy and Childbirth.
Background The mode of delivery influences breastfeeding practices. High caesarean section and low breastfeeding rates are important public health concerns for all developing countries. This study aimed to determine the relationship between caesarean section and early breastfeeding practices among primiparas. Methods Data for primiparas with a singleton birth (n = 777) obtained from the 2013 Turkish Demographic and Health Survey were used in this retrospective cohort study. Early initiation of breastfeeding within one hour of delivery and exclusive breastfeeding during the first three days after delivery were evaluated. Standardized incidence rates and standardized rate ratios of non-early initiation of breastfeeding and non-exclusive breastfeeding were calculated according to mode of delivery. Results The late initiation of breastfeeding and non-exclusive breastfeeding incidence rates were 42.7% and 41.0%, respectively. The standardized incidence rate of late initiation of breastfeeding among women with vaginal delivery was 35.34%, versus 50.49% for those with caesarean delivery. The standardized rate ratios for late initiation of breastfeeding and non-exclusive breastfeeding were 1.428 (95% CI: 1.212, 1.683) and 1.468 (95% CI: 1.236-1.762), respectively. Women that underwent caesarean section had a higher risk of late initiation of breastfeeding and non-exclusive breastfeeding during the three days following delivery, after controlling for socio-demographic and delivery-related factors. Conclusions This study provides evidence useful for implementing strategies to prevent unnecessary caesarean sections, which negatively affect not only maternal health, but also neonatal health as well. Promotion of mother-friendly policies by healthcare institutions that are implemented in a baby-friendly manner are essential.
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