Association of caesarean and vaginal delivery on breastfeeding practices among postpartum women at Hospital Universiti Sains Malaysia (HUSM)

• 主要作者: Teng, Lum Pei
• 格式: Monograph
• 語言: English
• 出版: Pusat Pengajian Kesihatan 2015
• 主題: R Medicine (General); RG Gynecology and obstetrics
• 在線閱讀: http://eprints.usm.my/60010/1/LUM%20PEI%20TENG%20-%20e.pdf; http://eprints.usm.my/60010/

Throughout literature, several studies have found caesarean delivery had negative impacts on breastfeeding. However, the results of previous studies on investigating the association of delivery methods on initiation and duration of breastfeeding were still inconsistent. This cross-sectional study was conducted with the objective to study the association of caesarean and vaginal delivery on breastfeeding practice among postpartum women who delivered their babies at Hospital Universiti Sains Malaysia (HUSM). Timing of breastfeeding initiation and maternal intention towards breastfeeding continuation after discharged were assessed as the breastfeeding outcomes in this study. A total of 240 postpartum women (aged 18 to 45 years) participated in this study. Data was collected during an interview section by using an interviewadministered questionnaire in 2 Topaz postnatal ward between March and April 2015. The questionnaire was used to collect the data on maternal socio-demographics, types of delivery method, parity, breastfeeding practices and their reproductive health status. The association between the independent and dependent variable was analaysed by using Pearson chi-square test and Fisher exact test. Majority of the study participants was Malay (98.8%) followed by Chinese (0.8%) and Indian (0.4%). 34.6% of women undergone caesarean birth whereas 65.4% of women undergone vaginal birth. All women in this study initiated breastfeeding during hospital stay. 66.3% of them initiated breastfeeding within 30 minutes after birth whereas 33.8% of women initiated breastfeeding after 30 minutes of birth. Majority of women (99.2%) had intention to continue their breastfeeding after discharged. 94.5% of them had intention to breastfeed their child until six months to two years. Mode of delivery was found significantly associated with timing of breastfeeding initiation (p<0.001). Mothers with caesarean delivery (CD) (78.3%) were more likely to initiate their breastfeeding after 30 minutes of birth than women with vaginal delivery (VD) (10.2%). However, no association was found between mode of delivery and maternal intention to continue breastfeeding after discharged (p - 0.546). The findings revealed that caesarean section was a determinant factor for early initiation of breastfeeding among this study population. Supports and assistances are needed from hospital staffs or health professional in improving breastfeeding initiation among mothers with caesarean birth.