The association between cesarean delivery and breast-feeding outcomes among Mexican women
The association between cesarean delivery and breast-feeding outcomes among Mexican women
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DOI：
10.2105/ajph.86.6.832
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发表时间：
1996-06-01
影响因子：
12.7
通讯作者：
Dewey, KG
中科院分区：
文献类型：
--
作者：
PerezEscamilla, R;MaulenRadovan, I;Dewey, KG
目标.本研究调查了1987年剖宫产分娩对母乳喂养开始和持续时间的影响。墨西哥人口与健康调查.子样本（n = 2517）仅限于由医生接生最后一个孩子（5岁及以下）的妇女。采用多因素logistic回归分析剖宫产与未开始母乳喂养或母乳喂养时间少于1个月的可能性之间的关系。在母乳喂养1个月或以上的妇女中，采用多因素生存分析来研究剖宫产与母乳喂养时间的关系。剖腹产是不开始母乳喂养的危险因素（比值比[OR] = 0.64，95%置信区间[CT] = 0.50，0.82）和母乳喂养少于1个月（OR = 0.58，95%CI = 0.37，0.91），但在母乳喂养1个月以上的妇女中，与母乳喂养时间无关（OR = 0.97，95%CI = 0.86，1.11）。希望在产后早期为通过剖腹产分娩的妇女提供额外的母乳喂养支持。
Objectives. This study examined the impact of cesarean section delivery on the initiation and duration of breast-feeding in the 1987. Mexican Demographic and Health Survey.Methods. The subsample (n = 2517) was restricted to women whose delivery of their last-born children (aged 5 years and younger) was attended by a physician. Multivariate logistic regression was used to examine the association between cesarean section and the likelihood of either not initiating breast-feeding or doing so for less than 1 month. Among women who breast-fed for 1 month or more, multivariate survival analysis was used to examine the relationship between cesarean section and breast-feeding duration.Results. Cesarean section was a risk factor for not initiating breast-feeding (odds ratio [OR] = 0.64, 95% confidence interval [CT] = 0.50, 0.82) and for breast-feeding for less than 1 month (OR = 0.58, 95% CI = 0.37, 0.91) but was unrelated to breast-feeding duration among women who breast-fed for 1 month among women or more (OR = 0.97, 95% CI = 0.86, 1.11).Conclusions. It is desirable to provide additional breast-feeding support during the early postpartum period to women who deliver via cesarean sections.