Caesarean delivery associated with adverse breastfeeding pra
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Cesarean delivery rates are increasing in many Asian countries. This study investigated the effects of cesarean section on breastfeeding practices from delivery to twelve months postpartum. Study was conducted on 2030 pregnant women. The overall cesarean rate was 38.1%. Mothers who underwent cesarean sections were more likely to give prelacteal feeds to their infants and as a result, have lower rates of early initiation of breastfeeding. Having a cesarean section reduced the likelihood of (any, predominant and exclusive) breastfeeding from discharge to 6 months postpartum. After 1 year, any breastfeeding rate was still lower in the cesarean delivery (70.2%) compared with the vaginal delivery group (72.9%). Women who give birth by cesarean section need extra support to initiate and maintain breastfeeding.

What is already known on this subject?
Early initiation of breastfeeding, and ‘exclusive’ or ‘predominant’ breastfeeding rates at discharge are lower in mothers delivering by caesarean section compared to vaginal delivery. Prelacteal feeding rates are higher following caesarean section. However, the association between ‘any’ breastfeeding duration and caesarean delivery has not been established.

What the results of this study add?
This study showed that caesarean delivery reduced all breastfeeding rates from discharge to six months and any breastfeeding rate at 12 months postpartum in Vietnamese women.

What the implications are of these findings for clinical practice and/or further research?
Further breastfeeding interventions are needed during the postpartum period for mothers who deliver by caesarean section.