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Published in: BMC Pregnancy and Childbirth 1/2020

Open Access 01-12-2020 | Sectio Ceasarea | Research article

Relationship between caesarean section and breastfeeding: evidence from the 2013 Turkey demographic and health survey

Authors: Nüket Paksoy Erbaydar, Tuğrul Erbaydar

Published in: BMC Pregnancy and Childbirth | Issue 1/2020

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Abstract

Background

The mode of delivery influences breastfeeding practices. High rates of 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 primiparae.

Methods

Data for primiparae with a singleton birth (N = 777) obtained from the 2013 Turkey 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 following birth were evaluated. Standardised incidence rates and standardised rate ratios of non-early initiation of breastfeeding and non-exclusive breastfeeding were calculated according to the mode of delivery.

Results

The late initiation of breastfeeding and non-exclusive breastfeeding incidence rates were 42.7 and 41.0%, respectively. The standardised incidence rate of late initiation of breastfeeding among women with vaginal delivery was 35.34%, versus 50.49% among those with caesarean delivery. The standardised rate ratios for late initiation of breastfeeding and non-exclusive breastfeeding were 1.428 (95% confidence interval (CI): 1.212–1.683) and 1.468 (95% CI: 1.236–1.762), respectively. Women who 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 sociodemographic and delivery-related factors.

Conclusions

This study provides useful evidence for the implementation of strategies to prevent unnecessary caesarean sections, which negatively affect not only maternal health but also neonatal health. The promotion of mother-friendly policies by healthcare institutions, implemented in a baby-friendly manner, is essential.
Literature
1.
go back to reference World Health Organization. Global strategy for infant and young child feeding. Geneva: World Health Organization; 2003. World Health Organization. Global strategy for infant and young child feeding. Geneva: World Health Organization; 2003.
2.
go back to reference World Health Organization. Indicators for the global monitoring framework on maternal, infant and young child nutrition. Geneva: World Health Organization; 2014. World Health Organization. Indicators for the global monitoring framework on maternal, infant and young child nutrition. Geneva: World Health Organization; 2014.
3.
go back to reference Hacettepe University Institute of Population Studies. 2013 Turkey Demographic and Health Survey. Ankara: Hacettepe University Institute of Population Studies, T.R. Ministry of Development, and TÜBİTAK; 2014. Hacettepe University Institute of Population Studies. 2013 Turkey Demographic and Health Survey. Ankara: Hacettepe University Institute of Population Studies, T.R. Ministry of Development, and TÜBİTAK; 2014.
5.
go back to reference Bosi Bağcı AT, Eriksen KG, Sobko T, Wijnhoven TM, Breda J. Breastfeeding practices and policies in WHO European region member states. Public Health Nutr. 2016;19:753–64. Bosi Bağcı AT, Eriksen KG, Sobko T, Wijnhoven TM, Breda J. Breastfeeding practices and policies in WHO European region member states. Public Health Nutr. 2016;19:753–64.
15.
go back to reference Bora Başara B, Soytutan Çağlar I, Aygün A, Özdemir TA, Kulali B, Uzun SB, Kayış BB, Pekeriçli A, Yentür GK, Kıcıman Ö, Aydoğan Kılıç D. Health statistics yearbook 2017. In: Bora Başara B, Soytutan Çağlar I, Aygün A, editors. General Directorate of Health Information Systems, Ministry of Health. Ankara: Kuban Matbaacılık Yayıncılık; 2018. Bora Başara B, Soytutan Çağlar I, Aygün A, Özdemir TA, Kulali B, Uzun SB, Kayış BB, Pekeriçli A, Yentür GK, Kıcıman Ö, Aydoğan Kılıç D. Health statistics yearbook 2017. In: Bora Başara B, Soytutan Çağlar I, Aygün A, editors. General Directorate of Health Information Systems, Ministry of Health. Ankara: Kuban Matbaacılık Yayıncılık; 2018.
16.
go back to reference World Health Organization. Indicators for assessing infant and young child feeding practices. Part 1: definitions. Geneva: World Health Organization; 2008. World Health Organization. Indicators for assessing infant and young child feeding practices. Part 1: definitions. Geneva: World Health Organization; 2008.
18.
go back to reference Abdulmalek LJ. Factors affecting exclusive breastfeeding practices in Benghazi, Libya. Libyan J Sci Technol. 2018;7:36–8. Abdulmalek LJ. Factors affecting exclusive breastfeeding practices in Benghazi, Libya. Libyan J Sci Technol. 2018;7:36–8.
25.
go back to reference Bertini G, Perugi S, Dani C, Pezzati M, Tronchin M, Rubaltelli FF. Maternal education and the incidence and duration of breastfeeding: a prospective study. J Pediatr Gastroenterol Nutr. 2003;37:447–52.CrossRef Bertini G, Perugi S, Dani C, Pezzati M, Tronchin M, Rubaltelli FF. Maternal education and the incidence and duration of breastfeeding: a prospective study. J Pediatr Gastroenterol Nutr. 2003;37:447–52.CrossRef
Metadata
Title
Relationship between caesarean section and breastfeeding: evidence from the 2013 Turkey demographic and health survey
Authors
Nüket Paksoy Erbaydar
Tuğrul Erbaydar
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2020
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-020-2732-6

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