An analysis of the effects of intrapartum factors, neonatal characteristics, and skin‐to‐skin contact on early breastfeeding initiation

• Published in: Maternal and child nutrition 2018-01, Vol.14 (1), p.n/a
• Main Authors: Lau, Ying, Tha, Pyai Htun, Ho‐Lim, Sarah Su Tin, Wong, Lai Ying, Lim, Peng Im, Citra Nurfarah, Binte Zaini Mattar, Shorey, Shefaly
• Format: Article
• Language: English
• Subjects: a multiple‐group path analytic model; Adult; Apgar Score; Breast Feeding - ethnology; Breast Feeding - psychology; Cesarean Section - adverse effects; Cesarean Section - psychology; Cross-Sectional Studies; early breastfeeding initiation; Female; Hospitals, University; Humans; immediate skin‐to‐skin contact; Infant, Newborn; Infant, Newborn, Diseases - ethnology; Infant, Newborn, Diseases - psychology; Infant, Newborn, Diseases - therapy; Intensive Care Units, Neonatal; Lactation Disorders - epidemiology; Lactation Disorders - etiology; Lactation Disorders - prevention & control; Lactation Disorders - psychology; Male; Models, Psychological; Mother-Child Relations - ethnology; Mother-Child Relations - psychology; Object Attachment; Original; Perinatal Care; Peripartum Period; Pregnancy; Retrospective Studies; Risk; Singapore - epidemiology; Touch; Young Adult
• ISSN: 1740-8695; 1740-8709
• DOI: 10.1111/mcn.12492

This study aims to determine relationships between intrapartum factors, neonatal characteristics, skin‐to‐skin contact (SSC), and early breastfeeding initiation after spontaneous vaginal and Caesarean section or operative vaginal birth. A total of 915 mother–newborn dyads were considered in a hypothetical model based on integrated concepts of breastfeeding initiation model, infant learning framework, and attachment theory. Multiple‐group path analysis was used to determine whether differences exist between effects of immediate SSC (≤30 min) on early breastfeeding initiation in different modes of birth. SSC, mode of birth, labour duration, and neonatal intensive care unit admission were significantly associated with early breastfeeding initiation, as indicated by the path analysis model, which included all samples. Women with immediate SSC were more likely to initiate early breastfeeding in different modes of birth. In the spontaneous vaginal birth group, women showed a lower likelihood of initiating early breastfeeding when their neonates were admitted to the neonatal intensive care unit and presented an Apgar score of