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Comparative Study of Breastfeeding in Caesarean Delivery and Vaginal Delivery Using LATCH Score and Maternal Serum Prolactin Level in Early Postpartum Period

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Abstract

Introduction

Practice of starting and sustaining breastfeeding is affected by many conditions, mode of delivery is one of the major factor influencing it. Purpose of the study was to see if the mode of delivery affects the subsequent lactation in early postpartum period and to raise awareness among the community about the importance of mode of delivery in early initiation of breast feeding.

Materials and Methods

Present study was a hospital based observational, comparative prospective study. A sample size of 120 subjects in each group (caesarean delivery CD Group and vaginal delivery VD group) was required. Serum prolactin and LATCH score both at 1st hour and 24th hour were compared in both groups.

Results

Mean LATCH score at 1st hour and 24th hour of CD Group was 5.44 ± 0.68 and 7.12 ± 0.95, respectively. The mean LATCH score at 1st hour and 24th hour of VD Group was 7.12 ± 0.94 and 8.1 ± 1, respectively. Mean serum prolactin level at 1st hour and 24th hour of CD Group was 259.68 ± 33.99 and 309.99 ± 42.27, respectively. Mean serum prolactin level at 1st hour and 24th hour of VD Group was 304.91 ± 42.07 and 333.34 ± 42.65, respectively. The mothers delivered by caesarean had main problem with latch (L) and hold (H) of the baby as compared to mothers delivered vaginally.

Conclusion

Mode of delivery has a direct impact on early initiation of breast feeding. Caesarean delivery is a cause for delay in initiation of breastfeeding.

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References

  1. Cakmak H, Kuguoglu S. Comparison of the breastfeeding patterns of mothers who delivered their babies per vagina and via cesarean section: an observational study using the LATCH breastfeeding charting system. Int J Nurs Stud. 2007;44:1128–37.

    Article  PubMed  Google Scholar 

  2. Mugadza G, Zvinavashe M, Gumbo FZ, et al. Early breastfeeding initiation and incidence of neonatal sepsis in Chipinge district Zimbabwe. Int J Contemp Pediatr. 2018;5:1.

    Article  Google Scholar 

  3. Jensen D, Wallace S, Kelsay P. LATCH: a breastfeeding charting system and documentation tool. J Obstet Gynecol Neonatal Nurs. 1994;23:27–32.

    Article  CAS  PubMed  Google Scholar 

  4. Sowjanya SVNS, Venugopalan L. LATCH score as a predictor of exclusive breastfeeding at 6 weeks postpartum: a prospective cohort study. Breastfeed Med. 2018;13(6):444–9.

    Article  CAS  PubMed  Google Scholar 

  5. Sriraman NK. The nuts and bolts of breastfeeding: anatomy and physiology of lactation. Current Problems Pediatr Adolesc Health Care. 2017;47(12):305–10.

    Article  Google Scholar 

  6. Bole-Feysot C, Goffin V, Edery M, et al. Prolactin (PRL) and its receptor: actions, signal transduction pathways and phenotypes observed in PRL receptor Knockout mice. Endocr Rev. 1998;19(3):225–68. https://doi.org/10.1210/edrv.19.3.0334.

    Article  CAS  PubMed  Google Scholar 

  7. Riordan J, Gill-Hopple K, Angeron J. Indicators of effective breastfeeding and estimates of breast milk intake. J Hum Lact. 2005;21(4):406–12. https://doi.org/10.1177/0890334405281032.

    Article  PubMed  Google Scholar 

  8. İsik Y, Dag ZO, Tulmac OB, et al. Early postpartum lactation effects of cesarean and vaginal birth. Ginekol Pol. 2016;87(6):426–30.

    Article  PubMed  Google Scholar 

  9. de Brito PE, Gasparin VA, Bagatini MD et al. Determinantes do nível de prolactina em mulheres no pós-parto imediato. Cogitare Enfermagem. 2020. https://doi.org/10.5380/ce.v25i0.71511.

    Article  Google Scholar 

  10. Zanardo V, Svegliado G, Cavallin F et al. Elective cesarean delivery: does it have a negative effect on breastfeeding? Birth. 2010;37(4):275–9.

    Article  PubMed  Google Scholar 

  11. Rowe-Murray HJ, Fisher JRW. Baby friendly hospital practices: cesarean section is a persistent barrier to early initiation of breastfeeding. Birth. 2002;29(2):124–31. https://doi.org/10.1046/j.1523-536X.2002.00172.x.

    Article  PubMed  Google Scholar 

  12. Hobbs AJ, Mannion CA, McDonald SW et al. The impact of caesarean section on breastfeeding initiation, duration and difficulties in the first four months postpartum. BMC Pregnancy Childbirth. 2016. https://doi.org/10.1186/s12884-016-0876-1.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Scott JA, Binns CW, Oddy WH. Predictors of delayed onset of lactation. Maternal & Child Nutr. 2007;3(3):186–93.

    Article  Google Scholar 

  14. Evans KC, Evans RG, Royal R, et al. Effect of caesarean section on breast milk transfer to the normal term newborn over the first week of life. Arch Dis Child-Fetal Neonatal Ed. 2003;88(5):F380–2.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. Prasad V, Gupta A. Arrested development. In: 4th Assessment of India's policy & programmes on infant & young child feeding, 2015. https://doi.org/10.13140/RG.2.1.3090.8241.

  16. Fadiloglu E, Karatas E, Tez R et al. Assessment of factors affecting breastfeeding performance and latch score: a prospective cohort study. Z Geburtshilfe Neonatol. 2020;225(4):353–60.

    PubMed  Google Scholar 

  17. Erickson EN, Carter CS, Emeis CL. Oxytocin, vasopressin and prolactin in new breastfeeding mothers: relationship to clinical characteristics and infant weight loss. J Hum Lact. 2020;36(1):136–45.

    Article  PubMed  Google Scholar 

  18. Heck KE, Schoendorf KC, Chávez GF, et al. Does postpartum length of stay affect breastfeeding duration? A population-based study. Birth. 2003;30(3):153–9.

    Article  PubMed  Google Scholar 

  19. Babazade R, Vadhera RB, Krishnamurthy P et al. Acute postcesarean pain is associated with in-hospital exclusive breastfeeding, length of stay and post-partum depression. J Clin Anesth. 2020;62: 109697. https://doi.org/10.1016/j.jclinane.2019.109697.

    Article  PubMed  Google Scholar 

  20. Albokhary AA, James JP. Does cesarean section have an impact on the successful initiation of breastfeeding in Saudi Arabia? Saudi Med J. 2014;35(11):1400–3.

    PubMed  PubMed Central  Google Scholar 

  21. Huang SK, Chih MH. Increased Breastfeeding Frequency Enhances Milk Production and Infant Weight Gain: Correlation with the Basal Maternal Prolactin Level. Breastfeed Med. 2020;15(10):639–45. https://doi.org/10.1089/bfm.2020.0024 (Epub 2020 Aug 14).

    Article  PubMed  Google Scholar 

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Funding

This research did not receive any specific grant from funding agencies in the public, commercial or not-for-profit sectors.

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Authors and Affiliations

  1. Dept of Obstetrics and Gynaecology, SMS Medical College, JLN marg, Jaipur, Rajasthan, 302004, India

    Indira Lamba, Manish Kumar Bhardwaj, Asha Verma & Ekta Meena

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  1. Indira Lamba
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  2. Manish Kumar Bhardwaj
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  3. Asha Verma
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Correspondence to Manish Kumar Bhardwaj.

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Conflict of interest

The authors declare that they have no conflict of interest and there is no violation of human rights.

Ethical Approval

The study received approval from the institutional ethics committee with permission No. 451/MC/EC/2021 dated March 21, 2021. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

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Dr.Indira Lamba, MS (Obstetrics and Gynaecology), Associate professor, Dept of Obstetrics and Gynaecology, SMS Medical College, JLN marg, Jaipur, Rajasthan-302004. Dr. Manish Kumar Bhardwaj , M.S. (Obstetrics and Gynaecology), Junior Resident, Dept of Obstetrics and Gynaecology, SMS Medical College, JLN marg, Jaipur, Rajasthan-302004: Dr. Asha Verma, MS (Obstetrics and Gynaecology), Professor, Dept of Obstetrics and Gynaecology, SMS Medical College, JLN marg, Jaipur, Rajasthan-302004. Dr. Ekta Meena, M.S. (Obstetrics and Gynaecology), Junior Resident, Dept of obstetrics and Gynaecology, SMS Medical College, JLN marg, Jaipur, Rajasthan-302004

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Lamba, I., Bhardwaj, M.K., Verma, A. et al. Comparative Study of Breastfeeding in Caesarean Delivery and Vaginal Delivery Using LATCH Score and Maternal Serum Prolactin Level in Early Postpartum Period. J Obstet Gynecol India 73, 139–145 (2023). https://doi.org/10.1007/s13224-022-01698-9

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  • DOI: https://doi.org/10.1007/s13224-022-01698-9

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