Early lactation failure and formula adoption after elective caesarean delivery: cohort study
Objective To investigate the effects of elective primary and elective repeat caesarean deliveries on lactation at hospital discharge. Design Cohort study. Setting Four Italian teaching hospitals – Padua, Brescia, L'Aquila and Udine. Interventions Deliveries were classified as vaginal, elective...
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| Veröffentlicht in: | Archives of disease in childhood. Fetal and neonatal edition 2013-01, Vol.98 (1), p.F37-F41 |
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| container_title | Archives of disease in childhood. Fetal and neonatal edition |
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| creator | Zanardo, Vincenzo Pigozzo, Anna Wainer, Gary Marchesoni, Diego Gasparoni, Antonella Di Fabio, Sandra Cavallin, Francesco Giustardi, Arturo Trevisanuto, Daniele |
| description | Objective To investigate the effects of elective primary and elective repeat caesarean deliveries on lactation at hospital discharge. Design Cohort study. Setting Four Italian teaching hospitals – Padua, Brescia, L'Aquila and Udine. Interventions Deliveries were classified as vaginal, elective caesarean (primary and repeat) or emergency caesarean. A total of 2296 (24.7%) infants born by caesarean section (CS), 816 of which (35.5%) classified as primary elective CS and 796 (34.7%) as repeat elective CS, were studied. Moreover, 30.2% of the elective CS deliveries took place before 39 weeks. Main outcome measures Feeding modalities at discharge: formula, complementary and breastfeeding. Results At discharge, 6.9% of the vaginal delivery mothers, 8.3% of the emergency CS mothers, 18.6% of the elective CS mothers, 23.3% of the primary CS mothers and 13.9% of the repeat CS mothers were using infant formula exclusively. Multivariate analysis (OR; 95% CI) identified primary elective delivery (3.74; 3.0 to 4.60), lower gestational age (1.16; 1.10 to 1.23), and place L'Aquila versus Udine (1.42; 1.01 to 2.09) and of Brescia versus Udine hospitals (6.16; 4.53 to 8.37) as independent predictors of formula feeding at discharge. Conclusions These findings provide new information about the risks of breastfeeding failure connected to elective CS delivery, particularly if primary and scheduled before 39 weeks of gestation. |
| doi_str_mv | 10.1136/archdischild-2011-301218 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1315608558</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>4019777381</sourcerecordid><originalsourceid>FETCH-LOGICAL-b458t-42a24386d5775dabc742d893cad82498720ab4c8935833e8e5bcdafc97a31f1c3</originalsourceid><addsrcrecordid>eNqNkUtv1DAUhS0Eog_4C8gSGzYBv-2wQ9NCqSrYwKyQrBvb0WRw4sFOEPPvcUmpEBtY-erc7_ja9yCEKXlJKVevILudH4rbDdE3jFDacEIZNQ_QKRXKVEmyh7Xmsm1Y25oTdFbKnhBCtdaP0Qljkiqh5Sn6cgk5HnEEN8M8pAn3MMQlBwyTx33K4xIBg0-HX03o55BxiMHNw_eAHYQCOcCEfYhVyMfX2KVdyjMu8-KPT9CjHmIJT-_Oc_T57eWnzVVz8_Hd-82bm6YT0syNYMAEN8pLraWHzmnBvGm5A2-YaI1mBDrhqiIN58EE2TkPvWs1cNpTx8_Ri_XeQ07fllBmO9blhBhhCmkplnIqFTGy2v-JMs2ZVFK0FX3-F7pPS57qRyzVhghhjFKVMivlciolh94e8jBCPlpK7G1Y9s-w7G1Ydg2rWp_dDVi6Mfh74-90KtCswFDm8OO-D_mrVZpraT9sN3Z7fcG2lGh7XXm-8t24__9n_ASemLNQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1780448866</pqid></control><display><type>article</type><title>Early lactation failure and formula adoption after elective caesarean delivery: cohort study</title><source>MEDLINE</source><source>BMJ Journals - NESLi2</source><creator>Zanardo, Vincenzo ; Pigozzo, Anna ; Wainer, Gary ; Marchesoni, Diego ; Gasparoni, Antonella ; Di Fabio, Sandra ; Cavallin, Francesco ; Giustardi, Arturo ; Trevisanuto, Daniele</creator><creatorcontrib>Zanardo, Vincenzo ; Pigozzo, Anna ; Wainer, Gary ; Marchesoni, Diego ; Gasparoni, Antonella ; Di Fabio, Sandra ; Cavallin, Francesco ; Giustardi, Arturo ; Trevisanuto, Daniele</creatorcontrib><description>Objective To investigate the effects of elective primary and elective repeat caesarean deliveries on lactation at hospital discharge. Design Cohort study. Setting Four Italian teaching hospitals – Padua, Brescia, L'Aquila and Udine. Interventions Deliveries were classified as vaginal, elective caesarean (primary and repeat) or emergency caesarean. A total of 2296 (24.7%) infants born by caesarean section (CS), 816 of which (35.5%) classified as primary elective CS and 796 (34.7%) as repeat elective CS, were studied. Moreover, 30.2% of the elective CS deliveries took place before 39 weeks. Main outcome measures Feeding modalities at discharge: formula, complementary and breastfeeding. Results At discharge, 6.9% of the vaginal delivery mothers, 8.3% of the emergency CS mothers, 18.6% of the elective CS mothers, 23.3% of the primary CS mothers and 13.9% of the repeat CS mothers were using infant formula exclusively. Multivariate analysis (OR; 95% CI) identified primary elective delivery (3.74; 3.0 to 4.60), lower gestational age (1.16; 1.10 to 1.23), and place L'Aquila versus Udine (1.42; 1.01 to 2.09) and of Brescia versus Udine hospitals (6.16; 4.53 to 8.37) as independent predictors of formula feeding at discharge. Conclusions These findings provide new information about the risks of breastfeeding failure connected to elective CS delivery, particularly if primary and scheduled before 39 weeks of gestation.</description><identifier>ISSN: 1359-2998</identifier><identifier>EISSN: 1468-2052</identifier><identifier>DOI: 10.1136/archdischild-2011-301218</identifier><identifier>PMID: 22516475</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</publisher><subject>Adult ; Babies ; Breast Feeding ; Breastfeeding & lactation ; Cesarean Section ; Cesarean Section, Repeat ; Childbirth & labor ; Elective Surgical Procedures ; Female ; Hospitals ; Humans ; Infant Formula ; Infant, Newborn ; Infants ; Lactation - physiology ; Low income groups ; Mothers ; Multivariate analysis ; Newborn babies ; Pregnancy ; Studies</subject><ispartof>Archives of disease in childhood. Fetal and neonatal edition, 2013-01, Vol.98 (1), p.F37-F41</ispartof><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><rights>Copyright: 2012 Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b458t-42a24386d5775dabc742d893cad82498720ab4c8935833e8e5bcdafc97a31f1c3</citedby><cites>FETCH-LOGICAL-b458t-42a24386d5775dabc742d893cad82498720ab4c8935833e8e5bcdafc97a31f1c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://fn.bmj.com/content/98/1/F37.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttp://fn.bmj.com/content/98/1/F37.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,314,780,784,3196,23571,27924,27925,77600,77631</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22516475$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zanardo, Vincenzo</creatorcontrib><creatorcontrib>Pigozzo, Anna</creatorcontrib><creatorcontrib>Wainer, Gary</creatorcontrib><creatorcontrib>Marchesoni, Diego</creatorcontrib><creatorcontrib>Gasparoni, Antonella</creatorcontrib><creatorcontrib>Di Fabio, Sandra</creatorcontrib><creatorcontrib>Cavallin, Francesco</creatorcontrib><creatorcontrib>Giustardi, Arturo</creatorcontrib><creatorcontrib>Trevisanuto, Daniele</creatorcontrib><title>Early lactation failure and formula adoption after elective caesarean delivery: cohort study</title><title>Archives of disease in childhood. Fetal and neonatal edition</title><addtitle>Arch Dis Child Fetal Neonatal Ed</addtitle><description>Objective To investigate the effects of elective primary and elective repeat caesarean deliveries on lactation at hospital discharge. Design Cohort study. Setting Four Italian teaching hospitals – Padua, Brescia, L'Aquila and Udine. Interventions Deliveries were classified as vaginal, elective caesarean (primary and repeat) or emergency caesarean. A total of 2296 (24.7%) infants born by caesarean section (CS), 816 of which (35.5%) classified as primary elective CS and 796 (34.7%) as repeat elective CS, were studied. Moreover, 30.2% of the elective CS deliveries took place before 39 weeks. Main outcome measures Feeding modalities at discharge: formula, complementary and breastfeeding. Results At discharge, 6.9% of the vaginal delivery mothers, 8.3% of the emergency CS mothers, 18.6% of the elective CS mothers, 23.3% of the primary CS mothers and 13.9% of the repeat CS mothers were using infant formula exclusively. Multivariate analysis (OR; 95% CI) identified primary elective delivery (3.74; 3.0 to 4.60), lower gestational age (1.16; 1.10 to 1.23), and place L'Aquila versus Udine (1.42; 1.01 to 2.09) and of Brescia versus Udine hospitals (6.16; 4.53 to 8.37) as independent predictors of formula feeding at discharge. Conclusions These findings provide new information about the risks of breastfeeding failure connected to elective CS delivery, particularly if primary and scheduled before 39 weeks of gestation.</description><subject>Adult</subject><subject>Babies</subject><subject>Breast Feeding</subject><subject>Breastfeeding & lactation</subject><subject>Cesarean Section</subject><subject>Cesarean Section, Repeat</subject><subject>Childbirth & labor</subject><subject>Elective Surgical Procedures</subject><subject>Female</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Infant Formula</subject><subject>Infant, Newborn</subject><subject>Infants</subject><subject>Lactation - physiology</subject><subject>Low income groups</subject><subject>Mothers</subject><subject>Multivariate analysis</subject><subject>Newborn babies</subject><subject>Pregnancy</subject><subject>Studies</subject><issn>1359-2998</issn><issn>1468-2052</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqNkUtv1DAUhS0Eog_4C8gSGzYBv-2wQ9NCqSrYwKyQrBvb0WRw4sFOEPPvcUmpEBtY-erc7_ja9yCEKXlJKVevILudH4rbDdE3jFDacEIZNQ_QKRXKVEmyh7Xmsm1Y25oTdFbKnhBCtdaP0Qljkiqh5Sn6cgk5HnEEN8M8pAn3MMQlBwyTx33K4xIBg0-HX03o55BxiMHNw_eAHYQCOcCEfYhVyMfX2KVdyjMu8-KPT9CjHmIJT-_Oc_T57eWnzVVz8_Hd-82bm6YT0syNYMAEN8pLraWHzmnBvGm5A2-YaI1mBDrhqiIN58EE2TkPvWs1cNpTx8_Ri_XeQ07fllBmO9blhBhhCmkplnIqFTGy2v-JMs2ZVFK0FX3-F7pPS57qRyzVhghhjFKVMivlciolh94e8jBCPlpK7G1Y9s-w7G1Ydg2rWp_dDVi6Mfh74-90KtCswFDm8OO-D_mrVZpraT9sN3Z7fcG2lGh7XXm-8t24__9n_ASemLNQ</recordid><startdate>201301</startdate><enddate>201301</enddate><creator>Zanardo, Vincenzo</creator><creator>Pigozzo, Anna</creator><creator>Wainer, Gary</creator><creator>Marchesoni, Diego</creator><creator>Gasparoni, Antonella</creator><creator>Di Fabio, Sandra</creator><creator>Cavallin, Francesco</creator><creator>Giustardi, Arturo</creator><creator>Trevisanuto, Daniele</creator><general>BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</general><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>201301</creationdate><title>Early lactation failure and formula adoption after elective caesarean delivery: cohort study</title><author>Zanardo, Vincenzo ; Pigozzo, Anna ; Wainer, Gary ; Marchesoni, Diego ; Gasparoni, Antonella ; Di Fabio, Sandra ; Cavallin, Francesco ; Giustardi, Arturo ; Trevisanuto, Daniele</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b458t-42a24386d5775dabc742d893cad82498720ab4c8935833e8e5bcdafc97a31f1c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Babies</topic><topic>Breast Feeding</topic><topic>Breastfeeding & lactation</topic><topic>Cesarean Section</topic><topic>Cesarean Section, Repeat</topic><topic>Childbirth & labor</topic><topic>Elective Surgical Procedures</topic><topic>Female</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Infant Formula</topic><topic>Infant, Newborn</topic><topic>Infants</topic><topic>Lactation - physiology</topic><topic>Low income groups</topic><topic>Mothers</topic><topic>Multivariate analysis</topic><topic>Newborn babies</topic><topic>Pregnancy</topic><topic>Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zanardo, Vincenzo</creatorcontrib><creatorcontrib>Pigozzo, Anna</creatorcontrib><creatorcontrib>Wainer, Gary</creatorcontrib><creatorcontrib>Marchesoni, Diego</creatorcontrib><creatorcontrib>Gasparoni, Antonella</creatorcontrib><creatorcontrib>Di Fabio, Sandra</creatorcontrib><creatorcontrib>Cavallin, Francesco</creatorcontrib><creatorcontrib>Giustardi, Arturo</creatorcontrib><creatorcontrib>Trevisanuto, Daniele</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>Archives of disease in childhood. Fetal and neonatal edition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zanardo, Vincenzo</au><au>Pigozzo, Anna</au><au>Wainer, Gary</au><au>Marchesoni, Diego</au><au>Gasparoni, Antonella</au><au>Di Fabio, Sandra</au><au>Cavallin, Francesco</au><au>Giustardi, Arturo</au><au>Trevisanuto, Daniele</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Early lactation failure and formula adoption after elective caesarean delivery: cohort study</atitle><jtitle>Archives of disease in childhood. Fetal and neonatal edition</jtitle><addtitle>Arch Dis Child Fetal Neonatal Ed</addtitle><date>2013-01</date><risdate>2013</risdate><volume>98</volume><issue>1</issue><spage>F37</spage><epage>F41</epage><pages>F37-F41</pages><issn>1359-2998</issn><eissn>1468-2052</eissn><abstract>Objective To investigate the effects of elective primary and elective repeat caesarean deliveries on lactation at hospital discharge. Design Cohort study. Setting Four Italian teaching hospitals – Padua, Brescia, L'Aquila and Udine. Interventions Deliveries were classified as vaginal, elective caesarean (primary and repeat) or emergency caesarean. A total of 2296 (24.7%) infants born by caesarean section (CS), 816 of which (35.5%) classified as primary elective CS and 796 (34.7%) as repeat elective CS, were studied. Moreover, 30.2% of the elective CS deliveries took place before 39 weeks. Main outcome measures Feeding modalities at discharge: formula, complementary and breastfeeding. Results At discharge, 6.9% of the vaginal delivery mothers, 8.3% of the emergency CS mothers, 18.6% of the elective CS mothers, 23.3% of the primary CS mothers and 13.9% of the repeat CS mothers were using infant formula exclusively. Multivariate analysis (OR; 95% CI) identified primary elective delivery (3.74; 3.0 to 4.60), lower gestational age (1.16; 1.10 to 1.23), and place L'Aquila versus Udine (1.42; 1.01 to 2.09) and of Brescia versus Udine hospitals (6.16; 4.53 to 8.37) as independent predictors of formula feeding at discharge. Conclusions These findings provide new information about the risks of breastfeeding failure connected to elective CS delivery, particularly if primary and scheduled before 39 weeks of gestation.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</pub><pmid>22516475</pmid><doi>10.1136/archdischild-2011-301218</doi></addata></record> |
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| ispartof | Archives of disease in childhood. Fetal and neonatal edition, 2013-01, Vol.98 (1), p.F37-F41 |
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| subjects | Adult Babies Breast Feeding Breastfeeding & lactation Cesarean Section Cesarean Section, Repeat Childbirth & labor Elective Surgical Procedures Female Hospitals Humans Infant Formula Infant, Newborn Infants Lactation - physiology Low income groups Mothers Multivariate analysis Newborn babies Pregnancy Studies |
| title | Early lactation failure and formula adoption after elective caesarean delivery: cohort study |
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