Özer Aslan İlke, Aslan Mustafa Törehan, Can Nebibe, Sevinç Ergül Özlem, Çallıoğlu Nihal
Department of Obstetrics and Gynecology, Faculty of Medicine, Tekirdağ Namık Kemal University, Tekirdağ 59030, Türkiye.
Department of Obstetrics and Gynecology, In Vitro Fertilization and Reproductive Health Center, Acıbadem Maslak Hospital, İstanbul 34457, Türkiye.
Children (Basel). 2025 Jul 23;12(8):966. doi: 10.3390/children12080966.
: Cesarean delivery often leads to delayed breastfeeding initiation, potentially affecting infant health compared with vaginal delivery. This prospective observational study (conducted between August 2022 and January 2024) comparatively evaluates the impact of delivery method-vaginal, planned cesarean, and emergency cesarean-on breastfeeding initiation and continuation and examines the maternal factors influencing these outcomes. : We enrolled 338 mother-infant pairs at a tertiary university hospital. Breastfeeding effectiveness was assessed using the Bristol Breastfeeding Assessment Tool (BBAT) at birth and at one, three, and six months postpartum. Rates of breastfeeding continuation and formula supplementation were documented through structured interviews. : The mothers who delivered vaginally had a significantly higher rate of breastfeeding within one hour after birth (85.5%) compared with planned (57.9%) and emergency cesarean sections (64.9%) ( < 0.001). Baseline BBAT scores were higher for vaginal births but converged across the groups by one month postpartum ( > 0.05). At six months, breastfeeding continuation rates remained high (94.4-95.2%) irrespective of delivery method. : Delivery method exerts a transient effect on breastfeeding initiation. With lactation support, the mothers delivering by cesarean section achieved comparable breastfeeding outcomes within the first month postpartum. These findings reinforce the importance of Baby-Friendly Hospital Initiative (BFHI) practices, including immediate skin-to-skin contact, effective pain management, and lactation counseling, in ensuring equitable breastfeeding outcomes.
剖宫产往往会导致母乳喂养开始时间延迟，与阴道分娩相比，这可能会影响婴儿健康。这项前瞻性观察性研究（于2022年8月至2024年1月进行）比较评估了分娩方式（阴道分娩、计划剖宫产和急诊剖宫产）对母乳喂养开始和持续的影响，并研究了影响这些结果的母亲因素。我们在一家三级大学医院招募了338对母婴。在出生时以及产后1个月、3个月和6个月，使用布里斯托尔母乳喂养评估工具（BBAT）评估母乳喂养效果。通过结构化访谈记录母乳喂养持续率和配方奶补充率。与计划剖宫产（57.9%）和急诊剖宫产（64.9%）相比，阴道分娩的母亲在出生后1小时内进行母乳喂养的比例显著更高（85.5%）（<0.001）。阴道分娩的基线BBAT评分较高，但在产后1个月时各组评分趋于一致（>0.05）。在6个月时，无论分娩方式如何，母乳喂养持续率仍然很高（94.4-95.2%）。分娩方式对母乳喂养开始有短暂影响。通过泌乳支持，剖宫产的母亲在产后第一个月内实现了类似的母乳喂养结果。这些发现强化了爱婴医院倡议（BFHI）措施的重要性，包括即时皮肤接触、有效的疼痛管理和泌乳咨询，以确保公平的母乳喂养结果。
