Mathur G P, Pandey P K, Mathur S, Sharma S, Agnihotri M, Bhalla M, Bhalla J N
Department of Pediatrics, G.S.V.M. Medical College, Kanpur.
Indian Pediatr. 1993 Nov;30(11):1285-90.
One hundred mothers undergoing cesarean section and their infants were studied regarding various factors affecting the establishment of breastfeeding during their stay in hospital (mean = 11 +/- 3.6 days). Nearly two-thirds (65.7%) of mothers who underwent elective cesarean section, and 62.8% of mothers who received spinal anesthesia were breastfeeding exclusively; while only 53.8% mothers who had undergone an emergency cesarean section and 28.6% who received general anesthesia were exclusively breastfeeding their neonates. All 9 mothers who initiated breastfeeding within 12 h of the surgery were practicing total breastfeeding. In contrast only 5.8% of mothers who initiated breastfeeding after 96 hours, were exclusively breastfeeding their neonates. Total breastfeeding was more frequent (86.8%) in newborn infants who received prelacteal feeds by spoon as compared to those who received by feeding bottle (33.3%). Babies separated from the mothers in hospital were less likely (35.5%) to be on total breastfeeding as compared to those (68.1%) who were not separated from their mothers. This study suggests that for proper establishment of breastfeeding in mothers undergoing cesarean section an elective procedure under spinal anesthesia promotes, early initiation of breastfeeding. Early initiation of breastfeeding has highly significant correlation with establishment of breastfeeding while separation of babies from mothers discourages breastfeeding.
对100例行剖宫产的母亲及其婴儿进行了研究，探讨了影响她们住院期间（平均11±3.6天）母乳喂养建立的各种因素。择期剖宫产的母亲中近三分之二（65.7%）以及接受脊髓麻醉的母亲中62.8%进行纯母乳喂养；而急诊剖宫产的母亲中只有53.8%以及接受全身麻醉的母亲中28.6%对新生儿进行纯母乳喂养。所有在手术后12小时内开始母乳喂养的9位母亲都进行全母乳喂养。相比之下，在96小时后开始母乳喂养的母亲中只有5.8%对新生儿进行纯母乳喂养。与通过奶瓶喂养初乳的新生儿相比，通过勺子喂养初乳的新生儿进行全母乳喂养的频率更高（86.8%）。与未与母亲分离的婴儿（68.1%）相比，住院期间与母亲分离的婴儿进行全母乳喂养的可能性较小（35.5%）。这项研究表明，对于剖宫产母亲而言，为了正确建立母乳喂养，脊髓麻醉下的择期手术可促进母乳喂养的早期开始。母乳喂养的早期开始与母乳喂养的建立高度相关，而婴儿与母亲的分离则不利于母乳喂养。
