scholarly journals Intention to Exclusively Breastfeed Is Associated with Lower Rates of Cesarean Section for Nonmedical Reasons in a Cohort of Mothers in Vietnam

2022 ◽  
Vol 19 (2) ◽  
pp. 884
Author(s):  
Doan Thi Thuy Duong ◽  
Colin Binns ◽  
Andy Lee ◽  
Yun Zhao ◽  
Ngoc Minh Pham ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Cesarean Delivery ◽  
Exclusive Breastfeeding ◽  
Urban Areas ◽  
Maternal Education ◽  
Fetal Loss ◽  
Cesarean Sections ◽  
Normal Birth ◽  
Breastfeeding Intention ◽  
The Relationship

Background: Breastfeeding brings benefits to both mothers and children in the short term and long term. Unnecessary cesarean sections can bring risks to both parties. This study was undertaken to examine the relationship between exclusive breastfeeding intention and cesarean delivery. Methods: We analyzed data collected from 554 single mothers who delivered in Dong Anh General District Hospital or Hanoi Obstetrics and Gynecology Hospital, Vietnam, in 2020–2021. The relationship between exclusive breastfeeding intention and cesarean delivery for nonmedical reasons was adjusted for maternal education, maternal age, parity, history of fetal loss, having at least eight antenatal contacts, hospital of delivery, child sex, and birth weight. Results: Antenatally, 34.8% (184/529) of mothers intended to breastfeed exclusively until 6 months and 30.8% (84/274) underwent cesarean section for a nonmedical reason. After adjusting for other factors, mothers who intended to breastfeed exclusively until 6 months were less likely to undergo cesarean delivery for nonmedical reasons (OR = 0.55, 95% CI: 0.31–0.96, p = 0.034). Conclusions: This study adds to the growing evidence related to unnecessary cesarean sections and routine over-medicalization of normal birth in the urban areas of Vietnam. The association between breastfeeding intentions and a lower rate of cesarean section suggests that education on breastfeeding could be a useful intervention for reducing the rate of cesarean sections and improving maternal and child health.

scholarly journals The Relationship of Exclusive Breastfeeding with the Incidence of Pulmonary Tuberculosis in Children

2018 ◽  
Vol 16 (2) ◽  
pp. 236-243
Author(s):  
Karimah Khitami Aziz
Keyword(s):  
Exclusive Breastfeeding ◽  
Urban Areas ◽  
Public Health Problem ◽  
Future Generations ◽  
Cultural Changes ◽  
Pulmonary Tb ◽  
Tuberculosis In Children ◽  
Relationship Of ◽  
The Relationship ◽  
And Child Health

Growth and development in childhood need to be considered to shape future generations are healthy, intelligent and qualified. Maintenance of children's health is carried out since fetus until age of 18 years. Meanwhile, children at the age of first 5 years of life have a low immune system that is susceptible to various diseases including pulmonary TB disease. One effort to maintain maternal and child health is by giving exclusive breastfeeding. The decline in the use of exclusive breastfeeding in developing countries, especially in urban areas, is the result of socio-cultural changes in the community. Pulmonary TB is a public health problem that is one of the global commitments in the MDG’s that must be controlled. Pulmonary TB is an infectious disease caused by an infection of the Mycobacterium tuberculosis and has attacked almost one-third of the world's population. Children's pulmonary TB is a TB disease that usually attacks children aged 0-14 years. Of the 9 million new cases of TB that occur worldwide each year, an estimated 1 million (11%) of them occur in children under 15 years.

Potentially Preventable Primary Cesarean Sections in Future Placenta Accreta Spectrum

2021 ◽  
Author(s):  
Kathy C. Matthews ◽  
Andrew S. Quinn ◽  
Stephen T. Chasen
Keyword(s):  
Cesarean Section ◽  
Cesarean Delivery ◽  
Placenta Accreta ◽  
External Cephalic Version ◽  
Cesarean Sections ◽  
Medical Indication ◽  
Placenta Accreta Spectrum ◽  
Primary Cesarean Delivery ◽  
Insured Patients ◽  
Privately Insured

Background Prior cesarean delivery is a well-known risk factor for placenta accreta spectrum disorders. While primary cesarean section is unavoidable in some patients, in others it may not be clearly indicated. Objective The aim of the study is to determine the proportion of patients with placenta accreta spectrum who had a potentially preventable primary cesarean section and to identify factors associated with preventable placenta accreta spectrum. Study Design This was a single-center retrospective cohort study of women with pathology-confirmed placenta accreta spectrum from 2007 to 2019. Primary cesarean sections were categorized as potentially preventable or unpreventable based on practice consistent with the American College of Obstetricians and Gynecologists and the Society for Maternal–Fetal Medicine “Safe Prevention of the Primary Cesarean Delivery” recommendations. Fisher's exact test and Mann-Whitney U-test were used for comparison with p <0.05 considered statistically significant. Results Seventy-two patients had pathology-confirmed placenta accreta spectrum over the course of the study period, 15 (20.8%) of whom required a cesarean hysterectomy at the time of primary cesarean section. Fifty-seven patients had placenta accreta spectrum in a pregnancy following their primary cesarean section. Of these, 29 (50.9%) were considered potentially preventable. Most were performed without clear medical indication (37.9%) or for fetal malpresentation without attempted external cephalic version (37.9%). The remainder were due to arrest of labor not meeting criteria (17.2%) and abnormal or indeterminate fetal heart patterns with documented recovery (6.9%). Of the 11 patients without clear medical indication for primary cesarean section, eight (72.7%) were patient-choice cesarean sections and three (27.3%) were for suspected fetal macrosomia with estimated fetal weights not meeting criteria for cesarean delivery. There was no difference in the incidence of potentially preventable primary cesarean sections before and after the ACOG-SMFM “Safe Prevention of the Primary Cesarean Delivery” publication (48.8 vs. 57.1%, p = 0.59). Privately insured patients were more likely to have a potentially preventable primary cesarean section than those with Medicaid (62.5 vs. 23.5%, p = 0.008) and were more likely to have a primary cesarean section without clear medical indication (81.8 vs. 18.2%, p = 0.004). Conclusion Many patients with placenta accreta spectrum had a potentially preventable primary cesarean section. Most were performed without clear medical indication or for malpresentation without attempted external cephalic version, suggesting that at least a subset of placenta accreta spectrum cases may be preventable. This was particularly true for privately insured patients. These findings call for continued investigation of potentially preventable primary cesarean sections with initiatives to address concerns at the patient, provider, and hospital level. Key Points

scholarly journals Cesarean delivery and its social determinants in women of childbearing age: analysis of Benin’s DHS

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A Kpozehouen ◽  
Y Glèlè Ahanhanzo ◽  
E Klikpo ◽  
C Azandjeme ◽  
C Metonnou ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Cesarean Delivery ◽  
Rural Areas ◽  
Urban Areas ◽  
Caesarean Delivery ◽  
Social Inequalities ◽  
Secondary Analysis ◽  
Well Being ◽  
Demographic Characteristics ◽  
Childbearing Age

Abstract Background Caesarean delivery, usually performed on a medical indication, is intended for maternal or fetal rescue. Accessibility issues justify setting up a so-called model of “free caesarean” in several developing countries, including Benin, in order to reduce social inequalities and contribute to the reduction of maternal and neonatal mortality. The study aimed to identify the determinants associated with caesarean delivery in women aged 15-49 in Benin. Methods This is a secondary analysis of data from Benin’s Demographic and Health Survey (DHS) 2017 - 2018. It was limited to mothers aged 15 to 49 who gave birth to at least one child in the 5 years preceding the survey. The socio-demographic characteristics of the mother and the variables related to pregnancy were the independent variables. Association between cesarean delivery and its determinants was assessed by odds ratios and their 95% confidence interval using a logistic regression. Results The percentage of mothers who gave birth by caesarean was 6.84%, 95% CI = [6.07; 7.59]. The average age was 29.37 years, 95% CI = [29.20; 29.55]. The probability of cesarean delivery was higher with women aged 45 years and older (OR = 3.33, 95% CI = [1.85, 6.01]), living in urban areas (OR = 1.41, 95% CI = [1.08 1.84]), from rich or very rich households (OR = 1.98, 95% CI = [1.29, 3.05], OR = 1.87, 95% CI = [1.19, 2.96] respectively) and educated (OR = 1.63 95% CI = [1.19, 2.24] and OR = 1.81, 95% CI = [0.97, 3.39] for the secondary and upper levels respectively). Conclusions This analysis shows that cesarean delivery remains associated with the socio-demographic characteristics of the mother, including the level of economic well-being. The current financing model of cesarean should be evaluated for effectiveness and further interventions need to be implemented to account for other factors of disparity. Key messages Benin health authorities should improve the geographical accessibility of Cesarean section, especially in rural areas. The strategies proposed to improve the financial accessibility of cesarean section do not seem effective, so the Beninese authorities should think about revising them.

scholarly journals Factors associated with the success of exclusive breastfeeding in the rural area

2021 ◽  
Vol 129 (s2) ◽  
Author(s):  
Reza Putri Maghriza ◽  
Ninuk Dwi Ariningtyas ◽  
Yelvi Levani ◽  
Musa Ghufron
Keyword(s):  
Family Support ◽  
Rural Area ◽  
Exclusive Breastfeeding ◽  
Maternal Education ◽  
Rural Region ◽  
Factors Associated ◽  
The Relationship

Introduction: In Indonesia, coverage of exclusive breastfeeding has not yet met the government’s goal of 80%. This study aimed to ascertain the relationship between maternal education and occupation, family support, and belief in myths and exclusive breastfeeding success in a rural region.

Medicalized Birth and the Construction of Risk

2016 ◽  
Author(s):  
Daisy Deomampo
Keyword(s):  
High Risk ◽  
Cesarean Section ◽  
Social Control ◽  
Cesarean Delivery ◽  
Cesarean Sections ◽  
Surrogate Mother ◽  
Surrogate Mothers ◽  
Medical Technologies ◽  
Gestational Surrogacy

Extending the discussion of physician racism in chapter 5, chapter 6 explores the ways in which doctors provide medical technologies and treatments to surrogate mothers, arguing that doctors racialize women who become surrogate mothers in ways that construct the surrogate mother and her pregnancy as always and already high-risk. This chapter contends that this construction contributes to the justification of excessive medicalization in surrogate pregnancies. The chapter shows how doctors rely on practices of social control and excessive medicalization to control women’s pregnancies, which culminate in soaring rates of cesarean sections among surrogate mothers. This chapter illuminates how gestational surrogacy and cesarean delivery are inextricably intertwined; these interrelated processes stem from practices that racialize this group of women as inherently risky. The chapter concludes with an analysis of the ways in which surrogates understand and negotiate these practices of medicalization and social control, focusing on their views and experiences of cesarean section.

scholarly journals Factors influencing exclusive breastfeeding duration in Pakistan: a population-based cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sidra Arif ◽  
Hina Khan ◽  
Muhammad Aslam ◽  
Muhammad Farooq
Keyword(s):  
Logistic Regression ◽  
Survival Analysis ◽  
Exclusive Breastfeeding ◽  
Maternal Education ◽  
Binary Logistic Regression ◽  
World Health ◽  
Breastfeeding Duration ◽  
The Impact ◽  
The Relationship

Abstract Background Breastfeeding has the most profound impact on infant health and wellness, and also have significant implications for the mother. The duration of the breastfeeding determines the infant’s protection from malnutrition and other common infectious diseases; consequently, the World Health Organization (WHO) recommends exclusive breastfeeding (EBF) six months, followed by gradual weaning and breastfeeding until the baby is two years old. In Pakistan, the practice of breastfeeding is heavily dependent upon certain demographic, economic, social, and biological factors, which ultimately impact the quality of care provided to the infant and their health. The aim of this paper, therefore, is to measure the impact of these factors on the exclusive breastfeeding duration in Pakistan. Methods The data for the study has been collected from Pakistan Demographic and Health Survey (PDHS) for the year 2017–18. Binary logistic regression model and survival analysis are used to determine the relationship between the independent and dependent variables. Results We use a binary logistic regression to estimate the effect of each factor on the duration of EBF. The binary logistic regression finds significant relationships between region, maternal education, wealth index, size of a child, watching television, delivery by cesarean, and maternal age and EBF. We then use log-likelihood, AIC, BIC criteria to determine if a parametric or non-parametric model would provide a better fit; based on these results we fit an Inverse Gaussian (Weibull) distribution for the survival analysis. These results show that there are more significant factors associated with EBF duration in parametric survival analysis than in the binary logistic regression results. Thus, the survival analysis is a better method for predicting the relationship between the duration of EBF and its factors. Furthermore, logically EBF is designated to be done for six months which would not be properly gauged with a binary response variable. Conclusions The results of this study provide proof that exclusive breastfeeding is a common practice among women in Pakistan, and to improve the quality of post-natal care, health policy in the country needs to focus on the existing demographic and social factors which are found significant in this study.

scholarly journals The Relationship Between Educational and Mother Behavior in Providing Breast Feeding in Midwifery Clinic Ny. Andre Kediri

2015 ◽  
Vol 2 (2) ◽  
pp. 144-149
Author(s):  
Latifatun Nasihah
Keyword(s):  
Logistic Regression ◽  
Breast Feeding ◽  
Exclusive Breastfeeding ◽  
Maternal Education ◽  
Sampling Technique ◽  
P Value ◽  
Cross Sectional ◽  
Level Of Education ◽  
The Government ◽  
The Relationship

Mother's Milk is needed by a baby for a perfect growth. Ironically, in an era of global rapid changes in science and technology, breast-feeding is exclusive often forgotten. Knowledge of Asi Eksklushif very important given to the mother to change the behavior. Many factors affect one's understanding of the exclusive breastfeeding. influenced by the level of education of each individual. Exclusive ation given to each nursing mothers to strengthen the attitude of the mother in breastfeeding. The aim of this study was to analyze the relationship between Education With Mother Behavior in providing breast feeding to the baby. This study uses a correlative analytic design with cross sectional approach. Its population is are all subjects that come midwifery clinic Ny. Andre Kediri, and samples were taken with purposive sampling technique. Data collection using questionnaires, and the data collected is presented in the form of a frequency distribution table and analyzed using logistic regression test. The results showed the greatest level of maternal education is secondary (high school) at 53.8%. , And most of that is 73.1% of behavior is not exclusive breastfeeding mothers to their babies. Logistic regression analysis showed a p-value = 0.067> 0.05 means that H0 and H1 rejected. The results showed no relationship between level of education and mother's behavior in exclusive breastfeeding. The government should improve the comprehensive and continuous education about the importance of breastfeeding and the benefits of exclusive breastfeeding

Association of first Birth Cesarean Delivery and Placental Abruption or Previa at Second Birth

2010 ◽  
Vol 2 (1) ◽  
pp. 23-26
Author(s):  
Mrityunjay Metgud ◽  
Pramila Koli ◽  
Baburao Nilgar ◽  
Maheshwar Mallapur
Keyword(s):  
Cesarean Section ◽  
Cesarean Delivery ◽  
Placental Abruption ◽  
Placenta Previa ◽  
Final Analysis ◽  
First Birth ◽  
Increased Risk ◽  
The Relationship ◽  
Strength Of Association ◽  
Previous Cesarean

ABSTRACT Objective To evaluate the strength of association of cesarean delivery for first birth with placenta previa and placental abruption in second pregnancy. Design Retrospective cohort study. Setting Hospital based (Birth register)2004-2008. A total of 1638 pregnancies were available for the final analysis after excluding missing information. Methods Multiple logistic regressions were used to describe the relationship between cesarean section for first birth with placenta previa and placental abruption in second birth singletons. Main outcome measures Placenta previa and placental abruption Results Placenta previa was present in 10 per 1000 second-birth singletons whose first births delivered by cesarean section and 9 per 1000 second-birth singletons whose first births delivered vaginally. The corresponding figures for placental abruption were 5 per 1000 in the previous cesarean delivery group and 5 per 1000 in the previous vaginal delivery group. The adjusted odds ratio (95% confidence intervals) of previous cesarean section for placenta previa in following second pregnancies was 1.10 (0.39 to 3.10) after adjusting for confounders including maternal age and interval between births. The corresponding figure for placental abruption was 1.0 (0.24 to 4.19). Conclusion Cesarean section for first birth is associated with 10% increased risk of placenta previa and no risk of placental abruption in second pregnancy with a singleton.

scholarly journals Birth by cesarean delivery and central adiposity in adolescents from a birth cohort

2021 ◽  
Vol 37 (1) ◽  
Author(s):  
Joana D’Arc Matos França de Abreu ◽  
Sterffeson Lamare Lucena de Abreu ◽  
Maylla Luanna Barbosa Martins Bragança ◽  
Lilian Fernanda Pereira Cavalcante ◽  
Ana Karina Teixeira da Cunha França ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Cesarean Delivery ◽  
Fat Mass ◽  
Maternal Education ◽  
Directed Acyclic Graphs ◽  
Maternal Body Mass Index ◽  
Central Adiposity ◽  
Mass Ratio ◽  
Significant Difference ◽  
Fat Mass Ratio

Abstract: The aim of this study was to analyze the association between birth by cesarean section and central adiposity in adolescents in São Luís, Maranhão State, Brazil. This was a cohort study that included 601 participants evaluated at birth and at 18-19 years. At birth we assessed type of delivery, maternal education, family income, maternal marital status, maternal body mass index before pregnancy, prenatal care, maternal smoking habit, gestational age at delivery and intrauterine growth restriction. In the adolescents, we evaluated central adiposity using the dual X-ray energy absorptiometry method. The indicators of central fat used were the trunk-to-total fat mass ratio (T/T), the android-to-gynoid fat mass ratio (A/G), the trunk-to-limb fat mass ratio (T/Lb), and the trunk-to-leg fat mass ratio (T/Lg). A theoretical model for the study of associations was developed using directed acyclic graphs, which allowed selecting the variables that required minimum adjustment for inclusion in the predictive model of exposure to cesarean delivery. The data were analyzed with marginal structural models weighted by the inverse of the probability of selection. A total of 38.6% of the adolescents studied were delivered by cesarean section. There was no significant difference in the central adiposity of adolescents delivered by cesarean section according to the indicators used: T/T ( coefficient = -0.003; 95%CI: -0.013; 0.007), A/G (coefficient = 0.001; 95%CI: -0.015; 0.018); T/Lb (coefficient = -0.016; 95%CI: -0.048; 0.016); T/Lg (coefficient = 0.014; 95%CI: -0.060; 0.030). In conclusion, there was no association between cesarean section delivery and greater central adiposity in the studied adolescents.

scholarly journals The lactation process in primiparas in early postpartum period depending on the mode of delivery. The mode of delivery and the lactation process

2017 ◽  
Vol 16 (3) ◽  
pp. 34-41
Author(s):  
Magdalena Humaj-Grysztar ◽  
Monika Bobek ◽  
Dorota Matuszyk ◽  
Marzena Put
Keyword(s):  
Cesarean Section ◽  
Cesarean Delivery ◽  
Vaginal Delivery ◽  
Postpartum Period ◽  
Mode Of Delivery ◽  
Research Tool ◽  
Early Postpartum Period ◽  
Early Postpartum ◽  
Almost All ◽  
The Relationship

Abstract Aim. The aim of the study was to determine the relationship between the mode of delivery and the course of lactation in primiparas in early postpartum period. Material and methods. The research was conducted amongst 200 primiparas including 100 after vaginal delivery and 100 after cesarean section. The study was conducted with the method of diagnostic survey with the author’s original questionnaire as a research tool. Results. The women after vaginal delivery initiate breastfeeding earlier and more often find it successful (p < 0.001). Almost all the primiparas after cesarean delivery formula-fed their newborns (p < 0.001) and they started supplementary formula feeding earlier in comparison to women who had vaginal delivery (p < 0.001). Problem-free breastfeeding was declared by 15% of the respondents after vaginal delivery and 4% of those who had a cesarean section. Conclusions. The mode of delivery influences the lactation process. The primiparas after cesarean delivery had problems with breastfeeding more often than those after vaginal birth.

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