Association between elective cesarean delivery and duration of breastfeeding in Ma′anshan City from 2013 to 2014
10.3760/cma.j.issn.0253-9624.2019.09.009
- VernacularTitle: 2013—2014年马鞍山市选择性剖宫产与儿童母乳喂养持续时间的关联研究
- Author:
Ya WU
1
;
Xiaoxu WANG
1
;
Shuangqin YAN
2
;
Yeqing XU
2
;
Xingyong TAO
1
;
Peng ZHU
1
;
Jiahu HAO
1
;
Fangbiao TAO
1
;
Kun HUANG
1
Author Information
1. Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University/Anhui Provincial Key Laboratory of Population Health and Aristogenics/Key Laboratory of Population Health Across Life Cycle, Ministry of Education of the People′s Republic of China, Hefei 230032, China
2. Ma′anshan Maternal and Child Health Care Hospital, Ma′anshan 243000, China
- Publication Type:Journal Article
- Keywords:
Cesarean section;
Breast feeding;
Child;
Cohort study
- From:
Chinese Journal of Preventive Medicine
2019;53(9):913-918
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the correlation between elective cesarean delivery and duration of breastfeeding in Ma′anshan city from 2013 to 2014.
Methods:From May 2013 to September 2014, a total of 3 474 pregnant women with the first prenatal checkup were recruited from Ma′anshan maternal and child health care hospital. Finally, 3 109 pregnant women were included after exclusion of those with terminated pregnancies, adverse birth outcomes, twin or multiple pregnancies, breech traction, breech midwifery and loss of delivery information. Demographic data of pregnant women, mode of delivery and breast feeding of children were collected through questionnaires and hospital records. Logistic regression model was used to analyze the relationship between elective cesarean delivery and duration of breastfeeding in children, with the mode of delivery as independent variable and the duration of breastfeeding as dependent variable.
Results:The age of 3 109 subjects was (26.6±3.6) years old, the rate of vaginal delivery was 51.1% (1 589), and the rate of elective cesarean delivery was 46.4% (1 443), among which the rate of non-indicative elective cesarean delivery was 26.4% (820), the rate of indicative elective cesarean delivery was 20.0% (623), and the rate of emergency cesarean delivery was 2.5% (77). The proportion of breastfeeding lasting until 4, 12 and 18 months was 45.0% (1 348/2 998), 23.7% (702/2 962) and 5.2% (154/2 944), respectively. After adjusting the confounding factors, compared with vaginal delivery, the OR (95%CI) values of breastfeeding for 4 months in indicative elective cesarean delivery and non-indicative elective cesarean delivery women were 0.870(0.714-1.059), 0.795(0.665-0.949), and the OR (95%CI) values of breastfeeding for 12 months were 0.772(0.611-0.975), 0.755(0.610-0.934), respectively.
Conclusion:Elective cesarean delivery may result in shorter duration of breastfeeding in children.
