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- Publisher Website: 10.1089/bfm.2019.0166
- Scopus: eid_2-s2.0-85086346800
- PMID: 32283038
- WOS: WOS:000525550100001
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Article: Association Between Intrapartum Factors and the Time to Breastfeeding Initiation
Title | Association Between Intrapartum Factors and the Time to Breastfeeding Initiation |
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Authors | |
Keywords | breastfeeding Chinese Hong Kong the time to breastfeeding initiation |
Issue Date | 2020 |
Publisher | Mary Ann Liebert, Inc Publishers. |
Citation | Breastfeeding Medicine, 2020, v. 15 n. 6, p. 394-400 How to Cite? |
Abstract | Background/Objectives: Early breastfeeding initiation is strongly recommended. Reasons for delayed breastfeeding initiation often include intrapartum interventions such as induction of labor, opioid pain medication administration, epidural analgesia, and caesarean birth. The majority of existing studies examining the timeliness of breastfeeding initiation are from low- or middle-income countries. The objective of this study is to examine intrapartum interventions on the time to breastfeeding initiation in a cohort of mothers from a high-income country.
Materials and Methods: A cohort of 1,277 new mothers was recruited within 24 hours after birth from 4 hospitals in Hong Kong from 2011 to 2012. Participants completed a self-administered questionnaire immediately after recruitment. The rates of intrapartum interventions and the time to the first breastfeed were collected from participants' hospital record.
Results: Among participants, 575 (45.5%) initiated breastfeeding within 1 hour of birth and the median time to the first breastfeed was 1.5 hours. The use of opioid pain medication (adjusted hazard ratio [aHR]: 0.78, 95% confidence interval [CI]: 0.67–0.91), assisted vaginal birth (aHR: 0.74, 95% CI 0.56–0.97), and caesarean section (aHR: 0.30, 95% CI 0.25–0.36) were associated with delayed breastfeeding, whereas epidural analgesia and induction of labor had no effect on breastfeeding initiation. Natural birth (i.e., no intrapartum interventions) was also significantly associated with early breastfeeding initiation (aHR: 1.75, 95% CI 1.54–1.99).
Conclusions: Breastfeeding initiation was delayed in participants who had a caesarean birth and who received opioid pain medication. These women may require additional support to initiate breastfeeding soon after birth. |
Persistent Identifier | http://hdl.handle.net/10722/290226 |
ISSN | 2023 Impact Factor: 2.1 2023 SCImago Journal Rankings: 0.705 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | FAN, HSL | - |
dc.contributor.author | Wong, JYH | - |
dc.contributor.author | Fong, DYT | - |
dc.contributor.author | Lok, KYW | - |
dc.contributor.author | Tarrant, M | - |
dc.date.accessioned | 2020-10-22T08:23:47Z | - |
dc.date.available | 2020-10-22T08:23:47Z | - |
dc.date.issued | 2020 | - |
dc.identifier.citation | Breastfeeding Medicine, 2020, v. 15 n. 6, p. 394-400 | - |
dc.identifier.issn | 1556-8253 | - |
dc.identifier.uri | http://hdl.handle.net/10722/290226 | - |
dc.description.abstract | Background/Objectives: Early breastfeeding initiation is strongly recommended. Reasons for delayed breastfeeding initiation often include intrapartum interventions such as induction of labor, opioid pain medication administration, epidural analgesia, and caesarean birth. The majority of existing studies examining the timeliness of breastfeeding initiation are from low- or middle-income countries. The objective of this study is to examine intrapartum interventions on the time to breastfeeding initiation in a cohort of mothers from a high-income country. Materials and Methods: A cohort of 1,277 new mothers was recruited within 24 hours after birth from 4 hospitals in Hong Kong from 2011 to 2012. Participants completed a self-administered questionnaire immediately after recruitment. The rates of intrapartum interventions and the time to the first breastfeed were collected from participants' hospital record. Results: Among participants, 575 (45.5%) initiated breastfeeding within 1 hour of birth and the median time to the first breastfeed was 1.5 hours. The use of opioid pain medication (adjusted hazard ratio [aHR]: 0.78, 95% confidence interval [CI]: 0.67–0.91), assisted vaginal birth (aHR: 0.74, 95% CI 0.56–0.97), and caesarean section (aHR: 0.30, 95% CI 0.25–0.36) were associated with delayed breastfeeding, whereas epidural analgesia and induction of labor had no effect on breastfeeding initiation. Natural birth (i.e., no intrapartum interventions) was also significantly associated with early breastfeeding initiation (aHR: 1.75, 95% CI 1.54–1.99). Conclusions: Breastfeeding initiation was delayed in participants who had a caesarean birth and who received opioid pain medication. These women may require additional support to initiate breastfeeding soon after birth. | - |
dc.language | eng | - |
dc.publisher | Mary Ann Liebert, Inc Publishers. | - |
dc.relation.ispartof | Breastfeeding Medicine | - |
dc.rights | Breastfeeding Medicine. Copyright © Mary Ann Liebert, Inc Publishers. | - |
dc.rights | Final publication is available from Mary Ann Liebert, Inc., publishers http://dx.doi.org/[insert DOI] | - |
dc.subject | breastfeeding | - |
dc.subject | Chinese | - |
dc.subject | Hong Kong | - |
dc.subject | the time to breastfeeding initiation | - |
dc.title | Association Between Intrapartum Factors and the Time to Breastfeeding Initiation | - |
dc.type | Article | - |
dc.identifier.email | Wong, JYH: janetyh@hku.hk | - |
dc.identifier.email | Fong, DYT: dytfong@hku.hk | - |
dc.identifier.email | Lok, KYW: krislok@hku.hk | - |
dc.identifier.email | Tarrant, M: tarrantm@hku.hk | - |
dc.identifier.authority | Wong, JYH=rp01561 | - |
dc.identifier.authority | Fong, DYT=rp00253 | - |
dc.identifier.authority | Lok, KYW=rp02172 | - |
dc.identifier.authority | Tarrant, M=rp00461 | - |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1089/bfm.2019.0166 | - |
dc.identifier.pmid | 32283038 | - |
dc.identifier.scopus | eid_2-s2.0-85086346800 | - |
dc.identifier.hkuros | 317491 | - |
dc.identifier.volume | 15 | - |
dc.identifier.issue | 6 | - |
dc.identifier.spage | 394 | - |
dc.identifier.epage | 400 | - |
dc.identifier.isi | WOS:000525550100001 | - |
dc.publisher.place | United States | - |
dc.identifier.issnl | 1556-8253 | - |