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Breastfeed Med. 2016 Aug;11(6):305-308. Epub 2016 May 12.

Comparison of Breast Crawl Between Infants Delivered by Vaginal Delivery and Cesarean Section.

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1 Department of Pediatrics and Neonates, School of Medicine, Tabriz University of Medical Science , Tabriz, Iran .
2 Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Tabriz University of Medical Science , Tabriz, Iran .
3 Department of Neonatal Health, Ministry of Health and Medical Education , Tehran, Iran .



Exclusive breastfeeding is the single most cost-effective intervention to reduce infant mortality. Breast crawl (BC) is deemed a natural way for the baby to behave immediately after delivery. BC is the method that may help initiation of breastfeeding in the most natural way. The aim of this study is to compare successful BC between neonates born through vaginal delivery and those born through cesarean section (CS) and factors associated with a positive outcome.


Participants were mothers who delivered their babies during the period of October 2012 to December 2013 in Alzahra Hospital in Tabriz, through cesarean or vaginal delivery. Infants were placed prone on their mothers' abdomen after delivery.


Data show that babies delivered through vaginal delivery had significantly more success in BC than babies born through the cesarean delivery (88.01% versus 11.21%). Moreover, babies in the CS group used significantly less time to achieve BC (45 versus 28 minutes).


There is a remarkable difference in completion and length of time used to achieve BC between infants with regard to the delivery mode. Encouraging BC in all dyads, especially in cesarean births, may unduly delay the infant's first breastfeed.


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