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Women Birth. 2019 Feb;32(1):e43-e48. doi: 10.1016/j.wombi.2018.04.017. Epub 2018 May 10.

Cessation of breastfeeding in association with oxytocin administration and type of birth. A prospective cohort study.

Author information

1
Department of Midwifery, Puerta de Hierro Majadahonda University Hospital, Madrid, Spain.
2
Neonatology and Newborn Nursery Division, Puerta de Hierro Majadahonda University Hospital, Madrid, Spain.
3
Department of Obstetrics, Puerta de Hierro Majadahonda University Hospital, Madrid, Spain.
4
Clinical Biostatistics Unit, Health Research Institute Puerta de Hierro-Segovia de Arana, Madrid, Spain.
5
Department of Nursing, Autónoma University, Madrid, Spain.
6
Department of Neonatology, Puerta de Hierro Majadahonda University Hospital, Madrid. Department of Pediatrics, Autónoma University, Madrid, Spain. Electronic address: mangel.maringa@salud.madrid.org.

Abstract

BACKGROUND:

Some studies have suggested an association between synthetic oxytocin administration and type of birth with the initiation and consolidation of breastfeeding.

AIM:

This study aimed to test whether oxytocin administration and type of birth are associated with cessation of exclusive breastfeeding at different periods. A second objective was to investigate whether the administered oxytocin dose is associated with cessation of exclusive breastfeeding.

METHODS:

We conducted a prospective cohort study (n=529) in a tertiary hospital. Only full-term singleton pregnancies were included. Four groups were established based on the type of birth (vaginal or cesarean) and the intrapartum administration of oxytocin. Follow-up was performed to evaluate the consolidation of exclusive breastfeeding at 1, 3 and 6months.

FINDINGS:

During follow-up, the proportion of exclusive breastfeeding decreased in all groups. After adjusting for confounding variables, the group with cesarean birth without oxytocin (planned cesarean birth) had the highest risk of cessation of exclusive breastfeeding (odds ratio [95% confidence interval], 2.51 [1.53-4.12]). No association was found between the oxytocin dose administered during birth and puerperium period and the cessation of exclusive breastfeeding.

CONCLUSION:

Planned cesarean birth without oxytocin is associated with the cessation of exclusive breastfeeding at 1, 3 and 6months of life. It would be desirable to limit elective cesarean births to essentials as well as to give maximum support to encourage breastfeeding in this group of women. The dose of oxytocin given during birth and puerperium period is not associated with cessation of exclusive breastfeeding.

KEYWORDS:

Breast feeding; Cesarean; Oxytocin; Parturition; Postpartum period

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