CoChat
Sign Up
Cited by 218Breastfeeding Practices and InfluencesMaternal and Perinatal Health InterventionsInfant Development and Preterm Care

Elective Cesarean Delivery: Does It Have a Negative Effect on Breastfeeding?

Zanardo, Vincenzo, Svegliado, Giorgia, Cavallin, Francesco, Giustardi, Arturo, Cosmi, Erich, Litta, Pietro, Trevisanuto, Daniele·2010·Birth
DOI 10.1111/j.1523-536x.2010.00421.x
Open this paper in CoChat — free account

Abstract

Abstract: Background: Cesarean delivery has negative effects on breastfeeding. The objective of this study was to evaluate breastfeeding rates, defined in accordance with World Health Organization guidelines, from delivery to 6 months postpartum in infants born by elective and emergency cesarean section and in infants born vaginally. Methods: Delivery modalities were assessed in relation to breastfeeding patterns in 2,137 term infants delivered at a tertiary center, the Padua University School of Medicine in northeastern Italy, from January to December 2007. The study population included 677 (31.1%) newborns delivered by cesarean section, 398 (18.3%) by elective cesarean, 279 (12.8%) by emergency cesarean section, and 1,496 (68.8%) delivered vaginally. Results: Breastfeeding prevalence in the delivery room was significantly higher after vaginal delivery compared with that after cesarean delivery (71.5% vs 3.5%, p < 0.001), and a longer interval occurred between birth and first breastfeeding in the newborns delivered by cesarean section (mean ± SD, hours, 3.1 ± 5 vs 10.4 ± 9, p < 0.05). No difference was found in breastfeeding rates between the elective and emergency cesarean groups. Compared with elective cesarean delivery, vaginal delivery was associated with a higher breastfeeding rate at discharge and at the subsequent follow‐up steps (7 days, 3 mo, and 6 mo of life). Conclusions: Emergency and elective cesarean deliveries are similarly associated with a decreased rate of exclusive breastfeeding compared with vaginal delivery. The inability of women who have undergone a cesarean section to breastfeed comfortably in the delivery room and in the immediate postpartum period seems to be the most likely explanation for this association. (BIRTH 37:4 December 2010)

Integrity signals

Registry

Crossref · 10.1111/j.1523-536x.2010.00421.x

Cites

31 of 31 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Postnatal maternal health risks have potential knock-on effects for child development through altered mother-child interactions and lower rates of breastfeeding.

    “with potential knock-on effects for the child’s development through altered mother-child interactions16 and lower rates of breastfeeding17–19”

    From The relation between cesarean birth and child cognitive development (2017) · cites this paper as [19]

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Related

Authors
Zanardo, V., Svegliado, G., Cavallin, F., Giustardi, A., Cosmi, E., Litta, P., & Trevisanuto, D.
Affiliations
University of Padua (IT)
Corresponding author
Zanardo, Vincenzo
ORCID
Venue
Birth
Publisher
Wiley
Published
2010-11-17
Volume
37
Issue
4
Pages
275-279
ISSN
  • 0730-7659 (ISSN-L)
  • 1523-536X
DOI
10.1111/j.1523-536x.2010.00421.x
OpenAlex
W2027417198
Cited by
218
References
31
Citations by year
2026: 5 · 2025: 8 · 2024: 9 · 2023: 11 · 2022: 13 · 2021: 17 · 2020: 17 · 2019: 16 · 2018: 12 · 2017: 23 · 2016: 15 · 2015: 14 · 2014: 14 · 2013: 16 · 2012: 19
FWCI
10.24
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Birth (publishedVersion)
  • PubMed (publishedVersion)
  • Padua Research Archive (University of Padova) (submittedVersion)
Topics
  • Health Sciences › Medicine › Epidemiology › Breastfeeding Practices and Influences
  • Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
Keywords
elective cesarean section, emergency cesarean section, breastfeeding rates, exclusive breastfeeding, vaginal delivery, mode of delivery, postpartum breastfeeding, term infants
MeSH terms
Adult, Breast Feeding, Cesarean Section, Female, Humans, Infant, Newborn, Italy, Mother-Child Relations, Mothers, Nursing Assessment, Object Attachment, Postnatal Care, Pregnancy, Social Support, Nursing Evaluation Research, Confidence Intervals, Odds Ratio, Elective Surgical Procedures, Young Adult

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review