Investigating the Relationship between Childbirth Type and Breastfeeding Pattern Based on the LATCH Scoring System in Breastfeeding Mothers.

Elahe Namazian,Shima Arab,Tayebeh Mokhtari Sorkhani,Samaneh Komsari

doi:10.1055/s-0041-1735985

Abstract

The role of breast milk in the physical and mental health of infants and in the prevention of infant death is widely known. The benefits of breastfeeding for mothers and infants have been proven, but several factors can affect breastfeeding. Childbirth is one of the most influential factors. The present study aimed to investigate the effect of the type of delivery (natural childbirth and cesarean section) on breastfeeding based on the latch, audible swallowing, type of nipple, comfort, hold (LATCH) scoring system. The present cross-sectional observational study was performed using the census method among women who referred to Afzalipour Hospital for delivery in May 2020; the breastfeeding pattern was completed by observation and the in-case information, by LATCH checklist. Data were analyzed using the Statistical Package for the Social Sciences (IBM SPSS Statistics for Windows, IBM Corp., Armonk, NY, United States) software, version 19.0, analysis of variance (ANOVA), and the Chi-squared statistical test. Out of a total of 254 deliveries (127 natural childbirths and 127 cesarean deliveries), there was no statistically significant difference between the 2 study groups in terms of age, maternal employment status, and infant weight, but there was a statistically significant relationship between the type of delivery, the maternal level of schooling, and the appearance, pulse, grimace, activity, and respiration (Apgar) score in the first minute. The mean score of breastfeeding patterns among the natural childbirth group (9.33) was higher than that of the cesarean section group (7.21). The type of delivery affects the mother's performance during breastfeeding, and mothers submitted to cesarean sections need more support and help in breastfeeding.

Highlights

About 800 thousand infant deaths worldwide are due to the late onset of breastfeeding and the absence of exclusive breastfeeding.[1]
The present study aimed to investigate the effect of the type of delivery on breastfeeding based on the latch, audible swallowing, type of nipple, comfort, hold (LATCH) scoring system
Since breastfeeding is an important and effective factor in the growth of the newborn, is directly related to infant mortality, and is one of the indicators of global health, the present study aimed to investigate the pattern of breastfeeding among mothers submitted to natural childbirth and cesarean section to diagnose the issues regarding breastfeeding and their causes according to the type of delivery, to provide more counseling and supportive strategies to mothers to improve this process

Summary

Introduction

About 800 thousand infant deaths worldwide are due to the late onset of breastfeeding and the absence of exclusive breastfeeding.[1]. There is an increase in studies[3,6] examining the negative effects of cesarean section on well-being, maternal behavior, and breastfeeding physiology at the beginning of the postpartum period. To clarify this issue, it can be said that the anesthesia and painkillers used in cesarean sections have a negative effect on oxytocin secretion and milk production. Unbearable pain after the surgery and an increase in the newborn’s need for intensive care negatively affect breastfeeding.[12]

Methods

Results

Discussion

Conclusion