Breastfeeding among parous women offered home-visit by a midwife after early discharge following planned cesarean section : Secondary analysis of a randomized controlled trial
(2023) In European Journal of Midwifery 7(December).- Abstract
INTRODUCTION Early discharge holds several advantages and seems safe after planned cesarean section among low-risk women. However, breastfeeding rates are lower after cesarean section. Thus, concern has been raised that early discharge among these women may affect breastfeeding even further. Therefore, we aimed to assess the effect of early discharge the day after planned cesarean section on breastfeeding, among parous women when a home-visit by a midwife was provided the day after discharge. METHODS We conducted a secondary analysis of a randomized trial. Parous women (n=143) planned for cesarean section were allocated to either discharge within 28 hours after planned cesarean section followed by a home visit the day after (early... (More)
INTRODUCTION Early discharge holds several advantages and seems safe after planned cesarean section among low-risk women. However, breastfeeding rates are lower after cesarean section. Thus, concern has been raised that early discharge among these women may affect breastfeeding even further. Therefore, we aimed to assess the effect of early discharge the day after planned cesarean section on breastfeeding, among parous women when a home-visit by a midwife was provided the day after discharge. METHODS We conducted a secondary analysis of a randomized trial. Parous women (n=143) planned for cesarean section were allocated to either discharge within 28 hours after planned cesarean section followed by a home visit the day after (early discharge) or discharge at least 48 hours after planned cesarean section (standard care). The participants filled in questionnaires approximately 2 weeks before delivery and 1 week, 4 weeks, and 6 months postpartum. RESULTS The proportions of women initiating breastfeeding were 84% versus 87% (early discharge vs standard care). After 6 months, 23% versus 21% were exclusively breastfeeding, while 29% versus 42% were partially breastfeeding. The mean duration of exclusive breastfeeding was 3.4 months (SD=2.3) in both groups. None of these differences was statistically significant. In both groups, the women’s breastfeeding selfefficacy score before cesarean section correlated with the duration of breastfeeding. After 4 weeks, low-score rates were 28% versus 30%. CONCLUSIONS Early discharge with follow-up home visits by a midwife after planned cesarean section in parous women is feasible without compromising breastfeeding.
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- author
- Kruse, Anne R. ; Lauszus, Finn F. ; Forman, Axel ; Kesmodel, Ulrik S. ; Rugaard, Marie B. ; Knudsen, Randi K. ; Persson, Eva Kristina LU ; Sundtoft, Iben B. and Uldbjerg, Niels
- organization
- publishing date
- 2023
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- breastfeeding, cesarean section, house calls, length of stay, postnatal care, self-efficacy
- in
- European Journal of Midwifery
- volume
- 7
- issue
- December
- article number
- 38
- publisher
- European Publishing
- external identifiers
-
- pmid:38075381
- scopus:85184268778
- ISSN
- 2585-2906
- DOI
- 10.18332/ejm/173089
- language
- English
- LU publication?
- yes
- id
- cd98013b-0a6c-41fe-9008-6582866efb59
- date added to LUP
- 2024-02-26 14:14:58
- date last changed
- 2024-04-25 22:26:20
@article{cd98013b-0a6c-41fe-9008-6582866efb59,
abstract = {{<p>INTRODUCTION Early discharge holds several advantages and seems safe after planned cesarean section among low-risk women. However, breastfeeding rates are lower after cesarean section. Thus, concern has been raised that early discharge among these women may affect breastfeeding even further. Therefore, we aimed to assess the effect of early discharge the day after planned cesarean section on breastfeeding, among parous women when a home-visit by a midwife was provided the day after discharge. METHODS We conducted a secondary analysis of a randomized trial. Parous women (n=143) planned for cesarean section were allocated to either discharge within 28 hours after planned cesarean section followed by a home visit the day after (early discharge) or discharge at least 48 hours after planned cesarean section (standard care). The participants filled in questionnaires approximately 2 weeks before delivery and 1 week, 4 weeks, and 6 months postpartum. RESULTS The proportions of women initiating breastfeeding were 84% versus 87% (early discharge vs standard care). After 6 months, 23% versus 21% were exclusively breastfeeding, while 29% versus 42% were partially breastfeeding. The mean duration of exclusive breastfeeding was 3.4 months (SD=2.3) in both groups. None of these differences was statistically significant. In both groups, the women’s breastfeeding selfefficacy score before cesarean section correlated with the duration of breastfeeding. After 4 weeks, low-score rates were 28% versus 30%. CONCLUSIONS Early discharge with follow-up home visits by a midwife after planned cesarean section in parous women is feasible without compromising breastfeeding.</p>}},
author = {{Kruse, Anne R. and Lauszus, Finn F. and Forman, Axel and Kesmodel, Ulrik S. and Rugaard, Marie B. and Knudsen, Randi K. and Persson, Eva Kristina and Sundtoft, Iben B. and Uldbjerg, Niels}},
issn = {{2585-2906}},
keywords = {{breastfeeding; cesarean section; house calls; length of stay; postnatal care; self-efficacy}},
language = {{eng}},
number = {{December}},
publisher = {{European Publishing}},
series = {{European Journal of Midwifery}},
title = {{Breastfeeding among parous women offered home-visit by a midwife after early discharge following planned cesarean section : Secondary analysis of a randomized controlled trial}},
url = {{http://dx.doi.org/10.18332/ejm/173089}},
doi = {{10.18332/ejm/173089}},
volume = {{7}},
year = {{2023}},
}