ArticlePloS one2020
Effect of cesarean section on initiation of breast feeding: Findings from 2016 Ethiopian Demographic and Health Survey.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.
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Who cites it
38 citing papers in PubMed, 2 syntheses or guidelines pooled it, 65 citations in OpenAlex.
- Association between pregnancy intention and completion of newborn and infant continuum of care in Sub-Saharan Africa: systematic review and meta-analysis.BMC pediatrics · 2024Pooled it
- Impact of cesarean section on timely initiation of breastfeeding in Ethiopia: a systematic review and meta-analysis.International breastfeeding journal · 2021Pooled it
- Maternal and neonatal peripartum factors associated with late initiation of breast feeding in Bangladesh: a secondary analysis.BMJ open · 2022Trial
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- Article
- Mother's perception regarding insufficiency of breast-milk: a qualitative investigation in Haripur, Pakistan.Frontiers in public health · 2026Article
- Feeding practices of under-two children in Ethiopia: A systematic review and meta-analysis.PloS one · 2026Article
- Early initiation of breastfeeding and perinatal conditions among mothers in southern Ecuador: a descriptive cross-sectional study.Frontiers in nutrition · 2026Article
- Article
- Breastfeeding Self-efficacy and Factors Associated with Failure in Breastfeeding among Cesarean Mothers: A Case-control Study.Acta medica Philippina · 2026Article
- Comparison of IV Nalbuphine versus ibuprofen for Postoperative Pain control in cesarean section.Pakistan journal of medical sciences · 2025Article
- Effect of Maternal Pregnancy Intention on Neonatal and Infant Healthcare Across the Continuum of Care in Ethiopia: A National Longitudinal Study Using Propensity Score Methods.Child: care, health and development · 2025Article
- Do the effects of type and place of birth on early initiation of breastfeeding differ by place of residence? Evidence from the Indonesian Demographic and Health Survey 2017.Journal of health, population, and nutrition · 2025Article
- Impact of Delivery Method on Initiation and Continuation of Breastfeeding: A Prospective Cohort Study.Children (Basel, Switzerland) · 2025Article
- Initiation of breastfeeding among mothers attending a regional referral hospital in central uganda: a cross-sectional study.Archives of public health = Archives belges de sante publique · 2025Article
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- Factors associated with early initiation of breastfeeding in Guinea: Analysis DHS 2018 and implications for public health.Journal of public health in Africa · 2025Article
- Prevalence of Delayed Initiation of Breastfeeding and Its Associated Factors Among Mothers Who Gave Birth by Cesarean Section in Gamo and Gofa Zones, Southern Ethiopia: A Multicenter Cross-Sectional Study.Journal of nutrition and metabolism · 2025Article
- Does caesarean section have an impact on exclusive breastfeeding? Evidence from four Southeast Asian countries.BMC pregnancy and childbirth · 2024Article
- Geospatial determinants and spatio-temporal variation of early initiation of breastfeeding and exclusive breastfeeding in Ethiopia from 2011 to 2019, a multiscale geographically weighted regression analysis.BMC public health · 2024Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEarly initiation of breast feeding has great importance for both mothers and newborns. Despite, recommendations for exclusive and early initiation of breast feeding within one hour of birth, Ethiopia reports that 58% of infants under six months of age are exclusively breastfed. Cesarean deliveries may affect timing of breastfeeding initiation, establishment of milk supply and infant breastfeeding interest compared to vaginal deliveries. The aim of this study was to assess the impact of cesarean delivery on breastfeeding initiation.
methodsA cross-sectional study was conducted with a total of 7115 study participants from the 2016 Ethiopian Demographic Health Survey (EDHS). Both descriptive and analytical statistical analysis was employed. Univariable and multivariable logistic regression analyses were used to identify anyassociations between variables. Odds ratios with its corresponding 95% confidence intervals (CI) were reported. During multivariable analysis, variables with p-value < 0.05 were considered as statistically significant.
resultsThe prevalence of late initiation of breast feeding among women with their last live birth was 25.03% (95%CI; 20.5-32.2). Significant factors associated with late initiation of breastfeeding were cesarean delivery [AOR = 4.06 (95%CI, 2.66-6.2)], primipara mother [AOR = 1.45(95%CI, 1.13-1.7)], and having an unplanned pregnancy [AOR = 1.35(95%CI, 1.1-1.65)]. Positively associated with early initiation of breastfeeding was the mother's age, for women between 20-34 years-old. This association, reported as a negative association of late initiation of breast feeding was [AOR = 0.77(95%CI, 0.61-0.98)].
conclusionCesarean delivery adversely affects the initiation of breast feeding. Cesarean delivery, unplanned pregnancy, and being primiparous, were associated with late initiation of breastfeeding. Women between the ages of 20-34 years of age had a reduced chance of late initiation of breastfeeding. Providing counseling regarding the strategy and importance of early initiation of breast feeding, could have crucial importance for the mother and her newborn.
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