ArticleCanadian journal of public health = Revue canadienne de sante publique2023
Association of Caesarean delivery and breastfeeding difficulties during the delivery hospitalization: a community-based cohort of women and full-term infants in Alberta, Canada.
Article in Canadian journal of public health = Revue canadienne de sante publique, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.
- Mechanistic Pathways Underlying Breastfeeding Challenges Following Cesarean Delivery: A Systematic Review.Nutrients · 2026Pooled it
- Factors Associated With Postoperative Pain Severity and Patient Satisfaction Among Post-Caesarean Women in Rajshahi District, Bangladesh.Anesthesiology research and practice · 2026Article
- More than "Just Breastfeeding": a qualitative study on Indian mothers' experiences of maternal autonomy and stress in infant feeding decisions.Frontiers in global women's health · 2026Article
- Breastfeeding in Greece: Unveiling Parental Perspectives, Attitudes, and Sociodemographic Influences.Advances in experimental medicine and biology · 2026Article
- Mother's perception regarding insufficiency of breast-milk: a qualitative investigation in Haripur, Pakistan.Frontiers in public health · 2026Article
- Exploring Breastfeeding Practices and Obstacles Among Mothers With and Without Congenital Heart Disease.Healthcare (Basel, Switzerland) · 2025Article
- The Rising Global Cesarean Section Rates and Their Impact on Maternal and Child Health: A Scoping Review.Journal of clinical medicine · 2025Review
- Comparing Impacts of Donor Human Milk to Formula Supplementation on the Gut Microbiome of Full-Term Infants Born Via Cesarean Section: Protocol for a Pilot Randomized Controlled Trial.Journal of human lactation : official journal of International Lactation Consultant Association · 2025Article
- Association of lifetime lactation and characteristics of menopause: a longitudinal cohort study.BMC public health · 2024Article
- Quantifying the Association between Pump Use and Breastfeeding Duration.The Journal of pediatrics · 2024Article
- High-risk pregnancy and risk of breastfeeding failure.The Journal of the Egyptian Public Health Association · 2024Article
- Late Preterm Newborns: Breastfeeding and Complementary Feeding Practices.Children (Basel, Switzerland) · 2024Article
- Australian Women's Experiences of Establishing Breastfeeding after Caesarean Birth.International journal of environmental research and public health · 2024Article
- Knowledge on breastfeeding and improving cardiometabolic disease following a major complication of pregnancy: A qualitative analysis.Women's health (London, England)Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
objectiveBreastfeeding difficulties are the most common reason for breastfeeding cessation, particularly in the early postpartum. Caesarean delivery is associated with earlier breastfeeding cessation than is the case with vaginal delivery, but differences in breastfeeding difficulties by mode of delivery have not been thoroughly examined. Our objective was to explore the association between Caesarean delivery and types of breastfeeding difficulties.
methodsWe conducted a secondary analysis of data from a prospective cohort study of mothers who delivered full-term, singleton infants in Calgary, Alberta, Canada (N = 418). Women completed self-report questionnaires during the delivery hospitalization. Mode of delivery was defined as vaginal or Caesarean, and further classified as planned or unplanned Caesarean. Breastfeeding difficulties were measured using the Breastfeeding Experiences Scale and operationalized with binary variables for presence of various types of maternal (i.e. physical, supply, social) and infant (i.e. latch, behaviour/health) difficulties that were reported as moderate to unbearable. Multivariable logistic regression was used to estimate adjusted odds ratios (AORs) and 95% confidence intervals (CIs).
resultsOverall, 37.1% of women had a Caesarean delivery and 80.9% experienced a breastfeeding difficulty during the delivery hospitalization. Of the difficulties studied, Caesarean delivery was significantly associated with low milk supply (AOR = 1.62, 95% CI = 1.16-2.28) and infant behaviour/health difficulties (AOR = 1.33, 95% CI = 1.01-1.75). The association with low milk supply persisted when examining both planned (AOR = 2.42, 95% CI = 1.19-4.92) and unplanned (AOR = 2.21, 95% CI = 1.16-4.22) Caesarean deliveries.
conclusionMothers who deliver by Caesarean have higher odds of reporting low milk supply and infant behaviour/health difficulties than women who deliver vaginally.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.