Evidence on C-Section and Early Breastfeeding

Does Caesarean Section Affect Breastfeeding Practices in China? A Systematic Review and Meta-Analysis: Jian Zhao, Yun Zhao, Mengran Du, Colin W. Binns & Andy H. Lee, Maternal and Child Health Journal volume 21, pages2008–2024 (2017)
Conclusion- In China, breastfeeding practices were affected adversely by caesarean delivery. Therefore, health policy to improve breastfeeding outcomes should take this into consideration.


Cesarean Section and Breastfeeding Outcomes By Angeliki Antonakou and Dimitrios Papoutsis, Submitted: December 7th 2020Reviewed: February 16th 2021 Published: April 12th 2021, 
Conclusion- We found that when controlling for socio-demographic and labor and delivery characteristics, planned c-section is associated with early breastfeeding cessation. Anticipatory guidance around breastfeeding could be provided to women considering a planned c-section. As well, additional supportive care could be made available to lactating women with emergency c-sections, within the first 24 hours post birth and throughout the early postpartum period.


Impact of caesarean section on breastfeeding indicators: within-country and meta-analyses of nationally representative data from 33 countries in sub-Saharan Africa, Ben W Mol,John W Lynch,Lisa G Smithers, BMJ Open 2019;9:e027497. doi:10.1136/ bmjopen-2018-027497 
Conclusion- Caesarean section had a negative influence on early initiation of breastfeeding but showed little difference in exclusive breastfeeding under 6 months and children ever breastfed in sub-Saharan Africa.


Effect of cesarean section on initiation of breast feeding: Findings from 2016 Ethiopian Demographic and Health Survey, Getnet Gedefaw  ,Martha H. Goedert ,Eskeziaw Abebe ,Asmamaw Demis ,Published: December 18, 2020, https://doi.org/10.1371/journal.pone.0244229
Conclusion- Cesarean 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.


The impact of caesarean section on breastfeeding initiation, duration and difficulties in the first four months postpartum,Amy J. Hobbs, Cynthia A. Mannion, Sheila W. McDonald, Meredith Brockway & Suzanne C. Tough,BMC Pregnancy and Childbirth volume 16, Article number: 90 (2016)
Conclusion-We found that when controlling for socio-demographic and labor and delivery characteristics, planned c-section is associated with early breastfeeding cessation. Anticipatory guidance around breastfeeding could be provided to women considering a planned c-section. As well, additional supportive care could be made available to lactating women with emergency c-sections, within the first 24 hours post birth and throughout the early postpartum period.