Influence of Stress, Time of First Sucking, Gravidity, Type of Cesarean Section, Pethidine, and Oxytocin to Onset Time of Lactation in Mothers after Cesarean Delivery
Keywords:
Onset of lactation, first sucking, Gravidity, Cesarean section, PethidineAbstract
This predictive study aimed to study influence of stress, time of first sucking, gravidity, type of cesarean section, pethidine, and oxytocin to onset time of lactation in mothers after cesarean delivery. The subjects were 101 mothers with cesarean section who attended in the postpartum care unit in University Hospital, Bangkok and Tertiary care unit, Nakornnayok.Personal data record form, Drugs used record form, Onset time of lactation record, and Stress Test Questionnaire (ST-5) were used for data collection. The data were analyzed by using descriptive, Pearson’s product moment correlation coefficient and Multiple linear regression analysis.
The findings revealed all independent variables together statistically significantly predicted the onset of lactation by 50.3 (F = 15.833, p < .01) Pethidine (B = .554, p < .01), time of first sucking (B = .600, p < .01) and gravidity (B = -7.465, p < .01) can predicted onset of lactation statistically significantly.
The findings revealed all independent variables together statistically significantly predicted the onset of lactation by 50.3 (F = 15.833, p < .01) Pethidine (B = .554, p < .01), time of first sucking (B = .600, p < .01) and gravidity (B = -7.465, p < .01) can predicted onset of lactation statistically significantly. The suggestion from the study are that nurse midwife should initiate breastfeeding immediately after cesarean section especially first time mothers. In addition, drug for pain relief is used as necessary or using nonpharmacological for pain relief method.
References
Dwi Y, Kasmara P, Wahyuni F. Perceptions of pregnant mothers about exclusive breast milk with the motivation to do early breastfeeding tnitiation (IMD) at Klinik Ayah Bunda Kelurahan Amplas, Kecamatan Medan Amplas in 2021. International Archives of Medical Sciences and Public Health. 2022;3(1):60-5.
Apartsakun P. Value of breastfeeding in Thai mothers: Nursing roles. Journal of The Royal Thai Army nurses.2018.19(2)
Chen C, Yan Y, Gao X, Xiang S, He Q, Zeng G, et al. Influences of cesarean delivery on breastfeeding practices and duration: A prospective cohort study. J Hum Lact. 2018; 34(3):526-34.
Betran AP, Torloni MR, Zhang JJ, Gülmezoglu AM. WHO statement on caesarean section rates. Bjog. 2016;123(5):667-70.
Lawrence RA. Physiology of lactation. In: Lawrence RA, Lawrence RM, editors. Breastfeeding (Ninth Edition). Philadelphia: Elsevier; 2022. p. 58-92.
Stuebe AM, Grewen K, Pedersen CA, Propper C, Meltzer-Brody S. Failed lactation and perinatal depression: common problems with shared neuroendocrine mechanisms? Journal of women’s health. 2012;21(3):264-72.
Rice VH. Handbook of stress, coping, and health: Implications for nursing research, theory, and practice: Sage; 2012.
Finnerty CC, Mabvuure NT, Ali A, Kozar RA, Herndon DN. The Surgically Induced Stress Response. Journal of Parenteral and Enteral Nutrition. 2013;37(5S):21S-9S.
Dimitraki M, Tsikouras P, Manav B, Gioka T, Koutlaki N, Zervoudis S, et al. Evaluation of the effect of natural and emotional stress of labor on lactation and breast-feeding. Arch Gynecol Obstet. 2016;293(2):317-28.
Nuampa S, Sinsuksai N, Phahuwatanakorn W, Chanprapaph P. Personal factors, first feeding time and nurse support in predicting successful exclusive breastfeeding at discharge in mothers with cesarean section. Journal of Nursing Science. 2014;31(2):49-59. (in Thai)
Brownell E, Howard CR, Lawrence RA, Dozier AM. Delayed onset lactogenesis II predicts the cessation of any or exclusive breastfeeding. The Journal of pediatrics. 2012;161(4):608-14.
Stuebe AM, Grewen K, Pedersen CA, Propper C, Meltzer-Brody S. Failed lactation and perinatal depression: common problems with shared neuroendocrine mechanisms? J Womens Health (Larchmt). 2012;21(3):264-72.
Jiang S, Duan YF, Pang XH, Bi Y, Wang J, Zhao LY, et al. Prevalence of and risk factors for delayed onset of lactation in Chinese lactating women in 2013. Zhonghua Yu Fang Yi Xue Za Zhi. 2016;50(12):1061-6.
Salahudeen MS, Koshy AM, Sen S. A study of the factors affecting time to onset of lactogenesis-II after parturition. Journal of Pharmacy Research. 2013;6(1):68-72.
Intarasukum P. Onset of lactation after an uncomplicated cesarean delivery: a study between emergency cesarean delivery and elective cesarean delivery. Journal of Health Science. 2014;23(6):1058-66.
Liana P, Sima RM, Carp D, Alexandroaia C, Balalau DO. The psychosocial impact of vaginal delivery and cesarean section in primiparous women. Journal of Mind and Medical Sciences. 2018;5(1):Article 11.
Brunton PJ. Endogenous opioid signalling in the brain during pregnancy and lactation. Cell Tissue Res. 2018.
Rice VH, editor. Handbook of stress, coping, and health implications for nursing research, theory, and practice: SAGE Publications, Inc; 2011.
Lind JN, Perrine CG, Li R. Relationship between use of labor pain medications and delayed onset of lactation. J Hum Lact. 2014;30(2): 167-73.
Gomes M, Trocado V, Carlos-Alves M, Arteiro D, Pinheiro P. Intrapartum synthetic oxytocin and breastfeeding: a retrospective cohort study. J Obstet Gynaecol. 2018;38(6):745-9.
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