Does caesarean section have an impact on exclusive breastfeeding? Evidence from four Southeast Asian countries
Abstract Background The effect of caesarean section (CS) on breastfeeding initiation has been extensively studied, but its influence on exclusive breastfeeding practices remains inconclusive. Therefore, this study aims to investigate the impact of CS on exclusive breastfeeding using evidence from fo...
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BMC
2024-12-01
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| Series: | BMC Pregnancy and Childbirth |
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| Online Access: | https://doi.org/10.1186/s12884-024-07024-7 |
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| author | Kyaw Lwin Show Nampet Jampathong Pyae Linn Aung Kyawt Mon Win Chetta Ngamjarus Porjai Pattanittum Thae Maung Maung Khaing Nwe Tin Su Mon Myat Meghan A Bohren Nogati Chairunnisa Pisake Lumbiganon |
| author_facet | Kyaw Lwin Show Nampet Jampathong Pyae Linn Aung Kyawt Mon Win Chetta Ngamjarus Porjai Pattanittum Thae Maung Maung Khaing Nwe Tin Su Mon Myat Meghan A Bohren Nogati Chairunnisa Pisake Lumbiganon |
| author_sort | Kyaw Lwin Show |
| collection | DOAJ |
| description | Abstract Background The effect of caesarean section (CS) on breastfeeding initiation has been extensively studied, but its influence on exclusive breastfeeding practices remains inconclusive. Therefore, this study aims to investigate the impact of CS on exclusive breastfeeding using evidence from four countries in the Southeast Asian region. Methods This cross-sectional study used secondary data obtained from the Demographic and Health Surveys (DHS) conducted between 2016 and 2022 in four countries within the Southeast Asian Region. We included information on the youngest children aged 0–5 months living with their mothers within the DHS datasets. The association between CS and exclusive breastfeeding was determined using a simple and multiple logistic regression models. Weight factors were taken into account in all analyses for the two-stage stratified cluster sampling design. Results Among 3420 children, nearly half (49.1%, 95%CI: 47.0, 51.2) were exclusively breastfed. Children born by CS had lower odds of being exclusively breastfed, compared to children born vaginally (aOR = 0.68, 95%CI: 0.53, 0.88). Women who were married or living with a partner (aOR = 2.19, 95%CI: 1.33, 3.60), children born at a health facility (aOR = 1.31, 95%CI: 1.00, 1.71), and girl babies (aOR = 1.24, 95%CI: 1.05, 1.48) had higher odds of exclusive breastfeeding. Furthermore, residing in rural areas was associated with an increased likelihood of exclusive breastfeeding (aOR = 1.47, 95%CI: 1.20, 1.80). Maternal age, mother’s education, parity, antenatal and postnatal care taken, and mass media exposure were not associated with exclusive breastfeeding. Conclusion This study highlights a significant association between CS and reduced exclusive breastfeeding practices. The findings underscore the importance of providing adequate support and interventions to mothers who deliver by CS and their family members to ensure they can successfully achieve exclusive breastfeeding, particularly in a global context where CS rates are rising. |
| format | Article |
| id | doaj-art-5dd6cf3debbe4ed1aadb8e9fac75bffc |
| institution | DOAJ |
| issn | 1471-2393 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
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| series | BMC Pregnancy and Childbirth |
| spelling | doaj-art-5dd6cf3debbe4ed1aadb8e9fac75bffc2025-08-20T02:40:18ZengBMCBMC Pregnancy and Childbirth1471-23932024-12-012411910.1186/s12884-024-07024-7Does caesarean section have an impact on exclusive breastfeeding? Evidence from four Southeast Asian countriesKyaw Lwin Show0Nampet Jampathong1Pyae Linn Aung2Kyawt Mon Win3Chetta Ngamjarus4Porjai Pattanittum5Thae Maung Maung6Khaing Nwe Tin7Su Mon Myat8Meghan A Bohren9Nogati Chairunnisa10Pisake Lumbiganon11Department of Medical ResearchCochrane Thailand, Khon Kaen UniversityMahidol Vivax Research Unit, Faculty of Tropical Medicine, Mahidol UniversityDepartment of Public Health, Ministry of HealthDepartment of Epidemiology and Biostatistics, Faculty of Public Health, Khon Kaen UniversityDepartment of Epidemiology and Biostatistics, Faculty of Public Health, Khon Kaen UniversityDepartment of Medical ResearchDepartment of Public Health, Ministry of HealthDepartment of Public Health, Ministry of HealthGender and Women’s Health Unit, Nossal Institute for Global Health, School of Population and Global Health, University of MelbourneFaculty of Public Health, Khon Kaen UniversityDepartment of Obstetrics and Gynaecology, Faculty of Medicine, Khon Kaen UniversityAbstract Background The effect of caesarean section (CS) on breastfeeding initiation has been extensively studied, but its influence on exclusive breastfeeding practices remains inconclusive. Therefore, this study aims to investigate the impact of CS on exclusive breastfeeding using evidence from four countries in the Southeast Asian region. Methods This cross-sectional study used secondary data obtained from the Demographic and Health Surveys (DHS) conducted between 2016 and 2022 in four countries within the Southeast Asian Region. We included information on the youngest children aged 0–5 months living with their mothers within the DHS datasets. The association between CS and exclusive breastfeeding was determined using a simple and multiple logistic regression models. Weight factors were taken into account in all analyses for the two-stage stratified cluster sampling design. Results Among 3420 children, nearly half (49.1%, 95%CI: 47.0, 51.2) were exclusively breastfed. Children born by CS had lower odds of being exclusively breastfed, compared to children born vaginally (aOR = 0.68, 95%CI: 0.53, 0.88). Women who were married or living with a partner (aOR = 2.19, 95%CI: 1.33, 3.60), children born at a health facility (aOR = 1.31, 95%CI: 1.00, 1.71), and girl babies (aOR = 1.24, 95%CI: 1.05, 1.48) had higher odds of exclusive breastfeeding. Furthermore, residing in rural areas was associated with an increased likelihood of exclusive breastfeeding (aOR = 1.47, 95%CI: 1.20, 1.80). Maternal age, mother’s education, parity, antenatal and postnatal care taken, and mass media exposure were not associated with exclusive breastfeeding. Conclusion This study highlights a significant association between CS and reduced exclusive breastfeeding practices. The findings underscore the importance of providing adequate support and interventions to mothers who deliver by CS and their family members to ensure they can successfully achieve exclusive breastfeeding, particularly in a global context where CS rates are rising.https://doi.org/10.1186/s12884-024-07024-7Caesarean sectionExclusive breastfeedingMaternal healthNewborn healthSoutheast AsiaDemographic and Health Survey |
| spellingShingle | Kyaw Lwin Show Nampet Jampathong Pyae Linn Aung Kyawt Mon Win Chetta Ngamjarus Porjai Pattanittum Thae Maung Maung Khaing Nwe Tin Su Mon Myat Meghan A Bohren Nogati Chairunnisa Pisake Lumbiganon Does caesarean section have an impact on exclusive breastfeeding? Evidence from four Southeast Asian countries BMC Pregnancy and Childbirth Caesarean section Exclusive breastfeeding Maternal health Newborn health Southeast Asia Demographic and Health Survey |
| title | Does caesarean section have an impact on exclusive breastfeeding? Evidence from four Southeast Asian countries |
| title_full | Does caesarean section have an impact on exclusive breastfeeding? Evidence from four Southeast Asian countries |
| title_fullStr | Does caesarean section have an impact on exclusive breastfeeding? Evidence from four Southeast Asian countries |
| title_full_unstemmed | Does caesarean section have an impact on exclusive breastfeeding? Evidence from four Southeast Asian countries |
| title_short | Does caesarean section have an impact on exclusive breastfeeding? Evidence from four Southeast Asian countries |
| title_sort | does caesarean section have an impact on exclusive breastfeeding evidence from four southeast asian countries |
| topic | Caesarean section Exclusive breastfeeding Maternal health Newborn health Southeast Asia Demographic and Health Survey |
| url | https://doi.org/10.1186/s12884-024-07024-7 |
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