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Cessation of breastfeeding in association with oxytocin administration and type of birth.

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eMediNexus    18 May 2018

The goal of a new study published in Women and Birth aimed to test whether oxytocin administration and type of birth are associated with cessation of exclusive breastfeeding at different periods, and to investigate whether the administered oxytocin dose is associated with cessation of exclusive breastfeeding. This was a prospective cohort study in a tertiary hospital including 529 women with full-term singleton pregnancies. These women were divided into four groups based on the type of birth (vaginal or cesarean) and the intrapartum administration of oxytocin. Follow-up was performed to evaluate the consolidation of exclusive breastfeeding at 1, 3 and 6 months. It was found that the proportion of exclusive breastfeeding decreased in all groups. The group with cesarean birth without oxytocin had the highest risk of cessation of exclusive breastfeeding. Whereas, an association between the oxytocin doses administered during birth and puerperium period and the cessation of exclusive breastfeeding could not be established. Hence, it was concluded that planned cesarean birth without oxytocin is associated with the cessation of exclusive breastfeeding at 1, 3 and 6 months of life. The authors suggested that elective cesarean births should be restricted, unless necessary, to give maximum support to encourage breastfeeding in women.

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