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KMID : 0892719990030010007
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Journal of the Korean Society of Maternal and Child Health
1999 Volume.3 No. 1 p.7 ~ p.21
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Impact of Delivery Method and Feeding Supervision on Breastfeeding
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Park Jung-Han
Park Yoo-Keun
Jun Hae-Ri
Park Soon-Woo
Lee Ju-Young
Hwang Soon-Gu
Huh Chang-Kyu
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Abstract
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To study the impact of delivery method and feeding supervision on breastfeeding, personal interview before delivery was conducted for 693 pregnant women who visited one general hospital(GH) and one obstetrics & gynecology specialty hospital(SH) in Taegu for prenatal care at 36 weeks of gestation or over between February I, 1998 and March 31, 1998. A follow-up telephone interview was conducted one month after delivery to check feeding method for the baby and reason for choosing such method. GH provides ordinary perinatal and neonatal care while SH provides rooming-in service and supports breast feeding in conformity with the guideline for Baby Friendly Hospital Initiative of UNICEF.
Maternal attitude toward the breastfeeding has been changed favorably compared to the study results that was conducted 10 years ago. While staying at the hospital after delivery, 20.5% of the mothers who had vaginal delivery breastfed, 71.2% fed formula, and 8.1% fed both breastmilk and formula(mixed feeding). Among mothers who had c-section, breastfeeding rate was 26.8%, formula feeding rate 37.1%, and mixed feeding rate 35.7% and these rates were significantly associated with the delivery method(p=0.001). Follow-up survey at one month after delivery revealed that 29.4% of the mother who had vaginal delivery breastfed, 41.6% fed formula, and 28.8% fed both breastmilk and formula. The breastfeeding rate of the mothers who had c-section was 25.5%, formula feeding rate 41.5%, and mixed feeding rate 33.0% and the feeding methods were no longer significantly associated with the delivery method.
According to the hospital of delivery, breastfeeding rate of SH after delivery was 55.6% and formula feeding rate was 22.5% and the rates of GH were 12.5%,71.5% respectively. One month after delivery the breastfeeding rate of mothers who delivered at SH was 43.1% while that of mothers who delivered at GH was 23.7%. The breastfeeding rate of SH after delivery was higher than that of GH when it was stratified by delivery method. The breastfeeding rates of both mothers who had vaginal delivery and mothers who had c-section at GH were increased one month after delivery. However, the breastfeeding rate of mother who had vaginal delivery at SH was decreased from 51.4% to 46.6% and that of the mothers who had c-section was decreased from 63.2% to 36.8%.
Breastfeeding was chosen by personal preference in 67.9% and by hospital policy in 16.0% while formula feeding was chosen by personal preference in 6.5% and by hospital policy in 76.3%. At one month after delivery the most common reason for breastfeeding was because it’s good for baby(68.2%) and reasons for formula feeding were difficulty in breastfeeding(34.7%) and shortage of breastmilk (30.2%).
These study findings suggest that education for breastfeeding before delivery and support for breastfeeding after delivery have significant impact on increased breastfeeding rate and continuous support is necessary to maintain breastfeeding after discharge from hospital. These findings have limitation in generalization because this study was done in only two hospitals and did not consider other factors such as the maternal and infant’s health conditions that might have influence on the breastfeeding.
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KEYWORD
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delivery method, feeding supervision, breastfeeding, rooming-in service, interview
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