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Comparison of LATCH Scores at the Second Day Postpartumbetween Mothers with Cesarean Sections and Those withNormal Deliveries |
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| รหัสดีโอไอ | |
| Creator | Supree Buranawongtrakoon, M.D., |
| Title | Comparison of LATCH Scores at the Second Day Postpartumbetween Mothers with Cesarean Sections and Those withNormal Deliveries |
| Publisher | PIMDEE Co., Ltd. |
| Publication Year | 2559 |
| Journal Title | Thai Journal of Obstetrics and Gynaecology |
| Journal Vol. | 24 |
| Journal No. | 1 |
| Page no. | 6-13 |
| Keyword | LATCH score, exclusive breastfeeding, cesarean section, normal delivery |
| ISSN | 0857-6084 |
| Abstract | Objective: The route of delivery effects on breastfeeding. The LATCH score for assessment of breastfeeding practices have been widely used here in Thailand. LATCH scores greater than8 correlated with exclusive breastfeeding at six weeks postpartum.Materials and Methods: The subjects were 1,316 normal postpartum primiparous women whodelivered without complications and their newborns at the HRH Princess Maha Chakri SririndhornMedical Center in the Nakhon Nayok province during the period from January 2010 to April2013. The mothers were categorized in two groups; those who delivered by cesarean sectionand those with normal deliveries. At the fist day postpartum, both groups of mother wereencouraged to breastfeed their infant. The mothers were assessed LATCH scores at the secondday postpartum prior to discharge. Telephone follow-ups at the sixth week postpartum periodwere collected and used for exclusive breastfeeding data collection. Demographic data andexclusive breastfeeding rates were analyzed by the t-test, Chi-square test, Odds ratios with 95%confience intervals and Logistic regression analysis.Results: The data shows that mean of LATCH scores at the second day postpartum were 7.9? 1.7 points in cesarean section group and 8.1 ? 1.3 points in normal delivery group. Therewere statistical differences between the mean in the two groups. the crude odds ratio andadjusted odds ratio of LATCH scores more than 8 between the cesarean section group ascompared with the normal delivery group was 0.67 (95% CI 0.42-0.94) and 0.82 (95% CI 0.69-0.97). By telephone follow up at the sixth week postpartum the number of exclusive breastfeedingmothers were 369 (56.1%) in cesarean section group and 388 (59.0%) in normal delivery group.The most common of breastfeeding cessation at sixth week postpartum was insufficient breastmilk.Conclusion: The mothers with cesarean section deliveries had signifiantly lower LATCH scoresthan the mothers with normal deliveries. The adjusted odds ratios of LATCH scores greaterthan 8 between the mothers with cesarean sections and normal deliveries was 0.8. |
