بررسی رابطه نوع زایمان با موفقیت در شیردهی

          Breast feeding is very effective on infants’ good health both mentally and    physically. It prevents children from dying of malnutrition , respiratory infection    and diarrhea which are the main causes of death among them. Up to now ,    little attention has been paid to the relation between breast-feeding and the    type of delivery. Regarding the increasing number of cesarean childbirth , the    relation deserves special attention. So the aim of this research is to study it    statistically.           The present study is  descriptive-analytic . First , 400 mothers out of those    who did not have relative or absolute prohibition of breast-feeding and whose    infants were 4 months old or even older and had no difficulty in their sucking    reflection with explained or unexplained causes were randomly chosen from 10    health care centers out of 28 in Hamadan. (200 mothers with natural childbirth –    200 with cesarean childbirth). The data including age , parity , education ,    receiving appropriate instruction in breast-feeding , occupation , type of    delivery and breast-feeding success were collected using the patients’ files or    through interview.           The two groups had no significant difference in their ages, parity and    education. Appropriate instruction of the group with natural childbirth was    95% and in caesarian group was 85%. Breast feeding success among mothers    with natural child birth was 81% (163 persons) and  in comparison with (64% 129    persons) cesarean group was quite significant. Moreover, the breast-feeding    failure among mothers who had natural childbirth (11.5%, 23 persons) had been    mainly occurred after exclusively breast-feeding  for 3-4 months while the    majority of mothers with cesarean delivery (75%, 50 persons) had failed to    breast-feed their infants exclusively  in less than 2 months.           Natural childbirth and instruction of mothers had considerable effect on    breast-feeding success for four or more months.