The influence of type of delivery, skin-to-skin contact and maternal nationality on breastfeeding rates at hospital discharge in a baby-friendly hospital in Italy

  • Mauro Cinquetti | mcinquetti@aulss9.veneto.it Maternal-Infant Department, Girolamo Fracastoro Baby-Friendly Hospital, San Bonifacio (VR), Italy.
  • Anna Maria Colombari Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, University of Verona, Verona, Italy.
  • Emanuela Battisti Maternal-Infant Department, Girolamo Fracastoro Baby-Friendly Hospital, San Bonifacio (VR), Italy.
  • Pierpaolo Marchetti Department of Diagnostic and Public Health, Section of Epidemiology and Medical Statistics, University of Verona, Verona, Italy.
  • Giorgio Piacentini Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, University of Verona, Verona, Italy.

Abstract

The aim of this epidemiological study is to evaluate how type of delivery, skin-to-skin contact and maternal nationality influence breastfeeding practices of newborns at discharge in a large population of babies born in the Baby-Friendly Hospital of San Bonifacio, Verona, Italy. Data were collected for all healthy newborns consecutively born over a period of three years, regarding type of delivery, feeding at hospital discharge, skin-to-skin procedure, and for a smaller group maternal nationality was recorded as well. The rate of exclusive breastfeeding in a group of 6017 newborns was 82.1%, higher among babies born by vaginal delivery than in those born by cesarean section (84.9% vs 65%; P<0.001). It was higher in those who had skin-to-skin contact than in those who did not, in both vaginal delivery (85.3% vs 69.2%; P<0.001) and cesarean section (67.7% vs 55.1%; P=0.009). Also, it was found to be higher in babies born to immigrant mothers than in those born to Italian mothers (89.9% vs 79.5%). Vaginal delivery, skin-to-skin contact and maternal foreign nationality have a positive association with breastfeeding at hospital discharge.

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Published
2019-05-22
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Keywords:
Breastfeeding, Skin-to-skin, Maternal nationality, Cesarean delivery
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How to Cite
Cinquetti, M., Colombari, A. M., Battisti, E., Marchetti, P., & Piacentini, G. (2019). The influence of type of delivery, skin-to-skin contact and maternal nationality on breastfeeding rates at hospital discharge in a baby-friendly hospital in Italy. La Pediatria Medica E Chirurgica, 41(1). https://doi.org/10.4081/pmc.2019.207