The study's objective was to examine the relationship between cesarean section delivery and the initiation of breastfeeding in a representative sample of 1695 Puerto Rican women aged 15 to 49 years, who delivered their last healthy singleton child in Puerto Rico between 1990 and 1996. Secondary analysis of data collected in the population-based cross-sectional study Puerto Rico Reproductive Health Survey was performed. Bivariate and multivariate logistic regression analyses were used to examine the crude and covariate adjusted association between type of childbirth and initiation of breastfeeding. Overall, 36% of all births were performed by cesarean section, while initiation of breastfeeding was achieved by 61.5% of the women. Cesarean section was negatively related to breastfeeding initiation in multivariable logistic regression models (odds ratio = .64; 95% CI = 0.51-0.81) after controlling for confounding variables. Intervention programs that aim to promote breastfeeding and that provide special assistance to women undergoing this procedure should be developed.
El objetivo de este estudio fue evaluar la relación entre el parto por cesárea y la iniciación de la lactancia materna en una muestra representativa de 1,695 mujeres puertorriqueñas entre las edades de 15-49 años, quienes tuvieron su último parto de hijo único en Puerto Rico entre 1990-1996. Se hizo un análisis secundario de los datos coleccionados en la población basada en un estudio seccional cruzado de la Encuesta de Salud Reproductiva de Puerto Rico. Se hizo análisis de regresión logística multivariada y bivariada para evaluar la asociación del crudo y covariable ajustado entre el tipo de parto y la iniciación de la lactancia materna. En general, 36% de los partos fueron por cesárea, mientras que la iniciación de la lactancia materna fue de 61.5%. La cesárea se relacionó negativamente con la iniciación de la lactancia materna en los módulos de regresión logística multivariable (Odds ratio = .64; 95% CI = 0.51-0.81) después de controlar variables atribuibles. Se deben desarrollar programas de intervención que se dirijan a la promoción de la lactancia materna que provee asistencia especial a mujeres que vayan a tener este procedimiento.
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