Feeding Practices, Maternal and Neonatal Outcomes in Vaginal Birth after Cesarean and Elective Repeat Cesarean Delivery

Patryk Rudzinski, Inga Lopuszynska, Katarzyna Pieniak, Daria Stelmach, Joanna Kacperczyk-Bartnik and Ewa Romejko-Wolniewicz
Additional contact information
Patryk Rudzinski: Students’ Scientific Group Affiliated to II Department of Obstetrics and Gynecology, Medical University of Warsaw, 02-091 Warszawa, Poland
Inga Lopuszynska: Students’ Scientific Group Affiliated to II Department of Obstetrics and Gynecology, Medical University of Warsaw, 02-091 Warszawa, Poland
Katarzyna Pieniak: Students’ Scientific Group Affiliated to II Department of Obstetrics and Gynecology, Medical University of Warsaw, 02-091 Warszawa, Poland
Daria Stelmach: Students’ Scientific Group Affiliated to II Department of Obstetrics and Gynecology, Medical University of Warsaw, 02-091 Warszawa, Poland
Joanna Kacperczyk-Bartnik: II Department of Obstetrics and Gynecology, Medical University of Warsaw, 02-091 Warszawa, Poland
Ewa Romejko-Wolniewicz: II Department of Obstetrics and Gynecology, Medical University of Warsaw, 02-091 Warszawa, Poland

IJERPH, 2022, vol. 19, issue 13, 1-8

Abstract: Cesarean section rates are constantly rising, and the number of women with a prior cesarean considering a delivery mode for their next labor is increasing. We aimed to compare maternal and neonatal outcomes and feeding method in women undergoing vaginal birth after cesarean (VBAC) versus elective repeat cesarean delivery (ERCD). This was a retrospective cohort study of women with one prior cesarean delivery (CD) and no previous vaginal births, delivering vaginally or by a CD in a single institution between 2016 and 2018. 355 live singleton spontaneous vaginal and cesarean deliveries were included. 121 women delivered vaginally and 234 had a CD. Neonates born by a CD were more likely to have higher birth weight ( p < 0.001), higher weight at discharge ( p < 0.001), macrosomia ( p = 0.030), lose >10% of their body mass ( p = 0.001), be mixed-fed ( p < 0.001), and be hospitalized longer ( p < 0.001). Children born vaginally were more likely to be exclusively breastfed ( p < 0.001). Women undergoing VBAC were more likely to deliver preterm ( p = 0.006) and post-term ( p < 0.001), present with PROM ( p < 0.001), have greater PROM latency period ( p < 0.001), and experience intrahepatic cholestasis of pregnancy ( p = 0.029), postpartum anemia ( p < 0.001), and peripartum blood loss >1 L ( p = 0.049). The incidence of anemia during pregnancy was higher in the ERCD cohort ( p = 0.047). Women undergoing VBAC are more likely to breastfeed their children, perhaps for the same reason they choose the vaginal method of delivery, as vaginal delivery and breastfeeding along with antibiotic use, are the most important factors decreasing the risk for future diseases in their offspring.

Keywords: pregnancy; pregnancy outcome; repeat cesarean section; vaginal birth after cesarean; cesarean section; feeding method (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/1660-4601/19/13/7696/pdf (application/pdf)
https://www.mdpi.com/1660-4601/19/13/7696/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:19:y:2022:i:13:p:7696-:d:845946

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().