Suboptimal infant breastfeeding behaviour (SIBB) is common in some populations: it was evident in almost half of the infants on the day of birth, and in 22% on day 3 in a study carried out in California ( Dewey et al. Several studies have demonstrated that newborns' suckling behaviour is negatively affected by the use of labor pain medications ( Riordan et al. This may disrupt the natural process of learning and adjustment required for establishing breastfeeding. As a consequence of modernization, the childbirth experience has become a medical event, with an increasing number of medicated or surgical deliveries. Infant status at birth and maternal characteristics could indicate when breastfeeding dyads need extra support.īehavioural observations have shown that, after an unmedicated delivery, healthy infants and their mothers are ready to interact in the first minutes of life and initiate breastfeeding within the first hour, when newborns typically follow an innate sequence of pre‐feeding behaviours ( Widstrom et al. Early lactation problems may be influenced by modifiable factors such as delivery mode and breastfeeding frequency. Excessive neonatal weight loss occurred in 10% of neonates and was associated with maternal overweight and Caesarean‐section delivery. Delayed OL incidence was 17% and was associated with infant Apgar score <8. SIBB prevalence was 52% on day 0 and 21% on day 3 it was associated with male infant gender (day 0), <8 breastfeeds during the first 24 h (days 0 and 3), and gestational age <39 weeks (day 3). One hundred seventy‐one mother–infant pairs participated in the study.
Excessive neonatal weight loss was defined as ≥10% of birthweight by day 3. OL was determined by maternal report of breast fullness changes delayed OL was defined as perceived after 72 h. Infant breastfeeding behaviour was evaluated using the Infant Breastfeeding Assessment Tool SIBB was defined as ≤10 score. Data were collected at the hospital (day 0) and during a home visit (day 3). All primiparous mothers who gave birth to a healthy, single, term infant at a government hospital in a peri‐urban area of Lima during the 8‐month recruitment period were invited to participate in the study.
The aim of this study was to determine the incidence and risk factors for early lactation problems among mother–infant pairs in Lima, Peru.
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