الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
In recent years CS rate has increased in different parts of the world. Studies have shown that BF rates are lower with CS births, compared to vaginal births. The healthiest and most natural way of infant feeding is BF. Successful lactation depends mainly on its early initiation.
The golden hour or the first hour after birth has a maximum benefit for applying early STS contact and initiation of BF. It commences immediately after birth (approximately 10-30 minutes), and lasts at least until after the first BF finishes. Early STS contact immediately following birth increases early initiation, duration and success of BF.
The aim of this study was to determine the effect of early maternal /newborn STS contact after CS delivery on initiation and continuation of BF.
A non randomized controlled clinical trial research design was used. A convenience sample of 80 CS parturients, who fulfilled the inclusion criteria, were selected from the operating room and followed up at the outpatient clinic of El-Shatby Maternity University Hospital in Alexandria after one month. Home visits were conducted for follow-up purpose as well as for DROP outs. The participants were assigned to either study or control group; each constituted 40 participants. The researcher applied early maternal/newborn STS contact on the participants of the study group, while routine hospital care was followed by the participants of the control group.
Four tools were used for data collection. Tool one: Socio-demographic and reproductive history structured interview schedule, which was specially developed by the researcher and included two parts; socio-demographic data and reproductive history. Tool two: Mother’s BF knowledge assessment tool, which was specially developed and used by the researcher and comprised 28 items. Tool three: newborn BF assessment tool (NBFAT), which was modified and used by the researcher. It entailed two parts; assessment of successful BF and latch on. Tool four: Follow-up observational check list, which was specially developed and used by the researcher. It included continuation of BF as well as check list for technique of BF. Reliability of the tools was tested by Pearson’s correlation.
A pilot study was carried out on 8 women (who were excluded from the main sample) to ascertain the clarity and the applicability of the tools.
For the study group; the researcher placed the baby naked in a prone position against the mother’s bare chest between breasts with the newborn back covered with blanket. Both groups were assessed for initiation and duration of BF as well as successful BF and latch on immediately after birth (approximately 10-30 minutes). They were then followed up twice during the first and the six month/s after CS delivery to assess continuation and technique of BF.
Collection of data covered a period of 8 months starting from the beginning of July 2013 till the end of February 2014. Data were collected through interview, which was conducted individually and in total privacy.
The collected data was categorized, coded, computerized, tabulated and analyzed using (SPSS) version 13 program.
The main findings yielded by this study were:
Socio-demographic data, reproductive history, previous BF experience and knowledge about BF:
The majority (85%) of the study group was 20 to less than 35 years old, two-fifths (40 %) had secondary level or its equivalent, more than two-thirds (70%) were from urban dwellers, and two-fifths (40 %) had enough income.
Three-quarters (75%) of the study group had 1-3 pregnancies, (82.5%) had 1-3 deliveries, more than two-thirds (72.5%) had no abortion, the majority (85 %) had no stillbirth, most (95%) had no dead children, and three-quarters (75%) had 1-3 living children.
More than three-fifths (65%) of the study group had CS delivery, the majority (85%) had 4 or more visits, the vast majority (90%) didn’t receive information about BF, Previous BF experience was reported by more than three-fifths (72.5%), and fair total score of knowledge was obtained by 77.5% of the study group.
No statistically significant differences were found between the study and the control groups in relation to their socio-demographic data, reproductive history, previous BF experience and knowledge about BF.