{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T06:38:40Z","timestamp":1772087920928,"version":"3.50.1"},"reference-count":40,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,6,16]],"date-time":"2017-06-16T00:00:00Z","timestamp":1497571200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Office of Student Research at Yale School of Medicine, New Haven, CT, USA"},{"name":"The Downs International Health Student Travel Fellowship of Yale University, New Haven, CT, USA"},{"name":"Yale College Class of 2004 Travel Fellowship"},{"name":"Yale Collaborative Action Project"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Maternal &amp; Child Nutrition"],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Breastfeeding has been shown to benefit infants and mothers. Women who have caesarean deliveries (C\u2010sections) are expected to be less likely to initiate and continue breastfeeding than those who have vaginal deliveries. Given the high rate of C\u2010sections in Nicaragua, the importance of breastfeeding, and the centrality of culture in choices about breastfeeding, this study sought to examine if mode of delivery relates with breastfeeding initiation and exclusivity in Nicaragua. Two hundred fifty mothers were surveyed about birth experiences and breastfeeding behaviour in 3 public clinics in Le\u00f3n, Nicaragua, between June and August 2015. Logistic regression analyses were performed to examine the association of mode of delivery with initiation of breastfeeding within 1\u00a0hr of birth (early initiation) and exclusive breastfeeding for 6\u00a0months post\u2010partum. The rate of early initiation was 68.8% and that of exclusively breastfeeding for 6\u00a0months was 12.7%. Mode of delivery was not significantly associated with early initiation (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.383) or exclusive breastfeeding (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.518). Early initiation was negatively associated with prelacteal feeding, AOR = 0.30, 95% CI [0.16, 0.58];<jats:italic>p<\/jats:italic>\u00a0=\u00a0.001. Mothers who had perceived their infants as large at birth were significantly less likely to exclusively breastfeed for 6\u00a0months, AOR (95%CI)\u00a0=\u00a00.25 (0.06\u20130.97);<jats:italic>p<\/jats:italic>\u00a0=\u00a00.046. Mode of delivery was not significantly associated with optimal breastfeeding initiation and exclusivity among mothers in Nicaragua. The 2 risk factors identified for delayed initiation of breastfeeding and lack of exclusive breastfeeding were prelacteal feeding and maternal perception of a large infant at birth, respectively.<\/jats:p>","DOI":"10.1111\/mcn.12474","type":"journal-article","created":{"date-parts":[[2017,6,16]],"date-time":"2017-06-16T08:43:04Z","timestamp":1497602584000},"source":"Crossref","is-referenced-by-count":20,"title":["Delivery mode and breastfeeding outcomes among new mothers in Nicaragua"],"prefix":"10.1111","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3200-9398","authenticated-orcid":false,"given":"Sara N.","family":"Kiani","sequence":"first","affiliation":[{"name":"Yale College New Haven Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine M.","family":"Rich","sequence":"additional","affiliation":[{"name":"Yale School of Public Health New Haven Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Darby","family":"Herkert","sequence":"additional","affiliation":[{"name":"Yale College New Haven Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cara","family":"Safon","sequence":"additional","affiliation":[{"name":"Yale School of Public Health New Haven Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rafael","family":"P\u00e9rez\u2010Escamilla","sequence":"additional","affiliation":[{"name":"Yale School of Public Health New Haven Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,6,16]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Equity, access to health care services and expenditures on health in Nicaragua","author":"Angel\u2010Urdinola D.","year":"2008"},{"issue":"2","key":"e_1_2_8_3_1","first-page":"99","article-title":"The factors affecting the duration of breastfeeding: A cross\u2010sectional study from Kayseri, Turkey","volume":"47","author":"Balci E.","year":"2012","journal-title":"Turk Pediatri Arsivi"},{"issue":"11","key":"e_1_2_8_4_1","first-page":"1062","article-title":"Is cesarean section a barrier to early initiation of breastfeeding?","volume":"50","author":"Banapurmath C. R.","year":"2013","journal-title":"Indian Pediatrics"},{"issue":"2","key":"e_1_2_8_5_1","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1016\/j.jped.2013.03.005","article-title":"Breastfeeding during the first hour of life and neonatal mortality","volume":"89","author":"Boccolini C. S.","year":"2013","journal-title":"Jornal de Pediatria"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0890334414559074"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2004-2283"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-8223(99)00109-1"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-014-1478-z"},{"issue":"3","key":"e_1_2_8_10_1","article-title":"Time to initiation of breastfeeding and neonatal mortality and morbidity: A systematic review","volume":"13","author":"Debes A. 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(2008).Encuesta nicarag\u00fcense de demograf\u00eda y salud 2006\/07: Inide informe final [nicaraguan demographic and health survey 2006\/07: Final INIDE Report] Managua NicaraguaRetrieved fromhttp:\/\/dhsprogram.com\/pubs\/pdf\/FR135\/FR135.pdf"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0031-3955(08)70026-9"},{"key":"e_1_2_8_23_1","unstructured":"Pan American Health Organization & World Health Organization. (2016).The Baby Friendly Hospital Initiative in Latin America and the Caribbean: Current status challenges and opportunities. 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