Research Summary and Ethical Considerations
Grand Canyon University
Introduction to Nursing Research
February 01, 2013
The Effect of Delivery Method on Breastfeeding Initiation from the Ontario Mother and Infant Study (TOMIS) III
In 2006, the World Health Assembly endorsed the WHO Global Strategy for Infant and Young Child Feeding, aiming to promote protect and support breastfeeding (WHO, 2003, p. 733). The Ontario Mother and Infant Study (TOMIS) III was conducted in Ontario Canada from the years 2006-2008 to study the relationships between the method of the delivery, and maternal and infant health, cost of care at 6 weeks, 6 months, ...view middle of the document...
The women were called 6 week postpartum by trained interviewers and they collected valuable heath information on the participants. The sample of the study was 2,560 women ranging from age 16 years and older. Of the 2, 560 women, 1,733 were vaginal births and 827 were cesarean births. Of the sample 33.1% has a cesarean birth and 51.7% were actually planned and 16% were unplanned. Of the other births 68.3% were vaginal deliveries and of hat amount 74.8% were panned and 9.2% were forceps or vacuum assisted. Parity was accounted for the sample selection. The births that were included in the study had to meet the criterion of being ≥ 37 completed weeks of gestation and mothers that were going to assume care of the infant once they were discharged.
According to the TOMIS III, there was not a significant difference in breast feeding initiation among normal vaginal deliveries and planned cesarean deliveries (Tables 3 and 4) (OR=0.9371, 95CI[ [0.7651, 1.2377], p value= .8241). All of the statistical tests were done using a significance value of 0.05 (Canadian Institute for Health Research [CIHR], 2012, p. 730). The study did find that there is a statistical difference in breast feeding initiation between planned and unanticipated methods of delivery. Table 3 shows us that 95.2% of women that experienced assisted vaginal deliveries initiated breast feeding compared to 91.6% that experienced unassisted vaginal deliveries. Researches went on to reveal that 95.2% of women that experienced unplanned cesarean deliveries initiated breastfeeding compared to 90.4% of women that experienced a planned cesarean. The study concluded that women who had an assisted vaginal delivery or an unplanned cesarean section were more likely to initiate breast feeding than those that were planned. Researchers show at six weeks postpartum, there was no association between the normal vaginal deliveries or planned cesarean section delivery in regards to breast feeding. There was however a difference in the continuation of breast feeding among the assisted vaginal deliveries and unplanned cesarean sections that were performed during the trail. According to the study concluded that 98.4 % of the women left the hospital within 120 hours after they delivered, and 19.3% for the remaining number of participants. There were only 5.8 % that had been hospitalized for longer than 4 days (CIHR, 2012, p. 732). This study has statistical significance and should be reviewed by all in Neonatal Nursing. The study shows that there is a significant difference in the initiation in breast feeding among...