The odds ratio and 95% confidence interval for mode of delivery (vaginal versus cesarean), cohort of no lactational problem and cohort of any lactational problem are presented in table 4. Table 4 Risk estimate (odds ratio with 95% confidence interval) for the mode of delivery (cesarean vs. vaginal), the cohort of no lactation problem and cohort

of any lactation problem. Discussion In our study we saw that despite adequate analgesia and the patient kinase assay subjectively feeling pain free and comfortable, there was a statistically significant Inhibitors,research,lifescience,medical difference between the breast feeding rates of women delivering vaginally as compared to those delivered through cesarean section. Fifty eight percent of women with feeding problems belonged to the cesarean delivery group and 42% of complaining mothers had vaginal delivery. The relative risk of cesarean to have problems with breastfeeding was 1.38 and the odds ratio was 0.61. (In our hospital as per policy all women are encouraged to

breast feed as soon after delivery as possible.) After Inhibitors,research,lifescience,medical excluding cases that had complications causing mother baby separation, the group we studied was divided on the basis of their mode of delivery as rest of the characteristics Inhibitors,research,lifescience,medical were the same. After obtaining participants’ consent and through interview the counselors filled in a questionnaire containing questions regarding the mother, her mode of delivery, problem with feeding her baby along with time taken to resolve the problem. This showed that the women who had cesarean had more complaints, needed greater counseling, and even than the prevalence of breast Inhibitors,research,lifescience,medical feeding in that group was lower

as compared to the vaginal delivery group. Women delivering their babies by cesarean section run a 1.38 fold greater risk of having problems with breastfeeding in comparison Inhibitors,research,lifescience,medical to women delivering theirs vaginally. The rate of cesarean was quite high (46%) in the present study. One of the factors affecting this rate is the improvement of neonatal survival at earlier gestations AV-951 (26 weeks pregnancy and more), which has Idelalisib solubility resulted in increased number of pre-mature births. These premature births may be triggered by fetal factors including severe oligohydramnios, reversed Doppler flows or hydrops fetalis, or maternal factors such as eclampsia, antepartum hemorrhage or cardiac diseases. It is well-understood that vaginal delivery at gestations with a compromised baby or mother, similar to such situations, may become difficult, and lead to increased proportion of cesarean sections. Cesarean section in turn effect the maternal initiative to breast feed, as 97.5% of women who did not feel inclined to breast feed in our study was from the cesarean group. A Norwegian study,4 reported that the increased rate of caesarean sections depended on both medical and non-medical factors.