Download PDF
Hebamme 2009; 22(1): 24-29
DOI: 10.1055/s-0029-1213452
Neugeborenes
Sectiokinder
© Hippokrates Verlag in MVS Medizinverlage Stuttgart GmbH & Co. KG

Auswirkungen einer Sectio auf Bonding und Stillen

Ute Taschner
Further Information

Publication History

Publication Date:
23 March 2009 (online)

Also available at
    Permissions and Reprints

Zum Thema

Seit 30 Jahren wissen wir, dass der Stillbeginn nach einer Sectio häufig erschwert ist, weil natürliche Abläufe unterbrochen werden oder nicht stattfinden. Auch wenn die physiologischen Zusammenhänge schon lange bekannt sind, sollten wir nicht müde werden, die Eltern im Rahmen der Geburtsvorbereitung und in den Vorgesprächen vor der Geburt auch über die Konsequenzen einer Sectio für das Bonding und Stillen aufzuklären. In diesem Artikel werden alle wesentlichen Aspekte für die Elternberatung noch einmal zusammengefasst.

Literatur

  • 1 Albach J. Der Einfluss des Geburtsmodus auf die Plasmakonzentration von Neuropeptid Y und Katecholaminen bei Neugeborenen und deren Müttern, Inaugural-Dissertation zur Erlangung des Grades eines Doktors der Medizin des Fachbereichs Humanmedizin der Justus-Liebig-Universität Gießen. 1998
    Google Scholar
  • 2 Chapman D J, Perez-Escamilla R. Identification of risk factors for delayed onset of lactation.  J Am Diet Assoc. 1999 Apr;  99(4) 450-454, quiz 455–456
    CrossrefGoogle Scholar
  • 3 Christensson K, Siles C, Moreno L, De La Fuente P, Lagercrantz H, Puyol P, Winberg J. et al . Temperature, metabolic adaptation and crying in healthy full-term newborns cared for skin-to-skin or in a cot.  Acta Paediatr. 1992 Jun-Jul;  81(6 – 7) 488-493
    CrossrefGoogle Scholar
  • 4 Clement S. Psychological aspects of caesarean section.  Best Pract Res Clin Obstet Gynaecol. 2001 Feb;  5(1) 109-126
    Google Scholar
  • 5 Dewey K G, Nommsen-Rivers L A, Heinig M J. et al . Risk factors for suboptimal infant breastfeeding behavior, delayed onset of lactation, and excess neonatal weight loss.  Pediatrics. 2003;  112 607-619
    CrossrefGoogle Scholar
  • 6 Dewey K G. Maternal and fetal stress are associated with impaired lactogenesis in humans.  J Nutr. 2001;  131(11) 3012S-3015S
    Google Scholar
  • 7 DiMatteo M R, Morton S C, Lepper H S. et al . Cesarean childbirth and psychosocial outcomes: a meta-analysis.  Health Psychol. 1996;  15(4) 303-314
    CrossrefGoogle Scholar
  • 8 Hansen A K, Wisborg K, Uldbjerg N. et al . Elective caesarean section and respiratory morbidity in the term and near-term neonate.  Acta Obstet Gynecol Scand. 2007;  86(4) 389-394
    CrossrefGoogle Scholar
  • 9 Hillan Edith M. Maternal-infant attachment following caesarean delivery.  Journal of Clinical Nursing. 1992;  1 33-37
    CrossrefGoogle Scholar
  • 10 Huch, Chaoui, Huch, Sectio Cesarea. Uni Med Verlag AG 2001
    Google Scholar
  • 11 Jain L, Eaton D C. Physiology of fetal lung fluid clearance and the effect of labor.  Semin Perinatol. 2006;  30(1) 34-43
    Google Scholar
  • 12 Kearney M H, Cronenwett L R, Reinhardt R. Cesarean delivery and breastfeeding outcomes.  Birth. 1990 Jun;  17(2) 97-103
    CrossrefGoogle Scholar
  • 13 Kirkeby Hansen A, Wisborg K, Uldbjerg N. et al . Risk of respiratory morbidity in term infants delivered by elective caesarean section: cohort study.  BMJ. 2008;  336 85-87
    CrossrefPubMedGoogle Scholar
  • 14 Matthiesen A S, Ransjö-Arvidson A B, Nissen E. et al . Postpartum maternal oxytocin release by newborns: effects of infant hand massage and sucking.  Birth. 2001;  28(1) 13-19
    CrossrefGoogle Scholar
  • 15 Moore E R, Anderson G C. Randomized controlled trial of very early mother-infant skin-to-skin contact and breastfeeding status.  J Midwifery Womens Health. 2007;  52(2) 116-125
    CrossrefPubMedGoogle Scholar
  • 16 Nissen E, Lilja G, Matthiesen A S. et al . Effects of maternal pethidine on infants’ developing breast feeding behaviour.  Acta Paediatr. 1995;  84(2) 140-145
    CrossrefGoogle Scholar
  • 17 Pérez-Escamilla R, Maulén-Radovan I, Dewey K G. The association between cesarean delivery and breast-feeding outcomes among Mexican women.  Am J Public Health. 1996;  86(6) 832-836
    CrossrefGoogle Scholar
  • 18 Porter R H. The biological significance of skin-to-skin contact and maternal odours.  Acta Paediatr. 2004 Dec;  93(12) 1560-1562
    CrossrefGoogle Scholar
  • 19 Ransjö-Arvidson A B, Matthiesen A S, Lilja G. et al . Maternal analgesia during labor disturbs newborn behavior: effects on breastfeeding, temperature, and crying.  Birth. 2001;  28(1) 5-12
    CrossrefGoogle Scholar
  • 20 Righard L, Alade M O. Effect of delivery room routines on success of first breast-feed.  Lancet.. 1990 Nov 3;  336(8723) 1105-1107
    CrossrefGoogle Scholar
  • 21 Riordan J, Gross A, Angeron J. et al . The effect of labor pain relief medication on neonatal suckling and breastfeeding duration.  J Hum Lact. 2000 Feb;  16(1) 7-12
    CrossrefGoogle Scholar
  • 22 Tamminen T, Verronen P, Saarikoski S. et al . The influence of perinatal factors on breast feeding.  Acta Paediatr Scand. 1983 Jan;  72 (1) 9-12
    Google Scholar
  • 23 Uvnäs-Moberg K. The gastrointestinal tract in growth and reproduction.  Sci Am. 1989 Jul;  261 (1) 78-83
    Google Scholar
  • 24 Uvnäs-Moberg K. Oxytocin linked antistress effects – the relaxation and growth response.  Acta Physiol Scand Suppl. 1997;  640 38-42
    Google Scholar
  • 25 Varendi H, Porter R H. Breast odour as the only maternal stimulus elicits crawling towards the odour source.  Acta Paediatr. 2001 Apr;  90(4) 372-375
    Google Scholar
  • 26 Wiberg B, Humble K, de Château P. Long-term effect on mother-infant behaviour of extra contact during the first hour post partum. V. Follow-up at three years.  Scand J Soc Med. 1989;  17(2) 181-191
    Google Scholar
  • 27 Widström A M, Ransjö-Arvidson A B, Christensson K. et al . Gastric suction in healthy newborn infants. Effects on circulation and developing feeding behaviour.  Acta Paediatr Scand. 1987;  76(4) 566-572
    CrossrefGoogle Scholar
  • 28 Widström A M, Wahlberg V, Matthiesen A S. et al . Short-term effects of early suckling and touch of the nipple on maternal behaviour.  Early Hum Dev. 1990;  21(3) 153-163
    CrossrefGoogle Scholar
  • 29 Zanardo V, Solda G, Trevisanuto D. Elective cesarean section and fetal immune-endocrine response.  Int J Gynaecol Obstet. 2006;  95(1) 52-53
    CrossrefGoogle Scholar
  • 30 Grajeda R, PÈrez-Escamilla R. Stress during labor and delivery is associated with delayed onset of lactation among urban Guatemalan women.  J Nutr. 2002 Oct;  132(10) 3055-3060
    Google Scholar
  • 31 Kapil U, Kaul S, Vohra G. et al . Breast feeding practices amongst mothers having undergone cesarean section.  Indian Pediatr. 1992;  9(2) 222-224
    Google Scholar
  • 32 Hirose M, Hara Y, Hosokawa T. et al . The effect of postoperative analgesia with continuous epidural bupivacaine after cesarean section on the amount of breast feeding and infant weight gain.  Anesth Analg. 1996;  82(6) 1166-1169
    CrossrefGoogle Scholar
  • 33 Erlandsson K, Dsilna A, Fagerberg I. et al . Skin-to-skin care with the father after cesarean birth and its effect on newborn crying and prefeeding behavior.  Birth. 2007;  34(2) 105-114
    CrossrefGoogle Scholar
  • 34 Klaus M. Mother and infant: early emotional ties.  Pediatrics. 1998;  102 (5 Suppl E) 1244-1246
    Google Scholar
  • 35 Cochrane Database Syst. Review 2007 Jul 18;(3):CD003519. Moore ER, Anderson GC, Bergman N. Early skin-to-skin contact for mothers and their healthy newborn infants. 
    Google Scholar
  • 36 Christensson K, Cabrera T, Christensson E. et al . Separation distress call in the human neonate in the absence of maternal body contact.  Acta Paediatr. 1995;  84(5) 468-473
    CrossrefGoogle Scholar
  • 37 Michelsson K, Christensson K, Rothgänger H. et al . Crying in separated and non-separated newborns: sound spectrographic analysis.  Acta Paediatr. 1996;  85(4) 471-475
    CrossrefGoogle Scholar
  • 38 Chua S, Arulkumaran S, Lim I. et al . Influence of breastfeeding and nipple stimulation on postpartum uterine activity.  Br J Obstet Gynaecol. 1994;  101 804-805
    Google Scholar
  • 39 Mizuno K, Mizuno N, Shinohara T. et al . Mother-infant skin-to-skin contact after delivery results in early recognition of own mother’s milk odour.  Acta Paediatr. 2004;  93(12) 1640-1645
    CrossrefGoogle Scholar
  • 40 Samuels S E, Margen S, Schoen E J. Incidence and duration of breast-feeding in a health maintenance organization population.  Samuels 1985 Am J Clin Nutr. 1985;  42(3) 504-510
    Google Scholar
  • 41 Weiderpass E, Barros F C, Victora C G. et al . Incidence and duration of breast-feeding by type of delivery: a longitudinal study in southeastern of Brazil.  Rev Saude Publica. 1998;  32(3) 225-231
    Google Scholar
  • 42 Ever-Hadani P, Seidman D S, Manor O. et al . Breast feeding in Israel: maternal factors associated with choice and duration.  J Epidemiol Community Health. 1994;  48(3) 281-285
    CrossrefGoogle Scholar
  • 43 Mansbach I K, Greenbaum C W, Sulkes J. Onset and duration of breast feeding among Israeli mothers: relationships with smoking and type of delivery.  Soc Sci Med. 1991;  33(12) 1391-1397
    CrossrefGoogle Scholar
  • 44 Evans K C, Evans R G, Royal R. et al . Effect of caesarean section on breast milk transfer to the normal term newborn over the first week of life.  Arch Dis Child Fetal Neonatal Ed. 2003;  88(5) F380-382
    CrossrefGoogle Scholar
  • 45 Chapman D J, Young S, Ferris A M. et al . Impact of breast pumping on lactogenesis stage II after cesarean delivery: a randomized clinical trial.  Pediatrics. 2001;  107(6) E94
    CrossrefGoogle Scholar
  • 46 Chen D C, Nommsen-Rivers L, Dewey K G. et al . Stress during labor and delivery and early lactation performance.  Am J Clin Nutr. 1998;  68(2) 335-344
    Google Scholar
  • 47 Nissen E, Uvnäs-Moberg K, Svensson K. et al . Different patterns of oxytocin, prolactin but not cortisol release during breastfeeding in women delivered by caesarean section or by the vaginal route.  Early Hum Dev. 1996;  5;45(1 – 2) 103-118
    Google Scholar
  • 48 Academy of Breastfeeding Medicine, protocol nr. 3 „supplementation”. 2002
    Google Scholar

Anschrift der Autorin:

Dr. Ute Taschner

Schwarzwaldstr. 134

79102 Freiburg

Email: utaschner@web.de

      >