Advances in Contraception

, Volume 7, Issue 4, pp 363–370 | Cite as

Successful sustained lactation following postpartum tubal ligation

  • K. Amatayakul
  • L. Wongsawasdi
  • A. Munglapruks
  • S. M. Imong
  • D. A. Jackson
  • A. Tansuhaj
  • C. Suwannarach
  • P. Chiowanich
  • M. M. Woolridge
  • R. F. Drewett
  • J. D. Baum
Article

Abstract

This study was undertaken to see whether tubal ligation performed within days postpartum, and associated with a delay in the initiation of breastfeeding, exerts a disruptive influence on successfully establishing lactation among the rural population of northern Thailand.

Lactational performance of 12 rural northern Thai mothers was not affected by the delay in reunion of mothers with their babies as a result of postpartum tubal sterilization procedure when compared with a group of 8 other healthy mothers and babies. The volume of breast milk transferred, frequency of breastfeeding and the total feeding time spent on the breast were similar on days 15, 45, 90, 180 and 360 postpartum. This finding suggests that the pattern of intense breastfeeding activity as practiced by this group of mothers has a stronger influence on prolonged and successful lactation than early contact in the immediate postpartum period.

Keywords

Breast Milk Postpartum Period Feeding Time Tubal Ligation Sterilization Procedure 

Resumé

Cette étude a été entreprise dans les populations rurales du nord de la Thaïlande, pour déterminer si la ligature des trompes pratiquée dans les quelques jours qui suivent l'accouchement, et associée à un retard du début de l'allaitement au sein, exerce une influence perturbatrice sur l'établissement normal de la lactation.

La mise en train de lactation chez 12 mères de la région rurale du nord de la Thaïlande n'a pas été affectée par la retard apporté à réunir la mère et le nouveau-né après une intervention pour stérilisation tubaire au cours du post-partum, par comparaison avec un groupe de 8 mères en bonne santé et nouveaux-nés. Le volume du lait transmis à l'enfant, la fréquence des allaitements au sein et le temps total d'allaitement au sein ont été analogues aux jours 15, 45, 90, 180 et 360 après l'accouchement. Ce résultat laisse penser que ce type d'activité intense d'allaitement au sein par ce groupe de mères a une plus grande influence sur la longueur et le succès de la lactation que le contact précoce pendant la période du postpartum.

Resumen

Este estudio se realizó para determinar en las poblaciones rurales del norte de Tailandia si la ligadura de las trompas practicada a los pocos días del parto, y asociada con un retraso del comienzo del amamantamiento, ejerce una influencia perturbadora sobre el establecimiento normal de la lactación.

La lactación en 12 madres de la rgión rural del norte de Tailandia no se vio afectada por el retraso en reunir a la madre con el recién nacido tras una intervención para la esterilización tubaria durante el posparto, en comparación con un grupo de 8 madres y recién nacidos en buen estado de salud. El volumen de leche transferida al bebé, la frecuencia del amamantamiento y el tiempo total de amamantamiento fueron similares en los días 15, 45, 90, 180 y 360 después del parto. Este resultado hace pensar que este tipo de actividad intensa de amamantamiento por parte de este grupo de madres tiene una influencia mayor sobre la prolongación y el éxito de la lactación que el contacto precoz durante el posparto.

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Copyright information

© Kluwer Academic Publishers 1991

Authors and Affiliations

  • K. Amatayakul
    • 1
  • L. Wongsawasdi
    • 1
  • A. Munglapruks
    • 1
  • S. M. Imong
    • 2
  • D. A. Jackson
    • 2
  • A. Tansuhaj
    • 1
  • C. Suwannarach
    • 1
  • P. Chiowanich
    • 1
  • M. M. Woolridge
    • 2
  • R. F. Drewett
    • 3
  • J. D. Baum
    • 2
  1. 1.Research Institute for Health SciencesChiang Mai UniversityThailand
  2. 2.The Institute of Child HealthUniversity of BristolBristolUK
  3. 3.Department of PsychologyUniversity of DurhamDurhamUK

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