Results of Rooming-in After Caesarean Section in Breastfeeding: A Cohort Study

Introduction: at the beginning and establishment of breastfeeding, adequate care routines are essential, such as its early initiation and skin-to-skin contact, which implies the need to facilitate the joint accommodation of the mother with the newborn in the immediate postpartum period, regardless of the type of delivery. Objective: to analyze the effects of mother and newborn rooming-in after a cesarean section on breastfeeding rates at hospital discharge and its maintenance up to two years later. Method: A prospective cohort study was conducted with a random sample of 146 women and their newborns, who were followed up for two years. The characteristic of cohort A was rooming-in of mother and newborn after cesarean section, whereas the characteristic of cohort B was separation of mother and newborn after cesarean section. Results: cohort A was made up of 67 mothers, 58 of whom were able to do skin-to-skin care after the cesarean section and 46 started breastfeeding during that period. Cohort B was made up of 79 mothers and none could make skin-to-skin contact or initiate breastfeeding. Conclusions: skin-to-skin contact after caesarean section, as well as avoiding the administration of supplements during this period, has a beneficial effect on the initiation and maintenance of breastfeeding; and this is possible thanks to joint accommodation

Outcomes in Newly Diagnosed Atrial Fibrillation and History of Acute Coronary Syndromes: Insights from GARFIELD-AF

BACKGROUND: Many patients with atrial fibrillation have concomitant coronary artery disease with or without acute coronary syndromes and are in need of additional antithrombotic therapy. There are few data on the long-term clinical outcome of atrial fibrillation patients with a history of acute coronary syndrome. This is a 2-year study of atrial fibrillation patients with or without a history of acute coronary syndromes