BREASTFEEDING ASSESSMENT SCORE E NUMERICAL RATING SCALE: VALUTAZIONE E CONFRONTO TRA PUERPERE DA TAGLIO CESAREO D’URGENZA E PUERPERE DA TAGLIO CESAREO PROGRAMMATO PRESSO LA CLINICA MANGIAGALLI

The rate of caesarean sections in Italy is growing over and over again. Different studies have shown that this surgical intervention, planned or above all if accomplished in urgency or emergency, can have a negative impact on the beginning and continuation of breastfeeding. To promote and facilitate the breastfeeding’s practice, a score has been studied in America, later evaluated for italian midwives from an italian study, it can early identify the mothers at higher risk of breastfeeding failure, the Breastfeeding Assessment Score (BAS). Grounding on this, in this study have been compared the two typologies of caesarean section, planned and urgency/emergency, to discover possible differences or relations with the postoperative pain, with the evaluation of the Numerical Rating Scale (NRS), and with the BAS. In the study has been included 100 caesarean section’s women that have just given birth interviewed between the 36 and 72 hours after delivery. Three quarter of the women by unplanned caesarean section has gained BAS minor than 8 and so they have a higher risk of breastfeeding failure. Has not been found a relation between the way of surgical intervention, the NRS and the number of analgesics needed. Furthermore hasn’t been found any relation between the way of intervention, the NRS and the BAS achieved. From the study it can be deduced that there aren’t significant differences between the needings of assistance of the planned cesarean section’s mothers and the ones from urgency surgical operation. On the other hand it emerges the importance of the use of BAS to identify and protect breastfeedings at risk.