step 4 of WHO ten steps emphasizes on early
breastfeeding & skin to skin contact after delivery1),
Delayed breastfeeding for the first time after birth is directly
associated with failure of exclusive breastfeeding [13-15,
28], and skin to skin contact even without breast sucking
improves the rate of successful breastfeeding [29], In our
study, 75.4% of mothers didn’t fed their babies in the
operating r oom (71.43% and 77.78% of mothers who had
undergone cesarean section by spinal anesthesia and general
anesthesia respectively), no significant relation was noted
between type of anesthesia and earlier start of breastfeeding
in operating room (P=0.591). Spear et al, showed similar
results [30]. In Iran there is no exact data about
implementation of this policy in operating room but based on
the data of normal vaginal deliveries, Nahidi et al found that
90% of midwives in Iran do not implement skin contact
between mother and newborn after birth [31]; so it seems the
problem is implementation of this policy rather than type of
anesthesia. Presence of mothers’ relatives in the operating
room can improve this condition as Spear et al emphasized
that 30); while current policies in our country does not allow
mother’s relatives to attend in delivery room or operating
room.