ABSTRACT
----------------
Expectations and the actual breastfeeding experience differed among women planning to combination feed and those planning to exclusively breastfeed. Whether a cause or consequence daily human milk substitute feeding was associated with negative breast feeding outcomes. The aim of this study was to identify the impact of the type of delivery on successful breastfeeding .A sample of 80 women’s ( 40 women’s had normal delivery and the other 40 had cesarean section delivery). It was conducted at both out patient clinics ( post-partum and healthy baby )of Assiut University Hospital during the period from the first of May to the end of July 2003. Each mother interviewed individually to collect data using special interview sheet which included (demographic data, obstetric history, newborn data and data about breast feeding ). The results showed that the majority ( 75%) of mothers with vaginal delivery nursed their babies normally compared to (85%) of those with CS. who nursed their babies artificially. Regarding method of normal breastfeeding, it was found that ( 42.5%) of those with normal delivery nursed their babies as baby demand compared to only ( 15%) of those with CS.women. The majority (85%)of normal delivery women started external formula after 6 months compared to ( 55 %) of those with CS. delivery .As regard causing of starting external formula, it was found that nearly half ( 47.5 %) of CS. women start external formula early due to decreased production of milk and only(2.5%)due to maternal disease .About duration of breast feeding , results revealed that more than half ( 55%) of normal delivery women had successful breast feeding ( more than 6 month ) compared to only ( 15%) of CS. Women; with highly significant difference between both groups. The study shows also statistically significant difference between male and female newborns related to type of feeding .The present study recommended that increasing the level of awareness and knowledge of mother regarding breast feeding during antenatal period through mother classes. booklets and TV mass media lead to successful breast feeding.