Background: Different delivery modalities as vaginal delivery and cesarean delivery seem to have an impact on early
breastfeeding practices. Aim: The study aimed to evaluate maternal-neonatal skin to skin contact and initiation of
breastfeeding in relation to different delivery modalities. Subjects and Method: A descriptive design was utilized with a
convenient sample from 223 lactating women (130 delivered by CS, and 93 by vaginal birth). Setting: The study was
conducted at governmental Health Unit in Aga City, Egypt. Tools of data collection: Structured interview
questionnaire. Results: Cesarean delivery was significantly associated with delayed skin to skin contact (p < 0.001),
delayed breastfeeding initiation (p < 0.05%). In addition, more breastfeeding difficulties (p < 0.001). Conclusion and
Recommendations: The study concluded that CS had a negative effect on early breastfeeding practices. Women who
have had a caesarean delivery should receive additional support and learn more about breastfeeding technique. In
addition, women should be encouraged to seek antenatal care on a regular basis.