<![CDATA[Background: Cesarean delivery and obstetric complications may disrupt early postpartum endocrine adaptation and delay lactogenesis. Objective: This study aimed to compare serum prolactin levels between women who underwent cesarean section without complications and those who experienced complications at Dr. Zainoel Abidin Regional General Hospital, Banda Aceh. Methods: This prospective cohort observational analytic study was conducted at Dr. Zainoel Abidin Regional General Hospital, Banda Aceh. A total of 60 patients were enrolled and divided into two groups: 30 patients who underwent cesarean section without adverse obstetric outcomes (AOO) and 30 patients with AOO. Serum prolactin (PRL) levels were measured 24 hours postoperatively using the electrochemiluminescence immunoassay (ECLIA) method. Data were analyzed using the Mann–Whitney test with a significance level of p < 0.05. Results: The median serum PRL level in the group without AOO was significantly higher at 9,034.5 μIU/mL (range: 2,925–10,000) compared with that in the group with AOO at 6,916 μIU/mL (range: 1,352–10,000), with a p-value of 0.028. Conclusion: Serum prolactin levels in patients undergoing cesarean section without AOO were significantly higher than those in patients with AOO. Patients experiencing AOO require early prolactin monitoring and intensive lactation support to improve the success of exclusive breastfeeding.]]>
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