Body mass index which is an indicator of obesity was correlated. The patients were divided into ≤24 and >24. 157 (78.5%) patients had ≤24 body mass index and 43 (21.5%) patients had >24 body mass index. Out of 157, 120 (60%) patients had normal and 37 (18.5%) had delayed onset of lactogenesis-II. Out of 43 obese patients, 29 (14.5%) had normal and 14 (7%) had delayed onset of lactogenesis-II showed in Table 1. Normal delivery was the mode for 87 (43.5%) and elective, emergency cesarean section was done for 113 (56.5%) patients. Out of 87 patients, 74 (37%) had

normal and 13 (6.5%) check details had delayed onset of lactogenesis-II. Out of 113 patients, 76 (38%) had normal and 37 (18.5%) had delayed onset of lactogenesis-II illustrated in Table 2. Regional anesthesia (spinal) was used for cesarean delivery in 113 (56.5%) patients and in the rest 87 (43.5%) normal delivery patients’ anesthesia was not used. Out of 113, 76 (38%) had normal and 39 (19.5%) had delayed onset of lactogenesis-II. Out ROCK activation of 87 normal delivery patients, 74 (37%) had normal and 13 (6.5%) had delayed onset of lactogenesis-II. Normal weight of a new born

baby is ≥2.5 kg. It was divided into two. Babies having <2.5 kg and ≥2.5 kg. 173 (86.5%) babies had ≥2.5 kg and 27 (13.5%) babies had <2.5 kg. Out of 173 babies, 135 (67.5%) had normal onset of lactogenesis-II and 38 (19%) had delayed onset of lactogenesis-II. Out of 27 babies, 14 (7%) had normal and 13 (6.5%) had delayed onset of lactogenesis-II. Number of breastfeeding data was collected from 130 (65%) patients. It was divided as

≥10 and <10 breastfeeds on the first day of postpartum. Among 130 cases, 56 (43%) women breastfed ≥10 times in the first day and 74 (56.9%) women breastfed <10 times in the first day. Out of 56 women, 46 (35.4%) had normal and 10 (7.7%) had delayed onset of lactogenesis-II. Out of 74 women, 59 (45.4%) had normal and 15 (11.5%) had delayed onset of lactogenesis-II. The p-value was not significant between different groups. Apgar score which is a test that is designed to quickly next evaluate a newborns physical condition after delivery was studied. It was estimated only in 97 (48.5%) patients. The score were divided into <7 and ≥7 (of the first minute). 89 (91.7%) babies had Apgar score ≥7 and 8 (8.24%) had <7. Out of 89, 71 (73.2%) had normal and 18 (18.5%) had delayed onset of lactogenesis-II. Out of 8, 5 (5.15%) had normal and 3 (3.09%) had delayed showed in Table 3. Anemia was identified by patients having hemoglobin level ≥12 (normal) and <12 (anemic) just before delivery. 134 (67%) were anemic and the rest 66 (33%) were not. Out of 134, 43 (21.5%) had normal and 23 (11.5%) had delayed onset of lactogenesis-II. Out of 66, 107 (53.5%) had normal and 27 (13.5%) had delayed onset of lactogenesis-II showed in Table 4.