breastfeeding during the first hour of life and neonatal mortality

Clicks: 293
ID: 154731
2013
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Abstract
Objective: To analyze the correlation between breastfeeding in the first hour of life with neonatal mortality rates. Methods: The present study used secondary data from 67 countries, obtained from the Demographic and Health Surveys. Initially, for data analysis, Spearman Correlation (95% CI) and Kernel graphical analysis were employed, followed by a Negative Binomial Poisson regression model, adjusted for potential confounders. Results: Breastfeeding within the first hour of life was negatively correlated with neonatal mortality (Spearman's Rho = −0.245, p = 0.046), and this correlation was stronger among countries with more than 29 neonatal deaths per 1000 newborns (Spearman's Rho = −0.327, p = 0.048). According to the statistical model, countries with the lowest breastfeeding tertiles had 24% higher neonatal mortality rates (Rate ratio = 1.24, 95% CI = 1.07-1.44, p < 0.05), even when adjusted for potential confounders. Conclusion: The protective effect of breastfeeding during the first hour of life on neonatal mortality in this ecological study is consistent with findings from previous observational studies, indicating the importance of adopting breastfeeding within the first hour as a routine neonatal care practice.
Reference Key
boccolini2013jornalbreastfeeding Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Cristiano Siqueira Boccolini;Márcia Lazaro de Carvalho;Maria Inês Couto de Oliveira;Rafael Pérez-Escamilla
Journal res publica
Year 2013
DOI
10.1016/j.jpedp.2012.09.002
URL
http://www.sciencedirect.com/science/article/pii/S2255553613000220
Keywords
breastfeeding child mortality maternal and child health epidemiologic measurementspediatrics

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