Breastfeeding during the first hour of life and neonatal mortality
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 Ker...
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doaj-c3e842f2af894275b6a4e5815246e1162020-11-24T23:02:28ZporElsevierJornal de Pediatria (Versão em Português)2255-55362013-03-0189213113610.1016/j.jpedp.2012.09.002Breastfeeding during the first hour of life and neonatal mortalityCristiano Siqueira Boccolini0Márcia Lazaro de Carvalho1Maria Inês Couto de Oliveira2Rafael Pérez-Escamilla3Doutor em Epidemiologia e Saúde Pública, Programa de Pós-Graduação da Escola Nacional de Saúde Pública Sérgio Arouca (ENSP), Fundação Oswaldo Cruz (Fiocruz), Rio de Janeiro, RJ, Brasil. Departamento de Nutrição Social, Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro, RJ, BrasilDoutora em Saúde Pública, Departamento de Epidemiologia e Métodos Quantitativos em Saúde, ENSP/Fiocruz, Rio de Janeiro, RJ, BrasilDoutora em Saúde Pública, Departamento de Epidemiologia e Bioestatística, Instituto de Saúde da Comunidade, Universidade Federal Fluminense, Niterói, RJ, BrasilDoutor em Nutrição, Department of Chronic Disease Epidemiology, Yale School of Public Health, Yale University, EUAObjective: 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.http://www.sciencedirect.com/science/article/pii/S2255553613000220Maternal and child healthBreastfeedingChild mortalityEpidemiologic measurements |
collection |
DOAJ |
language |
Portuguese |
format |
Article |
sources |
DOAJ |
author |
Cristiano Siqueira Boccolini Márcia Lazaro de Carvalho Maria Inês Couto de Oliveira Rafael Pérez-Escamilla |
spellingShingle |
Cristiano Siqueira Boccolini Márcia Lazaro de Carvalho Maria Inês Couto de Oliveira Rafael Pérez-Escamilla Breastfeeding during the first hour of life and neonatal mortality Jornal de Pediatria (Versão em Português) Maternal and child health Breastfeeding Child mortality Epidemiologic measurements |
author_facet |
Cristiano Siqueira Boccolini Márcia Lazaro de Carvalho Maria Inês Couto de Oliveira Rafael Pérez-Escamilla |
author_sort |
Cristiano Siqueira Boccolini |
title |
Breastfeeding during the first hour of life and neonatal mortality |
title_short |
Breastfeeding during the first hour of life and neonatal mortality |
title_full |
Breastfeeding during the first hour of life and neonatal mortality |
title_fullStr |
Breastfeeding during the first hour of life and neonatal mortality |
title_full_unstemmed |
Breastfeeding during the first hour of life and neonatal mortality |
title_sort |
breastfeeding during the first hour of life and neonatal mortality |
publisher |
Elsevier |
series |
Jornal de Pediatria (Versão em Português) |
issn |
2255-5536 |
publishDate |
2013-03-01 |
description |
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. |
topic |
Maternal and child health Breastfeeding Child mortality Epidemiologic measurements |
url |
http://www.sciencedirect.com/science/article/pii/S2255553613000220 |
work_keys_str_mv |
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