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Rates and determinants of early initiation of breastfeeding and exclusive breast feeding at 42 days postnatal in six low and middle-income countries: A prospective cohort study

BACKGROUND: Early initiation of breastfeeding after birth and exclusive breastfeeding through six months of age confers many health benefits for infants; both are crucial high impact, low-cost interventions. However, determining accurate global rates of these crucial activities has been challenging....

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Autores principales: Patel, Archana, Bucher, Sherri, Pusdekar, Yamini, Esamai, Fabian, Krebs, Nancy F, Goudar, Shivaprasad S, Chomba, Elwyn, Garces, Ana, Pasha, Omrana, Saleem, Sarah, Kodkany, Bhalachandra S, Liechty, Edward A, Kodkany, Bhala, Derman, Richard J, Carlo, Waldemar A, Hambidge, K Michael, Goldenberg, Robert L, Althabe12, Fernando, Berrueta, Mabel, Moore, Janet L, McClure, Elizabeth M, Koso-Thomas, Marion, Hibberd, Patricia L
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4464210/
https://www.ncbi.nlm.nih.gov/pubmed/26063291
http://dx.doi.org/10.1186/1742-4755-12-S2-S10
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author Patel, Archana
Bucher, Sherri
Pusdekar, Yamini
Esamai, Fabian
Krebs, Nancy F
Goudar, Shivaprasad S
Chomba, Elwyn
Garces, Ana
Pasha, Omrana
Saleem, Sarah
Kodkany, Bhalachandra S
Liechty, Edward A
Kodkany, Bhala
Derman, Richard J
Carlo, Waldemar A
Hambidge, K Michael
Goldenberg, Robert L
Althabe12, Fernando
Berrueta, Mabel
Moore, Janet L
McClure, Elizabeth M
Koso-Thomas, Marion
Hibberd, Patricia L
author_facet Patel, Archana
Bucher, Sherri
Pusdekar, Yamini
Esamai, Fabian
Krebs, Nancy F
Goudar, Shivaprasad S
Chomba, Elwyn
Garces, Ana
Pasha, Omrana
Saleem, Sarah
Kodkany, Bhalachandra S
Liechty, Edward A
Kodkany, Bhala
Derman, Richard J
Carlo, Waldemar A
Hambidge, K Michael
Goldenberg, Robert L
Althabe12, Fernando
Berrueta, Mabel
Moore, Janet L
McClure, Elizabeth M
Koso-Thomas, Marion
Hibberd, Patricia L
author_sort Patel, Archana
collection PubMed
description BACKGROUND: Early initiation of breastfeeding after birth and exclusive breastfeeding through six months of age confers many health benefits for infants; both are crucial high impact, low-cost interventions. However, determining accurate global rates of these crucial activities has been challenging. We use population-based data to describe: (1) rates of early initiation of breastfeeding (defined as within 1 hour of birth) and of exclusive breastfeeding at 42 days post-partum; and (2) factors associated with failure to initiate early breastfeeding and exclusive breastfeeding at 42 days post-partum. METHODS: Prospectively collected data from women and their live-born infants enrolled in the Global Network’s Maternal and Newborn Health Registry between January 1, 2010-December 31, 2013 included women-infant dyads in 106 geographic areas (clusters) at 7 research sites in 6 countries (Kenya, Zambia, India [2 sites], Pakistan, Argentina and Guatemala). Rates and risk factors for failure to initiate early breastfeeding were investigated for the entire cohort and rates and risk factors for failure to maintain exclusive breastfeeding was assessed in a sub-sample studied at 42 days post-partum. RESULT: A total of 255,495 live-born women-infant dyads were included in the study. Rates and determinants for the exclusive breastfeeding sub-study at 42 days post-partum were assessed from among a sub-sample of 105,563 subjects. Although there was heterogeneity by site, and early initiation of breastfeeding after delivery was high, the Pakistan site had the lowest rates of early initiation of breastfeeding. The Pakistan site also had the highest rate of lack of exclusive breastfeeding at 42 days post-partum. Across all regions, factors associated with failure to initiate early breastfeeding included nulliparity, caesarean section, low birth weight, resuscitation with bag and mask, and failure to place baby on the mother’s chest after delivery. Factors associated with failure to achieve exclusive breastfeeding at 42 days varied across the sites. The only factor significant in all sites was multiple gestation. CONCLUSIONS: In this large, prospective, population-based, observational study, rates of both early initiation of breastfeeding and exclusive breastfeeding at 42 days post-partum were high, except in Pakistan. Factors associated with these key breastfeeding indicators should assist with more effective strategies to scale-up these crucial public health interventions. TRIAL REGISTRATION: Registration at the Clinicaltrials.gov website (ID# NCT01073475).
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spelling pubmed-44642102015-06-29 Rates and determinants of early initiation of breastfeeding and exclusive breast feeding at 42 days postnatal in six low and middle-income countries: A prospective cohort study Patel, Archana Bucher, Sherri Pusdekar, Yamini Esamai, Fabian Krebs, Nancy F Goudar, Shivaprasad S Chomba, Elwyn Garces, Ana Pasha, Omrana Saleem, Sarah Kodkany, Bhalachandra S Liechty, Edward A Kodkany, Bhala Derman, Richard J Carlo, Waldemar A Hambidge, K Michael Goldenberg, Robert L Althabe12, Fernando Berrueta, Mabel Moore, Janet L McClure, Elizabeth M Koso-Thomas, Marion Hibberd, Patricia L Reprod Health Research BACKGROUND: Early initiation of breastfeeding after birth and exclusive breastfeeding through six months of age confers many health benefits for infants; both are crucial high impact, low-cost interventions. However, determining accurate global rates of these crucial activities has been challenging. We use population-based data to describe: (1) rates of early initiation of breastfeeding (defined as within 1 hour of birth) and of exclusive breastfeeding at 42 days post-partum; and (2) factors associated with failure to initiate early breastfeeding and exclusive breastfeeding at 42 days post-partum. METHODS: Prospectively collected data from women and their live-born infants enrolled in the Global Network’s Maternal and Newborn Health Registry between January 1, 2010-December 31, 2013 included women-infant dyads in 106 geographic areas (clusters) at 7 research sites in 6 countries (Kenya, Zambia, India [2 sites], Pakistan, Argentina and Guatemala). Rates and risk factors for failure to initiate early breastfeeding were investigated for the entire cohort and rates and risk factors for failure to maintain exclusive breastfeeding was assessed in a sub-sample studied at 42 days post-partum. RESULT: A total of 255,495 live-born women-infant dyads were included in the study. Rates and determinants for the exclusive breastfeeding sub-study at 42 days post-partum were assessed from among a sub-sample of 105,563 subjects. Although there was heterogeneity by site, and early initiation of breastfeeding after delivery was high, the Pakistan site had the lowest rates of early initiation of breastfeeding. The Pakistan site also had the highest rate of lack of exclusive breastfeeding at 42 days post-partum. Across all regions, factors associated with failure to initiate early breastfeeding included nulliparity, caesarean section, low birth weight, resuscitation with bag and mask, and failure to place baby on the mother’s chest after delivery. Factors associated with failure to achieve exclusive breastfeeding at 42 days varied across the sites. The only factor significant in all sites was multiple gestation. CONCLUSIONS: In this large, prospective, population-based, observational study, rates of both early initiation of breastfeeding and exclusive breastfeeding at 42 days post-partum were high, except in Pakistan. Factors associated with these key breastfeeding indicators should assist with more effective strategies to scale-up these crucial public health interventions. TRIAL REGISTRATION: Registration at the Clinicaltrials.gov website (ID# NCT01073475). BioMed Central 2015-06-08 /pmc/articles/PMC4464210/ /pubmed/26063291 http://dx.doi.org/10.1186/1742-4755-12-S2-S10 Text en Copyright © 2015 Patel et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Patel, Archana
Bucher, Sherri
Pusdekar, Yamini
Esamai, Fabian
Krebs, Nancy F
Goudar, Shivaprasad S
Chomba, Elwyn
Garces, Ana
Pasha, Omrana
Saleem, Sarah
Kodkany, Bhalachandra S
Liechty, Edward A
Kodkany, Bhala
Derman, Richard J
Carlo, Waldemar A
Hambidge, K Michael
Goldenberg, Robert L
Althabe12, Fernando
Berrueta, Mabel
Moore, Janet L
McClure, Elizabeth M
Koso-Thomas, Marion
Hibberd, Patricia L
Rates and determinants of early initiation of breastfeeding and exclusive breast feeding at 42 days postnatal in six low and middle-income countries: A prospective cohort study
title Rates and determinants of early initiation of breastfeeding and exclusive breast feeding at 42 days postnatal in six low and middle-income countries: A prospective cohort study
title_full Rates and determinants of early initiation of breastfeeding and exclusive breast feeding at 42 days postnatal in six low and middle-income countries: A prospective cohort study
title_fullStr Rates and determinants of early initiation of breastfeeding and exclusive breast feeding at 42 days postnatal in six low and middle-income countries: A prospective cohort study
title_full_unstemmed Rates and determinants of early initiation of breastfeeding and exclusive breast feeding at 42 days postnatal in six low and middle-income countries: A prospective cohort study
title_short Rates and determinants of early initiation of breastfeeding and exclusive breast feeding at 42 days postnatal in six low and middle-income countries: A prospective cohort study
title_sort rates and determinants of early initiation of breastfeeding and exclusive breast feeding at 42 days postnatal in six low and middle-income countries: a prospective cohort study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4464210/
https://www.ncbi.nlm.nih.gov/pubmed/26063291
http://dx.doi.org/10.1186/1742-4755-12-S2-S10
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