Association between early essential newborn care and breastfeeding outcomes in eight countries in Asia and the Pacific

A cross-sectional observational -study

Dados Bibliográficos

ID21881537
AutoresZhao Li (0000-0002-6450-9549, Maternal, Child Health and Quality and Safety, World Health Organization Regional Office for the Western Pacific, Manila, Philippines), Li Zhao (0009-0004-7836-6878, World Health Organization Regional Office for the Western Pacific), Priya Mannava (World Health Organization Regional Office for the Western Pacific), John Charles Scott Murray (0000-0001-8862-5336, World Health Organization Regional Office for the Western Pacific), Howard Sobel (0000-0002-1684-0499, World Health Organization Regional Office for the Western Pacific, autor correspondente), Annie Jatobatu (Maternal and Child Health Division, Ministry of Health of Solomon Islands, Honiara, Solomon Islands), Anthony Pascual Calibo (0000-0001-7518-5124, Department of Health), Anthony Calibo (Disease Prevention and Control Bureau, Department of Health, Manila, Philippines), Baldan Tsevelmaa (Ministry of Health), Bounnack Saysanasongkham (Ministry of Health), Divinal Ogaoga (Maternal and Child Health Division, Ministry of Health of Solomon Islands, Honiara, Solomon Islands), Edward Waramin (National Department of Health), Edward Joseph Waramin (Department of Population and Family Health Services, Government of Papua New Guinea National Department of Health, Port Moresby, National Capital District, Papua New Guinea), Elizabeth Mason (0000-0003-4067-6999, London School of Hygiene & Tropical Medicine), Elizabeth Mary Mason (Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK), Hiromi Obara (0000-0003-4789-4972, National Center for Global Health and Medicine), Hoang Thi Tran (0000-0001-7729-6063, Da Nang Hospital), Hoang Anh Tuan (0000-0001-9881-6718, Ministry of Health), Jacqueline Kitong (World Health Organization - Philippines), Jessica Yaipupu (University of Papua New Guinea), Jessica Mara Yaipupu (Department of Maternal and Child Health, Office of the WHO Representative in Papua New Guinea, Port Moresby, Papua New Guinea), Kannitha CHEANG (0000-0003-1132-3166, Documentation Center of Cambodia), Maria Asuncion Silvestre (0000-0001-8158-0198, Department of Health), Outhevanh Kounnavongsa (0000-0002-7735-5964, Rural Development Agency), Pamela Putney (Martha's Vineyard Hospital), Pham Thi Nga, Pham Thi Quynh Nga (Department of Maternal and Child Health, Office of the WHO Representative in Viet Nam, Hanoi, Viet Nam), Tung Rathavy (Ministry of Health), Rathavy Tung (National Maternal and Child Health Center, Royal Government of Cambodia Ministry of Health, Phnom Penh, Cambodia), Sano Phal (0000-0003-2961-0446, Department of Maternal and Child Health, WHO Representative Office Cambodia, Phnom Penh, Cambodia), Phal Sano (Documentation Center of Cambodia), Sachiko Kubota (0000-0003-1770-4381, Rural Development Agency), Sidonn Krang (Ministry of Health), Simon Burggraaf (Department of Maternal and Child Health, Office of the WHO Representative in Solomon Islands, Honiara, Solomon Islands), Sommana Rattana (Ministry of Health), Tao Xu (0000-0002-0501-6445, National Center for Women and Children’s Health, China CDC), Tuohong Zhang (Department of Health Systems, Office of the WHO Representative in China, Beijing, China), Ulziikhutag Enkhmaa (Ministry of Health), Delgermaa Vanya, Vanya Delgermaa (0009-0003-2510-2767, Department of Maternal and Child Health, Office of the WHO Representative in Mongolia, Ulaanbaatar, Mongolia), Y Meng Chhour (Ministry of Health)
Ano2020
Volume5
Fascículo8
Páginase002581
Data de publicação2020-08-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoBMJ Global Health (JOURNAL)
Identificadores do periódicoISSN: 2059-7908 • E-ISSN: 2059-7908
EditoraBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2020-002581
PMID32764149
OpenAlexW3047234486
IdiomaEN
Citações recebidas7
Referências citadas30

OBJECTIVE: To explore the association between early essential newborn care (EENC) policy, practice and environmental interventions and breastfeeding outcomes. DESIGN: Cross-sectional observational study. SETTING: 150 national, provincial and district hospitals implementing EENC in eight countries in East Asia and the Pacific. PARTICIPANTS: 1383 maternal interviews, chart reviews and environmental assessments during 2016 and 2017. MAIN OUTCOME MEASURES: Exclusive breastfeeding (EBF), that is, feeding only breastmilk without other food or fluids since birth and before discharge, and, early breastfeeding initiation, that is, during skin-to-skin contact (SSC) with the mother without separation. RESULTS: Fifty-nine per cent of newborns initiated breastfeeding early and 83.5% were EBF. Duration of SSC showed a strong dose-response relationship with early breastfeeding initiation. SSC of at least 90 min was associated with 368.81 (95% CI 88.76 to 1532.38, p<0.001) times higher early breastfeeding. EBF was significantly associated with SSC duration of 30-59 min (OR 3.54, 95% CI 1.88 to 6.66, p<0.001), 60-89 min (OR 5.61, 95% CI 2.51 to 12.58, p<0.001) and at least 90 min (OR 3.78, 95% CI 2.12 to 6.74, p<0.001) regardless of delivery mode. Non-supine position (OR 2.80, 95% CI 1.90 to 4.11, p<0.001), rooming-in (OR 5.85, 95% CI 3.46 to 9.88, p<0.001), hospital breastfeeding policies (OR 2.82, 95% CI 1.97 to 4.02, p<0.001), quality improvement mechanisms (OR 1.63, 95% CI 1.07 to 2.49, p=0.02) and no formula products (OR 17.50, 95% CI 5.92 to 51.74, p<0.001) were associated with EBF. CONCLUSION: EENC policy, practice and environmental interventions were associated with breastfeeding outcomes. To maximise the likelihood of early and EBF, newborns, regardless of delivery mode, should receive immediate and uninterrupted SSC for at least 90 min

Breastfeeding · Cross-sectional study · Environmental health · Family medicine · Observational study · Breastfeeding Practices and Influences · Child Nutrition and Water Access · Infant Development and Preterm Care · Medicine · Psychology · Internal Medicine · Pediatrics