Association between early essential newborn care and breastfeeding outcomes in eight countries in Asia and the Pacific: a cross-sectional observational -study

Autor: Zhao Li, Bounnack Saysanasongkham, Tao Xu, Rathavy Tung, Kannitha Cheang, Elizabeth Mason, Howard Lawrence Sobel, Priya Mannava, John Charles Scott Murray, Annie Jatobatu, Anthony Calibo, Baldan Tsevelmaa, Divinal Ogaoga, Edward Joseph Waramin, Elizabeth Mary Mason, Hiromi Obara, Hoang Thi Tran, Hoang Anh Tuan, Jacqueline Kitong, Jessica Mara Yaipupu, Maria Asuncion Silvestre, Outhevanh Kounnavongsa, Pamela Putney, Pham Thi Quynh Nga, Sano Phal, Shogo Kubota, Sidonn Krang, Simon Burggraaf, Sommana Rattana, Tuohong Zhang, Ulziikhutag Enkhmaa, Vanya Delgermaa, Y Meng Chhour, John Christopher Murray, Edward Waramin, Hoang Tran, Jessica Yaipupu, PhamThi Quynh Nga
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: BMJ Global Health, Vol 5, Iss 8 (2020)
BMJ Global Health
ISSN: 2059-7908
Popis: ObjectiveTo explore the association between early essential newborn care (EENC) policy, practice and environmental interventions and breastfeeding outcomes.DesignCross-sectional observational study.Setting150 national, provincial and district hospitals implementing EENC in eight countries in East Asia and the Pacific.Participants1383 maternal interviews, chart reviews and environmental assessments during 2016 and 2017.Main outcome measuresExclusive 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.ResultsFifty-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, pConclusionEENC 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.
Databáze: OpenAIRE