Luke C. Mullany|Joanne Katz|Yue M. Li|Subarna K. Khatry|Steven C. LeClerq|Gary L. Darmstadt|James M. Tielsch
Breast-Feeding Patterns, Time to Initiation, and Mortality Risk among Newborns in Southern Nepal
Johns Hopkins University|Johns Hopkins University|Johns Hopkins University|Johns Hopkins University|Johns Hopkins University|Johns Hopkins University
initiation breastfeeding within 1 h birth associated reduced neonatal mortality rural ghanaian population south asia however breastfeeding patterns low birth weight rates differ relationship quantified data collected communitybased randomized trial impact topical chlorhexidine antisepsis interventions neonatal mortality morbidity southern nepal inhome visits conducted 14 6 8 10 12 14 21 28 collect longitudinal information timing initiation pattern breastfeeding multivariable regression modeling used estimate association death breastfeeding initiation time analysis based 22838 breastfed newborns surviving 48 h within 1 h birth 34 infants breastfed 566 breastfed within 24 h birth partially breastfed infants 726 higher mortality risk relative risk rr 177 95 ci 132239 exclusively breastfed trend p 003 toward higher mortality increasing delay breastfeeding initiation mortality higher among late 24 h compared early 24 h initiators rr 141 95 ci 108186 adjustment low birth weight preterm birth covariates improvements breastfeeding practices setting may reduce neonatal mortality substantially approximately 77 191 neonatal deaths may avoided universal initiation breastfeeding within first day hour life respectively communitybased breastfeeding promotion programs remain priority renewed emphasis early initiation addition exclusiveness duration breastfeeding