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Breastfeeding during the first hour of life and neonatal mortality
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نویسنده
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boccolini c.s. ,de carvalho m.l. ,de oliveira m.i.c. ,pérez-escamilla r.
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منبع
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jornal de pediatria - 2013 - دوره : 89 - شماره : 2 - صفحه:131 -136
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چکیده
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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. © 2013 sociedade brasileira de pediatria. published by elsevier editora ltda. all rights reserved.
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کلیدواژه
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Breastfeeding; Child mortality; Epidemiologic Measurements; Maternal and child health
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آدرس
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programa de pós-graduação,escola nacional de saúde pública sérgio arouca (ensp),fundação oswaldo cruz (fiocruz),rio de janeiro,rj,brazil,departamento de nutrição social,universidade do estado do rio de janeiro (uerj),rio de janeiro,rj, Brazil, departamento de epidemiologia e métodos quantitativos em saúde,enesp/fiocruz,rio de janeiro,rj, Brazil, departamento de epidemiologia e bioestatística,instituto de saúde da comunidade,universidade federal fluminense (uff),niterói,rj, Brazil, departamento de epidemiologia e bioestatística,yale school of public health,yale university, United States
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Authors
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