Evidence map›Paper›PMID 18322552›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2008

Impact of early infant feeding practices on mortality in low birth weight infants from rural Ghana.

K M Edmond, B R Kirkwood, C A Tawiah, S Owusu Agyei, S O Agyei

Erratum issuedAbstract read
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In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 pooled it
1.1field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 3 syntheses or guidelines pooled it, 44 citations in OpenAlex.

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4 · The record

Corrections and comments

  • Erratum issued
    Agyei, S O [corrected to Owusu Agyei, S]
5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

K M EdmondDepartment of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK. Karen.Edmond@lshtm.ac.uk
B R Kirkwood
C A Tawiah
S Owusu Agyei
S O Agyei
London School of Hygiene & Tropical Medicine · GBKintampo Health Research Centre · GH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the impact of early infant feeding practices on low birth weight- (LBW) specific neonatal mortality in rural Ghana. STUDY

designA total of 11 787-breastfed babies were born between July 2003 and June 2004 and survived to day 2. Overall, 3411 (30.3%) infants had weight recorded within 48 h. Two hundred and ninety-six (8.7%) infants were <2.5 kg and 15 died in the neonatal period. Associations were examined using multivariate logistic regression.

resultInitiation of breastfeeding after day 1 was associated with a threefold increase in mortality risk (adjusted odds ratio (adjOR) 3.23, 95% confidence interval (95% CI) (1.07-9.82)) in infants aged 2 to 28 days. Prelacteal feeding was associated with a threefold significantly increased mortality risk (adjOR 3.12, 95% CI (1.19-8.22)) in infants aged 2 to 28 days but there was no statistically significant increase in risk associated with predominant breastfeeding (adjOR 1.91, 95% CI (0.60-6.09)). There were no modifications of these effects by birth weight. The sample size was insufficient to allow assessment of the impact of partial breastfeeding.

conclusionImproving early infant feeding practices is an effective, feasible, low-cost intervention that could reduce early infant mortality in LBW infants in developing countries. These findings are especially relevant for sub-Saharan Africa where many LBW infants are born at home, never taken to a health facility and mortality rates are unacceptably high.

Indexed as

Breast FeedingInfant, Low Birth WeightInfant MortalityAge FactorsGhanaHumansInfant, NewbornInfant, Small for Gestational AgeLogistic ModelsRural Population

Identifiers

PMID18322552
OpenAlexW1990664224

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.