Evidence map›Paper›PMID 29243560›Full record

ArticleGlobal health action2017

Factors associated with delayed initiation of breastfeeding: a survey in Northern Uganda.

David Mukunya, James K Tumwine, Victoria Nankabirwa, Grace Ndeezi, Isaac Odongo, Josephine Tumuhamye, Justin Bruno Tongun, Samuel Kizito, Agnes Napyo, Vincentina Achora and 2 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Global health action, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 11% 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

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 3 countries.

David Mukunyaa Center for International Health , University of Bergen , Bergen , Norway.
James K Tumwineb Department of Pediatrics and Child Health , Makerere University , Kampala , Uganda.
Victoria Nankabirwac Department of Epidemiology and Biostatistics, School of Public Health , Makerere University , Kampala , Uganda.
Grace Ndeezib Department of Pediatrics and Child Health , Makerere University , Kampala , Uganda.
Isaac Odongod Department of Pediatrics and Child Health , Makerere University , Kampala , Uganda.
Josephine Tumuhamyea Center for International Health , University of Bergen , Bergen , Norway.
Justin Bruno Tongune Department of Pediatrics , University of Juba , Juba , South Sudan.
Samuel Kizitof Clinical Epidemiology Unit , Makerere University , Kampala , Uganda.
Agnes Napyog Department of Public Health , Busitema University , Mbale , Uganda.
Vincentina Achorah Department of Obstetrics and Gynecology , University of Gulu , Gulu , Uganda.
Beatrice Odongkarai Department of Pediatrics , University of Gulu , Gulu , Uganda.ORCID http://orcid.org/0000-0002-6283-9114
Thorkild Tylleskara Center for International Health , University of Bergen , Bergen , Norway.
Makerere University · UGUniversity of Bergen · NOGulu University · UGBusitema University · UGUniversity of Juba · SS

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInitiation of breastfeeding later than 1 hour after birth is associated with increased neonatal morbidity and mortality.

objectiveTo determine the prevalence and factors associated with delayed initiation of breastfeeding.

methodsWe conducted a survey in 2016 of 930 children under the age of 2 years in Lira district, northern Uganda. Mothers of the children were interviewed and data was collected on mobile phones using Open Data Kit software ( https://opendatakit.org ). Multivariable logistic regression was used to determine factors associated with delayed initiation of breastfeeding.

resultsAlmost half [48.2%, 95% confidence interval (CI) (44.3-52.1)] of the mothers delayed initiation of breastfeeding. Factors significantly associated with delayed initiation of breastfeeding in multivariable analysis included caesarean delivery [Adjusted Odds Ratio (AOR) 11.10 95% CI (3.73-33.04)], discarding initial breast milk [AOR 2.02 95% CI (1.41-2.88)], home delivery [AOR 1.43 95% CI (1.04-1.97)] and mother being responsible for initiating breastfeeding as compared to a health worker or relative [AOR 1.73 95% CI (1.33-2.26)]. Mothers having a secondary education were less likely [AOR 0.54 95% CI (0.30-0.96)] to delay initiation of breastfeeding as compared to those with no education.

conclusionAbout half the mothers delayed initiation of breastfeeding until after 1 hour after birth. Programs to promote, protect and support breastfeeding in this post conflict region are urgently needed.

Indexed as

Breast FeedingCesarean SectionChildCross-Sectional StudiesEducational StatusFemaleHome ChildbirthHumansInfantLogistic ModelsMothersOdds RatioPregnancyPrevalenceSurveys and QuestionnairesUgandabreastmilkinfant-feedingneonatalNutritionpost-conflict

Identifiers

PMID29243560
PMCPMC5738649
OpenAlexW2771989257

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.