Observational studyBMJ global health2020
Association between early essential newborn care and breastfeeding outcomes in eight countries in Asia and the Pacific: a cross-sectional observational -study.
Observational study in BMJ global health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.
What it found
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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.
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.
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Who cites it
33 citing papers in PubMed.
- An innovative, digital approach to training district health care providers on essential newborn care skills: findings from a pilot cluster-randomised trial in Lao People's Democratic Republic.Journal of global health · 2025Trial
- Effect of early essential newborn care on breastfeeding and outcomes of mothers/newborns post-cesarean section: a randomized controlled trial in China.Reproductive health · 2024Trial
- Implementation of early essential neonatal care for newborns delivered by cesarean section in Jiaxing: a single-center prospective randomized controlled trial.International breastfeeding journal · 2024Trial
- Association of duration of skin-to-skin contact after cesarean delivery in China: a superiority, multicentric randomized controlled trial.American journal of obstetrics & gynecology MFM · 2023Trial
- Exploring Priority Intrapartum Services Associated with Childbirth Experience During Vaginal Birth: A Multicenter Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2026Article
- Contribution of improved quality of early essential newborn care to neonatal mortality decline in Cambodia, 2010-2022: a retrospective observational study.BMJ open quality · 2026Observational
- Early essential newborn care: a decade of scaling up quality, life-saving interventions across East Asia and the Pacific (2013-2023).BMJ global health · 2026Article
- Exploration of factors affecting parent-infant closeness and separation in hospitals in Nepal - a qualitative study.BMC pregnancy and childbirth · 2026Article
- Psychometric evaluation of the Chinese version of the exclusive breastfeeding social support scale: a cross-sectional study.International breastfeeding journal · 2026Article
- Effects of early essential newborn care after elective caesarean section on maternal and neonatal outcomes: a retrospective study.American journal of translational research · 2026Article
- Recent Advancements and Best Practices in Supporting Newborn Feeding: A Narrative Review.Pediatric clinics of North America · 2025Review
- Cost analysis of establishing and operating the first human milk bank at Da Nang Hospital for Women and Children in Vietnam: an activity-based costing ingredients study.International breastfeeding journal · 2024Article
- Development of a Predictive Model for Skin-to-Skin Contact Immediately after Birth: A Cross-Sectional Study.Children (Basel, Switzerland) · 2024Article
- Australian Women's Experiences of Establishing Breastfeeding after Caesarean Birth.International journal of environmental research and public health · 2024Article
- Factors associated with high exclusive breastfeeding rates among preterm infants under 34 weeks of gestation in Da Nang, Vietnam: A retrospective cohort study.Journal of global health · 2023Article
- Prevalence of exclusive breastfeeding for the first six months of an infant's life and associated factors in a low-middle income country.International breastfeeding journal · 2023Article
- Characteristics and factors influencing the volume of breastmilk donated by women to the first human milk bank in Vietnam.Frontiers in global women's health · 2023Article
- Association between Skin-to-Skin Contact Duration after Caesarean Section and Breastfeeding Outcomes.Children (Basel, Switzerland) · 2022Article
- Article
- Association between place of birth and timely breastfeeding initiation among Cambodian women: a population-based study.International breastfeeding journal · 2022Article
Corrections and comments
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Authors and funding
33 authors.
Funding
Abstract
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, p<0.001) times higher early breastfeeding. EBF was significantly associated with SSC duration of 30-59 min (OR 3.54, 95% CI 1.88 to 6.66, p<0.001), 60-89 min (OR 5.61, 95% CI 2.51 to 12.58, p<0.001) and at least 90 min (OR 3.78, 95% CI 2.12 to 6.74, p<0.001) regardless of delivery mode. Non-supine position (OR 2.80, 95% CI 1.90 to 4.11, p<0.001), rooming-in (OR 5.85, 95% CI 3.46 to 9.88, p<0.001), hospital breastfeeding policies (OR 2.82, 95% CI 1.97 to 4.02, p<0.001), quality improvement mechanisms (OR 1.63, 95% CI 1.07 to 2.49, p=0.02) and no formula products (OR 17.50, 95% CI 5.92 to 51.74, p<0.001) were associated with EBF.
conclusionEENC 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.
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