Evidence map›Paper›PMID 34508665›Full record

Observational studyJornal de pediatria

Breastfeeding in infants seen in private pediatric practices and its relation with type of delivery and history of prematurity.

Mauro Batista de Morais, Mauro Sérgio Toporovski, Marise Helena Cardoso Tofoli, Karina Vieira de Barros, Cristina Helena Targa Ferreira, Luciana Rodrigues Silva

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Jornal de pediatria. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 48% 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

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Article
  2. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 6 institutions in 3 countries.

Mauro Batista de MoraisUniversidade Federal de São Paulo, Escola Paulista de Medicina, Disciplina de Gastroenterologia Pediátrica, São Paulo, SP, Brazil. Electronic address: mbmorais@unifesp.br.
Mauro Sérgio ToporovskiFaculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brazil.
Marise Helena Cardoso TofoliHospital Materno Infantil Dr. Jurandir do Nascimento, Goiânia, GO, Brazil.
Karina Vieira de BarrosFormer Danone Nutricia, Brazil.
Cristina Helena Targa FerreiraUniversidade Federal de Ciências da Saúde de Porto Alegre, Divisão de Gastroenterologia Pediátrica, Porto Alegre, RS, Brazil.
Luciana Rodrigues SilvaUniversidade Federal da Bahia, Divisão de Gastroenterologia Pediátrica, Salvador, BA, Brazil; Presidente da Sociedade Brasileira de Pediatria, Brazil.
Faculdade de Ciências Médicas da Santa Casa de São Paulo · BRHospital Materno-Infantil · ESNutricia Research (Netherlands) · NLSociedade Brasileira de Pediatria · BRUniversidade Federal de Ciências da Saúde de Porto Alegre · BRUniversidade Federal de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe the type of milk used to feed infants seen in private pediatric practices in Brazil. To evaluate the relationship between breastfeeding, type of delivery, and history of prematurity.

methodsThis is a cross-sectional and observational study that included 4929 infants in the first year of life seen in private pediatric practices in the five geographic regions of Brazil. Mothers provided information about the type of milk used by their infant, the type of delivery (vaginal or cesarean), and whether the birth was premature.

resultsBreastfeeding was the only source of milk for 56.1% (1546/2755) of infants in the first six months of life and 32.9% (716/2174) in the second. Of the infants who received other types of milk besides breastfeeding, there was a predominance of infant formula in 98.6% and 93.8% of the infants, respectively, in the first and in the second six months of life. Whole cow's milk was used by 0.7% (20/2755) of infants in the first six months and by 4.1% (90/2174) of infants in the second (p < 0.001). In the first six months of life, breastfeeding as the only type of milk was associated with vaginal delivery (OR = 1.79; p < 0.001) and not having a history of prematurity (OR = 2.48; p < 0.001).

conclusionBreastfeeding was the only milk source for more than half of infants before 180 days of life. Birth by cesarean section and history of prematurity were negatively associated with breastfeeding as the only source of milk used in infant feeding.

Indexed as

Breast FeedingCesarean SectionAllergensAnimalsCattleChildCross-Sectional StudiesFemaleHumansInfantInfant FormulaInfant, Low Birth WeightInfant, NewbornPregnancyAllergensBreast feedingCow's milkInfant formulaInfant nutritional physiological phenomena infantInfant prematureParturition

Identifiers

PMID34508665
PMCPMC9432061
OpenAlexW3196980967

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.