ArticleRevista de saude publica2023
Baby-Friendly Hospital Initiative and exclusive breastfeeding during hospital stay.
Article in Revista de saude publica, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Study of mothers' perceptions of breastfeeding support in Lithuania: is Baby-Friendly Hospital status associated with better breastfeeding support?International breastfeeding journal · 2026Observational
- Impact of Comprehensive Breastfeeding Support Strategies on Exclusive Breastfeeding Rates at Discharge in a Neonatal Unit.Nutrients · 2026Observational
- Inhibiting and protective factors of exclusive breastfeeding in an Island population in Spain: a longitudinal study.International breastfeeding journal · 2025Article
- Infant Feeding Practices in Ethiopia: Birth Cohort Study in Five Regions.Maternal & child nutrition · 2025Article
- Increase in Breastfeeding Rates in Baby-Friendly Hospitals in Greece: Comparison with the National Study of 2017.Children (Basel, Switzerland) · 2024Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo estimate the prevalence of exclusive breastfeeding during maternity hospital stay (outcome) and to analyze the association between delivery in a Baby-Friendly Hospital (BFH) and the outcome. The hypothesis is that accreditation to this program improves exclusive breastfeeding during maternity hospital stay. Exclusive breastfeeding is essential in reducing neonatal morbidity and mortality.
methodsThis study is based on secondary data collected by the "Birth in Brazil: National Survey into Labour and Birth", a population-based study, conducted with 21,086 postpartum women, from February 1, 2011, to October 31, 2012, in 266 hospitals from all five Brazilian regions. Face-to-face interviews were conducted mostly within the first 24 hours after birth, regarding individual and gestational characteristics, prenatal care, delivery, newborn's characteristics, and breastfeeding at birth. A theoretical model was created, allocating the exposure variables in three levels based on their proximity to the outcome. This hierarchical conceptual model was applied to perform a multiple logistic regression (with 95%CI and p < 0.05).
resultsIn this study, 76.0% of the babies were exclusively breastfed from birth until the interview. Babies born in public (AOR = 1.73; 95%CI: 1.10-2.87), mixed (AOR = 2.48; 95%CI: 1.35-4.53) and private (AOR = 5.54; 95%CI: 2.38-12.45) BFHs were more likely to be exclusively breastfed during maternity hospital stay than those born in non-BFHs, as well as those born by vaginal birth (AOR = 2.16; 95%CI: 1.79-2.61), with adolescent mothers (AOR = 1.83; 95%CI: 1.47-2.26) or adults up to 34 years old (AOR =1 .31; 95%CI: 1.13-1.52), primiparous women (AOR = 1.51; 95%CI: 1.34-1.70), and mothers living in the Northern region of Brazil (AOR = 1.99; 95%CI: 1.14-3.49).
conclusionsThe Baby-Friendly Hospital Initiative promotes exclusive breastfeeding during hospital stay regarding individual and hospital differences.
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