Early essential newborn care is associated with increased breastfeeding: a quasi-experimental study from Sichuan Province of Western China

Breastfeeding is critical to promote maternal and child health. China has set national targets to further improve the exclusive breastfeeding rate. We aimed to examine associations between the provision of early essential newborn care (EENC) and breastfeeding outcomes among full term vaginally deliv...

Full description

Saved in:
Bibliographic Details
Published in:International breastfeeding journal 2020-11, Vol.15 (1), p.99-99, Article 99
Main Authors: Wang, Chen-Ran, Li, Xia-Yun, Zhang, Lin, Wu, Lin-Man, Tan, Ling, Yuan, Fei, Guo, Yao, Williams, Sarah, Xu, Tao
Format: Article
Language:English
Subjects:
Age
Analysis
Babies
Breast Feeding
Breastfeeding & lactation
Child
Childbirth & labor
Children & youth
China - epidemiology
Data collection
Female
Hospitals
Humans
Infant, Newborn
Infants (Newborn)
Intervention
Maternal & child health
Midwifery
Mothers
Neonates
Newborn babies
Nurses
Obstetrics
Quasi-experimental methods
Time Factors
Womens health
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Breastfeeding is critical to promote maternal and child health. China has set national targets to further improve the exclusive breastfeeding rate. We aimed to examine associations between the provision of early essential newborn care (EENC) and breastfeeding outcomes among full term vaginally delivered neonates in the first 6 months of life. We conducted a quasi-experimental study in eight maternal and children's hospitals in Mianyang City and Deyang City in Sichuan Province of western China. Four hospitals were randomly selected as the intervention group with the implementation of EENC while others as the control group receiving routine care. We assessed effects of EENC on breastfeeding initiation time, duration of first-time breastfeeding, and exclusive breastfeeding rates up to 6 months of age. Data were collected after delivery, at hospital discharge, 1 month, 3 months, and 6 months post birth in the baseline phase from May to June 2017 and post-EENC phase from October to December 2017. We performed univariate analyses to ascertain differences between the two groups, and difference in difference (DID) models to explore the net effects. Of the 1349 enrolled mother and newborn pairs in our study, 1131 (83.9%) were followed up at 1 month of age, 1075 (79.7%) at 3 months, and 981 (72.7%) at 6 months. EENC was associated with earlier median time to initiate breastfeeding (25 min vs. 33 min, P 
ISSN:1746-4358
1746-4358
DOI:10.1186/s13006-020-00343-3