Early initiation of breastfeeding is inversely associated with public and private c-sections in 73 lower- and middle-income countries
Abstract Although studies in low- and middle-income countries (LMICs) have examined the effects of c-sections on early initiation of breastfeeding (EIBF), the role of the place of birth has not yet been investigated. Therefore, we tested the association between EIBF and the type of delivery by place...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2022-12-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-022-25564-w |
| _version_ | 1811179138048851968 |
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| author | Juliana S. Vaz Giovanna Gatica-Domínguez Paulo A. R. Neves Luís Paulo Vidaletti Aluísio J. D. Barros |
| author_facet | Juliana S. Vaz Giovanna Gatica-Domínguez Paulo A. R. Neves Luís Paulo Vidaletti Aluísio J. D. Barros |
| author_sort | Juliana S. Vaz |
| collection | DOAJ |
| description | Abstract Although studies in low- and middle-income countries (LMICs) have examined the effects of c-sections on early initiation of breastfeeding (EIBF), the role of the place of birth has not yet been investigated. Therefore, we tested the association between EIBF and the type of delivery by place of birth. Data from 73 nationally representative surveys carried out in LMICs between 2010 and 2019 comprised 408,013 women aged 15 to 49 years. Type of delivery by place of birth was coded in four categories: home vaginal delivery, institutional vaginal delivery, c-section in public, and c-section in private health facilities. We calculated the weighted mean prevalence of place of birth and EIBF by World Bank country income groups. Adjusted Poisson regression (PR) was fitted taking institutional vaginal delivery as a reference. The overall prevalence of EIBF was significantly lower among c-section deliveries in public (PR = 38%; 95% CI 0.618–0.628) and private facilities (PR = 45%; 95% CI 0.54–0.566) compared to institutional vaginal deliveries. EIBF in c-sections in public facilities was slightly higher in lower-middle (PR = 0.650, 95% CI 0.635–0.665) compared to low (PR = 0.544, 95% CI 0.521–0.567) and upper-middle income countries (PR = 0.612, 95% CI 0.599–0.626). EIBF was inversely associated with c-section deliveries compared to institutional vaginal deliveries, especially in private facilities compared to public ones. |
| first_indexed | 2024-04-11T06:29:39Z |
| format | Article |
| id | doaj.art-8bdcbebc1c2d470e9032f7a343b6d32b |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-04-11T06:29:39Z |
| publishDate | 2022-12-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-8bdcbebc1c2d470e9032f7a343b6d32b2022-12-22T04:40:11ZengNature PortfolioScientific Reports2045-23222022-12-011211810.1038/s41598-022-25564-wEarly initiation of breastfeeding is inversely associated with public and private c-sections in 73 lower- and middle-income countriesJuliana S. Vaz0Giovanna Gatica-Domínguez1Paulo A. R. Neves2Luís Paulo Vidaletti3Aluísio J. D. Barros4International Center for Equity in Health, Federal University of PelotasInternational Center for Equity in Health, Federal University of PelotasInternational Center for Equity in Health, Federal University of PelotasInternational Center for Equity in Health, Federal University of PelotasInternational Center for Equity in Health, Federal University of PelotasAbstract Although studies in low- and middle-income countries (LMICs) have examined the effects of c-sections on early initiation of breastfeeding (EIBF), the role of the place of birth has not yet been investigated. Therefore, we tested the association between EIBF and the type of delivery by place of birth. Data from 73 nationally representative surveys carried out in LMICs between 2010 and 2019 comprised 408,013 women aged 15 to 49 years. Type of delivery by place of birth was coded in four categories: home vaginal delivery, institutional vaginal delivery, c-section in public, and c-section in private health facilities. We calculated the weighted mean prevalence of place of birth and EIBF by World Bank country income groups. Adjusted Poisson regression (PR) was fitted taking institutional vaginal delivery as a reference. The overall prevalence of EIBF was significantly lower among c-section deliveries in public (PR = 38%; 95% CI 0.618–0.628) and private facilities (PR = 45%; 95% CI 0.54–0.566) compared to institutional vaginal deliveries. EIBF in c-sections in public facilities was slightly higher in lower-middle (PR = 0.650, 95% CI 0.635–0.665) compared to low (PR = 0.544, 95% CI 0.521–0.567) and upper-middle income countries (PR = 0.612, 95% CI 0.599–0.626). EIBF was inversely associated with c-section deliveries compared to institutional vaginal deliveries, especially in private facilities compared to public ones.https://doi.org/10.1038/s41598-022-25564-w |
| spellingShingle | Juliana S. Vaz Giovanna Gatica-Domínguez Paulo A. R. Neves Luís Paulo Vidaletti Aluísio J. D. Barros Early initiation of breastfeeding is inversely associated with public and private c-sections in 73 lower- and middle-income countries Scientific Reports |
| title | Early initiation of breastfeeding is inversely associated with public and private c-sections in 73 lower- and middle-income countries |
| title_full | Early initiation of breastfeeding is inversely associated with public and private c-sections in 73 lower- and middle-income countries |
| title_fullStr | Early initiation of breastfeeding is inversely associated with public and private c-sections in 73 lower- and middle-income countries |
| title_full_unstemmed | Early initiation of breastfeeding is inversely associated with public and private c-sections in 73 lower- and middle-income countries |
| title_short | Early initiation of breastfeeding is inversely associated with public and private c-sections in 73 lower- and middle-income countries |
| title_sort | early initiation of breastfeeding is inversely associated with public and private c sections in 73 lower and middle income countries |
| url | https://doi.org/10.1038/s41598-022-25564-w |
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