From: Time to initiation of breastfeeding and neonatal mortality and morbidity: a systematic review
Study, Location | Sample Size | Study | Def of BF Exposure | Comment/Conclusions | Grade |
---|---|---|---|---|---|
All-cause neonatal mortality, among all infants surviving to 48 hours or more | |||||
Mullany [11], Nepal, community | 22,838 | prospective cohort | early vs. late | Early breastfeeding initiation was associated with a lower risk of mortality: RR=0.71 (0.54, 0.93) | HIGH |
Edmond [20], Ghana, community | 10,947 | prospective cohort | early vs. late | Early breastfeeding initiation was associated with a lower risk of mortality: RR=0.43 (0.31, 0.61) | HIGH |
Garcia [24], India, community | 10,464 | prospective cohort | early vs. late | Early breastfeeding initiation was associated with a lower risk of mortality: RR=0.56 (0.32, 0.97) | HIGH |
Bamji [31], India, community | 378 | case control | early vs. late | Reported a significant association between early initiation and a reduction in neonatal mortality | LOW |
All-cause neonatal mortality, among low birth weight infants surviving to 48 hours or more | |||||
Mullany [11], Nepal, community | 22,838 | prospective cohort | early vs. late | Early breastfeeding initiation was associated with lower risk of mortality: RR=0.63 (0.44, 0.90) | HIGH |
Edmond [22], Ghana, community | 10,947 | prospective cohort | early vs. late | Early breastfeeding initiation was associated with lower risk of mortality: RR=0.37 (0.14, 0.98) | HIGH |
Garcia [24], India, community | 10,464 | prospective cohort | early vs. late | Mortality was lower among those breastfed early, but not statistically significant: RR=0.54 (0.28, 1.04) | HIGH |
All-cause neonatal mortality, among exclusively breastfed infants surviving to 48 hours or more | |||||
Mullany [11], Nepal, community | 22,838 | prospective cohort | early vs. late | No evidence that early breastfeeding was associated with mortality: RR=1.21 (0.49, 2.98) | HIGH |
Edmond [22], Ghana, community | 10,947 | prospective cohort | early vs. late | Early breastfeeding initiation was associated with lower risk of mortality: RR=0.46 (0.29, 0.72) | HIGH |