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Insights Nutr Metab 2017
Volume 1 Issue 3
Nutrition World 2017
Page 70
September 11-12, 2017 Edinburgh, Scotland
15
th
World Congress on
Advances in Nutrition, Food Science & Technology
Insights Nutr Metab 2017
Breastfeeding at maternity hospital and infant
mortality in Brazil
Marina Ferreira Rea and Osvaldinete Lopes De Oliveira Silva
International Baby Food Action Network, Brazil
Introduction:
Breastfeeding should be implemented from
birth, as it contributes to the reduction of infant mortality.
Objective:
To estimate the number of deaths potentially
avoided by the Baby-Friendly Hospital Initiative (BFHI)
in Brazil, this enables strategies that allow breastfeeding
exclusively from birth.
Methods:
The analysis consisted of: estimating the
effectiveness of BFHI in breastfeeding in the first hour
of life (BF1h), the exclusive breastfeeding in infants 0-5
months (EBF) and of any breastfeeding. The potential
impact of BFHI on the reduction of infant mortality
mediated by increased breastfeeding was estimated
by subtracting the prevalence of each breastfeeding
indicator for both BFH and NBFH born babies. For this
purpose, the Population Attributable Fraction (PAF) of
breastfeeding was used for the following indicators: late
neonatal mortality mediated by non-breastfeeding in the
first hour of life, all-cause mortality in infants less than 6m
and mortality due to infection in infants under 6 months;
The latter two, mediated by non-breastfeeding. The PAF
was obtained for children born in BFH and NBFH, using
the prevalence of non-breastfeeding and the estimated
relative risks. Finally, it was estimated the number of
deaths potentially preventable by the BFHI, considering
the data on infant mortality occurred in 2008.
Results:
The sample consisted of 18,929 children under
6 months of age; Of these 34.1% were born in BFH. The
BFHI promoted a statistically significant increase in the 3
indicators of BF: 11.7% in BF1h; 7.9% in EBF and 2.1%
in any breastfeeding. If all children were born in BFH,
the fraction of mortality attributable to non-breastfeeding
(PAF) would be lower, potentially avoiding 4.2% of late
neonatal mortality, 3.5% of all-cause mortality, and 4.2%
mortality from infection.
Conclusion:
BFHI improves breastfeeding and
contributes to a reduction in mortality.
marifrea@usp.br