How multiple episodes of exclusive breastfeeding impact estimates of exclusive breastfeeding duration: report from the eight-site MAL-ED birth cohort study

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dc.contributor.authorMaciel, Bruna Leal Lima
dc.contributor.authorAmbikapathi, Ramya
dc.contributor.authorKosek, Margaret N.
dc.contributor.authorLee, Gwenyth O.
dc.contributor.authorMahopo, Cloupas
dc.contributor.authorPatil, Crystal L.
dc.contributor.authorTurab, Ali
dc.contributor.authorIslam, M. Munirul
dc.contributor.authorUlak, Manjeswori
dc.contributor.authorBose, Anuradha
dc.contributor.authorOlortegui, Maribel Paredes
dc.contributor.authorPendergast, Laura L.
dc.contributor.authorMurray-Kolb, Laura E.
dc.contributor.authorLang, Dennis
dc.contributor.authorMccormick, Benjamin J. J.
dc.contributor.authorCaulfield, Laura E.
dc.date.accessioned2024-02-27T19:41:27Z
dc.date.available2024-02-27T19:41:27Z
dc.date.issued2016-08
dc.description.resumoThe duration of exclusive breastfeeding (EBF) is often defined as the time from birth to the first non-breast milk food/liquid fed (EBFLONG), or it is estimated by calculating the proportion of women at a given infant age who EBF in the previous 24 h (EBFDHS). Others have measured the total days or personal prevalence of EBF (EBFPREV), recognizing that although non-EBF days may occur, EBF can be re-initiated for extended periods. We compared breastfeeding metrics in the MAL-ED study; infants’ breastfeeding trajectories were characterized from enrollment (median 7 days, IQR: 4, 12) to 180 days at eight sites. During twice-weekly surveillance, caretakers were queried about infant feeding the prior day. Overall, 101 833 visits and 356 764 child days of data were collected from 1957 infants. Median duration of EBFLONG was 33 days (95% CI: 32–36), compared to 49 days based on the EBFDHS. Median EBFPREV was 66 days (95% CI: 62–70). Differences were because of the return to EBF after a non-EBF period. The median number of returns to EBF was 2 (IQR: 1, 3). When mothers re-initiated EBF (second episode), infants gained an additional 18.8 days (SD: 25.1) of EBF, and gained 13.7 days (SD: 18.1) (third episode). In settings where women report short gaps in EBF, programmes should work with women to return to EBF. Interventions could positively influence the duration of these additional periods of EBF and their quantification should be considered in impact evaluation studiespt_BR
dc.identifier.citationAMBIKAPATHI, Ramya; KOSEK, Margaret N.; LEE, Gwenyth O.; MAHOPO, Cloupas; PATIL, Crystal L.; MACIEL, Bruna L.; TURAB, Ali; ISLAM, M. Munirul; ULAK, Manjeswori; BOSE, Anuradha; OLORTEGUI, Maribel Paredes; PENDERGAST, Laura L.; MURRAY-KOLB, Laura E.; LANG, Dennis; MCCORMICK, Benjamin J. J.; CAULFIELD, Laura E.. How multiple episodes of exclusive breastfeeding impact estimates of exclusive breastfeeding duration: report from the eight-site MAL-ED birth cohort study. Maternal & Child Nutrition, [S.l.], v. 12, n. 4, p. 740-756, 8 ago. 2016. DOI: 10.1111/mcn.12352. Disponível em: https://onlinelibrary.wiley.com/doi/10.1111/mcn.12352. Acesso em: 01 fev. 2024.pt_BR
dc.identifier.doihttp://dx.doi.org/10.1111/mcn.12352
dc.identifier.urihttps://repositorio.ufrn.br/handle/123456789/57693
dc.languageenpt_BR
dc.publisherMaternal and Child Nutritionpt_BR
dc.rightsAttribution 3.0 Brazil*
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/br/*
dc.subjectExclusive breastfeedingpt_BR
dc.subjectDurationpt_BR
dc.subjectDHSpt_BR
dc.subjectPrevalencept_BR
dc.subjectMetricspt_BR
dc.subjectMAL-EDpt_BR
dc.subjectNepalpt_BR
dc.subjectBangladeshpt_BR
dc.subjectPakistanpt_BR
dc.subjectIndiapt_BR
dc.subjectBrazilpt_BR
dc.subjectPerupt_BR
dc.subjectTanzaniapt_BR
dc.subjectSouth Africapt_BR
dc.titleHow multiple episodes of exclusive breastfeeding impact estimates of exclusive breastfeeding duration: report from the eight-site MAL-ED birth cohort studypt_BR
dc.typearticlept_BR

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