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Lisi, C., Freitas, C. & Barros, H. (2020). Maternal country of birth and exclusive breastfeeding during the first in-hospital day in Portugal: The influence of the baby-friendly hospital initiative. Journal of Human Lactation. 37 (1), 147-157
C. Lisi et al., "Maternal country of birth and exclusive breastfeeding during the first in-hospital day in Portugal: The influence of the baby-friendly hospital initiative", in Journal of Human Lactation, vol. 37, no. 1, pp. 147-157, 2020
@article{lisi2020_1732226232964, author = "Lisi, C. and Freitas, C. and Barros, H.", title = "Maternal country of birth and exclusive breastfeeding during the first in-hospital day in Portugal: The influence of the baby-friendly hospital initiative", journal = "Journal of Human Lactation", year = "2020", volume = "37", number = "1", doi = "10.1177/0890334420982248", pages = "147-157", url = "https://us.sagepub.com/en-us/nam/journal/journal-human-lactation" }
TY - JOUR TI - Maternal country of birth and exclusive breastfeeding during the first in-hospital day in Portugal: The influence of the baby-friendly hospital initiative T2 - Journal of Human Lactation VL - 37 IS - 1 AU - Lisi, C. AU - Freitas, C. AU - Barros, H. PY - 2020 SP - 147-157 SN - 0890-3344 DO - 10.1177/0890334420982248 UR - https://us.sagepub.com/en-us/nam/journal/journal-human-lactation AB - Background: Early breastfeeding practices are important determinants of later breastfeeding behaviors and can be influenced by multiple factors. Despite the Baby-Friendly Hospital Initiative reported positive influence on breastfeeding initiation, its influence on the association between maternal country of birth and first day in-hospital breastfeeding has not been examined. Research aims: To determine (1) if association between maternal country of birth and first day in-hospital exclusive breastfeeding exists in Portugal and (2) if any association is affected by giving birth in a Baby-Friendly Hospital. Methods: Data were drawn from baMBINO—a longitudinal, 2017–2019 nationwide study designed to assess the perinatal health and healthcare experiences of migrant and native Portuguese women. Data from participants (N = 5,340) were collected during their hospital stay from 32 maternity units. Missing data were handled through multiple imputation. After stratifying by Baby-Friendly Hospital Initiative accreditation, a multivariate logistic regression was performed. Results: First day in-hospital exclusive breastfeeding rates were high among both migrant and native participants (89.2% vs. 87.4%). Migrants were more likely to exclusively breastfeed when compared to natives (OR = 1.19, 95% CI [1.00, 1.41]). In non-Baby-Friendly Hospitals, a positive association was found between participants from Eastern European countries (aOR = 2.46, 95% CI [1.27, 4.78]) and first day in-hospital exclusive breastfeeding. In accredited hospitals, maternal country of birth did not influence exclusive breastfeeding during the first 24 hr. Conclusions: The Baby-Friendly Hospital Initiative attenuates differences between migrant and native participants, promoting optimal breastfeeding practices among natives. ER -