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Table 1 Characteristics of the participants stratified by feeding practice and period. Rio de Janeiro, Brazil, 2018

From: Predicting risk of early discontinuation of exclusive breastfeeding at a Brazilian referral hospital for high-risk neonates and infants: a decision-tree analysis

Characteristics

Ā 

Hospital discharge

3ā€‰months of age

6ā€‰months of age

Ā 

% (95% CI)

% (95% CI)

% (95% CI)

Ā 

EBF (NĀ =ā€‰495)

PBF (Nā€‰=ā€‰208)

NBF (Nā€‰=ā€‰54)

EPB (NĀ =ā€‰302)

PBF (NĀ =ā€‰166)

NBF (NĀ =ā€‰58)

EPB (NĀ =ā€‰137)

PBF (NĀ =ā€‰231)

NBF (NĀ =ā€‰91)

Child-related factors

ā€ƒSex

female

48.1 (43.6ā€“52.6)

46.6 (39.7ā€“53.7)

48.1 (34.3ā€“62.2)

49.3 (43.6ā€“55.1)

53.0 (45.1ā€“60.8)

39.7 (27.0ā€“53.4)

43.1 (34.6ā€“51.8)

50.6 (44.0ā€“57.3)

42.9 (32.5ā€“53.7)

male

51.9 (47.4ā€“56.4)

53.4 (46.3ā€“60.3)

51.9 (37.8ā€“65.7)

50.7 (44.9ā€“56.4)

47.0 (39.2ā€“54.9)

60.3 (46.6ā€“73.0)

56.9 (48.2ā€“65.4)

49.4 (42.7ā€“56.0)

57.1 (46.3ā€“67.5)

ā€ƒMultiple births

no

87.7 (84.5ā€“90.4)

76.0 (69.6ā€“81.6)

79.6 (66.5ā€“89.4)

93.0 (89.6ā€“95.6)

70.5 (62.9ā€“77.3)

74.1 (61.0ā€“84.7)

95.6 (90.7ā€“98.4)

92.6 (88.5ā€“95.7)

71.4 (61.0ā€“80.4)

yes

12.3 (9.6ā€“15.5)

24.0 (18.4ā€“30.4)

20.4 (10.6ā€“33.5)

7.0 (4.4ā€“10.4)

29.5 (22.7ā€“37.1)

25.9 (15.3ā€“39.0)

4.4 (1.6ā€“9.3)

7.4 (4.3ā€“11.5)

28.6 (19.6ā€“39.0)

ā€ƒGestational age (weeks)

>ā€‰ 37

85.7 (82.3ā€“88.6)

68.8 (62.0ā€“75.0)

42.6 (29.2ā€“56.8)

89.1 (85.0ā€“92.4)

72.3 (64.8ā€“78.9)

60.3 (46.6ā€“73.0)

89.1 (82.6ā€“93.7)

88.3 (83.5ā€“92.2)

60.4 (49.6ā€“70.5)

<ā€‰ 37

14.3 (11.4ā€“17.7)

31.2 (25.0ā€“38.0)

57.4 (43.2ā€“70.8)

10.9 (7.6ā€“15.0)

27.7 (21.1ā€“35.2)

39.7 (27.0ā€“53.4)

10.9 (6.3ā€“17.4)

11.7 (7.8ā€“16.5)

39.6 (29.5ā€“50.4)

ā€ƒBirth weight

ELBW

0.4 (0.0ā€“1.5)

0.5 (0.0ā€“2.6)

9.3 (3.1ā€“20.3)

0.0 (0.0ā€“1.2)

1.2 (0.1ā€“4.3)

0.0 (0.0ā€“6.2)

0.0 (0.0ā€“2.7)

0.4 (0.0ā€“2.4)

2.2 (0.3ā€“7.7)

VLBW

0.2 (0.0ā€“1.1)

1.9 (0.5ā€“4.9)

16.7 (7.9ā€“29.3)

0.7 (0.1ā€“2.4)

1.8 (0.4ā€“5.2)

5.2 (1.1ā€“14.4)

0.7 (0.0ā€“4.0)

0.9 (0.1ā€“3.1)

5.5 (1.8ā€“12.4)

LBW

10.1 (7.6ā€“13.1)

27.9 (21.9ā€“34.5)

20.4 (10.6ā€“33.5)

10.6 (7.4ā€“14.6)

21.7 (15.7ā€“28.7)

20.7 (11.2ā€“33.4)

9.5 (5.1ā€“15.7)

10.8 (7.1ā€“15.6)

25.3 (16.7ā€“35.5)

>ā€‰2500ā€‰g

89.3 (86.2ā€“91.9)

69.7 (63.0ā€“75.9)

53.7 (39.6ā€“67.4)

88.7 (84.6ā€“92.1)

75.3 (68.0ā€“81.7)

74.1 (61.0ā€“84.7)

89.8 (83.4ā€“94.3)

87.9 (83.0ā€“91.8)

67.0 (56.4ā€“76.5)

ā€ƒPerinatal morbidity

no

69.3 (65.0ā€“73.3)

48.1 (41.1ā€“55.1)

0.0 (0.0ā€“6.6)

71.9 (66.4ā€“76.9)

54.2 (46.3ā€“62.0)

37.9 (25.5ā€“51.6)

70.1 (61.7ā€“77.6)

70.6 (64.2ā€“76.4)

34.1 (24.5ā€“44.7)

yes

30.7 (26.7ā€“35.0)

51.9 (44.9ā€“58.9)

100.0 (93.4ā€“100.0)

28.1 (23.1ā€“33.6)

45.8 (38.0ā€“53.7)

62.1 (48.4ā€“74.5)

29.9 (22.4ā€“38.3)

29.4 (23.6ā€“35.8)

65.9 (55.3ā€“75.5)

ā€ƒHospital readmission

no

ā€“

ā€“

ā€“

95.7 (92.8ā€“97.7)

92.8 (87.7ā€“96.2)

82.8 (70.6ā€“91.4)

97.1 (92.7ā€“99.2)

93.9 (90.0ā€“96.6)

91.2 (83.4ā€“96.1)

yes

ā€“

ā€“

ā€“

4.3 (2.3ā€“7.2)

7.2 (3.8ā€“12.3)

17.2 (8.6ā€“29.4)

2.9 (0.8ā€“7.3)

6.1 (3.4ā€“10.0)

8.8 (3.9ā€“16.6)

Mother-related factors

ā€ƒMaternal age

<ā€‰ 20 y.o.

10.9 (8.3ā€“14.0)

6.2 (3.4ā€“10.5)

20.4 (10.6ā€“33.5)

10.3 (7.1ā€“14.3)

6.6 (3.4ā€“11.5)

8.6 (2.9ā€“19.0)

8.0 (4.1ā€“13.9)

10.0 (6.4ā€“14.6)

9.9 (4.6ā€“17.9)

from 20 to 34 y.o.

69.7 (65.4ā€“73.7)

76.0 (69.6ā€“81.6)

59.3 (45.0ā€“72.4)

71.5 (66.1ā€“76.5)

68.7 (61.0ā€“75.6)

74.1 (61.0ā€“84.7)

75.9 (67.9ā€“82.8)

63.6 (57.1ā€“69.8)

73.6 (63.3ā€“82.3)

>ā€‰ 35 y.o.

19.4 (16.0ā€“23.2)

17.8 (12.8ā€“23.7)

20.4 (10.6ā€“33.5)

18.2 (14.0ā€“23.0)

24.7 (18.3ā€“32.0)

17.2 (8.6ā€“29.4)

16.1 (10.3ā€“23.3)

26.4 (20.8ā€“32.6)

16.5 (9.5ā€“25.7)

ā€ƒMaternal education

up to elementary school

32.3 (28.2ā€“36.6)

34.1 (27.7ā€“41.0)

38.9 (25.9ā€“53.1)

27.8 (22.8ā€“33.2)

33.1 (26.0ā€“40.8)

31.0 (19.5ā€“44.5)

27.0 (19.8ā€“35.3)

25.5 (20.0ā€“31.7)

31.9 (22.5ā€“42.5)

secondary school or higher

67.7 (63.4ā€“71.8)

65.9 (59.0ā€“72.3)

61.1 (46.9ā€“74.1)

72.2 (66.8ā€“77.2)

66.9 (59.2ā€“74.0)

69.0 (55.5ā€“80.5)

73.0 (64.7ā€“80.2)

74.5 (68.3ā€“80.0)

68.1 (57.5ā€“77.5)

ā€ƒHousehold income a

less than $576

37.8 (33.5ā€“42.2)

38.9 (32.3ā€“45.9)

51.9 (37.8ā€“65.7)

37.1 (31.6ā€“42.8)

36.1 (28.8ā€“44.0)

46.6 (33.3ā€“60.1)

41.6 (33.3ā€“50.3)

34.2 (28.1ā€“40.7)

38.5 (28.4ā€“49.2)

over $576

62.2 (57.8ā€“66.5)

61.1 (54.1ā€“67.7)

48.1 (34.3ā€“62.2)

62.9 (57.2ā€“68.4)

63.9 (56.0ā€“71.2)

53.4 (39.9ā€“66.7)

58.4 (49.7ā€“66.7)

65.8 (59.3ā€“71.9)

61.5 (50.8ā€“71.6)

ā€ƒParity and PEBF

primiparous

49.5 (45.0ā€“54.0)

45.2 (38.3ā€“52.2)

63.0 (48.7ā€“75.7)

51.3 (45.5ā€“57.1)

47.6 (39.8ā€“55.5)

43.1 (30.2ā€“56.8)

54.0 (45.3ā€“62.6)

50.2 (43.6ā€“56.8)

45.1 (34.6ā€“55.8)

multiparous with PEBF

46.1 (41.6ā€“50.6)

47.1 (40.2ā€“54.1)

35.2 (22.7ā€“49.4)

45.0 (39.3ā€“50.8)

46.4 (38.6ā€“54.3)

41.4 (28.6ā€“55.1)

43.1 (34.6ā€“51.8)

44.6 (38.1ā€“51.2)

42.9 (32.5ā€“53.7)

multiparous without PEBF

4.4 (2.8ā€“6.7)

7.7 (4.5ā€“12.2)

1.9 (0.0ā€“9.9)

3.6 (1.8ā€“6.4)

6.0 (2.9ā€“10.8)

15.5 (7.3ā€“27.4)

2.9 (0.8ā€“7.3)

5.2 (2.7ā€“8.9)

12.1 (6.2ā€“20.6)

ā€ƒGestational morbidity

no

53.5 (49.0ā€“58.0)

46.2 (39.2ā€“53.2)

48.1 (34.3ā€“62.2)

54.0 (48.2ā€“59.7)

54.2 (46.3ā€“62.0)

53.4 (39.9ā€“66.7)

57.7 (48.9ā€“66.1)

49.8 (43.2ā€“56.4)

57.1 (46.3ā€“67.5)

yes

46.5 (42.0ā€“51.0)

53.8 (46.8ā€“60.8)

51.9 (37.8ā€“65.7)

46.0 (40.3ā€“51.8)

45.8 (38.0ā€“53.7)

46.6 (33.3ā€“60.1)

42.3 (33.9ā€“51.1)

50.2 (43.6ā€“56.8)

42.9 (32.5ā€“53.7)

ā€ƒMaternal work and maternity leave

does not work

48.3 (43.8ā€“52.8)

51.4 (44.4ā€“58.4)

57.4 (43.2ā€“70.8)

47.7 (41.9ā€“53.5)

48.2 (40.4ā€“56.1)

65.5 (51.9ā€“77.5)

54.0 (45.3ā€“62.6)

42.4 (36.0ā€“49.1)

59.3 (48.5ā€“69.5)

works from home

4.8 (3.1ā€“7.1)

5.3 (2.7ā€“9.3)

3.7 (0.5ā€“12.7)

4.0 (2.1ā€“6.8)

9.0 (5.1ā€“14.5)

0.0 (0.0ā€“6.2)

4.4 (1.6ā€“9.3)

6.1 (3.4ā€“10.0)

3.3 (0.7ā€“9.3)

ML up to 6 mos

6.1 (4.1ā€“8.5)

3.8 (1.7ā€“7.4)

3.7 (0.5ā€“12.7)

7.3 (4.6ā€“10.8)

4.2 (1.7ā€“8.5)

5.2 (1.1ā€“14.4)

8.0 (4.1ā€“13.9)

6.1 (3.4ā€“10.0)

2.2 (0.3ā€“7.7)

ML up to 4 mos

29.1 (25.1ā€“33.3)

27.4 (21.5ā€“34.0)

16.7 (7.9ā€“29.3)

27.8 (22.8ā€“33.2)

25.9 (19.4ā€“33.3)

24.1 (13.9ā€“37.2)

19.0 (12.8ā€“26.6)

33.3 (27.3ā€“39.8)

23.1 (14.9ā€“33.1)

works without ML benefits

11.7 (9.0ā€“14.9)

12.0 (7.9ā€“17.2)

18.5 (9.3ā€“31.4)

13.2 (9.6ā€“17.6)

12.7 (8.0ā€“18.7)

5.2 (1.1ā€“14.4)

14.6 (9.2ā€“21.6)

12.1 (8.2ā€“17.0)

12.1 (6.2ā€“20.6)

Health service-related factors

ā€ƒMode of delivery

cesarean

52.7 (48.2ā€“57.2)

74.0 (67.5ā€“79.9)

81.5 (68.6ā€“90.7)

53.0 (47.2ā€“58.7)

66.3 (58.5ā€“73.4)

74.1 (61.0ā€“84.7)

51.1 (42.4ā€“59.7)

55.4 (48.8ā€“61.9)

70.3 (59.8ā€“79.5)

transpelvic

47.3 (42.8ā€“51.8)

26.0 (20.1ā€“32.5)

18.5 (9.3ā€“31.4)

47.0 (41.3ā€“52.8)

33.7 (26.6ā€“41.5)

25.9 (15.3ā€“39.0)

48.9 (40.3ā€“57.6)

44.6 (38.1ā€“51.2)

29.7 (20.5ā€“40.2)

ā€ƒUse of a pacifier

no

93.7 (91.2ā€“95.7)

77.9 (71.6ā€“83.3)

35.2 (22.7ā€“49.4)

92.7 (89.2ā€“95.4)

84.3 (77.9ā€“89.5)

69.0 (55.5ā€“80.5)

94.9 (89.8ā€“97.9)

89.2 (84.4ā€“92.9)

67.0 (56.4ā€“76.5)

yes

6.3 (4.3ā€“8.8)

22.1 (16.7ā€“28.4)

64.8 (50.6ā€“77.3)

7.3 (4.6ā€“10.8)

15.7 (10.5ā€“22.1)

31.0 (19.5ā€“44.5)

5.1 (2.1ā€“10.2)

10.8 (7.1ā€“15.6)

33.0 (23.5ā€“43.6)

ā€ƒSkin-to-skin contact in the delivery room

yes

55.6 (51.1ā€“60.0)

34.6 (28.2ā€“41.5)

5.6 (1.2ā€“15.4)

54.0 (48.2ā€“59.7)

44.6 (36.9ā€“52.5)

32.8 (21.0ā€“46.3)

56.2 (47.5ā€“64.7)

51.5 (44.9ā€“58.1)

34.1 (24.5ā€“44.7)

no

44.4 (40.0ā€“48.9)

65.4 (58.5ā€“71.8)

94.4 (84.6ā€“98.8)

46.0 (40.3ā€“51.8)

55.4 (47.5ā€“63.1)

67.2 (53.7ā€“79.0)

43.8 (35.3ā€“52.5)

48.5 (41.9ā€“55.1)

65.9 (55.3ā€“75.5)

ā€ƒBF difficulties

no

44.6 (40.2ā€“49.1)

38.5 (31.8ā€“45.4)

7.4 (2.1ā€“17.9)

46.0 (40.3ā€“51.8)

39.2 (31.7ā€“47.0)

20.7 (11.2ā€“33.4)

48.9 (40.3ā€“57.6)

44.6 (38.1ā€“51.2)

28.6 (19.6ā€“39.0)

yes

55.4 (50.9ā€“59.8)

61.5 (54.6ā€“68.2)

92.6 (82.1ā€“97.9)

54.0 (48.2ā€“59.7)

60.8 (53.0ā€“68.3)

79.3 (66.6ā€“88.8)

51.1 (42.4ā€“59.7)

55.4 (48.8ā€“61.9)

71.4 (61.0ā€“80.4)

ā€ƒUse of pasteurized donor human milk

no

44.0 (39.6ā€“48.5)

50.0 (43.0ā€“57.0)

1.9 (0.0ā€“9.9)

51.7 (45.9ā€“57.4)

31.9 (24.9ā€“39.6)

24.1 (13.9ā€“37.2)

56.2 (47.5ā€“64.7)

47.2 (40.6ā€“53.8)

25.3 (16.7ā€“35.5)

yes

56.0 (51.5ā€“60.4)

50.0 (43.0ā€“57.0)

98.1 (90.1ā€“100.0)

48.3 (42.6ā€“54.1)

68.1 (60.4ā€“75.1)

75.9 (62.8ā€“86.1)

43.8 (35.3ā€“52.5)

52.8 (46.2ā€“59.4)

74.7 (64.5ā€“83.3)

ā€ƒUse of cup-feeding

no

44.2 (39.8ā€“48.7)

13.0 (8.7ā€“18.3)

53.7 (39.6ā€“67.4)

36.4 (31.0ā€“42.1)

27.1 (20.5ā€“34.5)

27.6 (16.7ā€“40.9)

39.4 (31.2ā€“48.1)

35.1 (28.9ā€“41.6)

38.5 (28.4ā€“49.2)

yes

55.8 (51.3ā€“60.2)

87.0 (81.7ā€“91.3)

46.3 (32.6ā€“60.4)

63.6 (57.9ā€“69.0)

72.9 (65.5ā€“79.5)

72.4 (59.1ā€“83.3)

60.6 (51.9ā€“68.8)

64.9 (58.4ā€“71.1)

61.5 (50.8ā€“71.6)

ā€ƒNB received infant formula

no

96.8 (94.8ā€“98.1)

3.8 (1.7ā€“7.4)

0.0 (0.0ā€“6.6)

76.2 (70.9ā€“80.9)

60.8 (53.0ā€“68.3)

43.1 (30.2ā€“56.8)

73.7 (65.5ā€“80.9)

71.4 (65.1ā€“77.2)

42.9 (32.5ā€“53.7)

yes

3.2 (1.9ā€“5.2)

96.2 (92.6ā€“98.3)

100.0 (93.4ā€“100.0)

23.8 (19.1ā€“29.1)

39.2 (31.7ā€“47.0)

56.9 (43.2ā€“69.8)

26.3 (19.1ā€“34.5)

28.6 (22.8ā€“34.9)

57.1 (46.3ā€“67.5)

ā€ƒPlace admission

maternity ward

82.2 (78.6ā€“85.5)

57.2 (50.2ā€“64.0)

0.0 (0.0ā€“6.6)

81.5 (76.6ā€“85.7)

66.3 (58.5ā€“73.4)

48.3 (35.0ā€“61.8)

81.0 (73.4ā€“87.2)

77.9 (72.0ā€“83.1)

46.2 (35.6ā€“56.9)

NICU

17.8 (14.5ā€“21.4)

42.8 (36.0ā€“49.8)

100.0 (93.4ā€“100.0)

18.5 (14.3ā€“23.4)

33.7 (26.6ā€“41.5)

51.7 (38.2ā€“65.0)

19.0 (12.8ā€“26.6)

22.1 (16.9ā€“28.0)

53.8 (43.1ā€“64.4)

ā€ƒFeeding practice at hospital discharge

EBF

ā€“

ā€“

ā€“

75.8 (70.6ā€“80.5)

62.7 (54.8ā€“70.0)

43.1 (30.2ā€“56.8)

72.3 (64.0ā€“79.6)

73.2 (67.0ā€“78.8)

44.0 (33.6ā€“54.8)

PBF

ā€“

ā€“

ā€“

23.2 (18.5ā€“28.4)

32.5 (25.5ā€“40.2)

36.2 (24.0ā€“49.9)

26.3 (19.1ā€“34.5)

24.2 (18.9ā€“30.3)

35.2 (25.4ā€“45.9)

NBF

ā€“

ā€“

ā€“

1.0 (0.2ā€“2.9)

4.8 (2.1ā€“9.3)

20.7 (11.2ā€“33.4)

1.5 (0.2ā€“5.2)

2.6 (1.0ā€“5.6)

20.9 (13.1ā€“30.7)

  1. Note: a Household income (expressed in comparison to a reference value of two Brazilian monthly minimum wages at the time of the perinatal interview). ā€˜Minimum wageā€™ refers to the monthly minimum wage, as established by law, for formal employees in Brazil. [http://www.planalto.gov.br/ccivil_03/_Ato2015-2018/2016/Decreto/D8948.htm]; [http://receita.economia.gov.br/orientacao/tributaria/declaracoes-e-demonstrativos/ecf-escrituracao-contabil-fiscal/taxas-de-cambio-incluindo-valor-do-dolar-para-fins-fiscais-irpj-AC-anteriores]
  2. Bold percentages refer to statistical significance (p-value <ā€‰0.005) and were based on Chi-square and Fisher tests
  3. EBF Exclusive breastfeeding. PBF Partial breastfeeding. EPB Exclusive or predominant breastfeeding. NBF Non-breastfed. CI Confidence interval. ELBW Extremely low birth weight. VLBW Very low birth weight. LBW Low birth weight. Y.O. years old. PEBF Previous experience of breastfeeding. ML Maternity leave. MOS Months. BF Breastfeeding. NB Newborn. NICU Neonatal Intensive Care Unit