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Table 5 Multivariable analysis of demographic and clinical predictors of exclusively feeding on breastmilk at discharge for newborns discharged alive from Rwinkwavu and Kirehe District Hospital neonatal care units from October – December 2017 and September 2018 – March 2019

From: Promotion of early and exclusive breastfeeding in neonatal care units in rural Rwanda: a pre- and post-intervention study

 Variable

Model 1 (Full)

Model 2 (Reduced)

Adjusted odds ratio (aOR)

Standard error

z

95% confidence interval (CI)

Adjusted odds ratio (aOR)

Standard error

z

95% confidence interval (CI)

Study time period

 Pre-intervention

ref

   

ref

   

 Post-intervention

3.53

2.00

2.24

1.17, 10.72

4.91

2.26

3.46

1.99, 12.11

Hospital of admission

        

 Kirehe

ref

       

 Rwinkwavu

0.40

0.21

-1.75

0.14, 1.12

    

Place of child's birth

   

 Hospital

ref

   

ref

   

 Health center

0.40

0.30

-1.23

0.09, 1.73

0.44

0.22

-1.68

0.17, 1.15

 Home

0.22

0.19

-1.79

0.04, 1.16

0.15

0.09

-3.25

0.05, 0.47

Type of delivery

 Vaginal

ref

       

 Caesarean-section

0.83

0.64

-0.23

0.19, 3.77

    

Sex of child

 Male

ref

       

 Female

0.63

0.34

-0.84

0.22, 1.83

    

Birthweight category

 Extremely low birthweight, < 1000 g

ref

       

 Very low birthweight, < 1500 g

1.76

3.11

0.32

0.06, 56.25

    

 LBWa, < 2500 g

3.46

5.61

0.76

0.14, 83.08

    

 Normal birthweight ≥ 2500 g

1.60

2.85

0.26

0.05, 52.78

    

Prematurity category recorded in hospital register

 Term

ref

   

ref

   

 Preterm

0.31

0.23

-1.57

0.07, 1.34

0.36

0.17

-2.22

0.15, 0.87

Mother's age

  < 20 years

ref

       

 20–24 years

0.89

1.15

-0.09

0.07, 11.24

    

 25–34 years

0.45

0.60

-0.60

0.03, 6.06

    

 35 + years

0.58

0.84

-0.38

0.03, 9.87

    

Parity (# viable deliveries) of mother

 1 delivery

ref

       

 2–4 deliveries

0.76

0.56

-0.38

0.18, 3.21

    

 5 + deliveries (grand multiparous)

0.59

0.55

-0.56

0.09, 3.71

    

Diagnosed with infection or infection risk

 No

ref

   

ref

   

 Yes

3.09

1.82

1.91

0.97, 9.83

2.99

1.49

2.21

1.13, 7.93

Diagnosed with HIEb/asphyxia

 No

ref

       

 Yes

0.79

0.75

-0.25

0.12, 5.09

    

Day of life (DOLc) of first breastmilk feed

 DOL0

ref

   

ref

   

 DOL1

0.24

0.26

-1.32

0.03, 2.03

0.24

0.26

-1.32

0.03, 2.00

 DOL2

0.12

0.14

-1.81

0.01, 1.19

0.11

0.13

-1.96

0.01, 0.995

 DOL3 or later

0.05

0.06

-2.55

0.01, 0.51

0.04

0.04

-2.92

0.005, 0.35

  1. The variance inflation factor (VIF) for collinearity diagnosis among predictor variables in Model 1, ranged between 1.09 and 1.84
  2. VIF for Model 2, ranged between 1.01 and 1.12
  3. ref reference category
  4. a Low Birthweight
  5. b Hypoxic Ischemic Encephalopathy
  6. c Day of Life