Effect of Early-Onset XXXX Evaluations on In-Hospital Breastfeeding Practices Among Asymptomatic Term Neonates.

@entity1 @entity295
OBJECTIVE: To examine the effect of separation for @entity295 ( @entity295 ) evaluations due to perinatal risk factors on breastfeeding practices among asymptomatic term newborns. METHODS: This observational study included 692 nulliparous @entity1 with term, singleton uncomplicated pregnancies who intended to breastfeed and whose @entity1 were well appearing at birth. We examined the rate of early breastfeeding initiation (within 2 hours of birth) and formula supplementation (in the first 24 hours) among this mother- @entity1 cohort. RESULTS: Asymptomatic @entity1 separated for @entity295 evaluation within 2 hours of birth were more likely to have delayed initiation of breastfeeding (46.5% vs 12.5%; P < .001). This association remained significant when adjusted for potential confounders (adjusted odds ratio [aOR]: 5.5 [95% confidence interval (CI): 3.4-8.9]; P < .001). Among @entity1 separated for @entity295 evaluation, mother- @entity1 time together of  <=0.5 hour in the first 2 hours of life significantly delayed initiation (aOR: 8.9 [95% CI: 1.5-53.7]; P = .02) compared with @entity1 spending >1.5 hours with their mothers. In bivariate analysis, both separation and initiation were associated with formula supplementation. After adjusting for confounders, only delayed initiation remained significantly associated with supplementation (aOR: 1.9 [95% CI: 1.1-3.5]; P = .03). CONCLUSIONS: Early separation of asymptomatic @entity1 from their mothers for @entity295 evaluation was significantly associated with delayed initiation of breastfeeding, which in turn was associated with increased formula supplementation in the first day of life. This unintended consequence of @entity295 evaluations among asymptomatic @entity1 may be minimized by delaying early separation for performance of the evaluation, attempting breastfeeding initiation before separation, and/or applying more efficient criteria for identifying @entity1 requiring evaluation.
