Economic analysis of specialised and intensive promotion of breastfeeding in neonatal units in Spain

Anales de pediatría : publicación oficial de la Asociación Española de Pediatría (A.E.P.)
D Rubio-Rodríguez

Abstract

Although breastfeeding (BF) is the ideal food for newborns because it covers their growing needs and provides active immunity against various diseases, it is often replaced by artificial feeding. We estimated the cost-effectiveness of increased promotion of BF in neonatal units with intensive intervention with specialised nurses or midwives dedicated to this purpose. An analysis of cost-effectiveness, using a decision analysis model which included data on a specialised intervention for the promotion of BF, its effectiveness in the short-term (sepsis, necrotizing enterocolitis) and long-term (disabled due to neurodevelopmental impairment) of the different types of milk consumed, as well as the mortality, costs and benefits of these. Data was also obtained from current medical literature, studies and Spanish sources. The analysis was limited to three subgroups of low birthweights (500-999g, 1000-1749g, 1750-2500g). In the deterministic analysis, the intervention was "dominant" for the three subgroups of infants, which meant it was more effective and with lower costs, than no intervention. The Monte Carlo probabilistic analysis confirmed the robustness of the result with probabilities of dominance of 100%, 100% and 99.9% for the t...Continue Reading

References

Feb 24, 2001·Atencion primaria·A CatalánUNKNOWN Grupo de Trabajo del Comité de Evaluación de Nuevos Medicamentos
Oct 18, 2002·Journal of Clinical Epidemiology·Rianne OostenbrinkMarie-Louise Essink-Bot
May 30, 2003·Journal of Perinatology : Official Journal of the California Perinatal Association·Scott O GuthrieReese H Clark
Aug 23, 2003·Journal of Human Lactation : Official Journal of International Lactation Consultant Association·Kristine A GonzalezArdythe L Morrow
Apr 23, 2004·Archives of Disease in Childhood. Fetal and Neonatal Edition·P Clarke, M J Robinson
Nov 18, 2004·JAMA : the Journal of the American Medical Association·Barbara J StollUNKNOWN National Institute of Child Health and Human Development Neonatal Research Network
Feb 12, 2005·Public Health Nutrition·Adriano CattaneoUNKNOWN Promotion of Breastfeeding in Europe project
Mar 3, 2005·Pediatrics·Susan R HintzUNKNOWN NICHD Neonatal Research Network
Sep 5, 2009·Health Technology Assessment : HTA·M J RenfrewA F Williams
Jun 21, 2011·Enfermedades infecciosas y microbiología clínica·Miquel Pujol

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