{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T17:31:47Z","timestamp":1788197507660,"version":"build-2803163510"},"reference-count":37,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2018,12,3]],"date-time":"2018-12-03T00:00:00Z","timestamp":1543795200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hum Lact"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Breastfeeding provides health benefits for women and newborns. However, few studies have explored how these health benefits translate into economic savings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Research aim:<\/jats:title>\n                    <jats:p>This study aimed to estimate the healthcare costs savings generated by exclusive breastfeeding for healthy newborns.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      We designed a longitudinal two-group observational study that included healthy women and newborns (\n                      <jats:italic>N<\/jats:italic>\n                      = 236) in Toledo, Spain. Over the first 6-months of the infants\u2019 lives, we reviewed their clinical histories to determine their consumption of healthcare resources and the type of nutrition provided. The sample was categorized into two groups: exclusive breastfeeding (\n                      <jats:italic>n<\/jats:italic>\n                      = 46) and non-exclusive breastfeeding for 6 months (\n                      <jats:italic>n<\/jats:italic>\n                      = 190). Two-part regression models were applied to determine whether there were differences in healthcare costs between the groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The average age of the women was 32 (\n                      <jats:italic>SD<\/jats:italic>\n                      : 5.3). The average birth weight of the newborns was 3.3 kg. (\n                      <jats:italic>SD<\/jats:italic>\n                      : 0.38). At 6 months, 19.5% (\n                      <jats:italic>n<\/jats:italic>\n                      = 46) of the women breastfed exclusively, 28.4% (\n                      <jats:italic>n<\/jats:italic>\n                      = 67) combined breastfeeding with formula, and 45.8% (\n                      <jats:italic>n<\/jats:italic>\n                      = 108) used formula only. Healthcare costs during follow-up reached \u20ac785.58 (44% for specialized care, 42% for primary care, 9.8% for medical emergencies, 3% for medications and approximately 1% for medical tests). The statistical analysis estimated a lower healthcare cost of between \u20ac454.40 and \u20ac503.50 for exclusively breastfed newborns.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Breastfeeding generated savings in healthcare costs; therefore, it could be a cost-efficient option compared with alternatives. Researchers who evaluate the efficiency of strategies that promote breastfeeding can contribute to the sustainability of health services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0890334418812026","type":"journal-article","created":{"date-parts":[[2018,12,3]],"date-time":"2018-12-03T19:56:12Z","timestamp":1543866972000},"page":"340-348","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":25,"title":["The Economic Influence of Breastfeeding on the Health Cost of Newborns"],"prefix":"10.1177","volume":"35","author":[{"given":"Esmeralda","family":"Santacruz-Salas","sequence":"first","affiliation":[{"name":"Faculty of Occupational Therapy, Speech Therapy and Nursing, University of Castilla-La Mancha, Talavera de la Reina. Toledo, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7311-2615","authenticated-orcid":false,"given":"Isaac","family":"Aranda-Reneo","sequence":"additional","affiliation":[{"name":"Faculty of Social Sciences, University of Castilla-La Mancha, Talavera de la Reina. Toledo, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c1lvaro","family":"Hidalgo-Vega","sequence":"additional","affiliation":[{"name":"Faculty of Law and Social Sciences, University of Castilla-La Mancha, Toledo, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 M.","family":"Blanco-Rodriguez","sequence":"additional","affiliation":[{"name":"Faculty of Nursing, Physiotherapy and Podiatry, Complutense University of Madrid, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Segura-Fragoso","sequence":"additional","affiliation":[{"name":"Faculty of Occupational Therapy, Speech Therapy and Nursing, University of Castilla-La Mancha, Talavera de la Reina. 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