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Despite the\n                      <jats:italic>Baby-Friendly Hospital Initiative<\/jats:italic>\n                      reported positive influence on breastfeeding initiation, its influence on the association between maternal country of birth and first day in-hospital breastfeeding has not been examined.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Research aims<\/jats:title>\n                    <jats:p>To determine (1) if association between maternal country of birth and first day in-hospital exclusive breastfeeding exists in Portugal and (2) if any association is affected by giving birth in a Baby-Friendly Hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Data were drawn from baMBINO\u2014a longitudinal, 2017\u20132019 nationwide study designed to assess the perinatal health and healthcare experiences of migrant and native Portuguese women. Data from participants (\n                      <jats:italic>N<\/jats:italic>\n                      = 5,340) were collected during their hospital stay from 32 maternity units. Missing data were handled through multiple imputation. After stratifying by\n                      <jats:italic>Baby-Friendly Hospital Initiative<\/jats:italic>\n                      accreditation, a multivariate logistic regression was performed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      First day in-hospital exclusive breastfeeding rates were high among both migrant and native participants (89.2% vs. 87.4%). Migrants were more likely to exclusively breastfeed when compared to natives (\n                      <jats:italic>OR<\/jats:italic>\n                      = 1.19, 95%\n                      <jats:italic>CI<\/jats:italic>\n                      [1.00, 1.41]). In non-Baby-Friendly Hospitals, a positive association was found between participants from Eastern European countries (a\n                      <jats:italic>OR<\/jats:italic>\n                      = 2.46, 95%\n                      <jats:italic>CI<\/jats:italic>\n                      [1.27, 4.78]) and first day in-hospital exclusive breastfeeding. In accredited hospitals, maternal country of birth did not influence exclusive breastfeeding during the first 24 hr.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The Baby-Friendly Hospital Initiative attenuates differences between migrant and native participants, promoting optimal breastfeeding practices among natives.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0890334420982248","type":"journal-article","created":{"date-parts":[[2020,12,30]],"date-time":"2020-12-30T11:12:06Z","timestamp":1609326726000},"page":"147-157","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Maternal Country of Birth and Exclusive Breastfeeding During the First In-Hospital Day in Portugal: The Influence of the Baby-Friendly Hospital Initiative"],"prefix":"10.1177","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6519-7014","authenticated-orcid":false,"given":"Cosima","family":"Lisi","sequence":"first","affiliation":[{"name":"EPIUnit \u2013 Instituto de Sa\u00fade P\u00fablica, Universidade do Porto, Portugal"},{"name":"Departamento de Ci\u00eancias de Sa\u00fade P\u00fablica e Forenses e Educa\u00e7\u00e3o M\u00e9dica, Faculdade de Medicina da Universidade do Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1828-8642","authenticated-orcid":false,"given":"Cl\u00e1udia","family":"De Freitas","sequence":"additional","affiliation":[{"name":"EPIUnit \u2013 Instituto de Sa\u00fade P\u00fablica, Universidade do Porto, Portugal"},{"name":"Departamento de Ci\u00eancias de Sa\u00fade P\u00fablica e Forenses e Educa\u00e7\u00e3o M\u00e9dica, Faculdade de Medicina da Universidade do Porto, Portugal"},{"name":"Centre for Research and Studies in Sociology, University Institute of Lisbon (ISCTE-IUL), Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4699-6571","authenticated-orcid":false,"given":"Henrique","family":"Barros","sequence":"additional","affiliation":[{"name":"EPIUnit \u2013 Instituto de Sa\u00fade P\u00fablica, Universidade do Porto, Portugal"},{"name":"Departamento de Ci\u00eancias de Sa\u00fade P\u00fablica e Forenses e Educa\u00e7\u00e3o M\u00e9dica, Faculdade de Medicina da Universidade do Porto, Portugal"}]}],"member":"179","published-online":{"date-parts":[[2020,12,30]]},"reference":[{"key":"e_1_3_5_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-018-2161-y"},{"key":"e_1_3_5_3_1","doi-asserted-by":"publisher","DOI":"10.1590\/0102-311X00060513"},{"key":"e_1_3_5_4_1","doi-asserted-by":"publisher","DOI":"10.21664\/2238-8869.2014v3i3.p142-160"},{"key":"e_1_3_5_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/mcn.12809"},{"key":"e_1_3_5_6_1","unstructured":"European Network for Surveillance of Congenital Anomalies. 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