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Published on: September 6, 2019
Breastfeeding and risk for fever after immunization
Alfredo Pisacane1, Paola Continisio, Orsola Palma
1Dipartimento di Pediatria, Università Federico II, Via S. Pansini 5, Napoli 80131, Italy. pisacane@unina.it
Breastfeeding significantly reduces the risk of fever in infants following routine immunizations. This protective effect of breastfeeding was observed in exclusively and partially breastfed infants.
Area of Science:
- Pediatrics
- Immunology
- Public Health
Background:
- Fever is a common adverse reaction following routine infant immunizations.
- Understanding factors that mitigate post-vaccination fever is crucial for vaccine acceptance and infant well-being.
Purpose of the Study:
- To investigate the association between breastfeeding and the incidence of fever in infants after receiving routine immunizations.
- To quantify the risk reduction for fever conferred by different breastfeeding statuses.
Main Methods:
- A prospective cohort study involving 450 infants undergoing routine vaccinations.
- Mothers recorded infant temperatures for 3 days post-vaccination.
- Multivariate analyses adjusted for vaccine dose, maternal education, smoking, and household size.
Main Results:
- Fever incidence was lower in breastfed infants (25% exclusively, 31% partially) compared to non-breastfed infants (53%).
- Exclusively and partially breastfed infants had a significantly reduced relative risk of fever (0.46 and 0.58, respectively).
- The protective effect of breastfeeding persisted after adjusting for potential confounding factors.
Conclusions:
- Breastfeeding is associated with a decreased incidence of fever post-immunization.
- These findings support breastfeeding as a protective measure against common vaccine side effects.
- Encouraging breastfeeding may improve infant comfort and parental confidence in vaccination schedules.
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