Breast and mixed-fed babies found to be at lower risk of having special educational needs plosmedicine
Health visitors are funded by the National Health Service, which is free to the whole population at the point of delivery. The Scottish Government’s core programme of child health reviews and screening activities are a universal process that are offered to every child. Beyond core contacts, the health visitor uses professional judgement to decide on further contacts.
The risk of incomplete or inaccurate data inherent in secondary data analysis was mitigated by the recording of SEN being a statutory requirement. Prevalence of SEN increased over the duration of the study from 2% to 12% and has continued to increase in recent years. This increase can be largely attributed to increased ascertainment of conditions such as ASD and ADHD due to greater awareness among parents and teachers.
The results of this study were obtained based on Scottish data. Rates of breastfeeding, however, vary greatly across the United Kingdom, Europe, and worldwide. It has been reported that overall prevalence of breastfeeding varies from 30.7% in high-income countries to over 90% in low- and middle-income countries [
]. This makes it difficult to generalize our findings to low- and middle-income countries. Our observed breastfeeding rate of 33.8% agrees broadly with rates reported across high-income countries.
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