In March 2006, scientists from Ghana and the UK Karen Edmond, Charles Zandoh, Maria Quigley, Seeba Amenga-Etego, Seth Oqusi-Agyei, and Betty Kirkwood published their findings that early, consistent breastfeeding habits for mothers in Ghana resulted in better survival outcomes for their infants. The authors communicated those results in the paper “Delayed Breastfeeding Initiation Increases Risk of Neonatal Mortality,” or “Delayed Breastfeeding,” published in The American Academy of Pediatrics. “Delayed Breastfeeding” was one of the first studies to examine the connection between early, consistent breastfeeding habits and infant survival. The information detailed in “Delayed Breastfeeding” supported and helped promote the World Health Organization’s 2015 Breastfeeding Advocacy Initiative, which revealed the risks associated with avoiding breastfeeding for both mothers and infants in countries around the world.

Neonatal respiratory distress syndrome, previously called hyaline membrane disease, is a respiratory disease affecting premature newborns. Neonatal respiratory distress syndrome involves shallow breathing, pauses between breaths that last a few seconds, or apnea, and a bluish tinge to the infant’s skin. The syndrome occurs when microscopic sacs called alveoli in infant lungs do not produce surfactant, a liquid that coats the inside of the lungs and helps them inflate during breathing. Respiratory distress syndrome is the leading cause of death among premature infants and, in rare cases, it can affect full-term infants. Physicians can administer artificial, animal-derived surfactant to treat respiratory distress syndrome. As of 2017, the treatment has decreased the mortality rate of respiratory distress syndrome from almost one hundred percent to less than ten percent.