Early initiation of breastfeeding and severe illness in the early newborn period: An observational study in rural Bangladesh

PLoS Medicine, Journal Year: 2019, Volume and Issue: 16(8), P. e1002904 - e1002904

Published: Aug. 30, 2019

In Bangladesh, neonatal sepsis is the cause of 24% deaths, over 65% which occur in early-newborn stage (0-6 days). Only 50% newborns Bangladesh initiated breastfeeding within 1 hour birth. The mechanism by early initiation reduces deaths unclear, although most likely pathway decreasing severe illnesses leading to sepsis. This study explores effect time on newborn danger signs and illness.We used data from a community-based trial we enrolled pregnant women 2013 through 2015 covering 30,646 newborns. Severe illness was defined using reported Young Infants Clinical Science Study Group. We categorized timing as hour, 24 hours, 48 ≥48 hours birth, never breastfed. analysis includes descriptive statistics, risk attribution, multivariable mixed-effects logistic regression while adjusting for clustering effects design, maternal/infant characteristics. total, 29,873 live births had information among whom 19,914 (66.7%) 4,437 (14.8%) neonates seventh day after mean 3.8 (SD 16.6 hours). proportion children with increased delay (12.0%), (15.7%), (27.7%), more than (36.7%) These observations would correspond possible reduction 15.9% (95% CI 13.2-25.9, p < 0.001) real world population all Children who (odds ratio [OR] 4.13, 95% 3.48-4.89, (OR 4.77, 3.52-6.47, highest odds having illness. main limitation this potential misclassification because mothers' report signs. There could be recall bias mothers died being born alive.Breastfeeding first birth significantly associated period. Interventions promote should tailored populations are delivered at home unskilled attendants, rate low weight (LBW) high, postnatal care limited.Trial Registration number: anzctr.org.au ID ACTRN12612000588897.

Language: Английский

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Multivariate logistic regression analysis on the association between anthropometric indicators of under-five children in Nigeria: NDHS 2018

BMC Pediatrics, Journal Year: 2021, Volume and Issue: 21(1)

Published: April 22, 2021

Language: Английский

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Predictors of stunting among children aged 6–59 months, Zimbabwe

Public Health Nutrition, Journal Year: 2023, Volume and Issue: 26(4), P. 820 - 833

Published: Jan. 9, 2023

Abstract Objective: Stunted children have an increased risk of diminished cognitive development, diabetes, degenerative and CVD later in life. Numerous modifiable factors decrease the stunting children. This study aimed to assess role individual, household social on Zimbabwean Design: A 1:2 unmatched case–control study. Setting: was conducted two predominantly rural provinces (one with highest national prevalence one lowest prevalence) Zimbabwe. Participants: Data were obtained from caregivers 150 aged between 6 59 months 300 without stunting. Results: Multiple (39) correlates identified. Child’s age, birth length, weight, weight-for-age outcome (child-related factors), caregiver’s maternal HIV status, occupation, education (parental breast-feeding number meals, dietary quality (dietary child’s appetite, diarrhoeal worm infection (childhood illnesses), income access safe water, a toilet, health clubs support infant feeding (household, socio-cultural factors) all found be significant predictors childhood Conclusion: Nearly aspects under review individual-, household- social-level significantly associated These findings add growing body evidence supporting WHO framework strengthen need focus interventions multi-sectoral approach effectively address high countries.

Language: Английский

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Factors associated with delayed initiation and non-exclusive breastfeeding among children in India: evidence from national family health survey 2019-21

International Breastfeeding Journal, Journal Year: 2023, Volume and Issue: 18(1)

Published: June 6, 2023

Abstract Background In India, more than half of the newborns experience delayed breastfeeding, and non-exclusive breastfeeding is practiced in 63% babies below age six months. The goal this study to investigate extent which external environment, demographic socioeconomic, pregnancy birthing characteristics, as well utilization maternal care services, are associated with initiation among children India. Methods Data was gathered from fifth round National Family Health Survey (NFHS), conducted 2019-21. This used information on 85,037 singleton infants aged 0–23 months 22,750 0–5 Delayed outcome variables study. Unadjusted adjusted multivariable binary logistic regression performed analyse association selected background characteristics. Results Factors significantly increased risks included central region (OR 2.19; 95% CI 2.09, 2.29), mothers 20 29 years group at time childbirth 1.02; 0.98, 1.05), caesarean deliveries 1.97; 1.90, 2.05). likelihoods for belonging richest household status 1.30; 1.17, 1.45), who had less nine period 1.15; 1.06, 1.25), gave birth non-health facility 1.17; 1.05, 1.31). Conclusions connections between several different categories factors show need comprehensive public health programmes using a multi-sectoral approach promote behaviours

Language: Английский

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Early initiation of breastfeeding, colostrum avoidance, and their associated factors among mothers with under one year old children in rural pastoralist communities of Afar, Northeast Ethiopia: a cross sectional study

BMC Pregnancy and Childbirth, Journal Year: 2020, Volume and Issue: 20(1)

Published: Aug. 5, 2020

Abstract Background Early initiation of breastfeeding (EIBF) is defined as within 1 h birth. This also the time colostrum secreted with its potential benefits. Globally, two out five under 5 children die in first month life, more than a third which being on day. Neonatal mortality still major health problem Ethiopia. EIBF and feeding are associated decreased neonatal morbidity mortality. With this study, we aim to determine magnitude factors avoidance. Methods A community based cross-sectional study was conducted from May June 2016 390 mothers Afar region. Bivariate logistic regression used identify association between independent outcome variables. Multivariable predictors The strength measured by odds ratio 95% confidence interval, p -value < 0.05 considered statistically significant. Hosmer Lemeshow test model goodness fitness multi-collinearity variables checked. Results About 248(63.6%) respondents initiated Mothers whose delivery attended professional had 4.75 times higher (AOR 4.75; CI 1.71, 13.19) compared those who were others. Trust nurses provide pregnancy care 5.59; 1.05, 29.8) significantly EIBF. 300(76.9%) discarded colostrum. no discussion TBA child nutrition 6.6 6.63; 1.43, 30.63) likely avoid their counterparts. Conclusion More one-third infants didn’t start birth three-fourth Therefore, it important develop and/or strengthen services/advice including feeding. Promoting professionals, building trust professionals can be interventions encourage

Language: Английский

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Predicting nutritional status for women of childbearing age from their economic, health, and demographic features: A supervised machine learning approach

PLoS ONE, Journal Year: 2023, Volume and Issue: 18(5), P. e0277738 - e0277738

Published: May 12, 2023

Background Malnutrition imposes enormous costs resulting from lost investments in human capital and increased healthcare expenditures. There is a dearth of research focusing on the prediction women’s body mass index (BMI) malnutrition outcomes (underweight, overweight, obesity) developing countries. This paper attempts to fill out this knowledge gap by predicting BMI risks for Bangladeshi women childbearing age their economic, health, demographic features. Methods Data 2017–18 Bangladesh Demographic Health Survey series supervised machine learning (SML) techniques are used. Additionally, study circumvents imbalanced distribution problem obesity classification utilizing an oversampling approach. Results Study findings demonstrate that support vector k-nearest neighbor two best-performing methods based coefficient determination (R2), root mean square error (RMSE), absolute (MAE). The combined predictor algorithms consistently yield top specificity, Cohen’s kappa, F1-score, AUC classifying status, performance robust alternative standards. feature importance ranking several nonparametric predictors indicates socioeconomic age, breastfeeding status most important features nutritional outcomes. Furthermore, conditional inference trees corroborate those three features, along with partner’s educational attainment employment significantly predict risks. Conclusion To best our knowledge, first predicts one pioneer studies classify all Bangladesh, let alone any lower-middle income country, using SML techniques. Moreover, context identify rank critical selection algorithms. estimators interest accurately efficiently compared other existing relevant literature. Therefore, can aid policymakers designing policy programmatic approaches address double burden among women, thereby reducing country’s economic burden.

Language: Английский

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The effect of Baby-Friendly Hospital Initiative compliance on the association between mode of birth and breastfeeding initiation in Sri Lanka

BMC Pregnancy and Childbirth, Journal Year: 2025, Volume and Issue: 25(1)

Published: Jan. 17, 2025

In Sri Lanka, there is some evidence that the likelihood of breastfeeding initiation varies by exposure to Baby-Friendly Hospital Initiative [BFHI]-compliant care and mode birth. Globally, mother-baby skin-to-skin contact (BFHI Step 4) lower in caesarean section births. Therefore, we aimed determine how birth extent which women's BFHI practices explains any associations found. A cross-sectional survey was conducted with women a live baby across four government hospitals Lanka. Quantitative data were collected through participant interviews extraction from medical records. Associations between practices, initiation, birth, characteristics assessed using binary logistic regression analysis applied mediation moderated models. Women who received compliant Steps 4 6 BFHI, regardless their more likely initiate within first hour after partially completely mediated effect planned emergency section, respectively, on one Further, Women's age, pre-pregnancy BMI, parity status, ethnic group significantly influenced relationship or Specifically, being primiparous strengthened having decreased 4; BMI 23-27.49 kg/m2 weakened 4. Improving compliance no supplementation 6) critical for Lankan health services support all establish as these attenuate negative initiation.

Language: Английский

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Evaluation of infant and young child feeding practices in low-income areas of Dhaka, Bangladesh: insights from a cross-sectional study using the 2021 WHO/UNICEF guideline

BMJ Open, Journal Year: 2025, Volume and Issue: 15(3), P. e093064 - e093064

Published: March 1, 2025

This study aimed to assess the status of infant and young child feeding (IYCF) practices associated factors among children aged 0-23 months in low-income regions Dhaka City, Bangladesh. A community-based cross-sectional study. Low-income 530 their mothers. Prevailing IYCF were assessed against 17 indicators recommended by WHO/UNICEF 2021. Modified Poisson regression models built explore relation between socio-demographic variables each selected (early initiation breastfeeding (EIBF), exclusive (EBF), minimum dietary diversity (MDD), meal frequency (MMF) acceptable diet (MAD)). More than two-thirds reported follow appropriate (EIBF, 70.4% EBF, 60.9%). Among complementary indicators, almost half (48.8%) meet MMF; however, only about 26% reportedly met MDD with a consequent low prevalence (22.9%) composite indicator MAD. (55%) consume egg and/or flesh food consumption; still, inappropriate observed 60% had unhealthy consumption, 56% zero vegetable or fruit consumption). Child age was significant determinant practices. The mothers no pregnancy complications exhibited greater chance having EIBF (estimate: 1.21, 95% CI: 1.04, 1.42, p=0.02), (Estimate: 1.67, 1.09, 2.55, MAD 1.70, 2.77, p=0.03) compared complications. mother secondary higher education 1.93, 1.35, 2.76, p=0.003) MMF 1.27, 1.03, 1.56, p=0.02) primary education. Similarly, from higher-income households getting 1.57, 1.07, 2.03, 1.73, 1.14, 2.64, p=0.01) lower-income households. considerable proportion City found be suboptimal predicted children's age, maternal complications, household income.

Language: Английский

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Factors associated with delayed initiation of breastfeeding in health facilities: secondary analysis of Bangladesh demographic and health survey 2014

International Breastfeeding Journal, Journal Year: 2021, Volume and Issue: 16(1)

Published: Jan. 22, 2021

Abstract Background Irrespective of the place and mode delivery, ‘delayed’ initiation breastfeeding beyond first hour birth can negatively influence maternal newborn health outcomes. In Bangladesh, 49% newborns initiate after hour. The rate is higher among deliveries at a facility (62%). This study investigates maternal, service, infant, household characteristics associated with delayed in Bangladesh. Methods We used data from 2014 Bangladesh Demographic Health Survey. included 1277 last-born children born 2 years preceding survey. ‘Delayed’ was defined using WHO recommendations as initiating 1 h birth. performed univariate multivariable logistic regression to determine factors initiation. Results About three-fifth ( n = 785, 62%) h. After adjusting for potential confounders, we found be common women, who delivered by caesarean section (adjusted Odds Ratio (aOR): 2.93; 95% CI 2.17, 3.98), were exposed media less than once week (aOR: 1.53; 1.07, 2.19). Women body mass index had an increased likelihood delaying 1.05; 1.01, 1.11). Multiparous women likely delay 0.71; 0.53, 0.96). Conclusions Delayed following continues challenge, but several other also contributed Interventions promote early should include strengthening capacity healthcare providers encourage initiation, especially deliveries.

Language: Английский

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Infant and young child feeding practices and factors associated with early initiation of breastfeeding among ultra-poor slum mothers of Bangladesh

Nutrition and Health, Journal Year: 2025, Volume and Issue: unknown

Published: May 4, 2025

Background Appropriate infant and young child feeding (IYCF) practices, including early initiation of breastfeeding (EIBF), are necessary for the optimal development children reduction mortality morbidity. There is a paucity IYCF data from ultra-poor living in slums Bangladesh. Aim To explore practices Bangladesh identify factors associated with EIBF. Methods We conducted cross-sectional study interviewed 682 mothers 0–23-months-old Dhaka Saidpur. The interview questionnaire (adapted Demographic Health Survey World Organization tools) included sociodemographic, dietary, healthcare utilization variables. descriptive analysis to report prevalence practices. Multivariable logistic regression was performed Results About 99.3% were ever breastfed; 89.4% women breastfed their newborns within an hour; 63.5% 0–5-months-old exclusively 78.2% fed 6–8-months-olds solid, semisolid, or soft foods; 34.2% 0–23-months-olds bottle fed. Secondary higher maternal education (≥grade 6) (adjusted odds ratio [aOR] = 0.28, 95% confidence interval [CI] 0.13–0.59, p 0.001), previous history two more live births (aOR 2.52, CI 1.38–4.61, 0.003), cesarean delivery 0.36, 0.18–0.69, 0.002) significantly Conclusion In urban Bangladesh, exclusive needs further improvement, be reduced. Moreover, special attention should provided delivered through C-sections as they at greater risk late breastfeeding.

Language: Английский

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