Assessing a bundle of peer counseling, mobile phone messages, and mama kits in promoting timely initiation of and exclusive breastfeeding in Uganda: A cluster randomized controlled study

PLoS ONE, Journal Year: 2025, Volume and Issue: 20(1), P. e0317200 - e0317200

Published: Jan. 24, 2025

Background Timely initiation of and exclusive breastfeeding have been recommended as key interventions to enable countries attain the sustainable development target reducing neonatal mortality no more than 12 deaths per 1000 live births reduce children under 5 years 25 births. Methods We conducted a cluster randomized controlled trial with main objective assess effect an integrated package consisting of: peer counseling, mobile phone messages, mama kits on promoting health facility between January 2018 February 2019, in Lira district, Northern Uganda. In this article, we assessed intervention our two secondary objectives: timely exclusivity breastfeeding. used generalized estimation equation Poisson family, log or identity link, taking clustering into account estimate prevalence ratios differences. Results A total 64% (594/926) participants arm initiated within first hour after birth compared 60% (493/829) control arm. The proportion that life did not significantly differ from [Prevalence Ratio (PR) 1.08 (0.97 1.21)] Difference (PD) 0.05 (-0.02 0.12)]. When restricted analysis only mothers who decided when breastfeed, there was some evidence effectiveness [PR 1.20, 95% CI (0.99–1.5)]. arm, 89% (804/904) exclusively breastfed their infants month 81% (656/813) Participants were 10% likely preceding 24 hours 1.10 (1.04 1.17)] [PD 0.08 (0.04 0.13)], 16% since 1.16 (1.03 1.30)] 0.12 (0.03 0.20]. Conclusion improved practiced life, but increase life. Future promotion should consider including component improving maternal autonomy promote

Language: Английский

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Efficay of Nurse-led Breastfeeding SUpportive CAre (B-SUCA) on Time of Initiation of Breastfeeding, Exclusive Breastfeeding Behaviour and Perinatal Outcomes among mother-newborn dyads in a Tertiary Referral Hospital of India: A Randomised Conrolled Trial

Research Square (Research Square), Journal Year: 2025, Volume and Issue: unknown

Published: March 31, 2025

Background: Despite efforts to promote and encourage mother-newborn Skin-to-Skin contact immediately after delivery for the exclusive breastfeeding behaviour, practice is still low which may be due multiple factors. The World Health Organization (WHO) also recommends of SSC at least one hour birth. Thus, researchers conducted a trial find out whether B-SUCA, an integrated intervention combination breast crawl effective initiation breastfeeding, behaviour will directly improve perinatal outcomes. present study supports Sustainable Development Goals (SDG) on no poverty, good health well-being partnerships goals, Methods: A randomised controlled was between 2022 2024 tertiary referral hospital, India. About 160 participants as per inclusion criteria were enrolled allocation ratio 50:50 using CONSORT 2010 with 80 each in experimental control group. Experimental group received B-SUCA given routine care. Tools viz; Time Breastfeeding assessment, Exclusively Perinatal Outcomes used observe collect information from both Institutional Ethical clearance written consent taken participants. data analysed using Jamovi. (Version 2.6). Results: Findings show there statistically significant differences time feeding p-value <0.001 level significance Majority scored ‘1’ item assessment difference among attachment responses (p<0.002) emotional bonding, (p<0.001) swallowing during (p<0.002). However, found positioning baby breastfeeding. 67(84%) had 6 months compared 56(70%). outcomes newborn’s body temperature weight (p<0.039) respectively. placental separation 7 – 16 mins 8 -18 respectively groups. Conclusion: that effect feeding, Behaviour increased rate long term exclusively successful means better healthy outcome. need conduct further studies its long-term effect. Trial registration: CTRI Reg. No. CTRI/2022/03/040974, dated 10/03/2022.

Language: Английский

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Prevalence of early initiation of breastfeeding and its associated factors among women in Mauritania: evidence from a national survey

International Breastfeeding Journal, Journal Year: 2024, Volume and Issue: 19(1)

Published: Oct. 2, 2024

Language: Английский

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Barriers and facilitators in implementing early essential newborn care of well‐born babies in low‐ and middle‐income countries: A mixed‐method systematic review

Journal of Clinical Nursing, Journal Year: 2024, Volume and Issue: 33(5), P. 1604 - 1625

Published: Feb. 12, 2024

Evidences have demonstrated the effectiveness of early essential newborn care. However, implementation care is suboptimal. The aim to identify and synthesise barriers facilitators impacting in low- middle-income countries.

Language: Английский

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Unraveling insights in Feeding Experiences of Mothers of Very Low Birth Weight Infants in Low- and Middle-Income Countries: Protocol for Systematic Review and Meta-Analysis

Published: June 26, 2024

Background: Breastfeeding is essential for optimal infant health, offering numerous benefits such as infection prevention and enhanced bonding. Despite its importance, challenges exist, particularly mothers of preterm very low birth weight (VLBW) infants, necessitating effective lactation support strategies. Initiatives like the Baby Friendly Hospital Initiative (BFHI) Kangaroo Mother Care (KMC) aim to promote breastfeeding success, while donor human milk (DHM) serves an alternative bridge mother supported build up her supply. Adequate support, counseling, education are vital antenatally, during NICU stays after discharge improve rates health outcomes, ultimately contributing global efforts reduce neonatal mortality achieve sustainable development goals. This study explores existing research on factors influencing mothers&rsquo; ability produce breast sustain breastfeeding, with enhancing improving outcomes.Methods/Design: A systematic review will be conducted according Preferred Reporting Items Systematic Reviews Meta-analyses (PRISMA) checklist. Searches performed in following databases: PubMed, Cochrane Library, Cumulative Index Nursing Allied Health Literature (CINAHL), MEDLINE Ovid via EBSCOhost, Google Scholar, WILEY online Library) identify incorporate primary articles related topic published between 2014 2024. Authors search peer-reviewed articles, gray literature sources, reference lists eligible studies. Independent abstract full-text screening by two reviewers follow title screening. The analysis data carried out using Review Manager software (version 5.3.5). I2 test used quantify amount unexplained heterogeneity. Potential biases size (such publication bias) examined through application several techniques, including funnel plots, Egger&rsquo;s test, Begg&rsquo;s Trim Fill analysis.Discussion: Our represents a singular exploration into exclusive among infants low- middle-income countries (LMICs), focusing assistance methods. With VLBW defined less than 1500 g, most (LBW) babies born LMICs, there critical need address feeding nutrition. updated WHO guidelines 2022, still lack comprehensive advice this vulnerable population. Peer interventions worker counseling have shown promise increasing continuation but persist due workforce shortages inadequate documentation. Promoting early postpartum expression crucial production health. aims fill gap understanding experiences shedding light effectiveness methods identifying areas further research. registration: CRD42024547864

Language: Английский

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Examining the prevalence and determinants of early initiation of breastfeeding: Evidence from the 2017/2018 Benin demographic and health survey

PLOS Global Public Health, Journal Year: 2023, Volume and Issue: 3(8), P. e0002278 - e0002278

Published: Aug. 16, 2023

Early initiation of breastfeeding has been noted as one the well-known and successful interventions that contributes to reduction early childhood mortality morbidity. The Government Benin established multi-sectoral institutions policies increase prevalence breastfeeding. However, there is little information on determinants in Benin. This study therefore sought examine among women a secondary data analysis 2017/2018 demographic health survey. included weighted sample 7,223 between ages 15 49. STATA was used for analysis. We multilevel logistic regression investigate factors To determine significant relationships, were reported odds ratios (ORs) with 95% confidence intervals (CIs) p-value 0.05. mothers 56.0%. lower employed (aOR = 0.80, CI 0.69-0.94), who had caesarean section 0.21, 0.16-0.28), those exposed mass media 0.85, 0.75-0.96) received assistance at birth from skilled worker 0.57, 0.46-0.71). findings this showed four ten children miss findings, therefore, call need policymakers shape existing programs consider new help improve practices It is, recommended information, education communication targeting are less likely practice be formulated, implemented, monitored accordingly by Ministry Health.

Language: Английский

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Rural versus urban variations of factors associated with early initiation of breastfeeding in Ethiopia

Heliyon, Journal Year: 2024, Volume and Issue: 10(13), P. e33427 - e33427

Published: June 24, 2024

Early initiation of breastfeeding is an important strategy to reduce under-five mortality. Nevertheless, it remains under-practiced in developing countries. In Ethiopia, there were studies done identify determinants early breastfeeding. However, the variation factors among rural versus urban residents has not been investigated. Therefore, main objective this study investigate associated with residences.

Language: Английский

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Does an early hands‐on breastfeeding intervention by midwives affect nipple pain incidence? An observational pilot study

Japan Journal of Nursing Science, Journal Year: 2024, Volume and Issue: 21(4)

Published: Aug. 13, 2024

Abstract Aim To describe the timing and characteristics of midwives' hands‐on interruptions newborns' behavior while in skin‐to‐skin contact during first hour after birth to elucidate relationship between these incidence nipple pain 4 days postpartum. Methods An observational pilot study was conducted at a Baby‐Friendly® hospital Japan from 2016 2018. Iterative analysis video recordings larger newborns with their mothers found 16 full‐term who were born vaginally that met inclusion criteria midwife's intervention (HOI) interrupting infant's progress toward breast self‐attachment. The HOI stage newborn's through Widström's 9 Stages noted by two research assistants had been blinded medical records. degree breastfeeding self‐evaluated each day hospitalization. All data statistically analyzed. Results Interrupting progressive behaviors “help” breastfeed, may increase birth. One hundred percent reported postpartum highest reports occurring on 4. Conclusion does not decrease for newborn infants shown support early postnatal period.

Language: Английский

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