Breastfeeding and the Risk of Infant Illness in Asia: A Review

International Journal of Environmental Research and Public Health, Год журнала: 2019, Номер 17(1), С. 186 - 186

Опубликована: Дек. 26, 2019

Infancy remains the most vulnerable period of human life for death, illness, and establishing a lifetime trajectory growth health. It is estimated that there are 5.3 million deaths under five years age worldwide approximately 800,000 lives could be saved by improving breastfeeding rates duration. In Asia, an 300,000-350,000 child prevented with optimal majority would 12 months age. We present systematic review studies infection in infants Asia further interactions selected infectious diseases breastfeeding. Initially, 2459 records possible interest were identified, 153 full text papers reviewed detail, 13 describing diarrhoeal disease and/or acute respiratory tract inclusion review. Additional to discuss specific their relationship The found variety methods used differing definitions diseases. Overall, when compared use infant formula, associated significantly lower infection, reduction 50% or more expected, especially six between including measles HTLV1 reviewed. Breastfeeding reduces some rates, but remain few conditions where may contra-indicated.

Язык: Английский

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Delayed Initiation of Breastfeeding and Role of Mode and Place of Childbirth: Evidence from Health Surveys in 58 Low- and Middle- Income Countries (2012–2017)

International Journal of Environmental Research and Public Health, Год журнала: 2021, Номер 18(11), С. 5976 - 5976

Опубликована: Июнь 2, 2021

Timely initiation of breastfeeding is the first step towards achieving recommended behaviours. Delayed harms neonatal health and survival, including infection associated mortality. Eighty percent deaths occur in low-and middle-income countries (LMICs), where delayed highest. Place mode childbirth are important factors determining time breastfeeding. In this study, we report prevalence from 58 LMICs investigate relationship between place each country.We analysed data most recent Demographic Health Survey (DHS) Multiple Indicator Cluster (MICS) collected 2012 2017 reported by 2019. The study sample comprised all women who had a live birth 24 months preceding survey. 'Delayed' was defined using WHO recommendations as starting after one hour birth. We coded stratifying variable for "vaginal at facility (VBF)", "caesarean section (CSB) ", home (VBH)". used respondent-level sampling weights to account individual surveys de-normalised standard survey ensure appropriate contribution country. population attributable fractions with robust errors. risk identifies proportion that could avert among VBH CSB if everyone same delaying VBF.The overall 53.8% (95% CI 53.3, 54.3), ranging 15.0% 13.8, 16.2) Burundi 83.4% 80.6, 86.0) Guinea. consistently high experienced caesarean births; however, there no direct association country's national rates. VBF Sub-Saharan Africa South Asia, even though rates were low. some countries, give vaginally facilities more likely delay than did not. many places, less initiation. Population ranged -28.5% Ukraine 22.9% Moldova, CSB, 10.3% Guinea 54.8% Burundi. On average, across 24.4% be prevented VBF.In general, experience Programs much amongst VBF. Crucial reforms required early practices create pro-breastfeeding supportive environments intervention packages like Baby-friendly hospital initiative Early essential newborn care. findings will guide program managers identify varying levels preparedness establish maintain breastfeeding-friendly environment facilities. Thus, governments should prioritise strategies improve coverage settings surrounding while considering complex role childbirth.

Язык: 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, Год журнала: 2020, Номер 20(1)

Опубликована: Авг. 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

Язык: Английский

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Barriers and enablers to exclusive breastfeeding by mothers in Polokwane, South Africa

Frontiers in Global Women s Health, Год журнала: 2024, Номер 5

Опубликована: Фев. 13, 2024

Background Exclusive breastfeeding (EBF) for six months, with the introduction of appropriate complementary feeding thereafter, and continuing up to 2 years beyond, is highly recommended. This could save lives 1.4 million children each year worldwide. Despite this, rates in South Africa remain sub-optimal, recommended target 50% by World Health Assembly (WHA) not being achieved. The study aimed investigate reasons influencing mothers' practice exclusive Polokwane municipality Limpopo province Africa. Methodology A cross-sectional health facility-based quantitative descriptive survey was conducted using a validated-structured questionnaire administered 146 mothers. data analyzed STATA. Chi-square tests were used determine relationship between selected demographic variables their breastfeed exclusively. Results Although 94% mothers had initiated breastfeeding, at time collection 8% stopped. Of those who stopped 5% did so within one month starting. Thirty- nine percent breastfed exclusively, while 61% practiced mixed feeding. positive association practices age mother observed, older more likely breastfeed. were: ill (45%) or they returned school work (27%). Reasons cited as: medical conditions, enough milk, infant refusal (33%). Mothers believe that HIV-positive women should infants (57%), workers found be main source HIV information (77%). Discussion during first months less practiced. Infant formula solid foods introduced an early age, usually breastfeeding. sheds light on factors initiation EBF as Polokwane.

Язык: 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, Год журнала: 2021, Номер 16(1)

Опубликована: Янв. 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.

Язык: Английский

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Immediate newborn care and breastfeeding: EN-BIRTH multi-country validation study

BMC Pregnancy and Childbirth, Год журнала: 2021, Номер 21(S1)

Опубликована: Март 1, 2021

Abstract Background Immediate newborn care (INC) practices, notably early initiation of breastfeeding (EIBF), are fundamental for health. However, coverage tracking currently relies on household survey data in many settings. “ Every Newborn Birth Indicators Research Tracking Hospitals” (EN-BIRTH) was an observational study validating selected maternal and health indicators. This paper reports results EIBF. Methods The EN-BIRTH conducted five public hospitals Bangladesh, Nepal, Tanzania, from July 2017 to 2018. Clinical observers collected tablet-based, time-stamped EIBF INC practices (skin-to-skin within 1 h birth, drying, delayed cord clamping). To assess validity measurement, we compared observation as gold standard register records women’s exit-interview reports. Percent agreement used between practices. Kaplan Meier survival curves showed timing. Qualitative interviews were explore barriers/enablers recording. Results Coverage among 7802 newborns observed ≥1 low (10.9, 95% CI 3.8–21.0). Survey-reported (53.2, 39.4–66.8) register-recorded (85.9, 58.1–99.6) overestimated levels across all hospitals. Registers did not capture other apart breastfeeding. Agreement with high skin-to-skin (69.5–93.9%) at four sites, but fair/poor cord-clamping (47.3–73.5%) drying (7.3–29.0%). the most rarely happened after caesarean section (0.5–3.6%). findings suggested that focusing accuracy, well completeness, contributes higher quality reporting. Conclusions Our highlights importance despite measurement challenges found levels, particularly births. Both survey-reported over-estimated coverage. had a strong is simple tracer Other challenging measure surveys, included registers, likely require special studies or audits. Continued focus crucial inform efforts improve provider increase Investment innovation required measurement.

Язык: Английский

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Efficacy of early initiation of breastfeeding (EIB) for preventing hypothermia in newborns

Journal of Health Technology Assessment in Midwifery, Год журнала: 2022, Номер 5(2), С. 82 - 95

Опубликована: Дек. 10, 2022

Newborns are at risk of losing body heat after birth. According to UNICEF, the global infant mortality rate is still worrying, in Sub-Saharan Africa, 29 deaths per 1,000 births. It means that 80% caused by asphyxia, complications birth, hypothermia, and sepsis. In Indonesia, causes death for newborns 0-6 days include respiratory disorders (36.9%), prematurity (32.4%), sepsis (12%), hypothermia (6.8%,) jaundice (6.6%). Evidence suggests some technological interventions preventing newborns, such as skin-to-skin contact between mother baby. This study aimed explore available evidence regarding effectiveness IMD prevention newborns. The review based on integrative method following modified design it consists identifying topics, problems/questions, collecting data with relevant evidence, evaluating data, analyzing, interpreting concluding, presenting results. PRISMA flow diagram used show search. results included 10 articles. From review, three facts were discovered, namely, EIB can increase temperature, breastfeeding levels, low weight loss baby's first days. Infant be prevented role trained health workers during ANC, delivery/postnatal, first/two hours postpartum prevent hypothermia.

Язык: Английский

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Recent advancements in Point-of-Care Detection of Contaminants and Biomarkers in Human Breast Milk: a comprehensive review

Sensors and Actuators Reports, Год журнала: 2025, Номер unknown, С. 100280 - 100280

Опубликована: Янв. 1, 2025

Язык: Английский

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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, Год журнала: 2025, Номер 20(1), С. e0317200 - e0317200

Опубликована: Янв. 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

Язык: Английский

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‘My mother said it is not good, so I poured that one away’: a mixed methods study on breast feeding knowledge, perceptions and practices in Ghana’s urban slums

Research Square (Research Square), Год журнала: 2025, Номер unknown

Опубликована: Апрель 29, 2025

Background: The World Health Organization recommended immediate and exclusive breastfeeding to give the newborn a healthy start. This paper examined knowledge, perceptions, practices in two large urban slums Accra, Ghana Methods: data used for this comes from concurrent mixed -methods cross - sectional study. quantitative survey was conducted among 279 randomly sampled mothers aged 15 49 years with live neonates 0 28 days old. 14 focus group discussions 13 in-depth interviews were women of reproductive age newborns 0-28 days, slum based traditional birth attendants, care givers, community leaders, public health managers purposively sampled. Descriptive analyses describe practices. Bivariate multiple logistic regression assess factors associated at 95% confidence level. Qualitative tape-recorded, transcribed, coded, analyzed thematically. Results: Overall, only 47.1% initiated within first hour after delivery. Pre -lacteal feeding three twenty-eight low 16.8%. Mode delivery significantly type pre-lacteals given (p=0.002) (p=0.001) birth. About 94% surveyed demonstrated poor knowledge skills proper positioning attachment. desire maintain positive body image younger affected duration breastfeeding. Several myths misconceptions affect mothers’ self-efficacy successfully breastfeed. Mothers who time an between 1-3 hours (AOR: 3.16, CI: 1.08-9.27, p=0.036) less likely report illness their compared those that 4 or more 5.02, 1.49-16.87, p=0.009) Conclusion: Breastfeeding Ghana’s is suboptimal. A combination demographic, socio-cultural, behavioural (i.e., age, marital status, education) practice slums. Improving timely initiation requires addressing these modifiable socio- variables strengthening ANC services.

Язык: Английский

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