Early Initiation Of Breastfeeding Research Articles

Humanizing Birth in a Third-Level Hospital: Revealing the Benefits of Natural Cesarean Sections.

Efforts to humanize childbirth focus on promoting skin-to-skin contact, labor accompaniment, and breastfeeding. Despite these advancements, cesarean sections often lack a consideration of immediate mother-child contact, early breastfeeding initiation, and follow-up. This underscores the need for a 'natural' approach to cesarean sections, aiming to 'humanize' the procedure and emulate some aspects of vaginal birth. An observational longitudinal cohort study was conducted, involving pregnant women scheduled for a cesarean section. Two comparison groups were established: one undergoing conventional cesarean sections and the other receiving a humanization intervention. While in "conventional cesarean sections," newborns are separated from mothers at birth, preventing actions such as early breastfeeding or skin-to-skin contact, and maternal companionship is lacking in the operating room, the intervention of cesarean section humanization was based on avoiding the separation of the mother and newborn, promoting skin-to-skin contact, early breastfeeding, and maternal accompaniment during surgery. Descriptive data on maternal and neonatal variables, including breastfeeding initiation, maintenance, and baby weight trends, were collected. Additionally, a validated survey assessed the pain, satisfaction, and anxiety among the 73 participating women. Women undergoing natural cesarean sections reported higher satisfaction, lower anxiety, and reduced postoperative pain, requiring less analgesia. Although their exclusive breastfeeding rates at 10 days postpartum showed no significant difference, statistically significant differences favored natural cesarean sections at 3 months (67.5% vs. 25%) and 6 months (50% vs. 4.5%). Neonates in the natural cesarean group exhibited greater weight gain at 10 days postpartum compared to those delivered conventionally (+49.90 g vs. -39.52 g). No significant differences in blood counts were observed between the groups. This study underscores the manifold advantages offered by the natural cesarean procedure compared to the conventional cesarean approach. Notably, a NC demonstrates superior outcomes in terms of heightened maternal satisfaction with the obstetric process, the enhanced sustainability of exclusive breastfeeding, and augmented neonatal weight gain.

Enhanced Recovery After Caesarean Surgery (ERACS) versus Non-ERACS Delivery: A Comparative Study on the Effectiveness of Exclusive and Early Initiation of Breastfeeding

Background: Exclusive breastfeeding (EBF) for up to 6 months postpartum provides numerous benefits to both mother and child. Despite these advantages and the recommendation for EBF during the first 6 months postpartum, the global prevalence of EBF is on the decline. The method of delivery is one of the many factors that influence EBF rates. Enhanced Recovery After Cesarean Section (ERACS) has been shown to improve breastfeeding rates in comparison to the standard Cesarean section. Objectives: The purpose of this study was to investigate the association between ERACS and non-ERACS delivery methods with EBF and the early initiation of breastfeeding (EIBF). Methods: This cross-sectional study involved a minimum of 96 subjects for each category. Non-ERACS delivery was categorized into vaginal delivery and standard Cesarean section. The success rates of EBF at 0, 1, 3, and 6 months were evaluated using an exclusive breastfeeding questionnaire, which demonstrated a Cronbach's Alpha of 0.931, indicating a high level of reliability (≥ 0.60). The association between the variables was analyzed using the chi-square test. Results: The study identified a significant association between the method of delivery and EBF (P = 0.036), with vaginal delivery having a Relative Risk (RR) of 1.286 (0.858 - 1.927) and standard Cesarean section an RR of 1.679 (1.156 - 2.437) for not engaging in EBF for 6 months in comparison to ERACS. Furthermore, a significant association was observed between delivery methods and EIBF (P < 0.001), with an RR of 1.190 (0.717 - 1.967) for vaginal delivery and an RR of 2.667 (1.762 - 4.035) for standard Cesarean section for not initiating breastfeeding early compared to ERACS. Conclusions: There is a significant association between ERACS and non-ERACS delivery methods with both EBF and EIBF. Both vaginal delivery and standard Cesarean section are associated with a higher risk of not engaging in exclusive breastfeeding at 6 months and not initiating breastfeeding early, compared to ERACS.

The relationships between optimal infant feeding practices and child development and attained height at age 2 years and 6-7 years.

Limited evidence exists on the long-term effects of early feeding practices on child growth and development. We examined the relationships between infant feeding practices and child height and development at ages 2 and 6-7 years. We studied 885 mother-child dyads from a randomized controlled trial of preconception supplementation in Vietnam. Early initiation of breastfeeding (EIBF), exclusive breastfeeding (EBF), breastfeeding (BF) duration and minimum dietary diversity (MDD) were assessed using World Health Organization(WHO) guidelines. Child development was assessed by the Bayley Scales of Infant Development-III at 2 years and the Wechsler Intelligence Scale for Children®-IV at 6-7years. Child height-for-age z-score (HAZ) was calculated from child height and age. Multivariable regression and structural equation models were used in analyses that controlled for confounding. EIBF and EBF at 6monthsoccurred in 52% and 62% of children, respectively. Mean breastfeeding duration was 18 monthsand 83% achieved MDD at 1year. EIBF was associated with motor (β = 0.13, 95% confidence interval [CI]: 0.00, 0.28) and cognitive development at 2years(β = 0.12, 95%CI: -0.01, 0.26), which in turn were positively associated with cognitive development at 6-7years. EBF was directly associated with development at 6-7years (β = 0.21, 95% CI:0.08, 0.34) whereas motor and cognitive development at 2years explained 41%-75% of the relationship between EIBF and development at 6-7years. HAZ at 2years also mediated 70% of the association between MDD at 1year and HAZ at 6-7years. BF duration was not associated with child development and HAZ. Early infant feeding practices, especially EIBF and EBF, have important long-term implications for optimizing child linear growth and cognition as they begin school.

Factors related to stunting in children under 2 years old in the Papua, Indonesia: Does the type of residence matter?

To analyze factors related to stunting in Papua region. Secondary data from the 2021 Indonesian National Nutrition Status Survey were used in this study. Samples of 2,937 Papuan children under the age of two were gathered for the study. This study analyzed independent variables (type of residence, mother's age, marriage, mother's education, employment, wealth, child's age, gender, and early breastfeeding initiation (EBFI) with stunting. The relationship was analyzed using logistic regression tests. Stunting is more common among children in Papua's rural areas than in urban (AOR 1.168, 95% CI, 1.128-1.209). Stunting is more common in children who mother do not work than in mothers who do (AOR 1.174, 95% CI, 1.142- 1.207). Stunting is more common in children aged 12-23 months compared to children <12 months (AOR 3.381, 95% CI, 3.291-3.474). Compared to girls, boys are more likely to become stunted (AOR 1.348, 95% CI, 1,314-1,383). Children under the age of two who do not experience EBFI are at higher risk than those who have (AOR 1.078, 95% CI, 1.050-1.106). There are eight variables associated with stunting, namely residence, age of mother, mother's education, mother's occupation, economic status, child's age, gender, and EBFI. Prioritization of stunting interventions in Papua should be targeted at mothers who living in rural, having low education, and not doing early breastfeeding initiation.

Scenario of Newborn Care Practices in Private Healthcare Setting in India: An Insights From NFHS-5 Survey

Background: The private sector contributes significantly to health care service delivery in India. Study shows the prevalence of newborn care practices like early initiation of breastfeeding, kangaroo mother care, and hepatitis B birth dose practices in private sector hospitals across India. Methods: We conducted a basic analysis of unit-level data from the NFHS-5 survey; to understand the newborn care practices in private hospitals in India. Result: The place of the delivery has a significant impact on newborn care practices like kangaroo mother care, early breastfeeding within an hour of birth, and hepatitis-B vaccination at birth. The private sector accounts for 20.73 percent of deliveries wherein, 39.56 percent of private sector hospitals follow EIBF practice. Pre-lacteals were provided to 14.95 percent of the children within the first three days after birth. The better practice of kangaroo mother care was seen in the public sector. The prevalence of the hepatitis B vaccine at birth is very low with 3.25 percent in India.

EFFECT OF IMPLEMENTING EARLY BREASTFEEDING (IMD) TO PROMOTE EXCLUSIVE BREASTFEEDING

Introduction: Early initiation of breastfeeding is beneficial for both mother and baby and determines the success of breastfeeding. The benefits of IMD include reducing the risk of maternal and infant mortality, increasing the success of exclusive breastfeeding for 6 months, and increasing bonding attachment between mother and baby. This study aims to determine the effect of early breastfeeding initiation on the success of exclusive breastfeeding. Methods: This research is an observational, cross-sectional study designed with a retrospective approach. The population in this study were mothers who had babies aged 7-12 months in the Tambakrejo Health Centre Area, Jombang Regency. The technique used to determine the sample in this study used purposive sampling with a total of 60 respondents. Data collection using a questionnaire. Results: The results of the chi-square statistical test showed p value = 0.110 (p&gt;0.05), meaning that there was no relationship between the implementation of IMD and the success of exclusive breastfeeding. The results of the calculation of the prevalence ratio (PR) show that mothers who carry out IMD have a 1.699 times chance of successful exclusive breastfeeding compared to those who do not carry out IMD. Conclusion: There is no influence between the implementation of IMD on the success of exclusive breastfeeding. Suggestion: Future researchers are expected to examine other factors that influence the success of exclusive breastfeeding other than early breastfeeding initiation, such as husband and family support factors and daily food factors consumed by mothers during breastfeeding

Evaluating Decadal Changes in Determinants of Early Childhood Stunting and Assessing Their Contribution to Socio-economic Disparity in Child Nutritional Status Across India

Various efforts have been made over the years to bring about reduction in child malnutrition; the latest among them involves Goal 2 of the SDGs. The SDG Target 2.2 recognizes the global dimension of the nutrition issue and aims to end all forms of malnutrition by 2030, including achieving, by 2025, (WHO, 2015). The present evidence on childhood malnutrition suggests that while improvement in maternal and child covariates have resulted in decline of childhood stunting over time. The present study aims to investigate how the effect of maternal and child covariates on early childhood malnutrition have changed over the last decade and examining the socio-economic disparity in the nutritional status of children across India. The present study utilizes data from the last two rounds of the National Family Health Survey, NFHS-3 in 2005-06 and NFHS-4 in 2015-16 of children in the age group 6-23 months for whom data on height-for-age was available from the last two rounds of the National Family Health Survey (NFHS-3 and NFHS-4). After dropping the missing and flagged cases, the total sample size was 12,507 and 68,246 children from NFHS-3 (2005-06) and NFHS-4 (2015-16), respectively. The selected indicator of childhood under nutrition for this study is stunting. The exposure variables selected for the study were child factors such as sex, age, birth order, size at birth, place of delivery, diet diversity, meal frequency and early initiation of breastfeeding. Maternal factors such as maternal education, media exposure, and mother’s BMI were taken into account. For healthcare service utilization we considered the variable of complete antenatal care. Other background characteristics like religion, caste, wealth index, place of residence and geographical region were also considered. We utilized chi-square test to test for the association of various factors with early childhood stunting followed by t-test to assess the changes in prevalence by each factor. We also carried out bivariate and multivariate logistic analysis to effect of various factors on childhood stunting. Lastly, we carried out Oaxaca decomposition to examine the contribution of the determinants of childhood stunting towards the changes in its prevalence over the last ten years. Concentration Index was calculated to examine the disparity in early childhood stunting across India for both rounds of the National Family Health Survey. The predictive probabilities were calculated for each category of the wealth index after fitting a logistic model to control for other determinants of early childhood stunting to assess the change in prevalence of stunting across each socio-economic group in the last ten years. The study reveals an overall decline in prevalence of early childhood stunting across India over the last ten years from 2005-16. However, high levels of variation continue to exist across all the states in India. The study reveals institutional delivery as the highest contributing factor for this decline. Maternal education, body mass index and complete antenatal care during pregnancy also contribute significantly to the improvement in childhood stunting

Determinants of Stunting Among Children Under Five Years in Indonesia: Evidence from the 2021-2022 Demographic and Health Survey

At the global level, the prevention of stunting is one of the Sustainable Development Goals (SDGs). Indonesia is currently working towards achieving the second Sustainable Development Goal, which entails ending hunger, ensuring food security, improving nutrition, and supporting sustainable agriculture. As a part of this objective, efforts are being made to decrease the prevalence of stunting in children by 2025. Attention towards stunting is crucial as it can adversely affect children's physical and cognitive development well into adulthood if not addressed appropriately. This paper conducted a literature review from various sources, with a focus on google scholar and prioritizing sources from the last five years, as well as research on the population in Indonesia. It was determined through the analysis of several sources that maternal, child, and environmental factors pose various risks for stunting in Indonesia. Maternal factors that may play a role in child development include the mother's age, upper arm circumference, height, breastfeeding or complementary feeding practices, early initiation of breastfeeding and food quality during pregnancy. A history of low birth weight or prematurity, male sex, neonatal illness, frequent and recurrent diarrhea, infectious diseases, and lack of immunization are among the child factors associated with developmental outcomes. Factors such as living in a low socio-economic environment, limited family education, especially maternal education, insufficient household income, open defecation in rivers, gardens or inadequate latrines, consumption of untreated drinking water and high exposure to pesticides are also associated with the prevalence of stunting.

Predicting stunting in Rwanda using artificial neural networks: a demographic health survey 2020 analysis

Background Stunting is a serious public health concern in Rwanda, affecting around 33.3% of children under the age of five in 2020. Several examples of research have employed machine learning algorithms to predict stunting in Rwanda; however, no study used artificial neural networks (ANNs), despite their strong capacity to predict stunting. The purpose of this study was to predict stunting in Rwanda using ANNs and the most recent Demographic and Health Survey (DHS) data from 2020. Methods We used a multilayer perceptron (MLP) architecture to train and test the ANN model on a subset of the DHS dataset. The input variables for the model included child, parental and socio-demographic’s characteristics. The output variable was a binary indicator of stunting status (stunted vs. not stunted). Results An overall accuracy of 72.0% on the test set was observed, with an area under the receiver operating characteristic curve (AUC-ROC) of 0.84, indicating the model’s good performance. Several factors appear as important contributors to the probability of stunting among the negative value aspects. First and foremost, the mother’s height is important, as a lower height suggests an increased risk of stunting in children. Positive value characteristics, on the other hand, emphasie elements that reduce the likelihood of stunting. The timing of the initiation of breastfeeding stands out as a crucial factor, showing that early breastfeeding initiation has been linked with a decreased risk of stunting. Conclusions Our findings suggest that ANNs can be a useful tool for predicting stunting in Rwanda and identifying the most important associated factors for stunting. These insights can inform targeted interventions to reduce the burden of stunting in Rwanda and other low- and middle-income countries.

PENGUATAN PERAN KELUARGA DALAM KEBERHASILAN ASI EKSKLUSIF MELALUI EDUKASI PIJAT OKSITOSIN

Exclusive breastfeeding coverage according to WHO (2020) is 44%, still less than the 2030 target of 50%. Indonesia’s exclusive breastfeeding in 2021 is 71.58%. Exclusive breastfeeding in the Riau Islands in 2020 reached 44.9%, and in Batam it was 58.1%. This coverage figure is still far from the national target of 80%. Low coverage of exclusive breastfeeding can affect a child's future growth and development. Insufficient milk production and slow release is one of the reasons why mothers do not give exclusive breast milk to their babies. Other factors that influence breast milk production include the mother's nutritional status, Early Breastfeeding Initiation (IMD), family support and the mother's own knowledge. One effort to increase breast milk production is with oxytocin massage. The aims of this activity are 1) Providing education about Exclusive Breastfeeding and how to stimulate breast milk production by doing Oxytocin Massage, 2) Demonstration of Oxytocin Massage for mothers and families to support the success of Exclusive Breastfeeding. This Community Service Activity (PKM) was carried out at PMB "A", in January 2023. The population of breastfeeding mothers was 6 people. PKM activities are carried out by providing education about exclusive breastfeeding and how to increase breast milk production using leaflets as well as an Oxytocin Massage demonstration. The results of the activity show an increase in the knowledge of breastfeeding mothers with the majority having good knowledge of 83.3%. This PKM activity is expected to be able to motivate breastfeeding mothers to implement breastfeeding until 2 years old.

Quality of maternal and newborn health services and their impact on maternal-neonatal outcome at a primary health center.

The utilization of the maternal and newborn health services has increased, but mere increase in utilization of services does not ensure that quality services are being provided. The aim of the study was to assess the quality of maternal and newborn services and their impact on maternal and neonatal outcome at a primary health center of Western Rajasthan in India. An exploratory study was undertaken at a conveniently selected primary health center providing 24-hour delivery services. Information regarding the availability of services was collected from the available medical officer in charge using an Indian Public Health Standards (IPHS) Proforma. Assessment of quality of services was performed by using WHO standards of care based on assessment of quality of maternal and newborn services tool by the perspectives of the provider as well as the mothers utilizing the services. 36 mothers who delivered at the selected PHC were interviewed. All basic obstetric care services were available at the selected primary health centers including the 24 × 7 delivery services. The assessment of quality by provider's perspective revealed that the system of referral could be improved. Quality of maternal and newborn services assessment revealed that the practice of skin to skin contact between the mother and newborn just after the delivery was not being followed and few (30%) mothers informed that they could not start breastfeeding within 1 hours of birth. 47% mothers reported that they were not given the freedom to ask questions during delivery. Maternal and newborn outcome revealed that all mothers (100%) had a normal vaginal delivery, and 22% mothers had an episiotomy. All (100%) newborns cried immediately after birth, and average birthweight was 2.89 kg. PHCs are the first point of contact of mothers and healthcare delivery system. Assessment of quality of services is an important tool for quality assurance. Inclusion of evidence-based practices like skin-to-skin contact and early initiation of breastfeeding is important to improve the maternal and newborn well-being.

The Relationship Between Exclusive Breastfeeding And Baby's Weight

FELNIYAWATI AHMAD, The Relationship between Exclusive Breastfeeding and Increased Baby Weight in the Telaga Health Center. Supervised by HARISMAYANTI as chairman and ANI RETNI as member.&#x0D; Exclusive breastfeeding is giving only breast milk without other food and drink by not giving prelactal food, giving formula milk because the milk is not coming out, stopping breastfeeding because the baby or mother is sick, the mother has to work, and the mother wants to try formula milk. Predisposing factors for failure to provide exclusive breastfeeding include the mother not being facilitated to carry out early breastfeeding initiation (IMD). The aim of this research is to find out the relationship between exclusive breastfeeding and increased baby weight in the Telaga Community Health Center working area. This research uses an analytical survey research design using a cross sectional study research design. Samples were taken using a purposive sampling technique. Sampling was based on certain criteria at the time the research took place. Data collections uses questionnaires and observations. Data analysis used the Chi Square test with a significance level (α=0.05). The statistical test obtained a p value=0.000 with α &lt; 0.05, so there is a relationship between the increase in weight of babies who are exclusivey breastfed and those who are not exclusively breastfed in the working area of the Telaga Community Health Center.

Stunting Among Wealthy Indonesian Families: A Cross-Sectional Study of Children Under the Age of Two

Previous studies globally report that poverty was a determinant of stunting. However, studies also showed that stunting can be found in wealthy families. To analyze factors related to stunting among wealthy families, we examined the 2021 Indonesian National Nutritional Status Survey. This cross-sectional study included 23,957 children under the age of two years old. In addition to stature, the study analyzed eight independent variables (e.g., residence, maternal age, marital, education, employment, children's age, gender, and early initiation breastfeeding). By employing a binary logistic regression test in the last analysis, this study found that children in rural areas were 1.160 times more likely to be stunted than those in urban areas (95% CI [1.152, 1.168], p &lt; .001). The characteristics of mothers were also found to be related to stunting, including age, marital status, education, and employment. Additionally, 12–13-month-old children were 3.033 times more likely to be stunted than &lt; 12 months (95% CI [3.011, 3.055], p &lt; .001). Boys were 1.320 times more likely to be stunted than girls (95% CI [1.311, 1.328], p &lt; .001). Children with early breastfeeding initiation were 1.025 times more likely to be stunted than those without (95% CI [1.018, 1.031], p &lt; .001). Lastly, eight significant factors related to stunting among wealthy families in Indonesia were found: residence, maternal age, marital, education, employment, children's age, gender, and early breastfeeding initiation. The government must focus on the specific targets produced in this study to accelerate reducing the prevalence of stunting in wealthy Indonesian families.

THE IMPLEMENTATION OF ERLY INITIATION BREASTFEEDING ON INTRANATAL MOTHER TO DEVELOPE BOUNDING ATTACHMENT IN MOJOKERTO

Early initiation of breastfeeding (IMD) is the first time for baby to learn to breastfeed at the first hour of life outside the womb. The warmth of the mother’s breast when the baby is placed on the mother chest, will make the baby feel the vibration of love. Edmond (2006) in Ghana proved breastfeed infants be given a chance in the first hour, and left skin contact with the mother (at least for an hour), it can prevent infant mortality by 22%. Research design using analitytical methods with one shot case study approach. The population is all maternal at TPMB Ny Rindra Deviasti., SST., M.Kes in kalang kalen village, dlanggu subdistrict, Mojokerto regency as many as 12 people. Data collection instrument using checklist an questionnaire. The results showed that of the 12 people who did early breastfeeding initiation (IMD) got 11 people (91,7%) require care support after growing bonding attachment and 1 people (8,3%) require more support after growing bonding attachment. The resuts showed a correlation between the implementation of early initiation of breastfeeding on intra natal mother to develope bonding attachment at TPMB Ny Rindra Deviasti., SST., M.Kes in kalang kalen village, dlanggu subdistrict, Mojokerto regency. With the results of this study are expected to pregnant women to exercise early initiation of breastfeeding after childbirth because it is very beneficial for both mother and baby

Improving Early Initiation of Breastfeeding in Healthy Late Preterm Neonates Through Reformed Lactation Support Program: A Before and After Study

Background Early Initiation of Breastfeeding (EIBF) reduces neonatal mortality up to three times, particularly in preterm and low-birth weight infants. Existing Lactation Support Program (LSP) of the institute tackles breastfeeding-related issues to achieve EIBF as early as possible for all delivered healthy infants. LSP was reformed by introducing new policy in February 2021 to achieve EIBF &lt;1 hour in all healthy delivered neonates. Aim The aim of the study was to study the efficacy of new lactation policy of LSP on rates of EIBF and time to attain the first breastfeeding in late preterm neonates of gestational age 35+0 weeks -36+6 weeks. Method A ‘before-and-after’ design was used to study the effect of the new policy on EIBF at a tertiary care institute in India from January 2018 to March 2023. Impact was assessed by comparing baseline data in pre-policy (group A) with that of new policy (group B). Result Among 417 babies included, 336 and 81 belonged to group A and B, respectively. EIBF rates were 42% and 99% in group A and group B, respectively ( p &lt; .0001). Median time to initiate EIBF was 100 min IQR [85–117] in group A compared to 26 minutes IQR [19–37] in group B ( p &lt; .0001). Conclusion Lactation support program is an invaluable key practice for attainment of EIBF. Through simple measures, significant improvement in EIBF was possible in healthy late preterm population. This LSP can be considered as ideal model to be adapted at national level to improvise EIBF.

Lived Experiences of Mothers With/Without Post Dural Puncture Headache and its Effects on Early Initiation of Breastfeeding at Federal Medical Centre, Abeokuta, Nigeria

There is little or nothing in life that compares to the joy of birth. Childbirth is one of the most exciting, joyful, and empowering experiences a woman will ever have to go through in her life. It should be a period of expectation and fulfilment for women to discharge their motherly role of initiating, breastfeeding and caring for their babies. Maternal comfort should be considered a priority post operatively (post caesarean section). A qualitative study design was carried out where lived experiences of mothers with Post Dural Puncture Headache and its effects on early initiation of breastfeeding were explored. The target population for this study was 24 parturient women that delivered through C-Section under spinal anesthesia with Post Dural Punctured Headache in postnatal ward of this health care setting in Abeokuta. The findings from this study contributed to the existing knowledge related to live experiences of mothers with Post Dural Puncture Headache and its effects on early initiation of breast feeding at Federal Medical Centre, Abeokuta and increased the standard of practice among the nurses. It will assist stakeholders in designing intervention preferences among nurses and other healthcare workers in the post-natal care unit, thus contributing to the reduction in mortality and morbidity associated with delaying in the initiation of breastfeeding.

Determinants of early initiation of breastfeeding following birth in West Africa: A multilevel analysis using data from multi-country national health surveys.

Early initiation of breastfeeding (EIBF), within the first hour of birth, is crucial for promoting exclusive breastfeeding and establishing optimal nursing practices. However, global EIBF rates remain low, with even lower rates observed in Africa. Despite existing research gaps, this study aims to determine the prevalence of EIBF and identify maternal and child-related factors associated with its practice in West Africa. This study utilized West African Demographic and Health Survey (DHS) data from 13 countries, including 146,964 children's records. To assess model fit, likelihood test and deviance were used. Similarly, intraclass correlation coefficient, median odds ratio, and proportional change in variance were employed for random effect. A multilevel logistic regression model was used to identify individual- and community-level factors influencing EIBF due to the hierarchical nature of the data. Variables with p-values ≤0.2 in the binary model and <0.05 in the final analysis were considered significantly associated with EIBF. The pooled prevalence of EIBF in West African nations was 50.60% (95% CI; 50.34-50.85%). The highest prevalence rate was observed in Serra Leone (75.33%) and the lowest prevalence was found in Senegal (33.94%). In the multilevel multiple logistic regression model, maternal education (AOR = 1.10, 95% CI, 1.03,1.16), marital status AOR = 1.07, 95% CI, 1.01,1.13), birth weight (AOR = 0.91, CI 0.86,0.96), birth orders (AOR = 1.09, CI 1.03,1.16), and (AOR = 1.11, CI 1.03,1.19), place of residence (AOR = 1.14, CI 1.07,1.21), and mode of delivery type (AOR = 0.26, CI 0.24,0.29) were significantly correlated with EIBF in West Africa. The incidence of EIBF in West Africa was found to be low. The study emphasizes the need for targeted behavioral change communication programs to address timely breastfeeding initiation, specifically targeting mothers and child characteristics. Factors such as education, delivery mode, marital status, birth weight, birth order, and place of residence were significantly associated with EIBF. Special attention should be given to improving EIBF rates among women undergoing caesarean sections, infants with low birth weight, and primiparous mothers, along with structural improvements in the healthcare sector in West Africa.

Social Factors and Family Attachment in Providing Early Breastfeeding Initiation

Abstract. The problem that Indonesia is currently facing is the incidence of stunting in children. The mother's mindset and support system, namely the family, especially the husband, is one of the causes of difficulties in giving breast milk to babies. This also influences the mother's initiation of breastfeeding from an early age or commonly known as Early Breastfeeding Initiation (IMD). This type of research is quantitative with a descriptive, retrospective study approach. The sampling technique used incidental sampling, namely 30 pregnant women according to the criteria at the Poasia Health Center, Kendari City KIA Polyclinic. The research was conducted in June - August 2018. The majority of respondents were involved in social organization activities, namely 70% (21 people), 20% (66 people) did not benefit from social activities, and had good relationships with other people, namely 100% (30 people), have good family ties, which is 100% (30 people), have a good relationship with the head of the family, which is 100% (30 people). Social factors and family attachment (kinship and social factors), show that mothers who have carried out Early Breastfeeding Initiation, namely providing support in terms of information and decision making, are influenced by several factors including Social Organizational Activities, the mother's relationship with other people and Family Attachment at the Poasia Health Center .&#x0D;

Do timing and frequency of antenatal care make a difference in maternal micronutrient intake and breastfeeding practices? Insights from a multi-country study in South Asia.

Despite the established benefits of vitamins and minerals for maternal and neonatal health, global micronutrient deficiency remains a significant concern. As such, the World Health Organization advocates timely antenatal care (ANC) initiation and micronutrient supplementation for expectant mothers. This study investigates the association between ANC timing and frequency and maternal health behaviours, specifically iron-folic acid (IFA) intake, early breastfeeding initiation, and exclusive breastfeeding among married women in South Asia. By utilizing recent Demographic and Health Survey data, this study focuses on married women aged 15-49 in Bangladesh (N = 966), India (N = 89,472), and Pakistan (N = 1,005), specifically primiparous women with children aged 0-23 months living with the motherMultivariable analysis revealed that women receiving ≥4 ANC visits were more likely to consume IFA ≥90 days compared to those with fewer visits in Bangladesh (AOR: 1.85, 95% CI [1.30, 2.63]), India (AOR: 1.87, 95% CI [1.81, 1.94]), and Pakistan (AOR: 1.92, 95% CI [1.24, 2.97]). Women receiving first ANC in the second or third trimester were less likely to consume IFC for ≥90 days compared to those with first-trimester ANC. While the ANC timing did not significantly influence early breastfeeding initiation, ANC frequency was inversely associated with delayed initiation in all countries. Breastfeeding advice during ANC visits was significantly associated with reduced odds of delayed breastfeeding initiation. Neither ANC timing nor frequency significantly predicted exclusive breastfeeding, except for breastfeeding advice in India. This study highlights the importance of ANC in maternal and child health outcomes. ANC timing and frequency, along with breastfeeding advice during ANC, notably influence maternal IFA consumption and early breastfeeding initiation. These findings underscore the need for targeted interventions during ANC visits to enhance maternal and child health practices in low- and middle-income countries.

Knowledge, attitude, practices and barriers regarding Early Initiation of Breastfeeding (EIBF) among postnatal mothers in selected hospital of Meghalaya

Knowledge, attitude, practices and barriers regarding Early Initiation of Breastfeeding (EIBF) among postnatal mothers in selected hospital of Meghalaya