scholarly journals Misalignment of global COVID-19 breastfeeding and newborn care guidelines with World Health Organization recommendations

2020 ◽  
pp. bmjnph-2020-000184
Author(s):  
Duong Vu Hoang ◽  
Jennifer Cashin ◽  
Karleen Gribble ◽  
Kathleen Marinelli ◽  
Roger Mathisen
Keyword(s):  
Psychological Health ◽  
Newborn Care ◽  
Early Initiation ◽  
Psychological Support ◽  
World Health ◽  
Early Initiation Of Breastfeeding ◽  
Skin Contact ◽  
Guidance Documents ◽  
Skin To Skin ◽  
Initiation Of Breastfeeding

IntroductionRecommendations for the clinical management of new mothers with suspected or confirmed COVID-19 and their infants are required. Guidance must weigh the risk posed by transmission of SARS-CoV-2 against the protection that maternal proximity and breastfeeding provide infants. Our aim was to review international COVID-19 guidance for maternal and newborn care, assessing alignment with WHO recommendations and the extent to which policy supported or undermined breastfeeding.MethodsGuidance documents from 33 countries on the care of infants whose mothers were suspected or confirmed as having COVID-19 were assessed for alignment with WHO recommendations regarding: (1) skin-to-skin contact; (2) early initiation of breastfeeding; (3); rooming-in; (4) direct breastfeeding; (5) provision of expressed breastmilk; (6) provision of donor human milk; (7) wet nursing; (8) provision of breastmilk substitutes; (9) psychological support for separated mothers; and (10) psychological support for separated infants.ResultsConsiderable inconsistency in recommendations were found. Recommendations against practices supportive of breastfeeding were common, even in countries with high infant mortality rates. None of the guidance documents reviewed recommended all aspects of WHO guidance. The presence of influential guidance conflicting with WHO recommendations and an undervaluing of the importance of maternal proximity and breastfeeding to infant health appeared to contribute to this poor alignment.ConclusionThose developing guidance in the COVID-19 pandemic and other infectious disease outbreaks need to appropriately consider the importance of skin-to-skin contact, early initiation of breastfeeding, rooming-in and breastfeeding to maternal and infant physical and psychological health. In weighing the value of recommendations of others in future guidance development, countries should consider past reliability and value placed on breastfeeding. Recommendations against maternal proximity and breastfeeding should not be made without compelling evidence that they are necessary, and less harmful than maintaining dyad integrity.

scholarly journals The importance of skin–to–skin contact for early initiation of breastfeeding in Nigeria and Bangladesh

2017 ◽  
Vol 7 (2) ◽  
Author(s):  
Kavita Singh ◽  
Shane M Khan ◽  
Liliana Carvajal–Aguirre ◽  
Paul Brodish ◽  
Agbessi Amouzou ◽  
...  
Keyword(s):  
Early Initiation ◽  
Early Initiation Of Breastfeeding ◽  
Skin Contact ◽  
Skin To Skin ◽  
Initiation Of Breastfeeding

scholarly journals Factors influencing exclusive breastfeeding rates until 6 months postpartum: the Japan Environment and Children’s Study

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Hitomi Inano ◽  
◽  
Mariko Kameya ◽  
Kyoko Sasano ◽  
Kenta Matsumura ◽  
...  
Keyword(s):  
Exclusive Breastfeeding ◽  
Early Initiation ◽  
Birth Cohort Study ◽  
Multiple Logistic Regression ◽  
Body Type ◽  
Smoking During Pregnancy ◽  
Early Initiation Of Breastfeeding ◽  
Skin Contact ◽  
Skin To Skin ◽  
Initiation Of Breastfeeding

AbstractThis research aimed to examine the efficacy of the early initiation of breastfeeding within 1 h of birth, early skin-to-skin contact, and rooming-in for the continuation of exclusive breastfeeding until 6 months postpartum. The research used data from the Japan Environment and Children’s Study (JECS), a nationwide government-funded birth cohort study. A total of 80,491 mothers in Japan between January 2011 and March 2014 who succeeded or failed to exclusively breastfeed to 6 months were surveyed in JECS. Multiple logistic regression model was used to analyse the data. The percentage of mothers who succeeded in exclusively breastfeeding to 6 months is 37.4%. Adjusted odds ratios were analysed for all 35 variables. Early initiation of breastfeeding (adjusted odds ratio [AOR]: 1.455 [1.401–1.512]), early skin-to-skin contact (AOR: 1.233 [1.165–1.304]), and rooming-in (AOR: 1.567 [1.454–1.690]) affected continuation of exclusive breastfeeding. Regional social capital (AOR: 1.133 [1.061–1.210]) was also discovered to support the continuation of breastfeeding. In contrast, the most influential inhibiting factors were starting childcare (AOR: 0.126 [0.113–0.141]), smoking during pregnancy (AOR: 0.557 [0.496–0.627]), and obese body type during early pregnancy (AOR: 0.667 [0.627–0.710]).

scholarly journals Pengaruh Inisiasi Menyusu Dini terhadap Pengeluaran Volume ASI pada Primipara di Rumah Sakit Tk II Prof. Dr. J. A. Latumeten dan RSUD Dr. M. Haulussy Ambon

2021 ◽  
Vol 12 (1) ◽  
pp. 30-38
Author(s):  
Sitti Suharni Hermanses ◽  
Fasiha Fasiha
Keyword(s):  
Early Initiation ◽  
Control Group ◽  
Case Group ◽  
Breastfeeding Initiation ◽  
Early Initiation Of Breastfeeding ◽  
Skin Contact ◽  
A Value ◽  
Quasi Experimental ◽  
Skin To Skin ◽  
Initiation Of Breastfeeding

Early initiation of breastfeeding is an effort to provide colostrum which is rich protective factors. This study aimed to determine the effect of early initiation of breastfeeding on breastmilk volume. This research use quasi experimental. The results showed that the Mann-Whitney test obtained a value of p=0.000 < of α=0.05, there was an effect on breastmilk volume in mothers who did early initiation of breastfeeding. Implementation of early initiation of breastfeeding in case group was 100% otherwise not done in control group, the duration 64% hasn’t been standardized, the breastmilk volume on the third day after early breastfeeding initiation was categorized sufficient (56%) and a lot 40%, which was not 76% breastmilk volume is lacking, there is a difference on breastmilk volume in mothers who have early initiation of breastfeeding and do not have. There is an effect on breastmilk production. It is expected that the role of midwives in providing information to mothers before giving birth about the importance of early breasfeeding initiation. It is expected that midwives will emphasize more on the duration of skin to skin contact, according to minimum standards of 1 hour, Rumkit Tk II Prof. Dr. J.A. Latumeten is expected to do early initiation of breastfeeding as a fixed procedure in the maternity room.

Skin-to-skin contact, early initiation of breastfeeding and childbirth experience in first time mothers: a cross sectional study

2020 ◽  
Vol 26 (2) ◽  
pp. 115-119
Author(s):  
Solmaz Ghanbari-Homayi ◽  
Zahra Fardiazar ◽  
Sakineh Mohammad-Alizadeh-Charandabi ◽  
Shahla Meedya ◽  
Mohammad Asghari Jafarabadi ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Early Initiation ◽  
Sectional Study ◽  
Cross Sectional ◽  
Early Initiation Of Breastfeeding ◽  
Childbirth Experience ◽  
Skin Contact ◽  
Skin To Skin ◽  
First Time ◽  
Initiation Of Breastfeeding

SKIN TO SKIN CONTACT AND THE EARLY INITIATION OF BREASTFEEDING: A CROSS-SECTIONAL STUDY

2021 ◽  
Vol 30 ◽  
Author(s):  
Kadja Elvira dos Anjos Silva Araújo ◽  
Camila Carvalho dos Santos ◽  
Maria de Fátima Costa Caminha ◽  
Suzana Lins da Silva ◽  
Juliana De Castro Nunes Pereira ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Cross Sectional Study ◽  
Early Initiation ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Early Initiation Of Breastfeeding ◽  
Skin Contact ◽  
Skin To Skin ◽  
Initiation Of Breastfeeding

ABSTRACT Objective: to identify the prevalence and factors associated with the occurrence of skin-to-skin contact and the early initiation of breastfeeding in a Baby-friendly hospital in northeastern Brazil. Method: cross-sectional study, composed of pregnant women, in which delivery occurred at the Baby-friendly Hospital. Data were collected between April 2017 and May 2019 through forms containing sociodemographic variables, obstetric history and data on the delivery and birth of the newborn. The possible associated factors were analyzed through the chi-square test, adopting the significance level of 0.05. Result: among the 727 pregnant women, skin-to-skin contact occurred in 83.6% and breastfeeding in 58.3%. Full-term birth, birth weight ≥ 2500g, Apgar index >7 in the first minute, vaginal delivery, 6 or more prenatal consultations and years of study >9 were the factors associated with the practice of skin-to-skin contact. Regarding breastfeeding, in addition to the first five factors related to skin-to-skin contact, a statistical relationship with the beginning of prenatal care in the first trimester, skin-to-skin contact and multiparity was also evidenced. Conclusions: this study found a prevalence rate of skin-to-skin contact appropriate to a Baby-friendly Hospital and a direct association of this practice with breastfeeding.

scholarly journals What Mother, Midwives, and Traditional Birth Helper Said About Early Initiation of Breastfeeding in Buginese-Bajo Culture

2021 ◽  
Vol 7 ◽  
pp. 237796082110402
Author(s):  
Azniah Syam ◽  
Khadizah H. Abdul-Mumin ◽  
Imelda Iskandar
Keyword(s):  
Cultural Beliefs ◽  
Early Initiation ◽  
Traditional Birth Attendants ◽  
Behavior Changes ◽  
Birth Attendants ◽  
Early Initiation Of Breastfeeding ◽  
Skin Contact ◽  
The Government ◽  
Skin To Skin ◽  
Initiation Of Breastfeeding

Introduction The aim of this study is to investigate how mothers, families, midwives, and traditional birth attendants in the Buginese-Bajo culture understanding breastfeeding and early initiation of breastfeeding (EIBF). Also to assess what support mothers receive from families, midwives, and traditional birth attendants during pregnancy, birth, and EIBF. Methods This qualitative study included 21 subjects (11 pregnant women, three midwives, and seven traditional birth attendants). Recorded interviews with the three groups of participants were transcribed verbatim and analyzed separately, using latent content analysis. The study started in December 2014 and ended in July 2015. Results Some mothers understood the meaning of EIBF, but engaged in it for different reasons. The midwives interpreted the principle of EIBF differently from a duration perspective. Traditional birth attendants explained it as a way to strengthen the relationship between mothers, and babies; they believed that prolonging breastfeeding until 2 years would change babies into caring children. According to them, this skin-to-skin contact has been practice for a century by traditional birth helpers. The philosophy of breastfeeding, according to the Buginese-Bajo, is creating “ peru” relationships for mothers and babies each other for their whole lives. Conclusion These findings show a connection between established science and cultural beliefs. The concept of peru is the central philosophy to be achieved in EIBF. Breast-feeding's psychological value is known and passed from generation to generation; this essential fact needs to be preserved as local capital for changing breastfeeding behavior. The government should pay more attention to this opportunity to increase awareness and promote breastfeeding behavior changes.

scholarly journals Skin-to-skin contact and breastfeeding practices in Nigeria: a study of socioeconomic inequalities

2022 ◽  
Vol 17 (1) ◽  
Author(s):  
Michael Ekholuenetale ◽  
Amadou Barrow ◽  
Amit Arora
Keyword(s):  
Concentration Index ◽  
Maternal Education ◽  
Household Wealth ◽  
Socioeconomic Inequalities ◽  
Early Initiation ◽  
Early Initiation Of Breastfeeding ◽  
Skin Contact ◽  
Breastfeeding Practices ◽  
Skin To Skin ◽  
Initiation Of Breastfeeding

Abstract Background The effects of breastfeeding practices on children’s health are undoubtedly of great interest. However, inequalities in breastfeeding practices and mother and newborn skin-to-skin contact (SSC) exist in many resource-constrained settings. This study examined the regional prevalence and socioeconomic inequalities in exclusive breastfeeding (EBF), early initiation of breastfeeding and SSC in Nigeria. Methods Data on 2936 infants under six months were extracted from the 2018 Nigeria Demographic and Health Survey (NDHS) to determine EBF. In addition, data on 21,569 children were analysed for early initiation of breastfeeding and SSC. Concentration index and curves were used to measure socioeconomic inequalities in EBF, early initiation of breastfeeding and SSC. Results The prevalence of EBF, early initiation of breastfeeding and SSC were 31.8, 44.2 and 12.1% respectively. Furthermore, Ogun state had the highest prevalence of EBF (71.4%); while Bayelsa state had the highest prevalence of SSC (67.8%) and early initiation of breastfeeding (96.2%) respectively. Urban dwellers had higher prevalence of EBF, SSC and early initiation of breastfeeding across household wealth quintile and by levels of mothers’ education in contrast to their rural counterparts. We quantified inequalities in early initiation of breastfeeding, EBF, and SSC according to household wealth and maternal education. The study outcomes had greater coverage in higher household wealth, in contrast to the lower household wealth groups; early initiation of breastfeeding (concentration index = 0.103; p = 0.002), EBF (concentration index = 0.118; p < 0.001), and SSC (concentration index = 0.152; p < 0.001) respectively. Furthermore, early initiation of breastfeeding (concentration index = 0.091; p < 0.001), EBF (concentration index = 0.157; p < 0.001) and SSC (concentration index = 0.156; p < 0.001) had greater coverage among mothers with higher educational attainment. Conclusion Low prevalence and socioeconomic inequalities in early initiation of breastfeeding, EBF and SSC were identified. We recommend that health promotion programs targeted and co-designed with disadvantaged mothers are critical to meet global breastfeeding targets. Also, future researchers should conduct further studies especially clinical control trials and qualitative studies to unravel the possible reasons for differences in the indicators.

scholarly journals Higher rates of early initiation of breastfeeding associated with health facility delivery in Nepal

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
D Dharel ◽  
A Bhattarai ◽  
Y R Paudel ◽  
P Acharya ◽  
K Acharya
Keyword(s):  
Health Facility ◽  
Newborn Care ◽  
Facility Delivery ◽  
Early Initiation ◽  
Health Facility Delivery ◽  
Essential Newborn Care ◽  
Place Of Delivery ◽  
Early Initiation Of Breastfeeding ◽  
Nationally Representative ◽  
Initiation Of Breastfeeding

Abstract Background Initiation of breastfeeding within one hour from birth is one of the five key essential newborn care messages, implemented along with birth preparedness package since 2008. This study aimed to determine the trend of early initiation of breastfeeding (EIBF) and to assess the effect of health facility delivery on EIBF in Nepal. Methods We analyzed the data from the last four nationally representative Nepal Demographic and Health Surveys (NDHS) conducted in 2001,2006,2011 and 2016. Data on the early initiation of breastfeeding was obtained from the mothers of infants born within 24 months prior to the survey. The explanatory variable was the place of delivery, dichotomized as either the health facility, or home delivery. Survey year had a significant interaction with the place of delivery. Multivariable logistic regression was conducted separately on pooled samples before (NDHS 2001 and 2006) and after (NDHS 2011 and 2016) the program implementation. Adjusted odds ratio (AOR) with 95% confidence interval (CI) for EIBF was calculated after adjusting for predetermined covariates. Results The rate of EIBF increased by 26.5% points (from 32.8% in 2001 to 59.3% in 2016) among infants delivered in a health facility, compared to an increase by 17.1% points (from 29.9% to 47.0%) among home born infants. EIBF increased by 32.5% points before, compared to 49.7% points after BPP. Delivery in a health facility was associated with a higher odd of EIBF in later years (AOR2.3, 95% CI 2.0,2.8), but not in earlier years (AOR1.3, 95% CI 0.9,2.0). Delivery by caesarean section, first-born infant, and lack of maternal education were associated with a lower rate of EIBF in both periods. Conclusions Higher EIBF was associated with health facility delivery in Nepal, only after programmatic emphasis on essential newborn care messages. This implies the need for explicit focus on EIBF at birth, particularly when mother is less educated, primiparous or undergoing operative delivery. Key messages The rate of initiation of breastfeeding within an hour from birth is increasing in Nepal, with higher rates in health facility delivery, as shown by the recent four nationally representative surveys. Programmatic focus on essential newborn care messages may have contributed to significant association of higher rates of early initiation of breastfeeding when delivered in health facility.

scholarly journals Determinants of early initiation of breastfeeding in Ghana: a population-based cross-sectional study using the 2014 Demographic and Health Survey data

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Abdul-Aziz Seidu ◽  
Edward Kwabena Ameyaw ◽  
Bright Opoku Ahinkorah ◽  
Freda Bonsu
Keyword(s):  
Birth Order ◽  
Health Survey ◽  
Statistical Significance ◽  
Early Initiation ◽  
Demographic And Health Survey ◽  
World Health ◽  
Binary Logistic Regression Analysis ◽  
Breastfeeding Initiation ◽  
Early Initiation Of Breastfeeding ◽  
Initiation Of Breastfeeding

Abstract Background The World Health Organisation (WHO) recommends that breastfeeding should be initiated within the first hour of delivery followed by exclusive breastfeeding up to 6 months. This study examined the determinants of early initiation of breastfeeding in Ghana using data from the 2014 Ghana Demographic and Health Survey. Methods A sample size of 4219 was used for the study. Descriptive statistics was conducted to ascertain the proportion of children who had early initiation of breastfeeding after which binary logistic regression analysis was carried out. Results were presented using frequencies, percentages, unadjusted and adjusted odds ratios. Statistical significance was pegged at p<0.05. Results Children of first birth order [AOR = 0.71, CI = 0.61–0.84], those who were delivered by non-professionals [AOR = 0.51, CI = 0.30–0.88] and those whose mothers were Traditionalists [AOR = 0.65, CI = 0.46–0.92] and Mole-Dagbanis [AOR = 0.69, CI = 0.54–0.89] were less likely to go through early initiation of breastfeeding compared to those of 2–4 birth order, those who were delivered by health professionals, those whose mothers were Christians and Akan, respectively. Conversely, children born to mothers who read newspaper/magazine at least once a week were more likely to go through early initiation of breastfeeding, compared to those who never read newspaper/magazine [AOR = 1.40, CI = 1.01–1.95]. Children born to mothers who watched television less than once a week were more likely to go through early initiation of breastfeeding compared to those who watched television at least once a week [AOR = 1.40, CI = 1.01–1.95]. Finally, women from the Northern [AOR = 2.40, CI = [1.77–3.26] and Upper East regions [AOR = 2.57, CI = [1.86–3.56] practiced early initiation of breastfeeding compared to those from the Ashanti region. Conclusions Empowering healthcare providers to be consistent in early breastfeeding initiation advocacy and effective community engagement on the need to embrace and practice early initiation of breastfeeding can improve the situation.

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