ArticleInternational breastfeeding journal2014
Factors associated with early initiation of breastfeeding among Nepalese mothers: further analysis of Nepal Demographic and Health Survey, 2011.
Article in International breastfeeding journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 82 papers.
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82 citing papers in PubMed.
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- Colostrum avoidance and associated factors among postnatal mothers in health facilities in Addis Ababa, Ethiopia: a mixed method study.BMC public health · 2025Article
- Individual- and community-level factors associated with early initiation of breastfeeding in Mozambique: evidence from the 2022-2023 Demographic and Health Survey.International breastfeeding journal · 2024Article
- Prevalence of early initiation of breastfeeding and its associated factors among women in Mauritania: evidence from a national survey.International breastfeeding journal · 2024Article
- Factors affecting early initiation of breastfeeding among mothers of urban area of Jabalpur district, Madhya Pradesh, India: A community-based cross-sectional study.Journal of family medicine and primary care · 2024Article
- Rural versus urban variations of factors associated with early initiation of breastfeeding in Ethiopia.Heliyon · 2024Article
- Prevalence and barriers to early initiation of breastfeeding among urban poor full-time readymade garments working mothers: a mixed-methods study in Bangladesh.International breastfeeding journal · 2024Article
- Utilisation of postnatal care services among maternal in Maeen District - Sana'a City, Yemen.BMC pregnancy and childbirth · 2024Article
- Magnitude and determinants of early initiation and exclusive breastfeeding at six weeks postpartum: evidence from the PMA Ethiopia longitudinal survey.International breastfeeding journal · 2024Article
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- Inequalities in early initiation of breastfeeding in Bangladesh: an estimation of relative and absolute measures of inequality.International breastfeeding journal · 2023Article
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- Prevalence of and factors associated with early initiation of breastfeeding in Bangladesh: a multilevel modelling.International health · 2023Article
- Health facility delivery and early initiation of breastfeeding: Cross-sectional survey of 11 sub-Saharan African countries.Health science reports · 2023Article
- Breastfeeding among South Sudanese refugees in protracted settlements in Adjumani district, Uganda: facilitators and barriers.International breastfeeding journal · 2023Article
- Mother's perception of size at birth is a weak predictor of low birth weight: Evidence from Nepal Demographic and Health Survey.PloS one · 2023Article
22 more citing papers are in PubMed but not listed here.
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Abstract
backgroundTimely initiation of breastfeeding has been reported to reduce neonatal mortality by 19.1%. The World Health Organisation recommends early initiation of breastfeeding i.e. breastfeeding a newborn within the first hour of life. Knowledge on the rate and the determinants of early initiation of breastfeeding may help health program managers to design and implement effective breastfeeding promotion programs. The aim of this study was to determine the rate and the determinants of early initiation of breastfeeding in Nepal.
methodsThis study used the data from Nepal Demographic and Health Survey (NDHS) 2011 which is a nationally representative sample study. Chi square test and multiple logistic regression analysis were used to examine the factors associated with early initiation of breastfeeding (within one hour of birth).
resultsOf 4079 mothers, 66.4% initiated breastfeeding within one hour of delivery. Mothers with higher education (Odds Ratio (OR) 2.56; 95% CI : 1.26, 5.21), mothers of disadvantaged Janjati ethnicity (OR 1.43; 95% CI : 1.04, 1.94), mothers who were involved in agriculture occupation (OR 1.51; 95% CI : 1.16, 1.97), mothers who delivered in a health facility (OR 1.67; 95% CI : 1.25, 2.23), whose children were large at birth (OR 1.46; 95% CI : 1.07, 1.99) were more likely to initiate breastfeeding within the first hour of child birth.
conclusionsResults suggest that two thirds of children in Nepal were breastfed within the first hour after birth. Although there was a higher prevalence of early initiation of breastfeeding among mothers who delivered in health facilities compared to mothers who delivered at home, universal practice of early initiation of breastfeeding should be a routine practice. The findings suggest the need of breastfeeding promotion programs among the mothers who are less educated, and not working. Such breastfeeding promotion programmes could be implemented via Nepal's extensive network of community-based workers.
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