ArticleInternational breastfeeding journal2021
Association of prenatal counselling and immediate postnatal support with early initiation of breastfeeding in Uttar Pradesh, India.
Article in International breastfeeding journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.
- Determinants of early initiation of breastfeeding in Ethiopia: a systematic review and meta-analysis.BMC pediatrics · 2026Pooled it
- Effectiveness of interventions on early initiation of breastfeeding in South Asia: a systematic review and meta-analysis of randomized controlled trials.International breastfeeding journal · 2025Pooled it
- Empowering early breastfeeding: Determinants of timely initiation among the infants in a rural Indian medical centre.World journal of clinical pediatrics · 2026Article
- Prevalence of Delayed Breastfeeding Initiation and Its Risk Factors Among Reproductive Aged Women in Somalia: A Cross-Sectional Study Using Somalia Health and Demographic Survey.Health science reports · 2026Article
- Excess neonatal mortality among private facility births in rural parts of high-mortality states of India: Demographic analysis of a national survey.Social science & medicine (1982) · 2025Article
- Article
- Essential newborn care practices in selected public health facilities using observation of 2603 normal deliveries in Uttar Pradesh, India.BMJ global health · 2025Observational
- Postnatal counseling promotes early initiation and exclusive breastfeeding: a randomized controlled trial.Frontiers in nutrition · 2025Article
- Barriers to Early Initiation of Breastfeeding: A Hospital-Based Qualitative Study.The East African health research journal · 2025Article
- Poor access to breastfeeding counseling services and associated factors among lactating mothers who had optimal antenatal care follow-up in Sub-saharan Africa: a multilevel analysis of the recent Demographic and Health Survey.BMC health services research · 2024Article
- Timely initiation of breastfeeding and its associated factors among immediate postpartum mother-newborn pairs in Debre Tabor comprehensive specialized hospital, South Gondar Zone, North West, Ethiopia.BMC pregnancy and childbirth · 2024Article
- Correlates of early initiation of breast feeding and prelacteal feeding: a cross-sectional study in Sindh province of Pakistan.BMJ open · 2023Article
- Determinants of complementary feeding practices among children aged 6-24 months in urban slums of Pune, Maharashtra, in India.Journal of health, population, and nutrition · 2023Article
- First 72-hours after birth: Newborn feeding practices and neonatal mortality in India.PloS one · 2023Article
- Determinants of breastfeeding attitudes of mothers in Jordan: A cross-sectional study.PloS one · 2023Article
- Quality of nutrition services in primary health care facilities of Dhaka city: State of nutrition mainstreaming in urban Bangladesh.PloS one · 2022Article
- Expectations and experiences of women regarding maternal healthcare services in Pakistan: challenges and lessons to be learnt.Journal of pharmaceutical policy and practice · 2021Article
- Association of identification of facility and transportation for childbirth with institutional delivery in high priority districts of Uttar Pradesh, India.BMC pregnancy and childbirth · 2021Article
- Fathers' Attitudes Toward Mothers with Infants and its Association with Exclusive Breastfeeding in a Rural Community of Karnataka.Indian journal of community medicine : official publication of Indian Association of Preventive & Social MedicineArticle
Corrections and comments
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Authors and funding
13 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTimely initiation of breastfeeding, also known as early initiation of breastfeeding, is a well-recognized life-saving intervention to reduce neonatal mortality. However, only one quarter of newborns in Uttar Pradesh, India were breastfed in the first hour of life. This paper aims to understand the association of community-based prenatal counselling and postnatal support at place of delivery with early initiation of breastfeeding in Uttar Pradesh, India.
methodsData from a cross-sectional survey of 9124 eligible women (who had a live birth in 59 days preceding the survey) conducted in 25 districts of Uttar Pradesh, India, in 2018, were used. Simple random sampling was used to randomly select 40 Community Development Blocks (sub district administrative units) in 25 districts. The Primary Sampling Units (PSUs), health service delivery unit for frontline workers, were selected randomly from a linelisting of PSUs in each selected Community Development Block. Bivariate and multivariate logistic regression analyses were performed to assess the association of prenatal counselling and postnatal support on early initiation of breastfeeding in public, private and home deliveries.
resultsOverall 48.1% of mothers initiated breastfeeding within an hour, with major variation by place of delivery (61.2% public, 23.6% private and 32.6% home). The adjusted odds ratio (aOR) of early initiation of breastfeeding was highest among mothers who received both counselling and support (aOR 2.67; 95% CI 2.30, 3.11), followed by those who received only support (aOR 1.99; 95% CI 1.73, 2.28), and only counselling (aOR 1.40; 95% CI 1.18, 1.67) compared to mothers who received none. The odds of early initiation of breastfeeding was highest among mothers who received both prenatal counselling and postnatal support irrespective of delivery at public health facilities (aOR 2.49; 95% CI 2.07, 3.01), private health facilities (aOR 3.50; 95% CI 2.25, 5.44), or home (aOR 2.84; 95% CI 2.02, 3.98).
conclusionsA significant association of prenatal counselling and postnatal support immediately after birth on improving early initiation of breastfeeding, irrespective of place of delivery, indicates the importance of enhancing coverage of both the interventions through community and facility-based programs in Uttar Pradesh.
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