ArticleBMC pregnancy and childbirth2026
Institutional deliveries and early initiation of breastfeeding in India - lessons from comparing the public facilities in Chhattisgarh state.
Article in BMC pregnancy and childbirth, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe benefits of early initiation of breastfeeding (EIBF) are well recognised globally. India’s newborn care guidelines also include an emphasis on ensuring EIBF. Yet, a recent national survey has reported that less than half of the newborns in India received EIBF. This is especially astounding as the proportion of institutional deliveries has reached 89% in India. This study was aimed at finding out the EIBF rate for newborns born in public sector health facilities and the factors associated with it.
methodsThe study was conducted in Chhattisgarh state where 70% of births took place in public facilities. Data was collected from mothers admitted in different types of public facilities and who had delivered there more than 24 h earlier. A representative sample of public sector health facilities was selected. Data was collected through a structured tool from 487 mothers. Data analysis included cross-tabulations to compare the key indicators across different types of facilities. Multivariable regression analysis was conducted to find the determinants of EIBF.
resultsOverall, 61.6% mothers started breastfeeding their child within an hour of birth. Around 7.6% mothers had not started breastfeeding despite the passage of 24 h. The EIBF rate was highest in the lower level primary facilities and lowest in the higher level secondary facilities. The multivariable regression analysis showed that the EIBF rate was significantly higher for mothers who had received advice on breastfeeding at the health facility. The caesarean-section deliveries and first order births were associated with poor EIBF.
conclusionsThe EIBF rates were significantly greater than what the recent national survey had reported for the state. Our study still shows a significant gap in ensuring EIBF, especially at the higher level secondary care facilities. It points towards larger health systems factors that affect the practice of health professionals regarding providing counseling to mothers at health facilities.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.