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Predictors for time...
Predictors for timely initiation of breastfeeding after birth in the hospitals of Nepal- a prospective observational study.
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- Gurung, Rejina (författare)
- Uppsala universitet,Global hälsa - implementering och hållbarhet,Golden Community, Lalitpur, Nepal
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- Sunny, Avinash K (författare)
- Golden Community, Lalitpur, Nepal.
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- Paudel, Prajwal (författare)
- Paropakar Matern & Womens Hosp, Kathmandu, Nepal.
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- Bhattarai, Pratiksha (författare)
- Golden Community, Lalitpur, Nepal.
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- Basnet, Omkar (författare)
- Golden Community, Lalitpur, Nepal.
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- Sharma, Srijana (författare)
- Golden Community, Lalitpur, Nepal.
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- Shrestha, Durgalaxmi (författare)
- Bheri Prov Hosp, Nepalganj, Nepal.
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- Sharma, Seema (författare)
- Seti Prov Hosp, Dhangadi, Nepal.
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- Malla, Honey (författare)
- Golden Community, Lalitpur, Nepal.
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Singh, Dela (författare)
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- Mishra, Sangeeta (författare)
- Paropakar Matern & Womens Hosp, Kathmandu, Nepal.
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- KC, Ashish, 1982 (författare)
- Uppsala universitet,Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine,Global hälsa - implementering och hållbarhet,Paropakar Matern & Womens Hosp, Kathmandu, Nepal
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(creator_code:org_t)
- 2021-10-29
- 2021
- Engelska.
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Ingår i: International breastfeeding journal. - : Springer Science and Business Media LLC. - 1746-4358. ; 16:1
- Relaterad länk:
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https://internationa...
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https://doi.org/10.1...
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https://uu.diva-port... (primary) (Raw object)
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https://gup.ub.gu.se...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- Timely initiation of breastfeeding can reduce neonatal morbidities and mortality. We aimed to study predictors for timely initiation of breastfeeding (within 1 h of birth) among neonates born in hospitals of Nepal.A prospective observational study was conducted in four public hospitals between July and October 2018. All women admitted in the hospital for childbirth and who consented were included in the study. An independent researchers observed whether the neonates were placed in skin-to-skin contact, delay cord clamping and timely initiation of breastfeeding. Sociodemographic variables, obstetric and neonate information were extracted from the maternity register. We analysed predictors for timely initiation of breastfeeding with Pearson chi-square test and multivariate logistic regression.Among the 6488 woman-infant pair observed, breastfeeding was timely initiated in 49.5% neonates. The timely initiation of breastfeeding was found to be higher among neonates who were placed skin-to-skin contact (34.9% vs 19.9%, p - value < 0.001). The timely initiation of breastfeeding was higher if the cord clamping was delayed than early cord clamped neonates (44.5% vs 35.3%, p - value < 0.001). In multivariate analysis, a mother with no obstetric complication during admission had 57% higher odds of timely initiation of breastfeeding (aOR 1.57; 95% CI 1.33, 1.86). Multiparity was associated with less timely initiation of breastfeeding (aOR 1.56; 95% CI 1.35, 1.82). Similarly, there was more common practice of timely initiation of breastfeeding among low birthweight neonates (aOR 1.46; 95% CI 1.21, 1.76). Neonates who were placed skin-to-skin contact with mother had more than two-fold higher odds of timely breastfeeding (aOR 2.52; 95% CI 2.19, 2.89). Likewise, neonates who had their cord intact for 3 min had 37% higher odds of timely breastfeeding (aOR 1.37; 95% CI 1.21, 1.55).The rate of timely initiation of breastfeeding practice is low in the health facilities of Nepal. Multiparity, no obstetric complication at admission, neonates placed in skin-to-skin contact and delay cord clamping were strong predictors for timely initiation of breastfeeding. Quality improvement intervention can improve skin-to-skin contact, delayed cord clamping and timely initiation of breastfeeding.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Pediatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Pediatrics (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Obstetrics, Gynaecology and Reproductive Medicine (hsv//eng)
Nyckelord
- Breast Feeding
- Delivery
- Obstetric
- Female
- Hospitals
- Humans
- Infant
- Newborn
- Nepal
- epidemiology
- Parturition
- Pregnancy
- Predictor
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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- Av författaren/redakt...
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Gurung, Rejina
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Sunny, Avinash K
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Paudel, Prajwal
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Bhattarai, Prati ...
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Basnet, Omkar
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Sharma, Srijana
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visa fler...
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Shrestha, Durgal ...
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Sharma, Seema
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Malla, Honey
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Singh, Dela
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Mishra, Sangeeta
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KC, Ashish, 1982
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- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Hälsovetenskap
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och Folkhälsovetensk ...
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Pediatrik
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Reproduktionsmed ...
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- Av lärosätet
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Göteborgs universitet
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Uppsala universitet