2017
Exclusive breastfeeding practices among mothers in urban slum settlements: pooled analysis from three prospective birth cohort studies in South India
Abstract: BackgroundThe World Health Organization (WHO) recommends six months of exclusive breastfeeding. Despite documented health, social and economic benefits, the practice of exclusive breastfeeding is quite low and information on influencing factors is limited especially from slum settlements. Our goal is to assess the prevalence and evaluate factors associated with early cessation of exclusive breastfeeding in the first six months of life among mothers in urban slums of Vellore, Southern India.MethodsWe pooled dat…
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Cited by 51 publications
(57 citation statements)
References 22 publications
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“…The birth order of the baby was found in this study to be significantly associated with exclusive breastfeeding, with the first and the second babies having the highest chance of being breastfed. This is in line with some other studies [1,35] but is in contrast with other studies that found higher birth order was associated with more exclusive breastfeeding [29,31], possibly because those having more children are less able to afford to formula feed their children. Not giving the babies anything other than breast milk soon after delivery is an important factor in favor of exclusive breastfeeding in our study.…”
Section: Resultssupporting
confidence: 91%
“…The birth order of the baby was found in this study to be significantly associated with exclusive breastfeeding, with the first and the second babies having the highest chance of being breastfed. This is in line with some other studies [1,35] but is in contrast with other studies that found higher birth order was associated with more exclusive breastfeeding [29,31], possibly because those having more children are less able to afford to formula feed their children. Not giving the babies anything other than breast milk soon after delivery is an important factor in favor of exclusive breastfeeding in our study.…”
Section: Resultssupporting
confidence: 91%
“…In this study, vaginal delivery in a governmental hospital was found to be significantly related to exclusive breastfeeding. This is consistent with other studies that had similar findings [1,23,27,29,33], though others found no impact of the mode of delivery on the rate of breastfeeding [35,38,42,43]. It is possible the mother's protective fear of movement and the perception of insufficient milk post-operatively after Cesarean section is a barrier against her ability to initiate breastfeeding, and as a result, this leads to dependency on formula feeding.…”
Section: Resultssupporting
confidence: 90%
“…The present analysis showed that the differences in EBF practices based on the infant’s gender at 6 months of age was statistically significant in the NFHS-4 data but did not hold true for the NFHS-5 data. This result is consistent with an urban cohort study conducted in Vellore, southern India [ 18 , 19 ]. This is a notable and encouraging finding that gender disparities that existed in the past may have narrowed now in the Indian setting.…”
Section: Discussionsupporting
confidence: 92%
“…It should be noted that both RCTs demonstrated a beneficial effect of vitamin B 12 supplementation on the metabolic profile, which, in turn, may have implications for health. Similar to our findings, other studies from low-and middle-income countries have showed that mothers' years of education, socio-economic and breast-feeding status were independent predictors of stunting (24,25) . This is an important reminder of the many factors that are important for healthy growth, all of which could modify the effect of supplementation of single nutrients.…”
Section: Discussionsupporting
confidence: 92%
