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- W188552571 abstract "Of four million annual neonatal deaths, 80% occur in Asia and sub-Saharan Africa.To improve survival, cheap, equitable strategies are needed that are effective withincommunity settings.The overall aim of the thesis was to explore early infant feeding practices andneonatal mortality across two trial surveillance systems in rural sites in Nepal, withparticular interest in the discarding of first breastmilk as a new dimension in earlyinfant feeding. The primary objectives were to examine the associations betweenmaternally reported discarding of first breastmilk and neonatal mortality in (i)Makwanpur and (ii) Dhanusha districts, Nepal, and (iii) to describe qualitatively thepractices and reasons behind discarding of first breastmilk in Makwanpur.Secondary objectives were to describe associations of first milk discarding withsuspected acute respiratory infection and infection-specific mortality, replicateprevious analyses of established breastfeeding patterns, breastfeeding initiationtime and neonatal mortality, clarify any relationship between prelacteal feeding andneonatal mortality, and to determine characteristics predicting discarding. Aqualitative secondary objective was to explore the behaviours represented bymothers categorised as having discarded or not discarded their first milk.Data on a range of variables were collected from mothers aged 15-49 who hadgiven birth at least one month previously. Discarding of first milk was significantlyassociated with neonatal mortality in Makwanpur (n=15 919, aOR 2.21 [1.47 - 3.32],p<0.0001) and Dhanusha (n=14 991, aOR 1.28 [1.00 - 1.62], p<0.043) afteradjustment for several covariates including other infant feeding dimensions, andexclusion of deaths within two days of birth. There was dichotomy in perceptions offirst milk. Practices of discarding included squeezing out small volumes ofbreastmilk before initial feeding.The findings suggest that discarding of first milk represents an important dimensionof early infant feeding in addition to breastfeeding initiation time, with implications forpolicy and research." @default.
- W188552571 created "2016-06-24" @default.
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- W188552571 date "2011-04-28" @default.
- W188552571 modified "2023-09-24" @default.
- W188552571 title "Early infant feeding and neonatal survival in Nepal : breastfeeding, colostrum and discarding of the first milk" @default.
- W188552571 hasPublicationYear "2011" @default.
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