Publication:
Determinant of Early Initiation of Breastfeeding in a Tertiary Neonatal Unit

creativeworkseries.issnISSN 1990-7974 eISSN 1990-7982
dc.contributor.authorNepal, Deepeshwara
dc.contributor.authorJeeva, Sankar M
dc.contributor.authorMisra, Satish M
dc.contributor.authorPaul, Vinod K
dc.date.accessioned2026-06-15T09:40:00Z
dc.date.available2026-06-15T09:40:00Z
dc.date.issued2009
dc.descriptionDeepeshwara Nepal Senior Medical Officer, Kanti Children’s Hospital, Maharajgunj, Kathmandu Sankar M Jeeva Resident in Neonatology. All India Institute of Medical Science, New Delhi Satish M Misra Resident in Neonatology. All India Institute of Medical Sciences, New Delhi Vinod K Paul Professor and Head of Neonatology Unit, All India Institute of Medical Science, New Delhi, India
dc.description.abstractAbstract: Introduction: Initiation of breastfeeding within one hour of birth is an important determinant of successful breastfeeding. National Family and Health Survey -3(NFHS-3) reported that only 23.4% of children < 3 years were breastfed within one hour of birth. Objectives: the purpose of this study is to study the determinant of initiation of breastfeeding within one hour of birth. Setting: Tertiary -level neonatal unit. Material and Methods: All mothers admitted in the postnatal ward were eligible for inclusion; mothers of sick and /or preterm infants were excluded. Enrolled mothers were interviewed between 24 and 72 hours after delivery. Results: The proportion of mothers who initiated breast feeding within one hour of delivery was 32%, between 1-6 hrs were 47% and between 6 to 48 hrs were 21%. Maternal age, education, socioeconomic status, occupation and antenatal or labor room counseling did not influence the initiation of breast feeding within one hour of delivery in univariate analysis. On multivariate analysis, admission in the general ward and delivery by caesarean section were found to be significantly associated with not initiating breastfeeding within one hour (adjusted ORs: 8.79, 2.48 to 31.08, p=0.001 and 6.79, 4.07 to 22.02 p=0.001 respectively). Only about 13% of the infants received prelacteal feeds. Conclusion: Mothers delivering by caesarean section or admitted in the general ward were at high risk of not initiating breastfeeding within one hour. Innovative strategies are required to ensure timely ignition of breastfeeding.
dc.identifierhttps://doi.org/10.3126/jnps.v29i2.2042
dc.identifier.urihttps://hdl.handle.net/20.500.14572/6513
dc.language.isoen_US
dc.publisherNepal Paediatric Society (JNPS)
dc.subjectBreastfeeding
dc.subjectCaesarean section
dc.subjectprelacteal feeds
dc.subjecttime of initiation
dc.titleDeterminant of Early Initiation of Breastfeeding in a Tertiary Neonatal Unit
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage78
oaire.citation.startPage74
relation.isJournalIssueOfPublication25edd4c9-3340-4afd-822b-67c22e3fd40a
relation.isJournalIssueOfPublication.latestForDiscovery25edd4c9-3340-4afd-822b-67c22e3fd40a
relation.isJournalOfPublication6f9be05c-05a9-4a3e-a5b5-a19a15ab042c

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