Can early postpartum home visits by trained community health workers improve breastfeeding of newborns? View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2008-09

AUTHORS

I Mannan, S M Rahman, A Sania, H R Seraji, S E Arifeen, P J Winch, G L Darmstadt, A Baqui

ABSTRACT

OBJECTIVE: Whether postpartum visits by trained community health workers (CHWs), reduce newborn breastfeeding problems. METHOD: Community health workers made antenatal and postpartum home visits promoting newborn care practices including breastfeeding. CHWs assessed neonates for adequacy of breastfeeding and provided hands-on support to mothers to establish breastfeeding. History and observation data of 3495 neonates were analyzed to assess effects of CHW visitation on feeding problems. RESULT: Inappropriate breastfeeding position and attachment were the predominant problems (12 to 15%). Only 6% of newborns who received home visit by CHWs within 3 days had feeding difficulties, compared to 34% of those who did not (odds ratio: 7.66, 95% confidence interval (CI): 6.03 to 9.71, P=0.00). Latter group was 11.4 times (95% CI: 6.7 to 19.3, P=0.00) more likely to have feeding problems as late as days 6 to 7, than the former. CONCLUSION: Counseling and hands-on support on breastfeeding techniques by trained workers within first 3 days of birth, should be part of community-based postpartum interventions. More... »

PAGES

632

Identifiers

URI

http://scigraph.springernature.com/pub.10.1038/jp.2008.64

DOI

http://dx.doi.org/10.1038/jp.2008.64

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1029524889

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/18596714


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