{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T21:18:26Z","timestamp":1791839906354,"version":"4.3.4"},"reference-count":39,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,8,10]],"date-time":"2022-08-10T00:00:00Z","timestamp":1660089600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100009053","name":"The Wellcome Trust DBT India Alliance","doi-asserted-by":"publisher","award":["IA\/CPHE\/19\/1\/504612"],"award-info":[{"award-number":["IA\/CPHE\/19\/1\/504612"]}],"id":[{"id":"10.13039\/501100009053","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Maternal &amp; Child Nutrition"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>This individually randomized trial was conducted to estimate the effect of promoting community\u2010initiated kangaroo mother care (ciKMC) in low birthweight (LBW) infants on infant breastfeeding performance. It was designed as a substudy within a larger primary trial on ciKMC and infant survival. Five hundred fifty stable LBW mother\u2010infant dyads (1500\u22122250\u2009g) who provided consent, were consecutively enroled for breastfeeding performance assessment. The ciKMC intervention included promotion and support of continuous skin\u2010to\u2010skin contact and exclusive breastfeeding (EBF) through home visits during the neonatal period. The primary outcome was effective breastfeeding performance indicated by an infant breastfeeding assessment tool\u00a0score of \u226510 after the end of the neonatal period. As secondary outcomes, we reported maternal satisfaction related to infant breastfeeding, and EBF after the end of the neonatal period. We completed outcome assessments in 96% of participants. In the ciKMC arm, 92% of the infants showed effective breastfeeding performance against 81% in the control arm [adjusted prevalence ratio (aPR):\u00a01.24, 95% confidence interval (CI): 1.16\u22121.32]. In the ciKMC arm, 65% of the mothers reported to be very satisfied with their infants' breastfeeding against 51% in the control arm (aPR: 1.22, 95% CI: 1.05\u22121.41). The proportion of infants practicing EBF was 89% in the ciKMC arm against 45% in the control arm (aPR: 1.62, 95% CI: 1.45\u22121.81). Our study findings suggest that promotion of ciKMC can improve effective breastfeeding, EBF\u00a0and maternal satisfaction related to breastfeeding in LBW infants.<\/jats:p>","DOI":"10.1111\/mcn.13419","type":"journal-article","created":{"date-parts":[[2022,8,10]],"date-time":"2022-08-10T09:49:30Z","timestamp":1660124970000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Effect of community\u2010initiated kangaroo mother care on breastfeeding performance in low birthweight infants: A randomized clinical trial"],"prefix":"10.1111","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7408-7474","authenticated-orcid":false,"given":"Bireshwar","family":"Sinha","sequence":"first","affiliation":[{"name":"Centre for Health Research and Development, Society for Applied Studies  New Delhi India"},{"name":"Center for Child, Adolescent and Maternal Health Research, Faculty of Medicine and Health Technology, Tampere University, and Tampere University Hospital  Tampere Finland"},{"name":"DBT\/Wellcome India Alliance Clinical and Public Health Fellow  Hyderabad India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Halvor","family":"Sommerfelt","sequence":"additional","affiliation":[{"name":"Department of Global Public Health and Primary Care, Centre for Intervention Science in Maternal and Child Health University of Bergen  Bergen Norway"},{"name":"Cluster for Global Health, Division for Health Services, Norwegian Institute of Public Health  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Per","family":"Ashorn","sequence":"additional","affiliation":[{"name":"Center for Child, Adolescent and Maternal Health Research, Faculty of Medicine and Health Technology, Tampere University, and Tampere University Hospital  Tampere Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarmila","family":"Mazumder","sequence":"additional","affiliation":[{"name":"Centre for Health Research and Development, Society for Applied Studies  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3338-9799","authenticated-orcid":false,"given":"Sunita","family":"Taneja","sequence":"additional","affiliation":[{"name":"Centre for Health Research and Development, Society for Applied Studies  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajiv","family":"Bahl","sequence":"additional","affiliation":[{"name":"Department of Maternal\u00a0Newborn, Child and Adolescent Health World Health Organization  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0349-087X","authenticated-orcid":false,"given":"Nita","family":"Bhandari","sequence":"additional","affiliation":[{"name":"Centre for Health Research and Development, Society for Applied Studies  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,8,10]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2014.0018"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/1746-4358-7-16"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/846486"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD002771.pub4"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.112.3.607"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.4103\/0970-0218.66865"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13006-017-0114-0"},{"key":"e_1_2_11_9_1","unstructured":"Edmond K. &Bahl R.\u00a0(2006). 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Government of India.\u00a0http:\/\/rmncha.in\/wp-content\/uploads\/guidelines_img\/1487592695.pdf"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.17511\/ijpr.2017.i09.02"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0963-7214.2006.00412.x"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2014.07.001"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12874-017-0442-1"},{"issue":"3","key":"e_1_2_11_16_1","first-page":"111","article-title":"The effects of post\u2010birth mother\u2010infant skin to skin contact on first breastfeeding","volume":"14","author":"Khadivzadeh T.","year":"2009","journal-title":"Iranian\u00a0Journal of Nursing and Midwifery Research (IJNMR)"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/tropej\/fmn110"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcm.2016.02.012"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2016.0206"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0089077"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12098-009-0204-0"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0266-6138(88)80071-8"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-017-1991-7"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(19)32223-8"},{"key":"e_1_2_11_25_1","unstructured":"MOHFW. 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Home based newborn care operational guidelines (Publication no.https:\/\/nhm.gov.in\/images\/pdf\/programmes\/child-health\/guidelines\/Revised_Home_Based_New_Born_Care_Operational_Guidelines_2014.pdf) from Ministry of Health and Family Welfare Government of India."},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmwh.2006.12.002"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD003519.pub4"},{"key":"e_1_2_11_28_1","volume-title":"Guidelines on accredited social health activist (ASHA)","author":"NHM","year":"2014"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1186\/1742-4755-12-s2-s10"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.13147"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.4103\/0976-500x.72352"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12098-017-2306-4"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.4103\/0019-557x.128160"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(15)01024-7"},{"key":"e_1_2_11_35_1","unstructured":"WHO. 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