{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T04:49:05Z","timestamp":1790657345858,"version":"4.1.0"},"reference-count":42,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,11,1]],"date-time":"2022-11-01T00:00:00Z","timestamp":1667260800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Maternal &amp; Child Nutrition"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>This study aimed to investigate the impact of intrapartum and post\u2010partum complications and newborn care practices on early initiation of breastfeeding (EIBF). Data for the study came from a prospective cohort study in Ethiopia that recruited and followed pregnant and post\u2010partum women from 2019 to 2021. Resident enumerators conducted interviews at enrolment in 2019 and follow\u2010ups at 6 weeks, 6 months\u00a0and 1 year post\u2010partum. The present analysis is based on data from the baseline survey and 6 weeks follow\u2010up. Multivariable logistic regression was used to estimate the effects of newborn care practices and intrapartum and post\u2010\u00a0partum\u00a0complications on EIBF (the proportion of newborns who initiated breastfeeding within the first hour of birth). Overall, 2660 mother\u2013infant pairs were included in this analysis. After adjustment, EIBF was less likely among women who experienced intrapartum haemorrhage (adjusted odds ratio [AOR]: 0.76, 95% confidence interval [CI]: 0.59\u20130.97), malpresentation (AOR: 0.46, 95%\u00a0CI: 0.30\u20130.72)\u00a0and convulsions (AOR: 0.48, 95%\u00a0CI:\u00a00.34\u20130.66) during childbirth. Mother\u2013newborn skin\u2010to\u2010skin contact increased the likelihood of EIBF (AOR:\u00a01.47, 95%\u00a0CI:\u00a01.11\u20131.94). Women who experienced post\u2010partum haemorrhage (AOR: 0.63, 95%\u00a0CI: 0.47\u20130.84), retained placenta for more than 30\u2009min (AOR: 0.36, 95%\u00a0CI: 0.24\u20130.52)\u00a0and convulsions after delivery (AOR: 0.57, 95%\u00a0CI: 0.41\u20130.79) were less likely to initiate breastfeeding early. Also, women who had a caesarean birth (AOR:\u00a00.28, 95%\u00a0CI:\u00a00.18\u20130.41),\u00a0delivered outside of a healthcare facility (AOR:\u00a00.70, 95%\u00a0CI:\u00a00.50\u20130.99)\u00a0or had twin birth (AOR:\u00a00.43, 95%\u00a0CI:\u00a00.22\u20130.85) were less likely to initiate breastfeeding early. Skin\u2010to\u2010skin contact should be encouraged whenever possible, and women with obstetric complications should be encouraged and supported to initiate breastfeeding early.<\/jats:p>","DOI":"10.1111\/mcn.13449","type":"journal-article","created":{"date-parts":[[2022,11,2]],"date-time":"2022-11-02T03:53:32Z","timestamp":1667361212000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["The impact of intrapartum and immediate post\u2010partum complications and newborn care practices on breastfeeding initiation in Ethiopia: A prospective cohort study"],"prefix":"10.1111","volume":"19","author":[{"given":"Shamsudeen","family":"Mohammed","sequence":"first","affiliation":[{"name":"Department of Non\u2010communicable Disease Epidemiology, Faculty of Epidemiology and Population Health London School of Hygiene &amp; Tropical Medicine  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7530-6501","authenticated-orcid":false,"given":"Alhassan S.","family":"Abukari","sequence":"additional","affiliation":[{"name":"Department of General Nursing, School of Nursing &amp; Midwifery Wisconsin International University College  North Legon Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7918-2999","authenticated-orcid":false,"given":"Agani","family":"Afaya","sequence":"additional","affiliation":[{"name":"Mo\u2010Im Kim Nursing Research Institute, College of Nursing Yonsei University  Seodaemun\u2010gu Seoul South Korea"},{"name":"Department of Nursing, School of Nursing and Midwifery University of Health and Allied Sciences  Ho Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,11]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Addis Ababa University School of Public Health and The Bill & Melinda Gates Institute for Population and Reproductive Health at The Johns Hopkins Bloomberg School of Public Health. 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