{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T14:57:53Z","timestamp":1784300273793,"version":"3.55.0"},"reference-count":35,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,5,15]],"date-time":"2023-05-15T00:00:00Z","timestamp":1684108800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Maternal &amp; Child Nutrition"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>A quasiexperimental field study was undertaken in 576 exclusively breastfed (EBF) infants from 0 to 14 weeks in Gujarat, India to assess the effect of the use of appropriate breastfeeding techniques on daily weight gain rate and on reducing the underweight rate in early infancy. The interventions were delivered through the existing health system and focused primarily on counselling pregnant women during antenatal and post\u2010natal sessions for ensuring \u2018effective breastfeeding\u2019 by adoption of the technique of \u2018cross cradle hold\u2019, appropriate breast attachment, emptying of one breast before shifting to the other along with conducting regular monitoring of infant's weight. The intervention care group (ICG) of 300 EBF infants were compared with 276 EBF infants in the control standard care group (SCG). The findings revealed that median weight gain per day between 0 and 14 weeks was significantly higher (<jats:italic>p<\/jats:italic>\u2009=\u20090.000) in ICG (32.7\u2009g) as compared with SCG (28.05\u2009g). The median weight\u2010for\u2010age <jats:italic>Z<\/jats:italic> at 14 weeks of age was also significantly higher in ICG compared with SCG (<jats:italic>p<\/jats:italic>\u2009=\u20090.000). Underweight prevalence was three times lower in ICG (5.3%) compared with SCG (16.7%) at 14 weeks of age. Infants in the ICG were noted to be 2.65\u2010fold more likely to achieve a weight gain of 30\u2009g or more per day compared with infants in SCG. Nutrition interventions, therefore, must aim not only on mere promotion of EBF for up to 6 months but stress on ensuring EBF is \u2018effective\u2019 for optimum transfer of breastmilk through adoption of appropriate techniques, including cross\u2010cradle hold, by mothers.<\/jats:p>","DOI":"10.1111\/mcn.13529","type":"journal-article","created":{"date-parts":[[2023,5,16]],"date-time":"2023-05-16T04:31:54Z","timestamp":1684211514000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Establishment of cross\u2010cradle hold technique combined with intensive breastfeeding counselling positively impacts the weight gain rate in early infancy"],"prefix":"10.1111","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7823-5131","authenticated-orcid":false,"given":"Rupal","family":"Dalal","sequence":"first","affiliation":[{"name":"Centre for Technology Alternatives for Rural Areas Indian Institute of Technology\u2010Bombay &amp; Shrimati Malati Dahanukar Trust Mumbai Maharashtra India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manish K.","family":"Fancy","sequence":"additional","affiliation":[{"name":"Ministry of Health &amp; Family Welfare Bhavnagar Gujarat India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shalu","family":"Chaudhary","sequence":"additional","affiliation":[{"name":"UNICEF &amp; State Health System Resource Centre Gandhinagar Gujarat India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marian","family":"Abraham","sequence":"additional","affiliation":[{"name":"Centre for Technology Alternatives for Rural Areas Indian Institute of Technology\u2010Bombay Mumbai India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheila C.","family":"Vir","sequence":"additional","affiliation":[{"name":"Public Health Nutrition and Development Centre New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarthak","family":"Gaurav","sequence":"additional","affiliation":[{"name":"Shailesh J. Mehta School of Management, Indian Institute of Technology\u2010Bombay Mumbai India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,5,15]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu13041204"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1003744"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2005-0013"},{"key":"e_1_2_11_5_1","unstructured":"Alive & Thrive. (2018).Nutrition practices in Uttar Pradesh: Results of a formative research study. Research conducted by Centre for Media Studies Research & Alive and Thrive.https:\/\/www.aliveandthrive.org\/sites\/default\/files\/attachments\/UP_Formative-research_02-Feb.pdf"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)60996-4"},{"key":"e_1_2_11_7_1","first-page":"43","article-title":"Supporting healthy growth in infants in low\u2010resource settings in Mumbai, India","volume":"63","author":"Dalal R.","year":"2020","journal-title":"Field Exchange"},{"key":"e_1_2_11_8_1","first-page":"499","volume-title":"Public health nutrition in developing countries","author":"Dalal R. M.","year":"2021"},{"key":"e_1_2_11_9_1","unstructured":"Emergency Nutrition Assessment. (2012).Emergency Nutrition Assessment (ENA) for Standardized Monitoring and Assessment of Relief and Transitions (SMART). Software User Manual. US Agency for International Development.https:\/\/smartmethodology.org\/survey-planning-tools\/smart-emergency-nutrition-assessment\/"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13006-016-0077-6"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.17511\/ijpr.2017.i09.02"},{"key":"e_1_2_11_12_1","unstructured":"International Institute for Population Sciences (IIPS) & Ministry of Health and Family Welfare (MoHFW). (2016a).National Family Health Survey 4. 2016. Banaskantha Gujarat Factsheet.http:\/\/rchiips.org\/nfhs\/FCTS\/GJ\/GJ_FactSheet_469_Banaskantha.pdf"},{"key":"e_1_2_11_13_1","unstructured":"International Institute for Population Sciences (IIPS) & Ministry of Health and Family Welfare (MoHFW). (2016b).National Family Health Survey 4. 2016. Gujarat State Factsheet.http:\/\/rchiips.org\/nfhs\/pdf\/NFHS4\/GJ_FactSheet.pdf"},{"key":"e_1_2_11_14_1","unstructured":"International Institute for Population Sciences (IIPS) & Ministry of Health and Family Welfare (MoHFW). (2017).National Family Health Survey 4. 2015\u201316. India Report.http:\/\/rchiips.org\/nfhs\/nfhs-4Reports\/India.pdf"},{"key":"e_1_2_11_15_1","unstructured":"International Institute for Population Sciences (IIPS) & Ministry of Health and Family Welfare (MoHFW). (2021a).National Family Health Survey 5. 2021. India Fact Sheet.http:\/\/rchiips.org\/nfhs\/NFHS-5_FCTS\/India.pdf"},{"key":"e_1_2_11_16_1","unstructured":"International Institute for Population Sciences (IIPS) & Ministry of Health and Family Welfare (MoHFW). (2021b).National Family Health Survey 5. 2021. Gujarat State Report.http:\/\/rchiips.org\/nfhs\/NFHS-5Reports\/Gujarat.pdf"},{"key":"e_1_2_11_17_1","unstructured":"International Institute for Population Sciences (IIPS) & Ministry of Health and Family Welfare (MoHFW). (2022).National Family Health Survey 5. 2022. India Report.https:\/\/dhsprogram.com\/pubs\/pdf\/FR375\/FR375.pdf"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/mcn.12070"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1523-536X.2008.00293.x"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmwh.2007.08.003"},{"key":"e_1_2_11_21_1","unstructured":"Ministry of Health and Family Welfare (MoHFW). (2010).Guidelines for antenatal care and skilled attendance at birth by ANMs\/LHVs\/SNs. National Rural Health Mission. 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