{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T18:22:50Z","timestamp":1791829370987,"version":"4.3.4"},"reference-count":109,"publisher":"Public Library of Science (PLoS)","issue":"8","license":[{"start":{"date-parts":[[2021,8,18]],"date-time":"2021-08-18T00:00:00Z","timestamp":1629244800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100009099","name":"Irish Aid","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009099","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009099","name":"Irish Aid","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009099","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009099","name":"Irish Aid","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009099","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Eleanor Crook Foundation"},{"name":"Eleanor Crook Foundation"},{"name":"Eleanor Crook Foundation"},{"name":"Eleanor Crook Foundation"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Small and nutritionally at-risk infants under 6 months (&lt;6m) are a vulnerable group at increased risk of mortality, morbidity, poor growth and sub-optimal development. Current national and international (World Health Organization) management guidelines focus mainly on infants\u2019 needs, yet growing evidence suggests that maternal factors also influence infant outcomes. We aimed to inform future guidelines by exploring the impacts of maternal-focused interventions on infant feeding and growth.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a systematic review of reviews published since 2008 (PROSPERO, register number CRD 42019141724). We explored five databases and a wide variety of maternal-focused interventions based in low- and middle-income countries. Infant outcomes of interest included anthropometric status, birthweight, infant mortality, breastfeeding and complementary feeding practices. Given heterogenous interventions, we present a narrative synthesis of the extracted data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We included a total of 55 systematic reviews. Numerous maternal interventions were effective in improving infant growth or feeding outcomes. These included breastfeeding promotion, education, support and counselling interventions. Maternal mental health, while under-researched, showed potential to positively impact infant growth. There was also some evidence for a positive impact of: women\u2019s empowerment, m-health technologies, conditional cash transfers, water, sanitation and hygiene and agricultural interventions. Effectiveness was increased when implemented as part of a multi-sectoral program. Antenatal supplementation with macronutrient, multiple micronutrients, Vitamin D, zinc, iron folic acid and possibly calcium, iodine and B12 in deficient women, improved birth outcomes. In contrast, evidence for postnatal supplementation was limited as was evidence directly focusing on small and nutritionally at-risk infants; most reviews focused on the prevention of growth faltering.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our findings suggest sufficient evidence to justify greater inclusion of mothers in more holistic packages of care for small and nutritionally at-risk infants aged &lt;6m. Context specific approaches are likely needed to support mother-infant dyads and ensure infants survive and thrive.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0256188","type":"journal-article","created":{"date-parts":[[2021,8,18]],"date-time":"2021-08-18T13:52:45Z","timestamp":1629294765000},"page":"e0256188","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":53,"title":["Maternal-focused interventions to improve infant growth and nutritional status in low-middle income countries: A systematic review of reviews"],"prefix":"10.1371","volume":"16","author":[{"given":"Victoria","family":"von Salmuth","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3733-9222","authenticated-orcid":true,"given":"Eilise","family":"Brennan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marko","family":"Kerac","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie","family":"McGrath","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1586-9564","authenticated-orcid":true,"given":"Severine","family":"Frison","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natasha","family":"Lelijveld","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2021,8,18]]},"reference":[{"key":"pone.0256188.ref001","volume-title":"The State of Food Security and Nutrition in the World.","author":"FAO","year":"2020"},{"issue":"9890","key":"pone.0256188.ref002","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1016\/S0140-6736(13)60937-X","article-title":"Maternal and child undernutrition and overweight in low-income and middle-income countries","volume":"382","author":"RE Black","year":"2013","journal-title":"Lancet"},{"issue":"1","key":"pone.0256188.ref003","doi-asserted-by":"crossref","first-page":"S30","DOI":"10.1177\/15648265150361S105","article-title":"Management of acute malnutrition in infants aged under 6 months (MAMI): current issues and future directions in policy and research","volume":"36","author":"M Kerac","year":"2015","journal-title":"Food Nutr Bull"},{"issue":"11","key":"pone.0256188.ref004","doi-asserted-by":"crossref","DOI":"10.1136\/adc.2010.191882","article-title":"Prevalence of wasting among under 6-month-old infants in developing countries and implications of new case definitions using WHO growth standards: a secondary data analysis","volume":"96","author":"M Kerac","year":"2011","journal-title":"Archives of disease in childhood"},{"key":"pone.0256188.ref005","unstructured":"Management of At Risk Mothers and Infants (MAMI)\u2014main website 2021 [Available from: https:\/\/www.ennonline.net\/ourwork\/research\/mami]."},{"issue":"3","key":"pone.0256188.ref006","doi-asserted-by":"crossref","DOI":"10.1111\/mcn.12345","article-title":"Admission profile and discharge outcomes for infants aged less than 6 months admitted to inpatient therapeutic care in 10 countries. 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