{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T12:15:50Z","timestamp":1783512950947,"version":"3.55.0"},"reference-count":23,"publisher":"Springer Publishing Company","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Neonatal Network"],"published-print":{"date-parts":[[2026,7,1]]},"abstract":"<jats:p>\n                    This is a descriptive cross-sectional study that aimed to determine the factors that affect suboptimal breastfeeding practices among mothers, assess the nutritional status of infants 1\u20136 months of age, and determine the association between suboptimal breastfeeding practices and the nutritional status of infants. The study was done at various pediatric wards and outpatient departments of the All India Institute of Medical Sciences, Bhubaneswar, Odisha, India. A total of 258 mother\u2013child dyads participated in this study. Suboptimal breastfeeding practices (which means delayed initiation of breastfeeding, discarding colostrum, giving prelacteal feeding, or nonexclusive breastfeeding) and their associated factors (maternal, socioeconomic, environmental, and infant characteristics) were assessed, as well as the nutritional status of infants and its association with suboptimal breastfeeding. The prevalence of suboptimal breastfeeding was 45.7%. Significant factors included outborn delivery (prevalence ratio [PR] = 1.50,\n                    <jats:italic>p<\/jats:italic>\n                    = 0.003), cesarean delivery (PR = 1.38,\n                    <jats:italic>p<\/jats:italic>\n                    = 0.03), preterm birth (PR = 1.47,\n                    <jats:italic>p<\/jats:italic>\n                    = 0.01), and lack of postnatal breastfeeding assistance (PR = 1.56,\n                    <jats:italic>p<\/jats:italic>\n                    = 0.02). Finally, suboptimal breastfeeding practices were associated with being underweight (\n                    <jats:italic>p<\/jats:italic>\n                    = 0.04) and with stunting (\n                    <jats:italic>p<\/jats:italic>\n                    = 0.01).\n                  <\/jats:p>","DOI":"10.1891\/nn-2025-0051","type":"journal-article","created":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T13:20:22Z","timestamp":1783430422000},"page":"201-209","source":"Crossref","is-referenced-by-count":0,"title":["Factors Affecting Suboptimal Breastfeeding Practices and Their Effect on Nutritional Status of Infants in a Tertiary Care Hospital in Bhubaneswar, India: A Cross-Sectional Study"],"prefix":"10.1891","volume":"45","author":[{"given":"Manisha","family":"Rakshit","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asha P.","family":"Shetty","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"793","published-online":{"date-parts":[[2026,7,7]]},"reference":[{"key":"2026070804305610000_45.3.201.1","unstructured":"World Health Organization. Infant and Young Child Feeding: Model Chapter for Textbooks for Medical Students and Allied Health Professionals . 2009. Accessed March 6, 2025. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK148967\/"},{"key":"2026070804305610000_45.3.201.2","unstructured":"World Health Organization. Infant and young child feeding. Accessed March 8, 2024. https:\/\/www.who.int\/data\/nutrition\/nlis\/info\/infant-and-young-child-feeding"},{"key":"2026070804305610000_45.3.201.3","doi-asserted-by":"crossref","first-page":"1080727","DOI":"10.3389\/fnut.2023.1080727","article-title":"The multiple factors of suboptimal early feeding practices among infants aged 0\u20135 months in Indonesia","volume":"10","year":"2023","journal-title":"Front Nutr"},{"issue":"8","key":"2026070804305610000_45.3.201.4","doi-asserted-by":"crossref","first-page":"977","DOI":"10.1007\/s00103-018-2769-0","article-title":"Psychological effects of breastfeeding on children and mothers","volume":"61","year":"2018","journal-title":"Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz"},{"key":"2026070804305610000_45.3.201.5","unstructured":"UNICEF. Global breastfeeding scorecard 2023. 2023. Accessed March 6, 2025. https:\/\/www.unicef.org\/documents\/global-breastfeeding-scorecard-2023"},{"key":"2026070804305610000_45.3.201.6","unstructured":"UNICEF. Breastfeeding. 2022. Accessed March 6, 2025. https:\/\/data.unicef.org\/topic\/nutrition\/breastfeeding\/"},{"key":"2026070804305610000_45.3.201.7","unstructured":"Ministry of Health and Family Welfare (India): National family health survey (NFHS-5), 2019\u201321: India report\u2014phase II; 2021. Accessed March 8, 2024. https:\/\/mohfw.gov.in\/sites\/default\/files\/NFHS-5_Phase-II_0.pdf"},{"key":"2026070804305610000_45.3.201.8","doi-asserted-by":"crossref","DOI":"10.1186\/s13006-019-0214-0","article-title":"Regional prevalence and determinants of exclusive breastfeeding in India","volume":"14","year":"2019","journal-title":"Int Breastfeed J"},{"issue":"11","key":"2026070804305610000_45.3.201.9","doi-asserted-by":"crossref","first-page":"7222","DOI":"10.4103\/jfmpc.jfmpc_723_22","article-title":"A study on infant and young child feeding practices and its associated factors among mothers of under two years children attending immunisation clinic in a medical college of Kolkata","volume":"11","year":"2022","journal-title":"J Fam Med Prim Care"},{"issue":"1","key":"2026070804305610000_45.3.201.10","doi-asserted-by":"crossref","DOI":"10.1186\/s13006-023-00575-z","article-title":"Determinants of early cessation of exclusive breastfeeding practices among rural mothers from Jaffna District of Sri Lanka","volume":"18","year":"2023","journal-title":"Int Breastfeed J"},{"issue":"2","key":"2026070804305610000_45.3.201.11","doi-asserted-by":"crossref","first-page":"295","DOI":"10.4103\/jfmpc.jfmpc_73_22","article-title":"Barriers of exclusive breastfeeding among mothers attending primary health-care centers in Jazan, Saudi Arabia","volume":"12","year":"2023","journal-title":"J Fam Med Prim Care"},{"key":"2026070804305610000_45.3.201.12","doi-asserted-by":"crossref","DOI":"10.1186\/s13006-016-0092-7","article-title":"Sociocultural factors influencing breastfeeding practices in two slums in Nairobi, Kenya","volume":"12","year":"2016","journal-title":"Int Breastfeed J"},{"issue":"4A","key":"2026070804305610000_45.3.201.13","first-page":"49","article-title":"An assessment on breastfeeding and weaning practices in Odisha, India","volume":"3","year":"2015","journal-title":"Am J Public Health Res"},{"key":"2026070804305610000_45.3.201.14","article-title":"Knowledge and practice of breastfeeding among lactating mothers in AIIMS, Bhubaneswar\u2014a hospital-based cross-sectional study","volume":"13","year":"2024","journal-title":"J Educ Health Promot"},{"key":"2026070804305610000_45.3.201.15","doi-asserted-by":"crossref","first-page":"492596","DOI":"10.3389\/fpubh.2020.492596","article-title":"Determinants of breastfeeding practices and its association with infant anthropometry: results from a prospective cohort study in South India","volume":"8","year":"2020","journal-title":"Front Public Health"},{"issue":"1","key":"2026070804305610000_45.3.201.16","doi-asserted-by":"crossref","first-page":"49","DOI":"10.4314\/ejhs.v28i1.7","article-title":"Sub-optimal breastfeeding and its associated factors in rural communities of Hula district, southern Ethiopia: a cross-sectional study","volume":"28","year":"2018","journal-title":"Ethiop J Health Sci"},{"issue":"3","key":"2026070804305610000_45.3.201.17","doi-asserted-by":"crossref","first-page":"1301","DOI":"10.4103\/jfmpc.jfmpc_2000_20","article-title":"Prevalence and predictors of exclusive breastfeeding in urban slums, Bihar","volume":"10","year":"2021","journal-title":"J Fam Med Prim Care"},{"issue":"3","key":"2026070804305610000_45.3.201.18","article-title":"Potential determinants and effects of exclusive breastfeeding among infants at a tertiary care center, Kerala, India","volume":"14","year":"2022","journal-title":"Cureus"},{"issue":"8","key":"2026070804305610000_45.3.201.19","article-title":"Predictors of breastfeeding initiation among postnatal mothers at a tertiary care center of a tribal-dominant state in India: a regression analysis","volume":"13","year":"2021","journal-title":"Cureus"},{"issue":"1","key":"2026070804305610000_45.3.201.20","doi-asserted-by":"crossref","DOI":"10.1186\/s13006-023-00572-2","article-title":"Current prevalence, changes, and determinants of breastfeeding practice in China: data from cross-sectional national household health services surveys in 2013 and 2018","volume":"18","year":"2023","journal-title":"Int Breastfeed J"},{"issue":"1","key":"2026070804305610000_45.3.201.21","doi-asserted-by":"crossref","DOI":"10.1186\/s12889-024-19963-z","article-title":"Determinants of exclusive breastfeeding among infants under six months in Nepal: multilevel analysis of nationally representative household survey data","volume":"24","year":"2024","journal-title":"BMC Public Health"},{"key":"2026070804305610000_45.3.201.22","doi-asserted-by":"crossref","unstructured":"Zhang C , Zhao W , Pan X , Huang A . Effects of feeding patterns during the first 6 months on weight development of infants ages 0\u201312 months: a longitudinal study. Sci Rep . 2024;14(1). https:\/\/doi.org\/10.1038\/s41598-024-58164-x","DOI":"10.1038\/s41598-024-58164-x"},{"issue":"8","key":"2026070804305610000_45.3.201.23","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0237067","article-title":"Growth performance comparison of exclusively breastfed infants with partially breastfed and formula fed infants","volume":"15","year":"2020","journal-title":"PLoS One"}],"container-title":["Neonatal Network"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1891\/NN-2025-0051","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T11:31:24Z","timestamp":1783510284000},"score":1,"resource":{"primary":{"URL":"http:\/\/connect.springerpub.com\/lookup\/doi\/10.1891\/NN-2025-0051"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,1]]},"references-count":23,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2026,7,7]]},"published-print":{"date-parts":[[2026,7,1]]}},"alternative-id":["10.1891\/NN-2025-0051"],"URL":"https:\/\/doi.org\/10.1891\/nn-2025-0051","relation":{},"ISSN":["0730-0832","1539-2880"],"issn-type":[{"value":"0730-0832","type":"print"},{"value":"1539-2880","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,1]]}}}