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dc.contributor.authorUllah, Md Barkat
dc.contributor.authorMridha, Malay K
dc.contributor.authorArnold, Charles D
dc.contributor.authorMatias, Susana L
dc.contributor.authorA Khan, Md Showkat
dc.contributor.authorSiddiqui, Zakia
dc.contributor.authorHossain, Mokbul
dc.contributor.authorPaul, Rina Rani
dc.contributor.authorDewey, Kathryn G
dc.identifier.citationUllah, M. B., Mridha, M. K., Arnold, C. D., Matias, S. L., Khan, M., Siddiqui, Z., Hossain, M., Paul, R. R., & Dewey, K. G. (2019). Newborn physical condition and breastfeeding behaviours: Secondary outcomes of a cluster-randomized trial of prenatal lipid-based nutrient supplements in Bangladesh. Maternal & child nutrition, 15(4), e12844.
dc.descriptionThis article was published in Maternal Child Nutrition [ © 2019 John Wiley & Sons Ltd.] and the definite version is available at: The Journal's website is at:
dc.description.abstractPrenatal nutritional supplements may improve birth outcomes. This study aims to examine the effect of prenatal lipid-based nutrient supplements (LNS), compared with iron and folic acid (IFA), on general newborn physical condition and feeding behaviours. We conducted a cluster-randomized effectiveness trial that enrolled 4,011 pregnant women at ≤20 gestational weeks. LNS and IFA were provided to women in 48 and 16 clusters, respectively, for daily consumption until delivery. We collected data on household socio-economic, food insecurity, and maternal characteristics during early pregnancy and on newborn condition and feeding within 72 hr of delivery. We analysed intervention effects on these secondary outcomes using mixed models with analysis of covariance for continuous outcomes and logistic regression for dichotomous outcomes. Among 3,664 live births, intervention groups did not differ in newborn response, mother's rating of the general condition of her newborn, early initiation of breastfeeding (EIBF), suckling ability, or frequency and exclusivity of breastfeeding in the first 24 hr. If the mother perceived her infant to be healthy, EIBF was more likely (OR [95% CI]: 2.08 [1.46, 2.97]) and frequency of breastfeeding in the first 24 hr was greater (mean difference [95% CI]: 3.0 [1.91, 4.01]), but there was no difference in exclusive breastfeeding in the first 24 hr. Newborn condition and early breastfeeding practices were not affected by giving mothers prenatal LNS versus IFA. However, early breastfeeding practices were related to maternal perception of her newborn's condition. Thus, interventions to improve breastfeeding practices for newborns with poorer perceived health status may be useful.en_US
dc.subjectMaternal nutritionen_US
dc.subjectNewborn healthen_US
dc.subjectNewborn responseen_US
dc.titleNewborn physical condition and breastfeeding behaviours: Secondary outcomes of a cluster-randomized trial of prenatal lipid-based nutrient supplements in Bangladeshen_US
dc.typeJournal Articleen_US
dc.contributor.departmentBrac James P. Grant School of Public Health
dc.relation.journalMaternal Child Nutrition

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