None listed
Conditions
Interventions
Intervention1: Breastfeeding promotion and support
Lactation management
Clinical management: WHO Breastfeeding Counselling Guidelines on breastfeeding promotion and support will be used
Advanced WHO breastfeeding management guidelines will be used for lactation management (expression of breastmilk, feeding of expressed breast milk by cup or paladai, scheduling of feeding, management
WHO Pocket Book Clinical Management Guidelines will be used for clinical management
Intervention2: Breastfeeding promotion and support: WHO Breastfeeding Counselling Guidelines on breastfeeding promot
WHO Pocket Book Clinical Management
Sponsors
Dr Nita Bhandari
Eligibility
Inclusion criteria
Inclusion criteria: - Ultrasound based gestational age before 20 weeks of gestation is available - Baby is 28 weeks gestation or more - Birth weight taken within 72 hours after birth - Baby has been fed breastmilk anytime since birth
Exclusion criteria
Exclusion criteria: -The biological mother is dead at the time of screening -Baby has a major abnormality or condition which is impairing feeding or nutrition (such as severe cleft palate, severe asphyxia, severe respiratory distress syndrome, need for mechanical ventilation, severe necrotising enterocolitis, major surgery) -Family does not intend to live in the study area for six months -The mother has given birth to three or more babies (ie twins are included but triplets or quadruplets etc are excluded) -A baby from the same household is currently a part of the study (i.e is being visited by the study team).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Wasting free survival; infant alive at six months and not wasted (weight for length z score less than -2 SD)Timepoint: Infant age 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Mortality: all-cause mortalityTimepoint: Infant age 6 months;Underweight: weight-for-age z score less than -2 SDTimepoint: Infant age 6 months;Wasting: weight-for-length z score less than -2 SDTimepoint: Infant age 6 months;Severe wasting: weight-for-length z score less than -3 SDTimepoint: Infant age 6 months;Stunting: length-for-age z score less than -2 SDTimepoint: Infant age 6 months;Concurrent wasting and stuntingTimepoint: Infant age 6 months;All-cause morbidity: hospitalization in previous 2 weeks for any causeTimepoint: Infant age 6 months;Cause-specific morbidity: hospitalization in previous 2 weeks for diarrhoea, pneumonia, other infectious disease, other causeTimepoint: Infant age 6 months;Exclusive breastfeedingTimepoint: Infant age 6 months;Process evaluation activities will cover different components in the following areas: breastfeeding promotion, lactation support, use of breastmilk substitutes, social aspects (parenting self-efficacy, social well-being) & costing for family (out-of-pocket expenditure) & health system costsTimepoint: Throughout the study period | — |
Countries
India
Contacts
Public ContactDr Sunita Taneja
Centre for Health Research and Development, Society for Applied Studies
Outcome results
None listed