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Introduction: Children growing up in arid and semi-arid regions of Sub-Saharan Africa (SSA) face heightened risks, often resulting in poor developmental outcomes. In Kenya, the arid and semi-arid lands (ASAL) exhibit the lowest health and developmental indicators among children. Despite these risks, some children grow up successfully and overcome the challenges.

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Human milk contains an abundance of nutrients which benefit the development and growth of infants. However, infant formula has to be used when breastfeeding is not possible. The large differences between human milk and infant formula in prebiotics lead to the suboptimal intestinal health of infant formula-fed infants.

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Stunting in toddlers (0-2 years) remains a significant public health problem in Indonesia. Adequate breastfeeding is essential for stunting prevention, yet many mothers struggle with insufficient milk production. Moringa oleifera, known locally as moringa, has traditionally been used to increase breast milk production.

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What supports mothers of very preterm babies to start and continue breast milk feeding neonatal units? A qualitative COM-B analysis of mothers' experiences.

BMC Pregnancy Childbirth

November 2024

Nuffield Department of Public Health, NIHR Policy Research Unit in Maternal and Neonatal Health and Care, National Perinatal Epidemiology Unit, University of Oxford, Old Road Campus, Headington, Oxford, OX3 7LF, UK.

Article Synopsis
  • Mothers of very preterm babies face challenges in breastfeeding due to the need for early milk expression and transitioning from tube feeding to breastfeeding after birth.
  • The study interviewed 23 mothers from different neonatal units in England to understand how staff support and unit facilities influence breastfeeding behaviors, using the COM-B framework to analyze factors like capability, opportunity, and motivation.
  • Key findings highlighted that mothers' motivation was significantly impacted by information from staff on the benefits of breast milk, encouragement, and the availability of resources, indicating that tailored support is essential for improving breastfeeding success in preterm infants.
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