Hindustan Times (Delhi)

‘3 in 5 babies not breastfed in 1st hour of life’

CRITICAL MISS

- Sanchita Sharma letters@hindustant­imes.com

NEWDELHI: An estimated 78 million newborns – or three in five – worldwide are not breastfed within their first hour of life. This lowers their chance of survival and meeting their growth, developmen­tal and intellectu­al potential, according to a new Unicef and World Health Organizati­on (WHO) report.

Most of these newborns are born in low-and-middle-income countries, including India, where 41.5% of the 26 million babies born every year get breastfed within the first critical hour of birth, said the report, released on the eve of World Breastfeed­ing Week from August 1-7.

Around 41.5% of children under three in India were breastfed within one hour of birth in 2015, said the report, up from 23.4% in 2005. The global increase during the same period was more Cultural practices, such as regarding colostrum (sticky, yellowish first milk high in antibodies, carbohydra­tes and protein, low in fat) as impure, a family elder feeding the baby honey, or giving the newborn sugar water

The inability of the mother to express enough milk (1% to 5% modest, from 37% to 42%.

“India has shown progress by doubling early initiation within a decade. The life-saving protection of breastfeed­ing is particular­ly important in humanitari­an settings,” said Unicef’s India representa­tive, Yasmin Ali Haque.

“Skin-to-skin contact, along with suckling at the breast, stim- of cases in India).

Promotion and marketing of infant food or drinks, including infant formula

Rising Caesarean sections, which result in delayed initiation to breast milk

Mother’s physical discomfort or an inability to do so because of health or work issues. ulate the mother’s production of breastmilk, including colostrum, also called the baby’s ‘first vaccine’, which is extremely rich in nutrients and antibodies,” said Haque.

“Colostrum, the thick, sticky, yellowish milk mothers produce during the first few days after delivery provides essential nutri- ents as well as antibodies to boost a baby’s immune system. It protects a child from infections and reduces the risk of death by up to 22% in the first month of life,” said AIIMS’ gynaecolog­y and obstetrics department professor and head, Dr Alka Kriplani.

Surprising­ly, rising institutio­nal births have no impact on increasing breastfeed­ing rates. Deliveries at health institutio­ns grew by 18%, while early initiation rates increased by 6%, shows data from 58 countries between 2005 and 2017. Improving breastfeed­ing practices could save lives of over 800,000 children under five every year, according to a Unicef report.

“Babies exclusivel­y breastfed for the first six months of life — with no other foods or liquids given, including water — have stronger immunity, fewer infections, higher intelligen­ce, better nutritiona­l status,” said Dr Kriplani.

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