The study aimed to investigate if giving any fluids or foods other than breast milk during the first three days after birth (prelacteal feeds) affects exclusive breastfeeding and consumption of formula among children under six months of age in low and middle-income countries (LMICs). Findings suggest that feeding babies prelacteal foods shortens exclusive breastfeeding duration and increases the likelihood of formula consumption in children under six months of age in LMICs. Pro-breastfeeding interventions must be prioritized during antenatal care and throughout the stay in the maternity facility to properly protect, support, and promote exclusive breastfeeding since birth.


  1. Neves PAR, Vaz JS, Ricardo LIC, Armenta-Paulino NN, Barros AJD, Richter L, et al.Disparities in early initiation of breast feeding and prelacteal feeding: A study of low- and middle-income countries. Paediatr Perinat Epidemiol. 2022;36:741-9. . 10.1111/ppe.12871

  2. Oakley L, Benova L, Macleod D, Lynch CA, Campbell OMR.Early breastfeeding practices: Descriptive analysis of recent Demographic and Health Surveys. Matern Child Nutr. 2018;14:e12535. . 10.1111/mcn.12535

  3. Pérez-Escamilla R, Hromi-Fiedler A, Rhodes EC, Neves PAR, Vaz J, Vilar-Compte M, et al.Impact of prelacteal feeds and neonatal introduction of breast milk substitutes on breastfeeding outcomes: A systematic review and meta-analysis. Matern Child Nutr. 2022;18. . 10.1111/mcn.13368


Child Health  Newborn and Infants  



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