e-Library of Evidence for Nutrition Actions (eLENA)


An online library of evidence-informed guidelines for nutrition interventions and single point of reference for the latest nutrition guidelines, recommendations and related information.

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Early initiation of breastfeeding to promote exclusive breastfeeding

Intervention | Last updated: 20 June 2023


Breastfeeding has many health benefits for both the mother and infant. Breast milk contains all the nutrients an infant needs in the first six months of life. Breastfeeding protects against diarrhoea and common childhood illnesses such as pneumonia, and may also have longer-term health benefits, such as reducing the risk of overweight and obesity in childhood and adolescence.

Provision of mother’s breast milk to infants within one hour of birth is referred to as “early initiation of breastfeeding” and ensures that the infant receives the colostrum, or “first milk”, which is rich in protective factors.

Current evidence indicates that skin-to-skin contact between mother and infant shortly after birth helps to initiate early breastfeeding and increases the likelihood of exclusive breastfeeding for one to four months of life as well as the overall duration of breastfeeding. Infants placed in early skin-to-skin contact with their mother also appear to interact more with their mothers and cry less.

WHO Recommendations


Early and uninterrupted skin-to-skin contact between mothers and infants should be facilitated and encouraged as soon as possible after birth.

All mothers should be supported to initiate breastfeeding as soon as possible after birth, within the first hour after delivery.

Mothers should receive practical support to enable them to initiate and establish breastfeeding and manage common breastfeeding difficulties.



Guidelines and guidance documents Learn More Alternate Text


GRC-approved guidelines


Other guidance documents


Evidence


Related Cochrane reviews


Rooming-in for new mother and infant versus separate care for increasing the duration of breastfeeding

Jaafar SH, Ho JJ, Lee KS.Cochrane Database of Systematic Reviews 2016, Issue 8. Art. No.: CD006641.

Summary of this review Alternate Text

Early skin-to-skin contact for mothers and their healthy newborn infants

Moore ER, Bergman N, Anderson GC, Medley N.Cochrane Database of Systematic Reviews 2016, Issue 11. Art. No.: CD003519.

Summary of this review Alternate Text

Other related systematic reviews


Timing of breastfeeding initiation and exclusivity of breastfeeding during the first month of life: effects on neonatal mortality and morbidity--a systematic review and meta-analysis

Khan J, Vesel L, Bahl R, Martines JC. Matern Child Health J. 2015;19(3):468-79.


Time to initiation of breastfeeding and neonatal mortality and morbidity: a systematic review

Debes AK, Kohli A, Walker N, Edmond K and Mullany LC. BMC Public Health. 2013; 13(Suppl 3):S19.


Cost-effectiveness Learn More Alternate Text


Relevant cost-effectiveness analyses have not yet been identified.