Low Birthweight and Preterm Infant Feeding Trial and Supportive Care Package (LIFT-UP) aims to improve feeding and growth outcomes among low birthweight (LBW; \<2.5kg) or preterm (\<37 weeks gestational age) infants admitted to neonatal intensive care units (NICU) in India, Malawi, and Tanzania by (1) supporting the initiation, establishment, and maintenance of maternal lactation and prioritized provision of human milk, Kangaroo Mother Care (KMC) and appropriate water, sanitation and hygiene (WASH) practices; and (2) facilitating feeding counseling at home post-discharge from the facility.
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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Obj 1: Early initiation of mother's breast milk feeding
Timeframe: 1 hour after birth
Obj 1: Early initiation of mother's first breast stimulation
Timeframe: 1 hour after birth
Obj 1: Number of sessions when infant was fed mother's direct or expressed breast milk in previous 24 hours
Timeframe: 24 hours
Obj 1: Number of mother's breast milk expression sessions in previous 24 hours
Timeframe: 24 hours
Obj 1 & 2: Maternal breastfeeding self-efficacy/confidence
Timeframe: Obj 1 Pilot: On day of facility discharge or at 2 weeks age (whichever is first); Obj 1 Implementation: 1.5, 5.5 and 10.5 months after the start of study implementation; Obj 2: On day of enrollment and 2 weeks and 6 weeks later
Obj 2: Growth velocity (g/kg/d)
Timeframe: 6 weeks after initial facility discharge