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Preventing excessive gestational weight gain (GWG) to optimize maternal, fetal and infant wellbeing is therefore of great importance.
With growing evidence linking women's wellbeing during the perinatal period to infant wellbeing, the Supporting Families Early Policy [ 10] was developed in NSW, Australia.
Likewise, families where parental functioning is compromised, for example a mental illness, can impact directly on infant wellbeing and result in long term negative trajectories [ 8].
Reasons for opting for ERCS may also relate to beliefs about infant wellbeing or a desire to avoid repeating a previous birth experience [ 8].
A similar correlation between infant wellbeing and loss to follow-up was shown in a study in rural Uganda, where infant illness was a protective against loss to follow-up in the PMTCT programme [ 12].
Reduction in these problems is likely to have positive flow on benefits for parent wellbeing [ 18, 19], and could lead to reduced health service use for both parent and infant wellbeing [ 23].
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Participants felt that EBF was an important component of an infant's wellbeing.
In addition to biological factors, a number of psychosocial factors can influence parenting and infant psychological wellbeing.
Our findings therefore, support the need to educate health care workers, HIV-positive mothers and society on the role of EBF in the promotion of an infant's wellbeing.
Lack of follow-up precludes to failure to identify neonatal complications in a timely manner, which may have consequences on the infant's wellbeing, both short- and long-term.
One HIV-positive mother who regarded EBF as important for her infant's wellbeing also reported that: "…it is not right for the HIV-positive mother to exclusively breastfeed her baby because the baby can get the HIV virus from the mother".
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