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Quickly reading through Linkages
http://www.linkagesproject.org/media/publications/Technical Reports/BOB.pdf 
I was able to find only the following abstract:
Hossain MM, Radwan MM, Arafa SA, Habib M, DuPont Hl. Prelacteal infant 
feeding practices in rural Egypt. J Trop Pediat 1992;38:317–22.
COUNTRY: Egypt
SETTING: Rural
DESIGN: Prospective: n = 157 infants followed from birth to 12 months
BREASTFEEDING DEFINITION: The key independent variable in this study is 
prelacteal feeding, defined as the administration of any food or drink to the 
infant before the first breastfeed. Hence, infants are categorized according to 
prelacteal feeding status (prelacteals versus no prelacteals). The relationship 
between prelacteal status and breastfeeding practices is not presented 
clearly, which is an important limitation in that the negative effect of 
prelacteals on diarrhea may be through the effect of prelacteals on
the subsequent mode of infant feeding. For example, the following two 
conflicting statements on this relationship are presented: 1) “Age specific 
prevalence of exclusive breastfeeding or partial breastfeeding did not differ 
significantly by prelacteal feeding status,” and 2) “prelacteally-fed 
infants...were significantly less likely to be exclusive breastfeeding...”
OUTCOME MEASURE: Risk of diarrhea
RESULTS: Prelacteal feeding was associated positively though not statistically 
with diarrhea. Prelacteal feeding was negatively associated with exclusive 
breastfeeding in infants < 12 months, but had no effect on breastfeeding 
mode in infants 12–23 and 24–47 months. Although not significant, this study 
suggests that prelacteal feeding may have a negative effect on diarrhea 
independent of its relationship to infant feeding mode.
METHODOLOGICAL ISSUES: Small sample size may limit statistical power, and a
posteriori type II error calculations were not performed. The relationship 
between prelacteal feeds and subsequent breastfeeding practices is not 
described clearly.
Silia Armeni
pediatrician, IBCLC, Rome (Italy)

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