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Table 1 Examples of SMS content in relation to study findings

From: A formative study to inform mHealth based randomized controlled trial intervention to promote exclusive breastfeeding practices in Myanmar: incorporating qualitative study findings

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Examples SMS

Breast could quantity and quality

“Breast milk contains more than 80% water, it can satisfy your baby thirst, and you don’t need to give water till child is 6 months”. “Breast milk will give all the nutrients your baby need for healthy physical and brain development till 6 months.”

Colostrum’s benefit

“Colostrum (Noh-Oo-Ye) will protect your baby from allergy, infection and yellow skin and eye (A-Thar-Wah).”

Reducing pre-lacteal feeding

“Giving something else than breast milk will interfere (reduce) with breast milk production.”

Good for mothers (motivation)

“Breastfeeding will helps you reduce your weight after delivery. Your chance of having breast and ovarian cancer later in life will be reduced.”

Skilled-training approach

“Ensure that your baby’s tummy is touching your tummy, head and body is in line, whole body is supported, nose is facing the nipple and baby is able to look up at your face. CHEST TO CHEST; CHIN TO BREAST.”

Tips for managing breast problem

“If you have sore/cracked nipple or breast engorgement, gently message your breast.”

Tips for breast milk flow

“Frequent breast feeding can reduce pain & produce more breast milk.”

Working mothers

“Express milk can put safely in refrigerator for 72 h, at room temperature for 24 h and put in a clean and sealed container.”

Formula milk

“Formula milk may cause constipation because it is harder to digest than breast milk. Do not believe advertisement.”

Grandmothers

“Please show this message to grandmother: Do not give any fluid even water. Breast milk alone has all nutrients and water.”