Exclusive breastfeeding practice during first six months of an infant's life in Bangladesh: a country based cross-sectional study (original) (raw)
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International Breastfeeding Journal, 2014
Background: Exclusive breastfeeding (EBF) means that the infant receives only breast milk for the first six months of life after birth. In Bangladesh, the prevalence of EBF remained largely unchanged for nearly two decades and was 43% in 2007. However, in 2011, a prevalence of 64% was reported, an increase by 21 percentage points. The reasons for this large change remain speculative at this point. Thus to investigate the issue further, this study was conducted. The objective was to assess the prevalence of EBF and associated factors among mothers having children aged 0-6 months in rural Bangladesh. Methods: A cross-sectional study was conducted in Mirzapur Upazilla (sub district) among 121 mothers of infants aged 0-6 months. Eligible mothers were identified and randomly selected using the demographic surveillance system's computerized database that is updated weekly. A semi-structured questionnaire was used for interviews that inquired information on socio-demographic characteristics, obstetric, health service, breastfeeding related factors (initiation of breastfeeding, prelacteal feeding and colostrum feeding) and economic factors. EBF prevalence was calculated using 24 hour recall method. In multivariate analysis, a logistic regression model was developed using stepwise modeling to analyze the factors associated with EBF. Results: The prevalence of EBF in the last 24 hours preceding the survey was 36%. Bivariate and multivariate analysis revealed no significant association between EBF and its possible predictors at 0.05 level of alpha. However, there was some evidence of an association between EBF and having a caesarean delivery (OR = 0.47, 95% CI: 0.21, 1.06). In multivariate analysis, type of delivery: caesarean (AOR = 0.45, 95% CI: 0.19, 1.03) and wealth quintile: richer (AOR = 2.40, 95% CI: 0.94, 6.16) also showed some evidence of an association with EBF. Conclusion: The prevalence of EBF in Mirzapur (36%) is lower than the national figure (64%). Prelacteal feeding was not uncommon. These findings suggest that there is a need for breastfeeding support provided by health services. Hence, promotion of EBF during the first six months of life needs to be addressed and future breastfeeding promotion programmes should give special attention to those women who are not practicing EBF.
Northern International Medical College Journal, 2018
Back ground : Exclusive breastfeeding (EBF) means that the infant receives only breast milk for the first six months of life after birth. In Bangladesh, 55% of children less than 6 months of age are exclusively breastfed according to BDHS 2014. Objectives : To assess the exclusive breast feeding practice and associated factors among children in an urban area ofBangladesh. Method : This cross-sectional study was conducted in Popular Medical College, Dhanmondi, Dhaka, among 80 mothers having infants aged 7-12 months, attending the outpatient department were selected purposively for the study during the period of 1st August 2017 to 31st December 2017. Sample were selected purpasively for the study and predesigned questionnaire were used for data collection. Data analysis was done by using SPSS software version 22. Result : It was found that only 30(37.5%) mother went for regular antenatal checkup and remaining 50 (62.5%) had irregular antenatal check up. But none of them got breastfeed...
International Journal of Perceptions in Public Health, 2017
Breastfeeding contributes to the immunological and cognitive development of the children along with the health of the mothers. In context of Bangladesh, the information regarding breastfeeding practice remains under the shade of other health issue. Therefore, this study aims to identify the associations of currently breastfeeding status and socio-demographic factors of children aged 6 to 23 months in Bangladesh. All data including currently breastfeeding status and sociodemographic factors were obtained from the data set of Bangladesh Demographic Health Survey (BDHS) 2011. A total of 2,227 children aged 6-23 months were selected for analysis by using different exclusion and inclusion sampling criteria. Chisquare test was performed to identify the correlation between mother's breastfeeding status and the socio-demographic variables. The simple presentation of contingency analysis provides a true picture to the reader. Multilevel factors, such as, age of child, father's education and employment status, socioeconomic status, and place of residence were identified that incorporate the meaningful influences on mother's breastfeeding status. The findings of this study will be considered by the stake holder to generate an effective strategies for the betterment of the future generation aged 6 to 23 months in future.
IOSR Journals , 2019
Proper breastfeeding practices are effective ways for reducing childhood morbidity and mortality. While many mothers understand the importance of breastfeeding, others are less knowledgeable on the benefits of breastfeeding and weaning. We conducted a cross sectional descriptive study in the outpatient dept. of Shabuddin Medical college Hospital, Dhaka, Bangladesh during the period from January 2018 to November 2018. Our aim was to evaluate breastfeeding pattern in children at the age of 0-24 months. One hundred (100) mothers were interviewed using a questionnaire which was designed to elicit information on infant feeding practices. Most of the children were in 6-12 months age groups which represent 46.25%. Sex distributions were male dominating and were around 60%. The prevalence of breastfeeding practice found 72% in this study; male babies were also practicing more 39% than female 33%. While only 21% breastfed their children exclusively for the first 6 months, and the mean duration of EBF (exclusive breastfeeding) is 3.25 months. Complementary feeding was more commonly initiated around 4–6 months (65.9%). Despite the fact that 72% of mothers initiate breastfeeding and 19.88% of mothers are found to breastfeed up to 2 years. Factors found to influence infant feeding practices are type of delivery, parity, occupation, education, and breast problems.
2021
Background: Early initiation of breastfeeding (EIBF) provides the first immunization for the newborns, fortify their immune defense system and eventually reduce the mortality rate. This study aimed to identify the factors associated with EIBF among mothers in Rajshahi district, Bangladesh. Methods: A total number of 421 mothers living in Rajshahi district who had at least one child aged 6-24 months were considered as sample. Mothers were selected using multistage random sampling. This study was conducted from January to March, 2019. The EIBF was measured by a principal question, “Did you provide your breast milk to your newborn within one hour after delivery?” Frequency distribution, Chi-square test and multivariable binary logistic regression model were utilized in this study for getting prevalence and associated factors of EIBF respectively. Results: This study revealed that the prevalence of EIBF among mothers in Rajshahi district was 88.4%. Multivariable logistic model provided ...
IOSR Journals , 2019
Breastfeeding is of considerable importance in the context of childhood nutrition. Nutritional requirements of an infant can be obtained solely from breast milk for the first six months of life. Many studies had been done in Bangladesh regarding infant feeding practices. The present study has been designed to evaluate the determinants of exclusive breastfeeding which may reflect the current breastfeeding situation in this part of old Dhaka.This case control study conducted among babies aged 4 to 6 months. A total of 60 exclusively breastfed (EBF) and 180 non-exclusively breastfed (NEBF) babies were enrolled. Parents or caregivers were interviewed with a semi-structured questionnaire. Initially univariate association was sought; factors found to be significantly associated in univariate analysis were entered into multivariate model for generating odds ratio adjusted for possible related confounder. EBF was not related to the mother's age (P>.05), education (P>.05) or parity (P>.05), rather it's the place and mode of delivery (P<.05) that shows the difference. Babies who had delivered by C/S were found to be less likely to exclusively breast fed (OR .53 CI .29-.94). Further mothers who delivered at clinic were less likely to practice EBF than those delivered at public hospital or even at home (OR .23 CI .13-.39). EBF practice is more among the babies whose parents had knowledge about EBF before delivery (P< .05). Regarding initiation of breastfeeding in EBF group, most (90.3%) of the babies started breastfeeding within 24 hours. In NEBF the percentage is 62.3% (P<.05). The most common (64.5%) reason for not exclusively breast feeding was 'not enough breast milk'. EBF campaign should be strengthened among people of all socioeconomic and socio demographic strata. Private facility where delivery facility is available advocacy should be made to encourage them to act pro-EBF. Necessary counseling to mothers having C/S should be made by treating physician about possible initiation unless there is a valid reason. EBF campaign should also be initiated toward educating mothers about EBF even before delivery.
Scientific Reports, 2021
Early initiation of breastfeeding (EIBF) is an essential practice for child health as well as for maternal health. This study aims to determine trends, prevalence, and factors associated with EIBF in Bangladesh. Data for this study were extracted from Bangladesh demographic and health surveys (BDHS) 2004, 2007, 2011, and 2014. This study found an increasing trend in EIBF in Bangladesh irrespective of the different characteristics of mothers and children. Chi-square test was conducted to find the association between EIBF and different factors. Multilevel logistic regression analysis was used to consider the hierarchical structure of the data. Regression result showed that educated parents [Adjusted odds ratio (AOR) = 1.14, 95% Confidence Interval (CI) = 1.04, 1.26 ], exposure to media [AOR = 1.13, CI = 1.05, 1.21], 2nd or 3rd birth order [AOR = 1.13, CI = 1.04, 1.23], wanted child [AOR = 1.12, CI = 1.02, 1.23], antenatal visit [AOR = 1.07, CI = 1.00, 1.15], antenatal visit by medical...
Duration of Breastfeeding and Its Correlates in Bangladesh
Journal of Health, Population and Nutrition, 2010
The purpose of this study was to assess the duration of breastfeeding and the sociodemographic factors affecting it. Data for the study were drawn from the Bangladesh Demographic and Health Survey 2004. In total 5,364 mothers were included in the study. The life table and Cox's proportional hazards model were employed for the analysis of breastfeeding-related data, which showed that the average duration of breastfeeding was 31.9 months. Cox regression analysis revealed that the duration of breastfeeding was positively associated with maternal age, contraceptive-use, work status, and religion and was negatively associated with age at marriage, parity, delivery status, region, and maternal education. Younger mothers, having higher education, higher maternal parity, caesarean-section birth, being a Muslim, and mothers who have not used any contraceptive were associated with lower duration of breastfeeding. The findings suggest that health institutions can play a significant role in promoting breastfeeding in Bangladesh. Educational campaigns that stress the benefits of lactation are important strategies for encouraging mothers to breastfeed longer. Akter S and Rahman M Socioeconomic factors and duration of breastfeeding JHPN 596 Socioeconomic factors and duration of breastfeeding JHPN 600
The Determinants of Early Cessation of Breastfeeding in Bangladesh
World Health & Population, 2010
Early cessation of breastfeeding is a cause of significant concern in many developing countries. Premature discontinuation of breastfeeding is known to be associated with avoidable childhood morbidity and mortality as well as high levels of parity and avoidable pregnancies. Using a publicly available demographic dataset from Bangladesh, we applied a life table and Cox's proportional hazard model to investigate the duration and predictors of breastfeeding. The observed mean duration of breastfeeding was 27.5 months regardless of the level of parity. The results showed that age, age at the time of marriage, religion, the level of education of the mother, the geographic region of residence, employment status, parity and the use of contraceptives are important predictors of early cessation of breastfeeding.
Breastfeeding in infancy: identifying the program-relevant issues in Bangladesh
International Breastfeeding Journal, 2010
BACKGROUND: In Bangladesh, many programs and projects have been promoting breastfeeding since the late 1980 s. Breastfeeding practices, however, have not improved accordingly. METHODS: For identifying program-relevant issues to improve breastfeeding in infancy, quantitative data were collected through visits to households (n = 356) in rural Chittagong and urban slums in Dhaka, and qualitative data from sub-samples by applying semi-structured