| dc.description.abstract | Background
Breastfeeding within one hour of birth is a critical component of newborn care and is esti-
mated to avert 22% of neonatal mortality globally. Understanding the determinants of early
initiation of breastfeeding (EIBF) is essential for designing targeted and effective breastfeed-
ing promotion programmes. The aim of this study was to determine the prevalence and
determinants of early initiation of breastfeeding among Bangladeshi women.
Methods
This paper analyses the data from the Bangladesh Demographic and Health Survey, 2014.
Analysis was based on responses of women who had at least one live birth in the two years
preceding the survey (n = 3,162) collected using a structured questionnaire. The primary
outcome was breastfeeding initiation within one hour of birth ascertained by women’s self-
report. Explanatory variables included woman’s age, education, religion, household wealth,
place of residence and place of delivery, birth order, child’s size, antenatal care (ANC), post-
natal care (PNC) and skin-to-skin contact. Associations between variables were assessed
by simple and multivariable logistic regressions.
Results
Of the 3,162 recently delivered mothers, 51% initiated breastfeeding within one hour of
delivery. Prevalence of EIBF varied significantly between different types of mode of delivery,
among different geographical regions and among women who had PNC with their newborn.
Women who had caesarean section (C-section) were less likely to initiate breastfeeding
early after birth than women who had normal vaginal delivery (NVD) (AOR: 0.32, 95% CI 0.23 0.43; p value < 0.001). Women who had received PNC with their newborns within one
hour of delivery were more likely to breastfeed their babies within one hour of birth compared
to those who did not (AOR: 1.61, 95% CI 1.26 2.07; p value < 0.001). Mother’s age, educa-
tion, religion, household wealth index, place of residence and place of delivery, birth order,
number of antenatal visits, child’s size and skin-to-skin contact were not significantly associ-
ated with EIBF.
Conclusions
Findings from this study suggest that investing more effort in ensuring immediate PNC of
mother-newborn pair can increase EIBF. Solutions should be explored to increase EIBF
among mothers who undergo C-section as C-section is rising rapidly in Bangladesh. Further
research is needed to explore the regional differences in the country, including specific cul-
tural practices that influence EIBF. | en_US |
