Abstract
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 medically trained provider [AOR = 1.06, CI = 1.00,1.13] and rich wealth index [AOR = 1.10, CI = 1.01, 1.20] were positively associated with EIBF. In contrast, mothers with caesarian delivery [AOR = 0.36, CI = 0.31, 0.40], delivery in private facility [AOR = 0.83, CI = 0.73, 0.95], multiple birth, and higher maternal age were less likely to EIBF.
Highlights
Breastfeeding provides neonates with all sorts of nutrients like proteins, fats, carbohydrates, and fluids are essential for neonates’ healthy growth and development
Chi-square test showed that division, place of residence, mode of delivery, parents’ education, number of household members, birth order, type of birth, mothers’ age at first birth, wanted index child, wealth index, delivery facility, and maternal age significantly associated with Early initiation of breastfeeding (EIBF)
We observed the prevalence of EIBF increased over the surveys for all the categories of covariates related to mothers and their children
Summary
Breastfeeding provides neonates with all sorts of nutrients like proteins, fats, carbohydrates, and fluids are essential for neonates’ healthy growth and development. Breastfeeding has several positive impacts on mothers’ health It reduces health risks like breast cancer, ovarian cancer, type 2 diabetes mellitus, metabolic syndrome, and cardiovascular d isease[2,3]. Initiation of breastfeeding within one hour after birth provides necessary nutrients with colostrum (first milk) to the neonatal. Breastfeeding ties a mother and her neonate emotionally It reduces mothers’ postpartum d epression[7]. Initiation of breastfeeding reduces postpartum blood loss by releasing oxytocin and helps mothers to produce breast milk. Our study aims to identify trends, prevalence, and factors associated with EIBF in Bangladesh by using multilevel regression analysis in BDHS 2004 to 2014 data since BDHS data contains a hierarchical structure
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