Associated factors of early initiation of breastfeeding among mothers in Rajshahi district, Bangladesh: A cross-sectional study
Abstract 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 eight factors associated with EIBF: (i) husbands’ education level, (ii) husbands’ occupation, (iii) family monthly income, (iv) mothers’ age, (v) mothers’ BMI, (vi) place of delivery, (vii) planned pregnancy and (viii) mothers taking advice regarding the benefit of breastfeeding during their pregnancy. Conclusions: This study identified several modifiable factors associated with EIBF. The customs, culture and other characteristics are almost same across the country. These factors could be considered to increase the rate of EIBF among mothers in Bangladesh.