School of Health Sciences, Campbelltown Campus, Western Sydney University, Campbelltown, NSW 2560, Australia.
Translational Health Research Institute (THRI), Campbelltown Campus, Western Sydney University, Sydney, NSW 2560, Australia.
Nutrients. 2021 Feb 8;13(2):557. doi: 10.3390/nu13020557.
Optimal breastfeeding practices among mothers have been proven to have health and economic benefits, but evidence on breastfeeding practices among adolescent mothers in Bangladesh is limited. Hence, this study aims to estimate breastfeeding indicators and factors associated with selected feeding practices. The sample included 2554 children aged 0-23 months of adolescent mothers aged 12-19 years from four Bangladesh Demographic and Health Surveys collected between 2004 and 2014. Breastfeeding indicators were estimated using World Health Organization (WHO) indicators. Selected feeding indicators were examined against potential confounding factors using univariate and multivariate analyses. Only 42.2% of adolescent mothers initiated breastfeeding within the first hour of birth, 53% exclusively breastfed their infants, predominant breastfeeding was 17.3%, and 15.7% bottle-fed their children. Parity (2-3 children), older infants, and adolescent mothers who made postnatal check-up after two days were associated with increased exclusive breastfeeding (EBF) rates. Adolescent mothers aged 12-18 years and who watched television were less likely to delay breastfeeding initiation within the first hour of birth. Adolescent mothers who delivered at home (adjusted OR = 2.63, 95% CI:1.86, 3.74) and made postnatal check-up after two days (adjusted OR = 1.67, 95% CI: 1.21, 2.30) were significantly more likely to delay initiation breastfeeding within the first hour of birth. Adolescent mothers living in the Barisal region and who listened to the radio reported increased odds of predominant breastfeeding, and increased odds for bottle-feeding included male infants, infants aged 0-5 months, adolescent mothers who had eight or more antenatal clinic visits, and the highest wealth quintiles. In order for Bangladesh to meet the Sustainable Development Goals (SDGs) 2 and 3 by 2030, breastfeeding promotion programmes should discourage bottle-feeding among adolescent mothers from the richest households and promote early initiation of breastfeeding especially among adolescent mothers who delivered at home and had a late postnatal check-up after delivery.
母乳喂养对母亲和婴儿的健康都有好处，已被证实具有经济意义。然而，孟加拉国关于青少年母亲母乳喂养做法的证据有限。因此，本研究旨在评估孟加拉国青少年母亲的母乳喂养指标和与特定喂养方式相关的因素。该研究样本包括 2004 年至 2014 年期间进行的四次孟加拉国人口与健康调查中收集的 2554 名 0-23 个月大的青少年母亲的子女。母乳喂养指标采用世界卫生组织（WHO）的指标进行评估。使用单变量和多变量分析，根据潜在的混杂因素检查了选定的喂养指标。只有 42.2%的青少年母亲在婴儿出生后 1 小时内开始母乳喂养，53%的母亲纯母乳喂养，主要母乳喂养率为 17.3%，15.7%的母亲用奶瓶喂养。多胎（2-3 个孩子）、年龄较大的婴儿以及在产后两天后进行产后检查的青少年母亲，其纯母乳喂养率更高。12-18 岁的青少年母亲和看电视的青少年母亲，其在婴儿出生后 1 小时内开始母乳喂养的时间更晚。在家分娩（调整后的 OR = 2.63，95%CI：1.86，3.74）和在产后两天后进行产后检查（调整后的 OR = 1.67，95%CI：1.21，2.30）的青少年母亲，其在婴儿出生后 1 小时内开始母乳喂养的时间明显更晚。居住在巴里萨尔地区的青少年母亲和听广播的青少年母亲，其主要母乳喂养的几率更高，而用奶瓶喂养的几率更高的因素包括男婴、0-5 个月大的婴儿、接受过 8 次或更多产前检查的青少年母亲以及最富裕的五个五分位数。为了使孟加拉国在 2030 年前实现可持续发展目标 2 和 3，母乳喂养促进计划应劝阻最富裕家庭的青少年母亲使用奶瓶喂养，并特别鼓励在家分娩和产后检查时间较晚的青少年母亲尽早开始母乳喂养。
