Department of Public Health, School of Pharmacy and Public Health, Independent University (IUB), Dhaka, Bangladesh.
International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Int Breastfeed J. 2024 Jun 18;19(1):42. doi: 10.1186/s13006-024-00645-w.
Early initiation of breastfeeding is the initiation of breastfeeding within one hour of birth, which plays a significant role in a born baby's growth and survival, however its prevalence and predictors among urban full-time readymade garments (RMG) working mothers are not investigated. The purpose of this study is to determine the prevalence and factors affecting early initiation of breastfeeding among urban RMG working mothers.
A sequential explanatory mixed-methods study was conducted between March 2023 and December 2023 in Dhaka, Bangladesh. A total of 452 full-time female RMG workers were included for the quantitative study. Qualitative study was carried out among 30 full-time female RMG workers, four female physicians who were employed in the RMGs, four RMG factory managers, and four local pediatricians.
The prevalence of early initiation of breastfeeding was 40% among the women. It was significantly associated with various factors, including socio-cultural barriers, the advanced age of the mother (AOR 3.93, 95%CI 1.18, 13.04), lack of education (AOR 6.86, 95%CI 1.11, 42.49), lack of awareness, and cultural practices such as initiating goat milk and honey instead of breast milk. The absence of colostrum feeding (AOR 8.96, 95%CI 4.30, 18.70) and pre-lacteal feeding (AOR 0.06, 95%CI 0.03, 0.11) were significant baby feeding practice-related barriers to early initiation of breastfeeding. Maternal health factors, notably post-delivery sickness, cesarean delivery, and lack of breastmilk production, were revealed as a significant hindrance to the early initiation of breastfeeding explored from qualitative analysis. In addition, RMG factory-related factors that significantly affect early initiation of breastfeeding include a strong focus on production, a busy schedule, and a lack of initiative regarding the early initiation of breastfeeding.
The prevalence of early initiation of breastfeeding among RMG working women is poor. This study emphasizes the need for interventions that address specific challenges of early initiation of breastfeeding faced by working mothers in RMG sectors, including improved lactation education, increased awareness to mitigate cultural barriers, RMG factory-based initiatives to empower female workers early initiation of breastfeeding, and preparing early initiation of breastfeeding -friendly post-cesarean unit at the health care facility.
早期母乳喂养是指在婴儿出生后一小时内开始母乳喂养，这对婴儿的生长和生存起着重要作用，但城市全职成衣（RMG）工作母亲中早期母乳喂养的流行情况及其预测因素尚未得到调查。本研究旨在确定城市 RMG 工作母亲中早期母乳喂养的流行情况和影响因素。
这是一项在 2023 年 3 月至 12 月期间在孟加拉国达卡进行的序贯解释性混合方法研究。共纳入 452 名全职女性 RMG 工人进行定量研究。定性研究在 30 名全职女性 RMG 工人、4 名在 RMG 工作的女性医生、4 名 RMG 工厂经理和 4 名当地儿科医生中进行。
该研究中，女性早期母乳喂养的流行率为 40%。它与各种因素显著相关，包括社会文化障碍、母亲年龄较大（AOR 3.93，95%CI 1.18，13.04）、缺乏教育（AOR 6.86，95%CI 1.11，42.49）、缺乏意识以及代乳品喂养（AOR 0.06，95%CI 0.03，0.11）等文化习俗。初乳喂养（AOR 8.96，95%CI 4.30，18.70）和开奶喂养（AOR 0.06，95%CI 0.03，0.11）等婴儿喂养相关的障碍也显著影响了早期母乳喂养的启动。从定性分析中发现，产妇健康因素，尤其是产后疾病、剖腹产和缺乏母乳分泌，也是早期母乳喂养启动的显著障碍。此外，RMG 工厂相关因素也会显著影响早期母乳喂养的启动，包括对生产的高度关注、繁忙的日程安排以及缺乏对早期母乳喂养的主动性。
RMG 工作女性中早期母乳喂养的流行率较差。本研究强调需要针对 RMG 部门工作母亲面临的早期母乳喂养启动的具体挑战采取干预措施，包括改善母乳喂养教育、提高认识以减轻文化障碍、RMG 工厂为基础的举措，以增强女性工人的早期母乳喂养意识，并在医疗保健设施中为剖腹产术后单元做好早期母乳喂养的准备。
