Working Paper Article Version 1 This version is not peer-reviewed

Breastfeeding Practices Among Adolescent Mothers and Associated Factors in Bangladesh (2004-2014

Version 1 : Received: 24 January 2021 / Approved: 25 January 2021 / Online: 25 January 2021 (10:04:09 CET)

How to cite: Agho, K.; Tahmeed, A.; Catharine, F.; Mansi Vijaybhai, D.; Chundung Asabe, M.; Raphael, T.; Felix Akpojene, O. Breastfeeding Practices Among Adolescent Mothers and Associated Factors in Bangladesh (2004-2014. Preprints 2021, 2021010465 Agho, K.; Tahmeed, A.; Catharine, F.; Mansi Vijaybhai, D.; Chundung Asabe, M.; Raphael, T.; Felix Akpojene, O. Breastfeeding Practices Among Adolescent Mothers and Associated Factors in Bangladesh (2004-2014. Preprints 2021, 2021010465

Abstract

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 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. Younger infants, adolescent mothers living in Barisal region and who listened to radio reported increased odds of predominant breastfeeding and increased odds for bottle-feeding included male infants, an infant aged 0-5 months, Adolescent mothers who had eight or more antenatal clinic visits and richest 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 richest households and promote early initiation of breastfeeding especially among adolescent mothers who delivered at home and had late postnatal check-up after delivery

Subject Areas

Breastfeeding; Infants; Bangladesh; Morbidity; Adolescent mothers; Mortality

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