PDF(Pubmed)
Abstract：
BACKGROUND: 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.
METHODS: 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.
RESULTS: 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.
CONCLUSIONS: 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.
METHODS: 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.
RESULTS: 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.
CONCLUSIONS: 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.
摘要：
背景：早期开始母乳喂养是在出生后一小时内开始母乳喂养，在出生婴儿的成长和生存中起着重要作用，然而，在城市全职成衣（RMG）工作母亲中，其患病率和预测因素并未得到调查。这项研究的目的是确定城市RMG工作母亲中早期开始母乳喂养的患病率和影响因素。
方法：在2023年3月至2023年12月在达卡进行了一项连续的解释性混合方法研究，孟加拉国。共有452名全职女性RMG工人参加了定量研究。对30名全职女RMG工人进行了定性研究，四名受雇于RMG的女医生，四名RMG工厂经理，和四名当地儿科医生。
结果：在妇女中，早期开始母乳喂养的患病率为40%。它与各种因素显着相关，包括社会文化障碍，母亲的高龄（AOR3.93，95CI1.18，13.04），缺乏教育(AOR6.86，95CI1.11，42.49)，缺乏意识,和文化习俗，例如开始羊奶和蜂蜜代替母乳。缺乏初乳喂养（AOR8.96，95CI4.30，18.70）和乳前喂养（AOR0.06，95CI0.03，0.11）是早期开始母乳喂养的重要婴儿喂养实践相关障碍。产妇健康因素,特别是分娩后的疾病，剖宫产,缺乏母乳生产，从定性分析中发现，这是早期开始母乳喂养的重要障碍。此外,显著影响早期开始母乳喂养的RMG工厂相关因素包括对生产的强烈关注，繁忙的日程,以及缺乏早期开始母乳喂养的主动性。
结论：在RMG职业妇女中，早期开始母乳喂养的患病率很低。这项研究强调需要采取干预措施，以解决RMG部门工作母亲早期开始母乳喂养所面临的具体挑战。包括改善泌乳教育，增强意识以减轻文化障碍，RMG基于工厂的倡议，以授权女工尽早开始母乳喂养，并准备在医疗机构早期开始母乳喂养友好的剖宫产后。
方法：在2023年3月至2023年12月在达卡进行了一项连续的解释性混合方法研究，孟加拉国。共有452名全职女性RMG工人参加了定量研究。对30名全职女RMG工人进行了定性研究，四名受雇于RMG的女医生，四名RMG工厂经理，和四名当地儿科医生。
结果：在妇女中，早期开始母乳喂养的患病率为40%。它与各种因素显着相关，包括社会文化障碍，母亲的高龄（AOR3.93，95CI1.18，13.04），缺乏教育(AOR6.86，95CI1.11，42.49)，缺乏意识,和文化习俗，例如开始羊奶和蜂蜜代替母乳。缺乏初乳喂养（AOR8.96，95CI4.30，18.70）和乳前喂养（AOR0.06，95CI0.03，0.11）是早期开始母乳喂养的重要婴儿喂养实践相关障碍。产妇健康因素,特别是分娩后的疾病，剖宫产,缺乏母乳生产，从定性分析中发现，这是早期开始母乳喂养的重要障碍。此外,显著影响早期开始母乳喂养的RMG工厂相关因素包括对生产的强烈关注，繁忙的日程,以及缺乏早期开始母乳喂养的主动性。
结论：在RMG职业妇女中，早期开始母乳喂养的患病率很低。这项研究强调需要采取干预措施，以解决RMG部门工作母亲早期开始母乳喂养所面临的具体挑战。包括改善泌乳教育，增强意识以减轻文化障碍，RMG基于工厂的倡议，以授权女工尽早开始母乳喂养，并准备在医疗机构早期开始母乳喂养友好的剖宫产后。
