Maternal prenatal attitudes and postnatal breast-feeding behaviours in rural Bangladesh.

Abstract:

OBJECTIVE:To assess the relationships between maternal breast-feeding intention, attitudes, self-efficacy and knowledge at 7 months' gestation with exclusive or full breast-feeding at 3 months postpartum. DESIGN:Prospective cohort study with structured home interviews during pregnancy and 3 months after delivery. SETTING:Two rural sub-districts of Kishoreganj district, Bangladesh. SUBJECTS:Mother-infant dyads. RESULTS:Over 80 % of 2178 pregnant women intended to exclusively breast-feed (EBF). Maternal positive attitudes, self-efficacy and knowledge about breast-feeding were positively associated with EBF intention (all P<0.05). All mothers except one reported initiating breast-feeding and 99.6 % of children were still breast-fed at 3 months. According to 24 h dietary recalls, we categorized 985 (45.2 %) infants as EBF at 3 months (47.8 % among mothers with EBF intention; 31.7 % among mothers with no EBF intention; P<0.05) and 551 (25.3 %) infants as predominantly breast-fed at 3 months (24.2 % among mothers with EBF intention; 30.8 % among mothers with no EBF intention; P<0.05). Prenatal EBF intention was associated with EBF (OR=1.48, 95 % CI 1.14, 1.91) and with full breast-feeding (OR=1.34, 95 % CI 1.04, 1.72) at age 3 months. EBF at age 3 months was not associated with maternal breast-feeding knowledge, attitudes or self-efficacy. CONCLUSIONS:Despite widespread expressed maternal EBF intention and universal breast-feeding initiation, prevalence of both exclusive and full breast-feeding at 3 months remains lower than WHO recommendations. EBF intention predicts breast-feeding behaviours, suggesting the importance of prenatal counselling to improve infant feeding behaviours.

journal_name

Public Health Nutr

journal_title

Public health nutrition

authors

Yu EA,Thomas JS,Owais A,Tirmizi N,Faruque A,Das SK,Rahman S,Schwartz B,Stein AD

doi

10.1017/S1368980014000937

subject

Has Abstract

pub_date

2015-03-01 00:00:00

pages

679-85

issue

4

eissn

1368-9800

issn

1475-2727

pii

S1368980014000937

journal_volume

18

pub_type

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