A Comparative Study of the Breast Feeding Practice of Mothers between Rural Area and Urban Area in Bangladesh

Rasel Ahmed, Taslima Akter, Sharmin Khatun, Md Salim Raza, A. Siddiqa, Yousuf al Mamun
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Abstract

The exclusive breast feeding is ideal nutrition and sufficient to support optimal growth and development for approximately the first 6 months of life and the later age breastfeeding provides complete nutrition for infants and children. But it is not properly maintained in Bangladesh with limited resources, such as Sirajganj, where poverty and illiteracy are prevalent. Poor nutritional status during childhood can have long-lasting consequences in adulthood, including health, mortality, and human capital. It was a community based cross sectional comparative study which was conducted on 500 hundred mothers and their 500 hundred children in which 250 mothers and 250 children from each of Sirajganj and Dhaka City were selected. The target respondents were selecting randomly. χ 2 test, and  Pearson’s correlation was performed as P<0.05 level of significance. The study found that there was a higher number of female children and higher birth frequencies in Sirajganj and Dhaka City. The study assessed mothers' breast feeding practices, including knowledge of colostrums, first baby food feeding, initiation, and duration of exclusive breastfeeding. Sirajganj city mothers received more breastfeeding attention than Dhaka City mothers, with findings decreasing with child's birth order. Breast feeding privileges in Sirajganj City increase as mothers' education levels rise from low school to a bachelor's degree or higher. Breast-feeding prevalence in infants up to 12 months is influenced by factors like sex, maternal age, birth order, education, employment status, and mother's poverty income ratio. The sickness of children is also influence to stop breast-feeding. The child birth weight was found to comparatively lower in the Sirajganj city than Dhaka City.
孟加拉国城乡母亲母乳喂养方式比较研究
纯母乳喂养是最理想的营养方式,足以支持婴儿出生后 6 个月左右的最佳生长发育,母乳喂养还能为婴儿和儿童提供全面的营养。但在资源有限的孟加拉国,如锡拉杰甘杰,贫困和文盲现象十分普遍,母乳喂养并没有得到很好的坚持。儿童时期营养不良会对成年后的健康、死亡率和人力资本造成长期影响。这是一项以社区为基础的横断面比较研究,研究对象为 50000 名母亲及其 50000 名子女,从锡拉杰甘杰市和达卡市各选出 250 名母亲和 250 名子女。在 P<0.05 的显著水平下,进行了 χ 2 检验和皮尔逊相关性检验。研究发现,锡拉杰甘杰和达卡市的女性儿童数量较多,出生频率较高。研究评估了母亲的母乳喂养做法,包括对初乳的了解、第一次婴儿食品喂养、开始母乳喂养以及纯母乳喂养的持续时间。与达卡市的母亲相比,锡拉杰甘杰市的母亲在母乳喂养方面得到了更多的关注,随着孩子出生顺序的变化,关注度也在降低。锡拉杰甘杰市的母乳喂养率随着母亲受教育程度的提高而提高,从低学历提高到本科或更高学历。12 个月以下婴儿的母乳喂养率受性别、母亲年龄、出生顺序、教育程度、就业状况和母亲贫困收入比率等因素的影响。孩子生病也是停止母乳喂养的影响因素。研究发现,锡拉杰甘杰市的婴儿出生体重相对低于达卡市。
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