Factors affecting breastfeeding initiation among mothers in Riyadh primary healthcare clinics: a cross-sectional study.

Abstract

Background: This study examined the prevalence, timing, and factors associated with breastfeeding practices among Saudi mothers. Breastfeeding is integral to infant health, and understanding cultural and demographic influences on initiation timing is crucial for developing effective interventions.

Methods: A cross-sectional study was conducted, recruiting 449 Saudi mothers from four primary healthcare centers in Riyadh between January 2022 and January 2023. The inclusion criteria were mothers with children under the age of two. Data were collected via a validated self-administered questionnaire. The sample size calculation considered an anticipated prevalence of 43.6% based on previous research. Ethical approval was obtained from the IRB of the King Abdullah International Medical Research Center.

Results: Breastfeeding prevalence was high (86.6% of mothers), which aligns with global breastfeeding promotion efforts. However, variations were observed in the initiation timing, with only 46.0% of the patients initiating breastfeeding within the first hour. While no statistically significant factors influenced initiation, notable trends emerged. Older mothers and those with lower educational levels demonstrated higher rates of early initiation, suggesting cultural and generational influences. Working mothers faced challenges with breastfeeding continuation due to the lack of designated breastfeeding time at work.

Conclusion: This study provides insights into the prevalence of breastfeeding practices among Saudi mothers and the factors influencing them. High breastfeeding prevalence indicates a positive cultural commitment to breastfeeding, whereas variations in initiation timing and continuation underscore the need for targeted interventions such as implementing breastfeeding clinics that inhance practice and education among mothers. Workplace support and educational campaigns are recommended to enhance breastfeeding initiation, particularly among working mothers.