Abstract:
Background
Adolescent moms (15–19 years old) in Kigali, Rwanda, where adolescent pregnancies are
common and breastfeeding habits are still little understood, were the subjects of this study.
Determining the factors that influence early breastfeeding practices is crucial because 11.5% of
Rwandan teenagers become mothers, and the country's EBF rates fall from 94% at one month to
81% by four to five months. In the first 28 days after giving birth, the study sought to ascertain
the prevalence of EBF, characterize baby feeding patterns, and pinpoint modifiable factors that
affect EBF.
Methodology
Using stratified random sampling, 136 teenage moms were enrolled in a cross-sectional study at
four health centers in Kigali. Validated questionnaires addressing sociodemographics, eating
habits, and medical experiences were used to gather data. After adjusting for covariates, binary
logistic regression evaluated 15 possible EBF predictors. All subjects gave their informed
consent, and ethical approval was acquired.
Results
At 28 days, the EBF rate was higher than the regional average at 88.1%. Nonetheless, before six
months, 29.9% of moms planned to start supplemental feeding. Maternal education (aOR=0.24,
p=0.047), breastfeeding-friendly settings (aOR=0.24, p=0.016), and attendance at prenatal care
(aOR=0.16, p=0.001) were all significant predictors of successful EBF. Surprisingly, there was
no discernible effect of birth mode or family support.
Conclusion
In Rwanda, adolescent women exhibit a high capacity for nursing. Nonetheless, specific actions
are advised, such as strengthening postnatal counseling, developing adolescent-friendly
healthcare facilities, and adding breastfeeding knowledge to school curriculum. To better
understand long-term breastfeeding practices and decision-making in this population, more
mixed-methods and longitudinal studies are required.
