Breastfeeding practices and associated factors among adolescent mothers attending health centers in Kigali City

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.