Kenya has made notable strides in promoting exclusive breastfeeding, with 60% of infants under six months receiving only breast milk. However, a significant gap remains in initiating breastfeeding within the first hour after birth, known as the "golden hour," which is crucial for newborn health.

The Ministry of Health revealed that although 89% of deliveries in Kenya occur under skilled health personnel, only 60% of newborns start breastfeeding within the first hour. This means four out of every ten babies miss out on early breastfeeding benefits despite being born in health facilities.

Importance of Early Breastfeeding

Starting breastfeeding immediately after birth provides newborns with colostrum, a nutrient-rich first milk packed with antibodies and immune cells, often called a baby's "first vaccine." Early breastfeeding reduces neonatal mortality, helps regulate body temperature and blood sugar, promotes healthy gut bacteria, and strengthens mother-child bonding through skin-to-skin contact.

For mothers, early breastfeeding stimulates oxytocin release, aiding uterine contraction and reducing postpartum hemorrhage risks.

Challenges Hindering Early Initiation

  • Caesarean Deliveries: Post-surgical recovery can delay mother-infant contact unless hospitals have protocols supporting immediate skin-to-skin care.
  • Facility Practices: Some newborns are separated from mothers for weighing, bathing, or routine procedures before breastfeeding begins.
  • Lack of Practical Support: Skilled birth attendance does not always guarantee assistance with positioning or latching during the critical first hours.
  • Cultural Beliefs: Misconceptions about colostrum being harmful lead some families to discard it.
  • Marketing of Breast Milk Substitutes: Aggressive promotion undermines breastfeeding confidence.
  • Workplace Barriers: Short maternity leave and inadequate breastfeeding facilities challenge working mothers.

Way Forward

Health experts urge strengthening breastfeeding support through initiatives like the Baby-Friendly Hospital Initiative, promoting uninterrupted skin-to-skin contact, improving counselling, and supporting mothers who deliver via caesarean section. Enforcement of regulations limiting breast milk substitute marketing is also critical.

Collaborative efforts involving county governments, healthcare workers, employers, communities, and families are needed to ensure every Kenyan baby receives the healthiest start in life.