Published: 2021-01-22

Prevalence of exclusive breastfeeding and factors associated with faulty feeding in southwest Bihar

Vijay Kumar, Sanjay Kumar, Devdarshan Nitin Gandhi, Mani Kant Kumar


Background: Exclusive breastfeeding has been defined by WHO as “When an infant has been given only breast milk from his/her mother or a wet nurse or expressed breast milk during first six month of life and no other liquids/solids except necessary medicine and nutrional supplements in form of drops or syrup”. Aim was to Assess the prevalence and factors associated for faulty feeding on exclusive breast feeding practices of children less than six Months.

Methods: An institution-based cross-sectional survey was conducted from May 2020 to October 2020 at Narayan medical college, Jamuhar, Rohtas, South Bihar. All mothers who visited for immunization and/or postnatal care services were considered as the study population. Lactating mothers who had under six-month infants were included. We observe the breastfeeding process for five minutes and record as per the WHO B-R-E-A-S-T feed observation form. The observation was done by asking the mother to put her infant to the breast.  

Results: In this present study 58.5% study subjects were given exclusive breast feeding, 36.25% study subjects were given exclusive breast feeding only for some period and rest 5.25% had not given exclusive breast feeding since birth. In this study 46% study subjects had bottle feeding habit, whereas rest 54% do not had Bottle feeding habit.  

Conclusions: The Exclusive Breast Feeding was satisfactory (58.5%). Some basic reason for faulty feeding were mothers’ belief that no milk, insufficient milk, baby is sick, mother is working/studying.  


Prevalence, Exclusive breast feeding, Faulty feeding

Full Text:



Mohamed AA, Mohamud SA, Mohamud FY. Prevalence and Associated Factors of Exclusive Breastfeeding Practices Among Mothers of Infants Less Than Six Months in Galkayo, Somalia : A Community Based Cross-Sectional Study Science. J Pub Heal. 2018;6(5):133-9.

Kaushal A, Singh M, Sharma P, Chander V, Raina SK. Determinants of exclusive breastfeeding among lactating women in sub-Himalayan region. Trop J Med Res. 2017;20:70-4.

Chhetri S, Rao AP, Guddattu V. Factors a ff ecting exclusive breastfeeding ( EBF ) among working mothers in Udupi taluk , Karnataka. Clin Epidemiol Glob Heal. 2018;6(4):216–9.

Parekh C, Bavdekar SB, Shaharao V. Study of Infant Feeding Practices: Factors Associated with Faulty Feeding. J Tropic Pediat. 2004;50(5):1-3.

Nadu T. A Study on infant and young children feeding practices among mothers in. International J Re. 2020;11(2):25–31.

Huang P, Ren J, Liu Y, Luo B, Zhao X. Factors affecting breastfeeding adherence among Chinese mothers. Medicine. 2017;96:38-44

Jama A, Gebreyesus H, Wubayehu T, Gebregyorgis T, Teweldemedhin M. Exclusive breastfeeding for the first six months of life and its associated factors among children age 6-24 months in Burao district, Somaliland. Int Breastfeed J. 2020;15(5):1–8.

Chaudhary NS, Raut AV, Singh AR. Faulty feeding practices in children less than 2 years of age and their association with nutritional status: A study from a rural medical college in Central India. Int J Adv Med Health Res. 2016;3:78-84.

Evangelista JKC. Prevalence and Predictors of Exclusive Breastfeeding among Mothers with Term Deliveries in Adventist Medical Center Manila (AMCM) Immediately Postpartum and at One Month Postpartum. J Gynecol Reprod Med. 2020;4(1):1-7.

Pandey S, Tiwari K, Senarath U, Agho KE, Dibley MJ; South Asia Infant Feeding Research Network. Determinants of infant and young child feeding practices in Nepal: Secondary data analysis of Demographic and Health Survey 2006. Food Nutr Bull. 2010;31:334‑51.

Roy S, Simalti AK, Nair BT. Prevalence of exclusive breastfeeding and knowledge related to breastfeeding among mothers attending immunization center and well-baby clinic. Acta Med Int. 2018;5:79-83

Dixit AM, Kariwala P, Jain PK. Preva-lence of Exclusive Breast Feeding and Its Determinants: A Cross Sectional Study in District- Etawah, Uttar Pra-desh. Natl J Community Med. 2017;8(9):554-8.

Prasad B, Costello AM. Impact and sustainability of a ‘baby friendly’ health education intervention at a district hospital in Bihar, India. Bio Med J. 1995;310:621–3.

Chudasama RK, Patel PC, Kavishwar AB: Determinants of exclusive breastfeeding in south Gujarat region of India. J Clic Med Res. 2009;1:102-8.

Parekh C, Bavdekar SB, Shaharao V. Study of infant feeding practices: factors associated with faulty feeding. J Tropic Pediat. 2004;50(5):306-8.

Dharini K, Jain T. A Study on infant and young children feeding practices among mothers in Thirumazhisai, Chennai, Tamil Nadu. Int J Res Pharmaceut Sci. 2020;11(SPL2):25-31.