Barriers to exclusive breastfeeding encountered by mothers in and around Raichur district
DOI:
https://doi.org/10.18203/2349-3291.ijcp20261911Keywords:
Exclusive breastfeeding, Barriers, Infant feeding, Maternal counselling, Raichur, , Breastfeeding practicesAbstract
Background: Exclusive breastfeeding (EBF) is the ideal method of infant feeding during the first six months of life, providing optimal nutrition, immune protection, and support for infant growth and development. However, its practice remains suboptimal due to multiple maternal, socio-cultural, occupational, and healthcare-related barriers. Objectives were to assess the prevalence of EBF and identify barriers influencing its practice among mothers in and around Raichur district.
Methods: This community-based descriptive cross-sectional study was conducted over 12 months among 225 mothers with children aged less than 2 years. Data were collected using a pretested semi-structured questionnaire covering socio-demographic details, obstetric and infant characteristics, breastfeeding practices, and barriers to EBF.
Results: The prevalence of EBF was 57.8%. Early initiation of breastfeeding within one hour was reported by 46.2% of mothers, and colostrum feeding was practiced by 69.3%. The most common barriers were lack of counselling (45.3%), inadequate knowledge (36.9%), poor family support (35.1%), perceived inadequate milk production (32.4%), and cultural practices (32.0%). EBF was significantly associated with maternal occupation, antenatal care visits, mode of delivery, prelacteal feeding, bottle feeding, pacifier use, and cultural practices.
Conclusions: EBF prevalence was moderate but below the recommended universal target. Modifiable factors such as inadequate counselling, maternal employment, cesarean delivery, prelacteal feeding, bottle feeding, pacifier use, and cultural practices negatively influenced EBF. Strengthening antenatal and postnatal counselling, improving family support, and addressing harmful traditional feeding practices are essential to improve EBF rates.
References
Ballard O, Morrow AL. Human Milk Composition: Nutrients and Bioactive Factors. Pediatr Clin North Am. 2013;60(1):49-74.
Exclusive breastfeeding for optimal growth, development and health of infants. Available at: https://www.who.int/tools/elena/interventions/exclusive-breastfeeding. Accessed on 14 April 2026.
Arora A. Breastfeeding: A mother’s gift, for every child. UNICEF DATA. 2018. Available at: https://data.unicef.org/resources/breastfeeding-a-mothers-gift-for-every-child/. Accessed on 14 April 2026.
Martin CR, Ling PR, Blackburn GL. Review of Infant Feeding: Key Features of Breast Milk and Infant Formula. Nutrients. 2016;8(5):279.
Brahm P, Valdés V. The benefits of breastfeeding and associated risks of replacement with baby formulas. Rev Chil Pediatr. 2017;88(1):7-14.
Del Ciampo LA, Del Ciampo IRL. Breastfeeding and the Benefits of Lactation for Women’s Health. Rev Bras Ginecol Obstet. 2018;40(6):354-9.
NFHS. Available at: https://www.nfhsiips.in/nfhsuser/nfhs5.php. Accessed on 14 April 2026.
Gala Z, Shetye S, Sadawarte DM, Autade M. Barriers in exclusive breastfeeding encountered by mothers in urban slum area of a metropolitan city. J Family Med Prim Care. 2023;12(11):2690-5.
Ali SA, Lakshmi CVS, Mirza NA, Siddiqui S, Anis H, Manfusa H. Barriers to exclusive breastfeeding in first 6 months of life in infants born in a tertiary care center in Hyderabad. Int J Contemp Pediat. 2023;10(11):1644-51.
Bhanderi DJ, Pandya YP, Sharma DB. Barriers to exclusive breastfeeding in rural community of central Gujarat, India. J Family Med Prim Care. 2019;8(1):54-61.
Venkatachalapathi S, Mannu A, Subramaniyam K, Vasudevan J, Lala U, Venkatachalapathi S, et al. Uncovering the Barriers to Exclusive Breast Feeding for Mothers in a Rural Setting in Southern India. J Pediat Res. 2021;8(2):181-7.
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