Research Article
Volume 10 Issue 4 - 2021
Impact of Knowledge and Attitude of Primiparous Mothers on Achieving Exclusive Breastfeeding Practices in Thatta, Pakistan
Rahil Barkat1*, Erum Choudry1, Sheharyar Khan2 and Asma Ahmed Bham1
1Indus Hospital Research Center, Indus Hospital and Health Network, Karachi, Pakistan
2Baqai Medical University, Karachi, Pakistan
*Corresponding Author: Rahil Barkat, Indus Hospital Research Center, The Indus Hospital, Karachi, Pakistan.
Received: February 26, 2021; Published: March 30, 2021


Objective: Breastfeeding provides infants with numerous longer-term and short-term health benefits. The World Health Organization (WHO) recommends exclusive Breastfeeding (EBF) for the first six months of life. However, the proportion of EBF in Pakistan is 48%. This study aimed to determine the prevalence of exclusive breastfeeding and associated factors influencing exclusive breastfeeding in primiparous mothers.

Methodology: A secondary analysis was performed on data extracted from the survey, implemented in Thatta, registered in the Maternal and Neonatal Health Registry. To identify the factors associated with exclusive breastfeeding among primiparous mother, Cox proportional regression was used, and prevalence ratios were computed for each of the independent variables.

Results: The prevalence of exclusive breastfeeding among primiparous mothers was 51.1%. In the multivariable Cox proportional algorithm, exclusive breastfeeding was positively associated with adequate knowledge (PR = 3.09, 95% CI: 2.00 - 4.76), positive maternal attitude (PR: 1.54, 95% CI: 1.09 - 2.17), and lastly results show that mothers whose baby was admitted in NICU after birth are more likely to non-exclusively breastfeed their child as compared to mothers whose baby were not admitted to NICU after birth (PR: 1.60, 95% CI).

Conclusion: Adequate knowledge and positive breastfeeding attitude can predict EBF practices among primiparous women. Therefore, there is a need to intensify the efforts to promote breastfeeding and maternal education about the safety, benefits, and effectiveness of exclusive breastfeeding to improve primiparous women's breastfeeding knowledge and attitude. Furthermore, large scale community based qualitative research is strongly recommended to investigate the perception and cultural factors affecting the practices of EBF among primiparous mothers.

Keywords: Breastfeeding; Exclusive Breastfeeding Practices; Pakistan; Primiparous


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Citation: Rahil Barkat., et al. “Impact of Knowledge and Attitude of Primiparous Mothers on Achieving Exclusive Breastfeeding Practices in Thatta, Pakistan”. EC Paediatrics 10.4 (2021): 35-44.

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