Prevalence of exclusive breastfeeding and its determinants in first 6 months of life: A prospective study

Chudasama, Rajesh K and Amin, Chikitsa D and Parikh, Yogesh N (2009) Prevalence of exclusive breastfeeding and its determinants in first 6 months of life: A prospective study. [Journal (On-line/Unpaginated)]

Full text available as:

PDF - Published Version
Available under License Creative Commons Attribution No Derivatives.



Background: Exclusive breastfeeding for first 6 months of life is recommended under Infant and Young Child Feeding practices in India. The objective of present study was to estimate the prevalence of exclusive breastfeeding during first 6 months of life of babies and to identify factors that interfere with the practice in the study area. Methods: A prospective cohort of 462 women who delivered at maternity unit of Government Medical College & Hospital, Rajkot, which is a tertiary care centre for the district, was studied. Data collection was done at hospital as well as during home visits of babies at 1, 3 and 6 months. Factors related to cessation of breastfeeding were analyzed using univariate, bivariate and multivariate analysis. Results: All 462 mothers reported breastfeeding their newborns. Prevalence of exclusive breastfeeding reported at 3 months was 97% which declined to 62% by 6 months of age of infants. Bivariate analysis revealed no significant association between interruption of exclusive breastfeeding before 6 months of age and various demographic, socioeconomic, maternal and infant characteristics. Multivariate analysis by logistic regression demonstrated no association between discontinuation of exclusive breastfeeding and socioeconomic status, maternal education and maternal age, number of antenatal visits, maternal employment and initiation of breastfeeding after delivery. Conclusion: Exclusive breastfeeding prevalence rate found higher than at national level indicating better feeding practices in these part of India. Also, factors classically considered as supportive for breastfeeding had shown no association with breastfeeding pattern in present study.

Item Type:Journal (On-line/Unpaginated)
Keywords:Exclusive breastfeeding, prevalence, prospective study, maternal & child health services
Subjects:JOURNALS > Online Journal of Health and Allied Sciences
ID Code:6559
Deposited By: Kakkilaya Bevinje, Dr. Srinivas
Deposited On:02 Jul 2009 01:46
Last Modified:11 Mar 2011 08:57

References in Article

Select the SEEK icon to attempt to find the referenced article. If it does not appear to be in cogprints you will be forwarded to the paracite service. Poorly formated references will probably not work.

1.Victoria CG, Smith PG, Vaughan JP, et al. Evidence for protection by breastfeeding against infant deaths from infectious disease in Brazil. Lancet 1987;2:319-22.

2.Huttly SRA, Morris SS, Pisani V. Prevention of diarrhea in young children in developing countries. Bull World Health Organ 1997;75:163-74.

3.World Health Organization. Infant and young child nutrition: global strategy on infant and young child feeding. Geneva; 2002 (Fifty fifth World Health Assembly, A55/15). Available at

4.Breastfeeding Promotion Network of India (BPNI), New Delhi, India. Available at

5.Victoria CG, Smith PG, Vaughan JP, et al. Infant feeding and death due to diarrhea: a case control study. Am J Epidemiol 1989;129:1032-41.

6.Victoria VG, Fuchs SC, Kirkwood BR, et al. Breastfeeding nutritional status and other prognostic factors for dehydration among young children with diarrhea in Brazil. Bull World Health Organ 1992;70:467-75.

7.Cesar JA, Victoria CG, Barros FC, et al. Impact of breastfeeding on admission for pneumonia during post neonatal period in Brazil: nested case control study. BMJ 1999;318:1316-20.

8.Aidam BA, Perez-Escamilla R, Lartey A et al. Factors associated with exclusive breastfeeding in Accra, Ghana. Eur J Clin Nutr 2005;59:789-96.

9.Mascarenhas MLW, Albernez EP, Silva MBD et al. Prevalence of exclusive breastfeeding and its determinants in the first 3 months of life in South of Brazil. J Pediatr 2006;82:289-94.

10.Losch M, Dungy CI, Russell D, et al. Impact of attitudes on maternal decisions regarding infant feeding. J Pediatr 1995;126:507-14.

11.Giugliani ERJ, Issler RMS, Justo EB et al. Risk factors for early termination of breast feeding in Brazil. Acta Paediatr Scand 1992;81:484-87.

12.World Health Organization. Report of the expert consultation on the optimal duration of exclusive breastfeeding: conclusions and recommendations. Geneva, WHO, 2001.

13.Ministry of Health and Family Welfare: National Family Health Survey 3, India, 2007. Available at

14.Foo LL, Quek SJS, Ng SA, et al. Breastfeeding prevalence and practice among Singaporean, Chinese, Malay and Indian Mothers. Health Promotion International 2005;20:229-37.

15.Agampodi SB, Agampodi TC, Piyaseeli UD. Breastfeeding practices in a public health field practice area in Sri Lanka: a survival analysis. International Breastfeeding Journal 2007;2:13.

16.Deorari AK, Chellani H, Carlin JB et al. Clinico-epidemiological profile and predictors of severe illness in young infants (<60 days) reporting to a hospital North India. Indian Pediatr 2007;44:739-48.

17.Narang A, Kumar P, Narang R et al. Clinico-epidemiological profile and validation of symptoms and signs of severe illness in young infants (<60 days) reporting to a district hospital. Indian Pediatr 2007;44:751-59.

18.Clements MS, Mitchell EA, Wright SP, et al. Influences on breastfeeding in southeast England. Acta Paediatr 1997;86:51-56.

19.Caldeira AP, Goulart EMA. Breastfeeding in Montes Claros, Minas Gerais: a representative sample study. J Pediatr 2000;76:65-72.

20.Kramer MS, Fombonne E, Igumnov S et al. Effects of prolonged and exclusive breastfeeding on child behavior and maternal adjustment: evidence from a large, randomized trial. Pediatr 2008;121:435-40.

21.Kramer MS, Matush L, Vanilovich I et al. Effects of prolonged and exclusive breastfeeding on child height, weight, adiposity and blood pressure at age 6.5 yr: evidence from a large randomized trial. Am J Clin Nutr 2007;86:1717-21.


Repository Staff Only: item control page