Factors associated with exclusive breastfeeding practice among mothers within a six-week of postpartum period in public clinic, Malaysia

Introduction: Breastfeeding is a natural and beneficial practice that supports the growth and development of infants by providing essential nutrients and antibodies. Contributing significantly to Sustainable Development Goals by ending hunger, enhancing nutrition, and fostering overall health. This study aimed to examine the factors associated with the practice of exclusive breastfeeding (EBF) within the first six weeks postpartum among mothers in Selangor, Malaysia. Materials and Method: This prospective cohort study was conducted at the Antenatal Clinic of a government hospital in Selangor, Malaysia. A total of 348 pregnant women at 34 weeks’ gestation or beyond were recruited and followed up after delivery. Data were collected through structured questionnaires during routine antenatal visits and follow-up phone interviews post-delivery and were analysed using SPSS version 22, with binary and multivariate logistic regression to identify significant predictors of EBF. Results: The prevalence of EBF within six weeks postpartum was 67.6%. Factors significantly associated with EBF included parity and employment status. Multigravida mothers were 1.78 times more likely to practice EBF compared to primigravida mothers. Non-working mothers were 1.71 times more likely to practice EBF compared to working mothers. Conclusion: The prevalence of EBF in this study was relatively higher than other regions of Malaysia. Key factors associated with EBF include higher parity and being a housewife. Challenges such as breastfeeding difficulties, breast engorgement, insufficient milk, and preparation for returning to work were common reasons for cessation.

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