Siddiqa Ibrahim, Najmu Sehr Ansari.
Factors associated with failure of exclusive breast feeding.
J Surg Pak Jan ;11(1):24-6.

Objective: To find out the factors associated with failure of exclusive breast feeding practice up to the age of 6 months. Design: A descriptive study. Place and duration of study: The study was carried out at the well baby clinic of National Institute of Child Health, Karachi, from 1st July 2001 to 30th June 2002. Patients & Methods: Six hundred Infants, 1 to 6 month of age, were enrolled in the study. These babies were brought to the hospital for routine check-ups or vaccination. A questionnaire designed to obtain information about breast feeding pattern (exclusive or non-exclusive) and the reasons for not continuing exclusive breast feeding up to the age of 6 months was, filled. Results: Inadequate milk production was the commonest reason i.e. 71% as stated by mothers for not exclusively breast feeding their infants. Maternal employment was the reason in 11.2%. Other reasons were baby not gaining weight-5.2%, loose stools or constipation-3.3%, maternal systemic illness-3.6%, breast engorgement, sore nipples-2.6%, infantile colic-1.6% and 1.5% mothers did not exclusively breast feed their babies because they were twins. Conclusions: The most common reason for not exclusive breast feeding was inadequate milk production as stated by 71% of mothers, followed by maternal employment. Problems like baby not gaining weight, infantile colic, breast engorgement, sore nipple, twins etc were among the other causes for not exclusive breast feeding.

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