Knowledge, attitude and practices of breastfeeding among urban and rural mothers in the field practice area of a tertiary care centre: a cross-sectional analytical study

R. Sasikala; J. Arun Daniel; Govindaraj Rajendran; S. Andrew John Silvester

doi:10.18203/2394-6040.ijcmph20260710

Authors

R. Sasikala Master of Public Health, School of Allied Health Sciences, Vinayaka Mission’s Puducherry Campus, Puducherry, India
J. Arun Daniel Department of Community Medicine, Aarupadai Veedu Medical College and Hospital, Puducherry, India
Govindaraj Rajendran Department of Community Medicine, Aarupadai Veedu Medical College and Hospital, Puducherry, India
S. Andrew John Silvester School of Allied Health Sciences, Vinayaka Mission's Puducherry Campus, Vinayaka Mission's Research Foundation-DU, Salem, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20260710

Keywords:

Breastfeeding, Knowledge, Mothers, Practice

Abstract

Background: Breastfeeding is an important infant nutrition and maternal health factor. Although there are clear recommendations by the World Health Organization on the exclusive breastfeeding practice in the first six months, significant differences continue to be observed between the urban and rural population as a result of socio-cultural variations, education and access to health services.

Methods: A cross-sectional analysis study was done between February and July 2025 with a total number of mothers (n=278) with children under two years of age to be included in the study according to cluster and simple random sampling method. A structured questionnaire was used to collect data on socio-demographic variables, breastfeeding knowledge, attitudes and practices (WHO IYCF indicators). The data were analysed through descriptive statistics and chi-square tests.

Results: The general knowledge and attitude to breastfeeding was satisfactory among urban and rural mothers. The awareness of the prevention of breast cancer and the milk storage was higher among urban mothers compared to rural mothers and longer and more frequent time of breastfeeding was reported by rural mothers. Rural mothers were found to have pre-lacteal feeding more as compared to urban mothers who practiced early breastfeeding initiation. Attitude (p=0.032) and practice (p=0.003) had significant relationships with place of residence whereas knowledge did not.

Conclusions: Despite the fact that the knowledge and positive attitudes of both urban and rural mothers were sufficient, there were considerable differences in the patterns of breastfeeding and rural mothers were more acceptable. Intensifying antenatal and postnatal counselling, breastfeeding support at the workplace and family involvement is required to fill the knowledge-practice gap and enhance the outcomes of breastfeeding.

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References

Rudrappa S, Raju H, Kavya M. To study the knowledge, attitude and practice of breastfeeding among postnatal mothers in a tertiary care center of South India. Indian J Child Health. 2020;7(3):113–6. DOI: https://doi.org/10.32677/IJCH.2020.v07.i03.005

Mane S, Pawar S, Aghav P. Breastfeeding knowledge and practice among women in western Maharashtra: A cross-sectional study. Magna Scientia Adv Res Rev. 2019;8(2):193–200. DOI: https://doi.org/10.30574/msarr.2023.8.2.0118

Kazmi S, Akparibo R, Ahmed D. Prevalence and predictors of exclusive breastfeeding in urban slums, Bihar. J Fam Med Prim Care. 2021;10(3):1301–7. DOI: https://doi.org/10.4103/jfmpc.jfmpc_2000_20

Senanayake P, O’Connor E, Ogbo F. National and rural–urban prevalence and determinants of early initiation of breastfeeding in India. BMC Public Health. 2019;19(1):234-7. DOI: https://doi.org/10.1186/s12889-019-7246-7

Shanmugam J, Kumar M, Jayaraj N. Maternal experiences during pregnancy, delivery and breastfeeding practices: A community-based analytical cross-sectional study. Indian J Comm Med. 2024;49(3):532–8.

Waits A, Guo C, Chien L. Evaluation of factors contributing to the decline in exclusive breastfeeding at 6 months postpartum: The 2011–2016 national surveys in Taiwan. Birth. 2017;45(2):184–92. DOI: https://doi.org/10.1111/birt.12340

Benedict R, Craig H, Torlesse H. Trends and predictors of optimal breastfeeding among children 0–23 months, South Asia: Analysis of national survey data. Mat Child Nut. 2019;14(4):173-7. DOI: https://doi.org/10.1111/mcn.12698

Bheeman B, Hannula L, Pushpalatha K. Knowledge, attitudes and breastfeeding practices of postnatal mothers in a tertiary health center. Indian J Child Health. 2021;8(6):220–4. DOI: https://doi.org/10.32677/IJCH.2021.v08.i06.005

Manjapallikkunnel SR, Nair K, Sujatha, C. Knowledge, attitude and practices among mothers of infants regarding breastfeeding: A cross-sectional study. J Fam Reprod Health. 2023;17(3):136–41. DOI: https://doi.org/10.18502/jfrh.v17i3.13536

Valappil H, Jayalakshmi R, Sewor C. Intersectional inequalities in exclusive breastfeeding practices in India: Analysis of National Family Health Survey-4. International Breastfeeding J. 2023;18(1):328. DOI: https://doi.org/10.1186/s13006-023-00577-x

Mohammed S, Yakubu I, Fuseini A. Systematic review and meta-analysis of the prevalence and determinants of exclusive breastfeeding in the first six months of life in Ghana. BMC Pub Health. 2023;23(1):23-9. DOI: https://doi.org/10.1186/s12889-023-15758-w

Shanmugam J, Kumar M, Jayaraj N. Maternal experiences during pregnancy, delivery and breastfeeding practices: A community-based analytical cross-sectional study. Indian J Comm Med. 2022;49(3):532–8. DOI: https://doi.org/10.4103/ijcm.ijcm_636_22

Dadzie B, Bayor F, Doat A. Investigating factors that influence the practice of exclusive breastfeeding among mothers in a peri-urban general hospital in Ghana. 2022. DOI: https://doi.org/10.21203/rs.3.rs-1867612/v1

Gebretsadik G, Tadesse Z, Mamo L. Knowledge, attitude and determinants of exclusive breastfeeding during COVID-19 pandemic among lactating mothers. BMC Pregn Childbirth. 2022;22(1):864-8. DOI: https://doi.org/10.1186/s12884-022-05186-w

Patil D, Pundir P, Dhyani V. A mixed-methods systematic review on barriers to exclusive breastfeeding. Nutr Health. 2020;26(4):323–46. DOI: https://doi.org/10.1177/0260106020942967

Le Q, Lam P, Nguyen V. Factors associated with a low prevalence of exclusive breastfeeding during hospital stay in urban and semi-rural areas of southern Vietnam. Int Breastfeed J. 2018;13(1):56-9. DOI: https://doi.org/10.1186/s13006-018-0188-3

Amallia A, Pamungkasari E, Adriani R. Meta-analysis of the effects of maternal education, residence and birth delivery place on exclusive breastfeeding. J Mat Child Health. 2023;8(2):154–68. DOI: https://doi.org/10.26911/thejmch.2023.08.02.03

Mohamed M, Ochola S, Owino V. Comparison of knowledge, attitudes and practices on exclusive breastfeeding between primiparous and multiparous mothers in Kenya. Int Breastfeeding J. 2018;13(1):67-72. DOI: https://doi.org/10.1186/s13006-018-0151-3

Mundagowa P, Chadambuka E, Chimberengwa P. Determinants of exclusive breastfeeding among mothers in Zimbabwe. Int Breastfeed J. 2019;14(1):76-9. DOI: https://doi.org/10.1186/s13006-019-0225-x

Um S, Chan Y, Tol B. Determinants of exclusive breastfeeding of infants under six months among Cambodian mothers. J Pregn. 2020;3:1–7. DOI: https://doi.org/10.1155/2020/2097285