Background: Breastfeeding is the usual way of providing infants with adequate, pollution free and
sustainable nutrients needed for growth and development. Many mothers experience barriers to
achieve their breastfeeding goals, leading to reduced rates of breastfeeding initiation and continuation.
Aim: Assess the barriers of breastfeeding in the first year of life.
Design: A descriptive research design was utilized to achieve the aim of this study.
Setting: The study was conducted at immunization outpatient clinic in Dar Salama Abdullah maternal
and child health center in Sohag City.
Sample: A purposive sample of 120 mothers having infants from birth to 12 months old and not
suffering from mental or physical diseases.
Tool: A structured interview questionnaire to collect data regarding characteristics of mothers and
their infants, history of infant feeding, knowledge of mothers about breastfeeding and barriers of
breastfeeding related to mothers and their infants.
Results: Nearly half of the studied mothers have poor knowledge about breastfeeding and one third of
them reported an average knowledge about breastfeeding and more than three quarters of them
reported that premature infants, embarrassment from breastfeeding in public places and sore or
cracked nipple were barriers to breastfeeding.
Conclusion: Most common barriers of breastfeeding related to mothers were pain during
breastfeeding, sore or cracked nipples, breast engorgement, perception of insufficient milk supply,
embarrassment from breastfeeding in public places, cesarean section, immunosuppressant’s, returning
to work after delivery and breast cancer. Meanwhile the most common barriers related to infants were
cleft lip, cleft palate, premature infants and breast refusal. Also, there were statistically significant
differences between mothers’ barriers of breastfeeding and some of their characteristics.
Recommendation: Early detection and adequate management of barriers hindering breastfeeding of
infants in the first year of life.
Author(s): Elham Atef Abdelazeem*, Wafaa El Sayed Ouda, Safaa Salah Ismail
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