EFFECT OF COUNSELING IN UPTAKE OF BREAST FEEDING

Abstract

Breastfeeding is a vital public health strategy that improves infant survival, cognitive development, and maternal health. Despite cultural acceptance in many societies, exclusive breastfeeding (EBF) rates remain suboptimal due to urbanization, illiteracy, and lack of structured support. Counseling by healthcare providers has shown promise in promoting optimal breastfeeding practices.

Objective: To assess the effectiveness of structured breastfeeding counseling on early initiation and exclusive breastfeeding rates among first-time pregnant women.

Study Design: Randomized Controlled Trial (RCT).

Study Setting: Department of Gynecology and Obstetrics, Central Park Teaching Hospital, Lahore.

Study Duration: Six Months (November-2024 to April-2025).

Methodology: A total of 212 primigravida women aged 18–35 years, randomly allocated into two equal groups. Group A received structured breastfeeding counseling by a doctor, while Group B received routine antenatal care. Follow-up assessments were conducted at 1 hour, 15 days, and 2 months postpartum to record breastfeeding outcomes.

Results: Early initiation of breastfeeding was significantly higher in the counsel group (98.1%) compared to the control group (81.1%) (p = .000). Exclusive breastfeeding rates at 15 days and 2 months were also significantly greater in the counsel group (96.2% and 90.6%, respectively) than in controls (79.2% and 66.0%, respectively) (p = .000). Bottle feeding at 2 months was significantly lower in the counsel group (9.4%) compared to the control group (34.0%) (p = .000).

Conclusion: Structured breastfeeding counseling by healthcare professionals significantly improves both early initiation and exclusive breastfeeding rates. These findings support the integration of counseling into routine antenatal care to help achieve global breastfeeding targets and promote maternal and infant well-being.