Knowledge, Attitudes, and Practices of Breastfeeding Among Mothers in Khammam, India: A Cross-Sectional Study

Abstract

Introduction: Despite global recognition of breastfeeding benefits, suboptimal practices persist in India. This study assesses breastfeeding knowledge, attitudes, and practices (KAP) among mothers in Khammam, India, and correlates these practices with sociodemographic factors1.

Methods: A cross-sectional study was conducted at Mamata Medical College Hospital, Khammam, from November 2015 to June 2017. A structured questionnaire was administered to 512 mothers of children aged 0–2 years. Data on maternal education, delivery mode, initiation/duration of breastfeeding, and complementary feeding practices were analyzed using SPSS v17. Chi-square and Spearman’s correlation tests identified associations (p < 0.05 significant).

Results: Only 46.09% initiated breastfeeding within one hour of birth, with significant delays after cesarean sections (p < 0.01). Exclusive breastfeeding (EBF) lasted a mean of 4.5 months, influenced by maternal education (p < 0.01). Prelacteal feeds (27%) and bottle-feeding (34.57%) were prevalent. Complementary feeding began at 6.5 months (73.17% used homemade foods).

Conclusion: While most mothers exhibited positive attitudes, gaps in early initiation, EBF duration, and pre lacteal feeding persist. Targeted antenatal counselling and workplace policies are recommended to improve breastfeeding outcomes.