Influencing Factors of Breastfeeding Practices in Working Mothers Visiting Tertiary Care Hospitals: A Study at Kotri and Liaquat University Hospital, Hyderabad.

Abstract

Objective: To assess the influencing factors of breastfeeding practices among working women visiting tertiary care hospitals in Hyderabad.

Study Design: A Descriptive Cross-sectional quantitative study..

Study Setting and Duration: The study was conducted at Kotri and Liaquat University Hospitals, Hyderabad, Pakistan, from February to June 2025.

Material and Methods: A total of 359 working mothers of infants aged 0–12 months were recruited using convenience sampling. Data were collected using a structured questionnaire covering demographics, breastfeeding practices, and workplace support. Analysis was performed using descriptive statistics and Chi-square tests (SPSS v26). Statistical significance was set at p < 0.05 with a 95% confidence interval.

Results: Most working mothers were 26–35 years (47.6%), had 1–2 children (32.6%–36.5%), and intermediate (42.3%) or undergraduate education (38.7%). The majority were full-time employees (82.7%), with children aged 4–7 months (38.2%), and 56.5% lived in joint families. Overall, 65% were breastfeeding. Continuation was significantly associated with flexible time (36.4%, p = 0.012), private room (33.9%, p = 0.034), maternity leave (50.8%, p = 0.005), and employer-provided information (50.4%, p = 0.011). Refrigeration (26.9%), breast pumps (13.6%), nursery facilities (56.8%), and task adjustments (54.3%) were not significant.

Conclusion: Workplace accommodations, including flexible schedules, private lactation spaces, maternity leave, and employer-provided breastfeeding guidance, facilitate breastfeeding continuation among working mothers. Additionally, socio-cultural, family, and individual factors influence breastfeeding practices. Promoting breastfeeding effectively requires interventions that address both workplace policies and broader personal and social determinants

Keywords: Breast Feeding; Working Women; Workplace; Maternal Employment, Lactation Maternity Leave, Pakistan

https://doi.org/10.37939/jnah.v3i03.170
PDF

References

Froń A, Orczyk-Pawiłowicz M. Breastfeeding beyond six months: Evidence of child health benefits. Nutrients.

;16(22):3891.

Pérez-Escamilla R, Tomori C, Hernández-Cordero S, Baker P, Barros AJ, Bégin F, et al. Breastfeeding: crucially

important, but increasingly challenged in a market-driven world. The Lancet. 2023;401(10375):472-85.

Nguyen PH, Kim SS. Early breastfeeding practices contribute to exclusive breastfeeding in Bangladesh, Vietnam, and Ethiopia. 2020;16(4):e13012.

Masi AC, Stewart CJ. Role of breastfeeding in disease prevention. 2024;17(7):e14520.

Ragusa R, Giorgianni G, Marranzano M, Cacciola S, La Rosa VL, Giarratana A, et al. Breastfeeding in hospitals: factors influencing maternal choice in Italy. International journal of environmental research and public health. 2020;17(10):3575.

Vilar-Compte M, Hernández-Cordero S, Ancira-Moreno M, Burrola-Méndez S, Ferre-Eguiluz I, Omaña I, et al.

Breastfeeding at the workplace: a systematic review of interventions to improve workplace environments to facilitate breastfeeding among working women. International Journal for Equity in Health. 2021;20(1):110.

Tsegaw SA, Ali Dawed Y, Tadesse Amsalu E. Exploring the determinants of exclusive breastfeeding among infants under six months in Ethiopia using multilevel analysis. 2021;16(1):e0245034.

Jama A, Gebreyesus H, Wubayehu T, Gebregyorgis T, Teweldemedhin M, Berhe T, et al. Exclusive breastfeeding for

the first six months of life and its associated factors among children age 6-24 months in Burao district, Somaliland.

International Breastfeeding Journal. 2020;15(1):5.

WHO. Key facts on infant and young child feeding. 2021.

Chen J, Xin T, Gaoshan J, Li Q, Zou K, Tan S, et al. The association between work related factors and breastfeeding

practices among Chinese working mothers: a mixed-method approach. International breastfeeding journal. 2019;14(1):28.

Khan SA, Ali N, Maroof F, Hussain SNF. Barriers to Exclusive Breastfeeding in Mothers Belonging to Low,

Middle, and High Socio-Economic Families in Pakistan. International Journal. 2023;12(1):33.

Tariq M, Najeeb W, Khan H, Katija SK, Khan AB. Exploring breastfeeding knowledge and practices among mothers by socio-demographic profile and mode of delivery: Breastfeeding knowledge and practices among mothers. Journal of Rehman Medical Institute. 2025;11(2):65-70.

Hirani SAA, Richter S, Salami B, Vallianatos H. Sociocultural Factors Affecting Breastfeeding Practices of

Mothers During Natural Disasters: A Critical Ethnography in Rural Pakistan. Global qualitative nursing research.

;10:23333936221148808.

Chachar B, Azam N, Hassan U. Assessment of exclusive breastfeeding (EBF) knowledge and practices among lactating mothers in Sanghar, Sindh. Pakistan Armed Forces Medical Journal. 2019;69(3):522-7.

Kumar R, Amir-ud-Din R, Ahmed J, Asim M, Rashid F, Khan SA, et al. Correlates of early initiation of breast feeding and prelacteal feeding: a cross-sectional study in Sindh province of Pakistan. BMJ open. 2023;13(2):e069902.

Bham SQ, Khan KMA, Munaver SA, Sharif UHA. Breastfeeding practices in nursing mothers during COVID-19

pandemic: Dual center study in Karachi, Pakistan. Pakistan journal of medical sciences. 2023;39(2):467-73.

Cunningham S, Penning J, Barboza S, Hansen B, Tonks T, Varnell K, et al. Breastfeeding in US working mothers: A

systematic review. Work. 2024;78(4):851-71.

Organization WH. Infant and young child feeding:Model chapter for textbooks for medical students and allied health professionals. Geneva. 2023.

Gemede HF, Ayele K. Maternal Knowledge and Practices on Complementary Feeding and Associated Factors in Sedal District, Western Ethiopia. 2025;13(5):e70286.

SHEIKH F, KHAN MM, Rajput MA. Infant feeding practices at a tertiary care hospital in Hyderabad, Pakistan. Pakistan Pediatric Journal. 2023;47(3).

Mughis W, Ahmed S, Umrani F, Jakhro S, Qureshi K, Mangrio A, et al. Association of feeding practices with growth

in infants: a longitudinal observational study in a rural district of Pakistan. BMJ public health. 2025;3(1):e001204.

Indrasari N, Aliyanto W, Trianingsih I. Analysis of Demographic Factors Affecting Exclusive Breastfeeding

Success among Breastfeeding Mothers. Jurnal Kesehatan. 2024;15(3):362-9.

Safdar MB, Naveed M, Razzaq M, Razaq MU, Batool S. Impact of Maternal Education on Breast Feeding and

Complementary Feeding Practices of Infants. Journal of University College of Medicine and Dentistry. 2023:55-9.

Arif S, Khan H, Aslam M. Factors influencing exclusive breastfeeding duration in Pakistan: a population-based crosssectional study. 2021;21(1):1998.

Riaz A, Bhamani S, Ahmed S, Umrani F, Jakhro S, Qureshi AK, et al. Barriers and facilitators to exclusive breastfeeding in rural Pakistan: a qualitative exploratory study. International Breastfeeding Journal. 2022;17(1):59.

Kumar R, Amir-Ud-Din R. Correlates of early initiation of breast feeding and prelacteal feeding: a cross-sectional study in Sindh province of Pakistan. 2023;13(2):e069902.

Sarojini S, Kesudeen M, Saranya S, Maikandaan CJ, Srinivasan J. Knowledge, Attitude, and Practice of

Breastfeeding among South Indians: A Cross-sectional Study. Journal of Primary Care Specialties. 2024;5(3):151-6.

Noh JW, Kim YM, Akram N, Yoo KB, Cheon J, Lee LJ, et al. Factors Affecting Breastfeeding Practices in Sindh Province, Pakistan: A Secondary Analysis of Cross-Sectional Survey Data. 2019;16(10).

Van Neste M, Verschoren K, Kempenaers R, Eerdekens A, Kitshoff D, Allegaert K, et al. Maternal Socioeconomic Status and the Initiation and Duration of Breastfeeding in Western Europe Versus Southern Africa: A Systematic Review—A Contribution from the ConcePTION Project. Nutrients. 2025;17(6):946.

Bodolec M, Eniafe-Eveillard M-B, Loddé B, Ouedraogo S, Pougnet L, Moal A, et al. Breastfeeding and return to work at a teaching hospital. Archives de Pédiatrie. 2024;31(7):467-9.

Hirani SAA, Richter S, Salami B, Vallianatos H. Sociocultural factors affecting breastfeeding practices of

mothers during natural disasters: a critical ethnography in rural Pakistan. Global qualitative nursing research.

;10:23333936221148808.

Tsai S-Y. Exploring the Relationship Between Awareness of Breastfeeding Benefits and Breastfeeding Duration Among Employed Mothers in Taiwan's Electronics Industry. Clinical and Experimental 2025;52(6):38878.

Obstetrics & Gynecology.

Scott VC, Taylor YJ, Basquin C, Venkitsubramanian K. Impact of Key Workplace Breastfeeding Support

Characteristics on Job Satisfaction, Breastfeeding Duration, and Exclusive Breastfeeding Among Health Care Employees. Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine. 2019;14(6):416-23.

Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Copyright (c) 2025 Journal of Nursing and Allied Health