• Sumaira Masood Army Medical College, Rawalpindi, Pakistan
  • Mahmood ur Rahman Army Medical College
  • Humaira Mahmood Health Services Academy
  • Tayyaba Faisal CPSP, ISB
  • Saira Maroof Army medical College
  • Azhar Masood Qureshi clinic


Background: Breastfeeding is a physiological phenomenon, nonetheless, this act   is a learned behaviour that requires continuous active support to make it successful. This study determines the frequency of mothers practicing successful breastfeeding according to the WHO ten steps at tertiary care hospital. Methods: A descriptive cross sectional study was conducted in the Obstetrics department of Military Hospital, Rawalpindi over six month duration from July to December 2014. Booked mothers aged 15–49 years, having given birth to healthy, singleton baby were included in the study. Questions were asked   after   taking written informed consent from the mothers after delivery. Data was entered and analysed on SPSS version 20. Results: Out of 148 mothers, 35 (23.7%) mothers were following successful breastfeeding, i.e., knew 7 or more steps. A total of 100 (67.6%) mothers received support for breastfeeding by healthcare staff during their stay in hospital while 19 (12.8%) mothers started breastfeeding within one hour. About 71% had started formula milk along with breastfeeding. About 127 (85.8%) reported that they fed their children on demand and 144 (97.3%) did not use dummies. Statistically significant difference was observed as housewife mothers gave no top feed (p=0.005) and multiparous mothers started breastfeeding within one hour of delivery (p=0.04). Conclusion: The steps to achieve successful breastfeeding are followed to a small extent among mothers. Delayed initiation of breastfeeding and increasing trend towards use of formula feed was observed. Employed, primiparous mothers are the most sensitive group to be focused during antenatal period.

Author Biographies

Sumaira Masood, Army Medical College, Rawalpindi, Pakistan

lecturer at Community Medicine department at Army Medical College, Rawalpindi

Mahmood ur Rahman, Army Medical College

Prof & Head of Community Medicine Dept

Humaira Mahmood, Health Services Academy

Postgraduate trainee Community medicine

Tayyaba Faisal, CPSP, ISB

senior epidemiologist, research cell

Saira Maroof, Army medical College

postgraduate trainee Community Medicine

Azhar Masood Qureshi, clinic

Family physician


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