Exclusive Breastfeeding Experiences Among Mothers In Bangkok, Thailand: Findings From A Mixed-Methods Study

Abstract

Prevalence of exclusive breastfeeding (EBF) in Bangkok is relatively low and below national targets. The purpose of this mixed-methods study is to investigate knowledge, attitude and EBF practice, while illuminating facilitators and barriers to EBF in Bangkok. This cross-sectional study used a quantitative questionnaire to assess knowledge, attitude and practice, as well as, qualitative in-depth interviews. 208 women completed the questionnaire and 7 postpartum women and 2 breastfeeding experts, the interview. Data was analyzed using descriptive statistics, Chi-square test, and multivariable analyses. 14% of women did EBF for some duration of time, with 10.1% EBF for 6 months. Number of times breastfeeding was discussed during antenatal visits was statistically significant to EBF (2 times: OR=3.798; CI 1.039-13.879 and More than 2 times: OR=3.374; CI 1.034-11.016). Qualitative data provided context for the quantitative findings, highlighting antenatal care and doctor/midwife knowledge as major facilitators to EBF, while low milk supply, working and giving water primary barriers. Increased discussions regarding EBF and its barriers during antenatal appointments could greatly increase EBF prevalence.