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Background: Early initiation of breastfeeding (EIBF) is a key strategy to improve neonatal survival and maternal health. Antenatal breastfeeding counseling may enhance mothers’ readiness and confidence to initiate optimal breastfeeding practices; however, evidence from primary health care settings in low- and middle-income countries remains limited.
Objective: This study aimed to evaluate the effect of antenatal breastfeeding counseling on early initiation of breastfeeding and feeding practices among postpartum mothers..
Methods: A quasi-experimental study with a pretest–posttest control group design was conducted in a primary health care setting. A total of 92 pregnant women were enrolled, including 39 in the intervention group and 53 in the control group. The intervention group received structured antenatal breastfeeding counseling during routine antenatal care visits, while the control group received standard care. Data on early initiation of breastfeeding and feeding practices were collected postpartum. Statistical analysis was performed using the Chi-square test and relative risk (RR).
Results: The proportion of mothers practicing early initiation of breastfeeding was significantly higher in the intervention group than in the control group (17.9% vs. 1.9%, p = 0.007). Feeding practices were also better in the intervention group, although the difference in overall breastfeeding status was not statistically significant (76.9% vs. 69.8%, p = 0.449). Mothers receiving antenatal counseling were more likely to initiate breastfeeding early (RR = 2.297; 95% CI: 1.574–3.352).
Conclusion: Antenatal breastfeeding counseling significantly improved early initiation of breastfeeding and feeding practices. Integrating structured counseling into routine antenatal care may strengthen maternal and child health programs.
