Exploring Mixed Feeding Practices Among Indian Mothers: Knowledge, Attitudes, and Reported Barriers to Exclusive Breastfeeding

Background Mixed feeding, the practice of combining breastfeeding along with formula or other foods/liquids before six months of age, is a common concern in India. This study aims to explore the factors influencing mixed feeding among Indian mothers, focusing on their knowledge, attitudes, and practices. Understanding these factors can help in designing targeted interventions to promote exclusive breastfeeding (EBF) as per World Health Organization recommendations. Methodology We conducted a hospital-based observational study that included 129 mothers practicing mixed feeding. A questionnaire assessed their knowledge, attitudes, and determinants related to breastfeeding. Results While most mothers (95.3%) understood the importance of EBF for the first six months, challenges such as inadequate milk supply (76.7%), family influence, and workplace constraints led to mixed feeding. Formula and cow’s milk were the most used alternatives. Conclusions The study underscores the need for improved lactation counselling and support, especially during antenatal and postnatal care. Strengthening public health interventions and workplace policies can help promote EBF.