Exclusive Breastfeeding and Its Implications for Infant and Maternal Health, Knowledge, and Socioeconomic Well-being
https://doi.org/10.33860/jik.v19i3.4183
Keywords:
Exclusive Breastfeeding, infant health, maternal health, socioeconomic impactAbstract
This systematic review synthesized recent evidence on the impact of exclusive breastfeeding (EBF) on infant and maternal health, maternal knowledge, and family socioeconomic conditions. Following PRISMA 2020 guidelines, we conducted systematic searches in PubMed, ScienceDirect, JSTOR, and Google Scholar. From 500 identified records, 10 studies published between 2020 and 2025 met the inclusion criteria. Meta-analysis showed that EBF reduced gastrointestinal infection risk in infants by 45% (OR = 0.55; 95% CI: 0.45–0.67), increased cognitive development scores by 0.35 SD compared to formula-fed infants, and reduced maternal breast cancer risk by 25%. Narrative synthesis indicated significant economic savings at the household level through reduced formula purchases and healthcare utilization. These findings underscored the importance of maternal knowledge, family support, and breastfeeding-friendly workplace policies in sustaining EBF. The review provided critical implications for global and national health policies to promote and protect EBF practices.
References
1. Zhu DT, Gupta T, Pérez‐Escamilla R. Empowering Global Health Systems to Protect, Promote and Support Optimal Breastfeeding. Matern Child Nutr. 2025 Jan 31;21(1). https://doi.org/10.1111/mcn.13753
2. Gebeyehu NA, Tegegne KD, Shewangashaw NE, Biset G, Abebaw N, Tilahun L. Knowledge, attitude, practice and determinants of exclusive breastfeeding among women in Ethiopia: Systematic review and meta-analysis. Public Health in Practice. 2023 Jun;5:100373. https://doi.org/10.10106/j.puhip.2023.100373
3. Lewandowska D, Rosińska-Lewandoska D, Ufnal J, Szewczyk M, Jarosz K, Wolff A, et al. Long-Term Health Benefits of Breastfeeding: Obesity Prevention, Metabolic Health, and Cardiovascular Protection. Journal of Education, Health and Sport. 2024 Dec 9;75:56476. https://apcz.umk.pl/JEHS/article/view/56476
4. 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. Int J Equity Health. 2021 Dec 29;20(1):110. https://doi.org/10.1186/s12939-021.01573-9
5. Wang X, He J, Cui X, Zheng Y, Li Y, Shi Y, et al. Maternal knowledge, attitudes, and practices regarding breastfeeding and mastitis. BMC Pregnancy Childbirth. 2025 Jul 10;25(1):748. https://doi.org/10.1186/s12884-021.06848-5
6. Camacho EM, Hussain H. Cost-effectiveness evidence for strategies to promote or support breastfeeding: a systematic search and narrative literature review. BMC Pregnancy Childbirth. 2020 Dec 3;20(1):757. https://doi.org/10.1186/s12884-020.03462-1
7. Mohamed Ahmed SO, Ashgar RI, Mohammed Abdelgader AA, Abdalla Hamid HI, Mathkor DM, Abdelsadig Ali MA, et al. Exclusive breastfeeding: Impact on infant health. Clinical Nutrition Open Science. 2023 Oct;51:44–51. https://doi.org/10.1016/j.nutos.2023.08.001
8. WHO UNICEF. Global Breastfeeding Scorecard 2023 Rates Of Breastfeeding Increase Around The World Through Improved Protection And Support. 2023. https://www.who.int/publications/i/item/WHO-2023-nCoV-vaccine_science-brief-breastfeeding-2022.1
9. Gong X, Tang Y, Zhang M, Yu Y, Hu W, Xu Y, et al. The Global Burden of Disease Attributable to Child and Maternal Malnutrition: 1990–2019. Pediatrics. 2024 Jul 1;154(1). https://doi.org/10.1542/peds.2024-066884
10. Jegier BJ, Smith JP, Bartick MC. The economic cost consequences of suboptimal infant and young child feeding practices: a scoping review. Health Policy Plan. 2024 Oct 15;39(9):916–45. https://doi.org/10.1093/heapol/czae078
11. Pérez-Escamilla R, Tomori C, Hernández-Cordero S, Baker P, Barros AJD, Bégin F, et al. Breastfeeding: crucially important, but increasingly challenged in a market-driven world. The Lancet. 2023 Feb;401(10375):472–85. https://doi.org/10.1016/S0140-6736(22)01925-5%5B9
12. Purkiewicz A, Regin KJ, Mumtaz W, Pietrzak-Fiećko R. Breastfeeding: The Multifaceted Impact on Child Development and Maternal Well-Being. Nutrients. 2025 Apr 11;17(8):1326. https://doi.org/10.3390/nu17081326
13. Kapti RE, Arief YS, Azizah N. Mother’s knowledge as a dominant factor for the success of exclusive breastfeeding in Indonesia. Healthc Low Resour Settings. 2023 Feb 9;11(s1). https://doi.org/10.4081/hls.2023.1185
14. Silva ALB da, Ferreira CRS, Santos PG dos, Oliveira ERA, Miotto MHM de B. Health determinants associated with exclusive breastfeeding: a scoping review. Revista CEFAC. 2023;25(5). https://doi.org/10.1590/1982-0216-20232556223
15. Monteiro JC dos S, Guimarães CM de S, Melo LC de O, Bonelli MCP. Breastfeeding self-efficacy in adult women and its relationship with exclusive maternal breastfeeding. Rev Lat Am Enfermagem. 2020;28. https://doi.org/10.1590/1518-8345.3332.3285
16. Neves PA, Armenta-Paulino N, Arroyave L, Ricardo LI, Vaz JS, Boccolini CS, et al. Prelacteal feeding and its relationship with exclusive breastfeeding and formula consumption among infants in low- and middle-income countries. J Glob Health. 2022 Dec 23;12:04104. https://doi.org/10.7189/jogh.12.04104
17. Nouira M, Souayeh N, Arfa S, Maatouk M, Hasnaoui A, Bouchahda H, et al. Assessing pooled prevalence of exclusive breastfeeding practice and addressing principal barriers to its practice in North African countries: A systematic review and meta-analysis. F1000Res. 2023 Sep 25;12:1203. https://doi.org/10.12688/f1000research.138683.1
18. Von Seehausen MP, Oliveira MIC de, Leal M do C, Domingues RMSM, Boccolini CS. Baby-Friendly Hospital Initiative and exclusive breastfeeding during hospital stay. Rev Saude Publica. 2023 Apr 12;57(1):28. https://doi.org/10.11606/s1518-8787.2023057005282
19. Hasan M, Hassan Md, Khan MdS, Tareq Md, Afroj Mst. Prevalence, knowledge, attitudes and factors associated with exclusive breastfeeding among mothers in Dhaka, Bangladesh: A cross-sectional study. Popul Med. 2021 Sep 7;3(September):1–7. https://doi.org/10.18332/popmed/141395
20. Kalhor M, Yazdkhasti M, Simbar M, Hajian S, kiani Z, Khorsandi B, et al. Predictors of exclusive breastfeeding: a systematic review and meta-analysis. Int Breastfeed J. 2025 Jul 2;20(1):52. https://doi.org/10.1186/s13006-025-00712-4
21. Kebede SD, Forster EM, Agmas K, Aytenew TM, Creedy DK. Prevalence and contributing factors of early initiation of breastfeeding (EIBF) in Ethiopia: a systematic review and meta-analysis. BMC Public Health. 2025 Apr 12;25(1):1377. https://doi.org/10.1186/s12889-025-18123-6
22. Gayatri M. Exclusive Breastfeeding Practice in Indonesia: A Population-Based Study. Korean J Fam Med. 2021 Sep 20;42(5):395–402. https://doi.org/10.4082/kjfm.20.0216
23. Kac G, Castro IRR de, Lacerda EM de A. Brazilian National Survey on Child Nutrition: evidence for food and nutrition policies. Cad Saude Publica. 2023;39(suppl 2). https://doi.org/10.1590/0102-311XEN054923
24. Ahmad RS, Sulaiman Z, Nik Hussain NH, Mohd Noor N. Working mothers’ breastfeeding experience: a phenomenology qualitative approach. BMC Pregnancy Childbirth. 2022 Dec 31;22(1):85. https://doi.org/10.1186/s12884-022-05307-3
25. Dushimirimana T, Wanjiru JN, Kerkula JS, Koray MH, Mieh SE, Curry T, et al. Factors influencing Exclusive Breastfeeding in Sub-Saharan Africa: A Multilevel Analysis of Demographic and Health Survey. 2024. https://doi.org/10.1186/s12889-025-23045-z
26. Nascimento EN, Leone C, de Abreu LC, Buccini G. Determinants of exclusive breast-feeding discontinuation in southeastern Brazil, 2008–2013: a pooled data analysis. Public Health Nutr. 2021 Jul 14;24(10):3116–23. https://doi.org/10.1017/S1368980021002672
27. Srivastava A, Mahmood SE, Srivastava P, Shati AA, Riaz F. Breastfeeding knowledge, practices, and their determinants among recently delivered mothers: A cross-sectional study. J Family Med Prim Care. 2024 Oct;13(10):4181–7. https://doi.org/10.4103/jfmpc.jfmpc_123_24
28. Ahmed Hassan A, Abdi MI. Knowledge, attitudes, and practices of exclusive breastfeeding among mothers in Garowe, Puntland, Somalia. Int J Community Med Public Health. 2023 Oct 31;10(11):4068–74. http://www.ijcmph.com/index.php/ijcmph/article/view/11345
29. Dukuzumuremyi JPC, Acheampong K, Abesig J, Luo J. Knowledge, attitude, and practice of exclusive breastfeeding among mothers in East Africa: a systematic review. Int Breastfeed J. 2020 Dec 14;15(1):70. https://doi.org/10.1186/s13006-020-00328-6
30. Freitas DAK de, Pires T, Willges B dos S, Daudt L, Käfer KD, Martins F da S, et al. Determinants of the interruption of exclusive breastfeeding at the 30th day after birth. Revista Paulista de Pediatria. 2022;40. https://doi.org/10.1590/1982-0216-202130620211306
31. Chetwynd E, Demirci J, Yourkavitch J. Breastfeeding Measurement - Considerations When Measuring Exclusive Breastfeeding. Journal of Human Lactation. 2025 Feb 18;41(1):22–5. https://doi.org/10.1177/08903344241276499
32. Kim JH, Shin JC, Donovan SM. Effectiveness of Workplace Lactation Interventions on Breastfeeding Outcomes in the United States: An Updated Systematic Review. Journal of Human Lactation. 2019 Feb 21;35(1):100–13. https://doi.org/10.1177/0890334418823673
33. Walters DD, Phan LTH, Mathisen R. The cost of not breastfeeding: global results from a new tool. Health Policy Plan. 2019 Jul 1;34(6):407–17. https://doi.org/10.1093/heapol/czz038
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