Breastfeeding Practices and Their Association with Employment Status Among Working Mothers Attending a DHQ Hospital in Mirpur Khas: A Cross-Sectional Study
Breastfeeding Practices and Association with Employment Status Among Working Mothers
DOI:
https://doi.org/10.54393/pbmj.v9i3.1361Keywords:
Breastfeeding, Working Mothers, Maternal Employment, Workplace EnvironmentAbstract
Breastfeeding is essential for maternal and child health and plays a key role in improving infant nutrition and immunity. However, working mothers often face workplace-related barriers that limit optimal breastfeeding practices, especially in low- and middle-income countries like Pakistan. Objective: To evaluate breastfeeding practices among working mothers attending DHQ Hospital, Mirpur Khas, and to determine the association of employment status with breastfeeding practices. Methods: A descriptive cross-sectional study was carried out among 110 working mothers visiting DHQ Hospital Mirpurkhas. Data were collected through a structured questionnaire. Descriptive statistics were used to summarize participant characteristics and breastfeeding patterns. Inferential statistics, including chi-square tests and logistic regression, were used to analyze relationships among variables and to identify predictors of breastfeeding. Results: Most of the participants (70%) were in the age range of 26 to 35 years old and most of the participants (68.2%) had undergraduate education. A high proportion of mothers (83.6%) reported breastfeeding. The chi- square analysis did not reveal any statistically significant association between employment status and breastfeeding (p=0.115). Logistic regression, however, indicated full-time employment was significantly associated with lower odds of breastfeeding (OR = 0.25, p=0.045), suggesting that full-time working mothers were less likely to breastfeed. Conclusions: Breastfeeding was commonly practiced by working mothers however, many mothers were unable to follow exclusive breastfeeding recommendations because complementary foods were early and workplace support was limited. Improving workplace policies and providing better breastfeeding services could help mothers to improve breastfeeding practices.
References
Arif S, Khan H, Aslam M, Farooq M. Factors Influencing Exclusive Breastfeeding Duration in Pakistan: A Population-Based Cross-Sectional Study. BioMed Central Public Health. 2021 Nov; 21(1): 1998. doi: 10.1186/s12889-021-12075-y. DOI: https://doi.org/10.1186/s12889-021-12075-y
Purkiewicz A, Regin KJ, Mumtaz W, Pietrzak-Fiećko R. Breastfeeding: The Multifaceted Impact on Child Development and Maternal Well-Being. Nutrients. 2025 Apr; 17(8): 1326. doi: 10.3390/nu17081326. DOI: https://doi.org/10.3390/nu17081326
Metin A and Baltacı N. The Effects of Video-Assisted Breastfeeding Education Given to Primiparous Pregnant Women on Breastfeeding Self-Efficacy: Randomized Control Study. BioMed Central Pregnancy and Childbirth. 2024 Feb; 24(1): 142. doi: 10.1186/s12884-024-06317-1. DOI: https://doi.org/10.1186/s12884-024-06317-1
Salem M and Ertz M. Better Start: Promoting Breastfeeding Through Demarketing. BioMed Central Public Health. 2023 Aug; 23(1): 1681. doi: 10.1186/s12889-023-16561-3. DOI: https://doi.org/10.1186/s12889-023-16561-3
Wu Y, Liu W, Liu X, Li Y, Wang Y, Chu Y et al. Breastfeeding Competency and Its Influencing Factors among Pregnant Women in Third Trimester Pregnancy: A Cross-Sectional Study. Scientific Reports. 2023 Jan; 13(1): 1240. doi: 10.1038/s41598-023-28477-4. DOI: https://doi.org/10.1038/s41598-023-28477-4
Litwan K, Tran V, Nyhan K, Pérez-Escamilla R. How Do Breastfeeding Workplace Interventions Work? A Realist Review. International Journal for Equity in Health. 2021 Jun; 20(1): 148. doi: 10.1186/s12939-021-01490-7. DOI: https://doi.org/10.1186/s12939-021-01490-7
Jiravisitkul P, Thonginnetra S, Kasemlawan N, Suntharayuth T. Supporting Factors and Structural Barriers in the Continuity of Breastfeeding in the Hospital Workplace. International Breastfeeding Journal. 2022 Dec 19;17(1):87. doi: 10.1186/s13006-022-00533-1. DOI: https://doi.org/10.1186/s13006-022-00533-1
Ngao OD and Mboineki JF. Comparative Study of Exclusive Breastfeeding Practice among Employed Mothers and Housewives in Tanzania. Journal of Health, Population and Nutrition. 2023 Jul; 42(1): 72. doi: 10.1186/s41043-023-00407-0. DOI: https://doi.org/10.1186/s41043-023-00407-0
Shrestha M, Adhikari S, Shrestha N, Budha Magar G, Pokhrel BR. Breastfeeding and Workplace Support in Nepal. PLOS Global Public Health. 2025 Aug; 5(8): e0005059. doi: 10.1371/journal.pgph.0005059. DOI: https://doi.org/10.1371/journal.pgph.0005059
Ahmed F, Malik NI, Shahzad M, Ahmad M, Shahid M, Feng XL et al. Determinants of Infant Young Child Feeding among Mothers of Malnourished Children in South Punjab, Pakistan: A Qualitative Study. Frontiers in Public Health. 2022 May; 10: 834089. doi: 10.3389/fpubh.2022.834089. DOI: https://doi.org/10.3389/fpubh.2022.834089
Stanikzai MH and Dadras O. Advancing Breastfeeding Research in Afghanistan: Opportunities for Policy and Practice. International Breastfeeding Journal. 2025 Aug; 20(1): 68. doi: 10.1186/s13006-025-00763-z. DOI: https://doi.org/10.1186/s13006-025-00763-z
Tomori C. Global Lessons for Strengthening Breastfeeding as a Key Pillar of Food Security. Frontiers in Public Health. 2023 Aug; 11: 1256390. doi: 10.3389/fpubh.2023.1256390. DOI: https://doi.org/10.3389/fpubh.2023.1256390
Schleiff MJ, Nambiar D, Yimer FN, Varallyay NI, Dalglish SL. Is Breastfeeding ‘Exclusive’? Barriers Facing Global Health Professionals and Proposed Solutions. PLOS Global Public Health. 2025 Mar; 5(3): e0004377. doi: 10.1371/journal.pgph.0004377. DOI: https://doi.org/10.1371/journal.pgph.0004377
Vilar-Compte M, Hernández-Cordero S, Ancira-Moreno M, Burrola-Méndez S, Ferre-Eguiluz I, Omaña I, Pérez Navarro C. Breastfeeding at the Workplace: A Systematic Review of Interventions to Improve Workplace Environments to Facilitate Breastfeeding Among Working Women. International Journal for Equity in Health. 2021 Apr; 20(1): 110. doi: 10.1186/s12939-021-01432-3. DOI: https://doi.org/10.1186/s12939-021-01432-3
Elgzar WT, Al-Thubaity DD, Alshahrani MA, Essa RM, Ibrahim HA. The Relationship Between Maternal Ideation and Exclusive Breastfeeding Practice Among Saudi Nursing Mothers: A Cross-Sectional Study. Nutrients. 2023 Mar; 15(7): 1719. doi: 10.3390/nu15071719. DOI: https://doi.org/10.3390/nu15071719
Jalil H, Chong MC, Jalaludin MY, Wong LP, Hmwe NT. Knowledge, Attitude, and Practice among Mothers Toward Breastfeeding and Complementary Feeding in Community Health Settings, Malaysia. Heliyon. 2024 Nov; 10(21). doi: 10.1016/j.heliyon.2024.e39746. DOI: https://doi.org/10.1016/j.heliyon.2024.e39746
Altamimi AF, Ababtain R, Alahmari MS, Altulaihi BA. Factors Affecting Breastfeeding Initiation among Mothers in Riyadh Primary Healthcare Clinics: A Cross-Sectional Study. Journal of Health, Population and Nutrition. 2025 Mar; 44(1): 83. doi: 10.1186/s41043-025-00831-4. DOI: https://doi.org/10.1186/s41043-025-00831-4
Kandeepan K, Balakumar S, Vasanthy A. Determinants of Early Cessation of Exclusive Breastfeeding Practices among Rural Mothers from Jaffna District of Sri Lanka. BioMed Central International Breastfeeding Journal. 2023; 18(1): 42. doi: 10.1186/s13006-023-00575-z. DOI: https://doi.org/10.1186/s13006-023-00575-z
Ahmmed F, Hossain MJ, Sutopa TS, Al-Mamun M, Alam M, Islam MR et al. The Trend in Exclusive Breastfeeding Practice and Its Association with Maternal Employment in Bangladesh: A Multilevel Analysis. Frontiers in Public Health. 2022 Nov; 10: 988016. doi: 10.3389/fpubh.2022.988016. DOI: https://doi.org/10.3389/fpubh.2022.988016
Prastita NP, Sunjaya DK, Syam HH, Krisnadi SR, Hakim DD, Anwar R et al. Barriers and Facilitators to Exclusive Breastfeeding among Formally Employed Mothers in Urban Indonesia. BioMed Central Public Health. 2025 Dec; 25(1): 1-9. doi: 10.1186/s12889-025-25214-6. DOI: https://doi.org/10.1186/s12889-025-25214-6
Amer S and Kateeb E. Mothers’ Employment and Exclusive Breastfeeding Practices: A Brief Report from Jerusalem Governorate. International Journal of Environmental Research and Public Health. 2023 Jan; 20(3): 2066. doi: 10.3390/ijerph20032066. DOI: https://doi.org/10.3390/ijerph20032066
Mkono N, Chirande L, Moshiro R, Noorani M. Factors Associated with Exclusive Breast Feeding among Mothers in Formal Employment in Dar es Salaam, Tanzania: A Cross-Sectional Study. British Medical Journal Open. 2024 Nov; 14(11): e091993. doi: 10.1136/bmjopen-2024-091993. DOI: https://doi.org/10.1136/bmjopen-2024-091993
Cunningham S, Penning J, Barboza S, Hansen B, Tonks T, Varnell K et al. Breastfeeding in US Working Mothers: A Systematic Review. Work. 2024 Aug; 78(4): 851-71. doi: 10.3233/WOR-220645. DOI: https://doi.org/10.3233/WOR-220645
Favara G, Maugeri A, Barchitta M, Magnano San Lio R, La Rosa MC, La Mastra C et al. Breastfeeding and Sociodemographic Determinants: Evidence from the “MAMI-MED” Cohort. Nutrients. 2025 Aug; 17(16): 2702. doi: 10.3390/nu17162702. DOI: https://doi.org/10.3390/nu17162702
Noorani M, Osman R, Abeid M, Das J, Bhutta Z. Determinants of Exclusive Breastfeeding in Tanzania: A Systematic Review and Meta-Analysis. International Breastfeeding Journal. 2025 Nov. doi: 10.1186/s13006-025-00790-w. DOI: https://doi.org/10.1186/s13006-025-00790-w
Al-Aqqad S, Abu-Alrob L, Zakarneh L, Eqelan A. Prevalence, Barriers and Determinants of Exclusive Breastfeeding among Palestinian Mothers: A Multicenter Study. Journal of Health, Population and Nutrition. 2025 Nov; 44(1): 405. doi: 10.1186/s41043-025-00930-2. DOI: https://doi.org/10.1186/s41043-025-00930-2
Ali AG, Chandani S, Ali AA, Tahira Y. Balancing Work and Motherhood: A Scoping Review on the Experiences and Challenges of Breastfeeding Working Mothers in Pakistan: Breastfeeding Challenges of Working Mothers in Pakistan. NURSEARCHER (Journal of Nursing & Midwifery Sciences). 2025 Dec: 30-6. doi: 10.54393/nrs.v5i4.194. DOI: https://doi.org/10.54393/nrs.v5i4.194
Loutet MG. Individual-and System-Level Determinants of Breastfeeding in a Low-Resource Setting. Frontiers in Public Health. 2024 Nov; 12: 1471252. doi: 10.3389/fpubh.2024.1471252. DOI: https://doi.org/10.3389/fpubh.2024.1471252
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Pakistan BioMedical Journal

This work is licensed under a Creative Commons Attribution 4.0 International License.
This is an open-access journal and all the published articles / items are distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. For comments editor@pakistanbmj.com

