Reasons for Cessation of Exclusive Breastfeeding in the Asian Countries: A Systematic Review

Abstract

Breastfeeding is the most cost-effective intervention in infant nutrition which also can prevent common childhood infections. This systematic review aims to explore the reasons for the cessation of exclusive breastfeeding in Asian countries. A literature search was carried out in electronic databases such as PubMed, CINAHL, Discover and Medline. Out of 590 research studies found, eight studies were selected for the systematic review using the PRISMA flow chart. When analyzing those studies, they were categorized under three main themes, such as factual or perceived insufficiency of breast milk, poor consecration by the mother, influence from traditions, customs and an unsupportive working environment that making breastfeeding impracticable. This systematic review suggested that intervention programs to improve exclusive breastfeeding in the Asian region should focus on promoting female nutrition and positive social attitudes towards exclusive breastfeeding. The intervention by the relevant governments is recommended to establish by law, a supportive working environment for exclusive breastfeeding.