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  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">JPSIM</journal-id>
      <journal-title-group>
        <journal-title>Journal of Pakistan Society of Internal Medicine</journal-title>
        <abbrev-title>J Pak Soc Intern Med</abbrev-title>
      </journal-title-group>
      <issn publication-format="print">2709-8729</issn>
      <issn publication-format="electronic">2710-0804</issn>
      <publisher>
        <publisher-name>Pakistan Society of Internal Medicine</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="doi">10.70302/jpsim.v6i4.2566</article-id>
      <article-id pub-id-type="publisher-id">jpsim.v6i4.2566</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Original Research</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Frequency of Contributing factors of lactation failure in infants presented at Mayo Hospital Lahore</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author" corresp="yes">
          <name>
            <surname>Ali</surname>
            <given-names>Zeeshan</given-names>
          </name>
          <email>drzeeshanali.pk@gmail.com</email>
          <xref ref-type="aff" rid="aff1"/>
          <xref ref-type="corresp" rid="cor1">*</xref>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Bajwa</surname>
            <given-names>Muhammad Ahsan</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Akhtar</surname>
            <given-names>Muhammad Kalim</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Bokhari</surname>
            <given-names>Saima</given-names>
          </name>
          <xref ref-type="aff" rid="aff2"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Tehreem</surname>
            <given-names>Shabana</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
      </contrib-group>
      <aff id="aff1">
        <institution>King Edward Medical University/Mayo Hospital, Lahore</institution>
      </aff>
      <aff id="aff2">
        <institution>CMA Teaching Hospital, Lahore</institution>
      </aff>
      <author-notes>
        <corresp id="cor1">*Correspondence: Zeeshan Ali (drzeeshanali.pk@gmail.com)</corresp>
      </author-notes>
      <pub-date date-type="pub" publication-format="electronic" iso-8601-date="2025-11-21">
        <day>21</day>
        <month>11</month>
        <year>2025</year>
      </pub-date>
      <pub-date date-type="collection" publication-format="electronic">
        <year>2025</year>
      </pub-date>
      <volume>6</volume>
      <issue>4</issue>
      <fpage>359</fpage>
      <lpage>363</lpage>
      <history>
        <date date-type="received" iso-8601-date="2025-04-24">
          <day>24</day>
          <month>04</month>
          <year>2025</year>
        </date>
        <date date-type="rev-recd" iso-8601-date="2025-07-05">
          <day>05</day>
          <month>07</month>
          <year>2025</year>
        </date>
        <date date-type="accepted" iso-8601-date="2025-10-11">
          <day>11</day>
          <month>10</month>
          <year>2025</year>
        </date>
      </history>
      <permissions>
        <copyright-statement>Copyright © 2025 The Author(s)</copyright-statement>
        <copyright-year>2025</copyright-year>
        <copyright-holder>The Author(s)</copyright-holder>
        <ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/>
        <license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/">
          <ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by/4.0/</ali:license_ref>
          <license-p>This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
        </license>
      </permissions>
      <self-uri xlink:href="https://psimj.com/article/jpsim.v6i4.2566" content-type="text/html"/>
      <self-uri xlink:href="https://psimj.com/article/jpsim.v6i4.2566.pdf" content-type="application/pdf"/>
      <abstract>
        <sec>
          <title>Objective</title>
          <p>To determine the frequency of contributing factors for lactation failure in infants</p>
        </sec>
        <sec>
          <title>Methodology</title>
          <p>This cross-sectional observational study was conducted at the Department of Pediatric Medicine, KEMU/Mayo Hospital Lahore from 25-06-2024 to 28-02-2025. After meeting the selection criteria, 277 infants were enrolled. Demographic and contributing factors that are closely linked to breast feeding were used as variables in this study including age, gender, insufficient milk supply, latch problem, maternal and infant medical conditions, maternal fatigue, return to work, personal decision and no reported reason. Data was entered and analyzed in SPSS version 26.</p>
        </sec>
        <sec>
          <title>Results</title>
          <p>The mean age of the infants was 6.83 ± 2.63 months and the mothers had a mean age of 29.67 ± 6.14 years. The most common contributing factor was insufficient milk supply, observed in 52% of infants. This was followed by latch problems in 21.7%, maternal medical conditions in 13.4%, and infant medical conditions in 10.1%. Personal decision was identified as a contributing factor in only 2.95% of respondents.</p>
        </sec>
        <sec>
          <title>Conclusion</title>
          <p>The most common factors contributing to lactation failure in mothers were insufficient milk supply, followed by latch problems, maternal medical conditions, infant-related medical conditions, and personal decisions observed in this study.</p>
        </sec>
      </abstract>
      <kwd-group xml:lang="en" kwd-group-type="author-keywords">
        <title>Keywords</title>
        <kwd>Lactation Failure</kwd>
        <kwd>Infants</kwd>
        <kwd>Factors</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <!-- <body> omitted: no manuscript (.docx) on file -->
  <back>
    <notes notes-type="ethics-statement">
      <title>Ethics Statement</title>
      <p>Ethics committee: Institutional Review Board, King Edward Medical University, Lahore, Pakistan. Approval number: 773/RC/KEMU, dated November 20, 2024.</p>
    </notes>
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  </back>
</article>
