Original Research

Frequency of Contributing factors of lactation failure in infants presented at Mayo Hospital Lahore

DOI https://doi.org/10.70302/jpsim.v6i4.2566
Received: 24 Apr 2025 Revised: 05 Jul 2025 Accepted: 11 Oct 2025 Published Online: 21 Nov 2025

Abstract

Objective

To determine the frequency of contributing factors for lactation failure in infants

Methods

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.

Results

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.

Conclusion

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.

Keywords
Lactation Failure Infants Factors

How to Cite This Article

Ali Z, Bajwa MA, Akhtar MK, Bokhari S, Tehreem S. Frequency of Contributing factors of lactation failure in infants presented at Mayo Hospital Lahore. J Pak Soc Intern Med. 2025;6(4):359–363. doi:10.70302/jpsim.v6i4.2566

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Conflict of Interest

All authors declare no competing interests.

Disclosed in accordance with ICMJE and COPE guidelines.

Funding

No specific funding was received for this research.

Funder information follows the Crossref Funder Registry standard.

References

  1. Sreekantham SS, Pratima P, Ramisetty UM, Belavadi G. Evaluation of factors responsible for lactation failure-hospital based study. 2019;6(6):2666-70.
  2. Modak A, Ronghe V, Gomase KP, Dukare KP. The psychological benefits of breastfeeding: fostering maternal well-being and child development. Cureus. 2023;15(10):e46730.
  3. Lee MK, Binns C. Breastfeeding and the risk of infant illness in Asia: a review. International journal of environmental research and public health. 2020;17(1):186.
  4. Meek JY, Abrams S A, Hoppin AG. Infant benefits of breastfeeding. Up To Date. Last update 2022. Accessed from: [https://www.scribd.com/document/603123070/Infant-benefits-of-breastfeeding-UpToDate].
  5. Yuen M, Hall OJ, Masters GA, Nephew BC, Carr C, Leung K, et al. The effects of breastfeeding on maternal mental health: a systematic review. J women's Health. 2022;31(6):787-807.
  6. Sattari M, Serwint JR, Levine DM. Maternal implications of breastfeeding: a review for the internist. The American Journal of Medicine. 2019;132(8):912-20.
  7. Pretorius CE, Asare H, Kruger HS, Genuneit J, Siziba LP, Ricci C. Exclusive breastfeeding, child mortality, and economic cost in Sub-Saharan Africa. Pediatrics. 2021;147(3): e2020030643.
  8. Perez-Escamilla R, Motil KJ. Maternal and economic benefits of breastfeeding. Last update 2022. Accessed from: [https://www.uptodate.com/contents/maternal-and-economic-benefits-of-breastfeeding]
  9. Meek JY, Noble L. Technical report: breastfeeding and the use of human milk. Pediatrics. 2022;150(1):e2022057989.
  10. Parker MG, Stellwagen LM, Noble L, Kim JH, Poindexter BB, Puopolo KM. Promoting human milk and breastfeeding for the Very Low Birth Weight infant. Pediatrics. 2021;148(5): e2021054272.
  11. Koletzko B, Hirsch NL, Jewell JM, Dos Santos Q, Breda J, Fewtrell M, et al. National recommendations for infant and young child feeding in the World Health Organization European Region. J Pediatr Gastroenterol Nutr. 2020;71(5):672.
  12. UNICEF. Global breastfeeding scorecard 2023 rates of breastfeeding increase around the world through improved protection and support. Updated 2023. Accessed from: [https://www.who.int/publications/i/item/WHO-HEP-NFS-23.17]
  13. Arts M, Mehra V, Taylor G, Krasevec J, Hayashi C, Bégin F. Breastfeeding a Mother’s gift, for every child. New York: UNICEF. Updated 2018. Accessed from: [https://www.unicef.org/media/48046/file/UNICEF_Breastfeeding_A_Mothers_Gift_for_Every_Child.pdf]
  14. Zakar R, Zakar MZ, Zaheer L, Fischer F. Exploring parental perceptions and knowledge regarding breastfeeding practices in Rajanpur, Punjab Province, Pakistan. Int Breastfeed J. 2018;13(1):1-12.
  15. Hornsby PP, Gurka KK, Conaway MR, Kellams AL. Reasons for early cessation of breastfeeding among women with low income. Breastfeed Med. 2019;14(6):375-81.
  16. Chang PC, Li SF, Yang HY, Wang LC, Weng CY, Chen KF, et al. Factors associated with cessation of exclusive breastfeeding at 1 and 2 months postpartum in Taiwan. Int Breastfeed J. 2019;14(1):1-7.
  17. Studies NIoP, ICF. Pakistan demographic and health survey 2017-18. NIPS/Pakistan and ICF Islamabad, Pakistan; 2019. Accessed from: [https://dhsprogram.com/pubs/pdf/FR354/FR354.pdf]
  18. Syeda B, Agho K, Wilson L, Maheshwari GK, Raza MQ. Relationship between breastfeeding duration and undernutrition conditions among children aged 0–3 Years in Pakistan. Int J Pediatr Adol Med. 2021;8(1):10-7.
  19. Ahmed SO, Hamid HI, Shanmugam AJ, Tia MM, Alnassry SM. Impact of exclusive breastfeeding on physical growth. Clin Nutr Open Sci. 2023;49:101-6.
  20. Valero-Chillerón MJ, Soriano-Vidal FJ, Mena-Tudela D, Cervera-Gasch Á, Vila-Candel R, Llagostera-Reverter I, et al. Monitoring of the Main Reasons for Early Abandonment of Breastfeeding during the First Six Months of Life: A Secondary Analysis. Nurs Rep. 2024;14(3):1937-47.
  21. Esmaeili M, Akbarian-rad Z, Javanian M, Nikpour M, Mohsenian H. Frequency and causes of failure in exclusive breast feeding in Babol, northern Iran: a cross sectional study. Caspian J Pediatr. 2020;6(2):449-53.
  22. Reynolds R, Kingsland M, Daly J, Licata M, Tully B, Doherty E, et al. Breastfeeding practices and associations with pregnancy, maternal and infant characteristics in Australia: a cross-sectional study. Int Breastfeed J. 2023;18(1):8.
  23. Dong D, Ru X, Huang X, Sang T, Li S, Wang Y, et al. A prospective cohort study on lactation status and breastfeeding challenges in mothers giving birth to preterm infants. Int Breastfeed J. 2022;17 (1):6.

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CC BY CC BY 4.0 This article is published under the Creative Commons Attribution 4.0 International License. May be shared and adapted with attribution. © 2025 Journal of Pakistan Society of Internal Medicine.