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Maternal prenatal attitudes and exclusive breastfeeding at three months in rural Bangladesh

We assessed the relationships between psychosocial constructs (maternal intention, attitudes, self‐efficacy, breastfeeding knowledge) at 7 mo gestation and exclusive or full breastfeeding at 3 months post‐partum, among 729 mother‐infant dyads in two sub‐districts (Karimganj; Katiadi) of Bangladesh. Over 80% of women intended to exclusively breastfeed (EBF) during pregnancy (89.8% Karimganj; 72.3% Katiadi). Maternal intentions to exclusively breastfeed were positively associated with positive attitudes, self‐efficacy, and knowledge about breastfeeding (all p<0.05). All mothers initiated breastfeeding and all children were still breastfed at 3 mo. At child age 3 mo, 162 mothers (22.2%) reported continuing to EBF their infants (36% Karimganj; 9% in Katiadi), and 117 mothers (16.1%) predominantly breastfed their infants (14.3% Karimganj; 17.8% Katiadi). EBF and full breastfeeding at age 3 mo were not associated (p>0.05) with any of the prenatal maternal psychosocial constructs examined, in either sub‐district. Despite expressed maternal intentions to exclusively breastfeed during pregnancy and universal breastfeeding initiation, the prevalence of both exclusive and full breastfeeding at 3 months were low.