Factors Influencing Breastfeeding Loyalty Among Mothers: A Literature Review

Abstract

Background: Breastfeeding loyalty among mothers is shaped by a multifaceted interaction of socio-cultural, economic, and individual determinants.

Objective: This review aims to systematically examine various factors influencing breastfeeding loyalty to inform the design of effective interventions for promoting sustainable breastfeeding practices.

Methods: This study is a narrative literature review synthesizing empirical and theoretical findings related to variables affecting breastfeeding loyalty. Literature searches were conducted through PubMed, Scopus, and Google Scholar using the keywords “breastfeeding loyalty”, “exclusive breastfeeding”, “cultural factors”, and “maternal support”, limited to publications between 2010 and 2024. From the total identified articles, 25 studies met the inclusion criteria and were analyzed.

Results: Key findings indicate that: (1) family support and cultural norms significantly influence breastfeeding continuation; (2) low socioeconomic status and work-related constraints, including inadequate maternity leave and limited workplace breastfeeding facilities, are major barriers; and (3) prior breastfeeding experience and quality interactions with healthcare professionals enhance mothers’ confidence and commitment.

Discussion: The review highlights that barriers to breastfeeding loyalty are not only individual but also structural, thus requiring comprehensive, context-specific, community-based interventions supported by adequate public policies.