Breast milk is the preferred food for all infants including premature
and sick babies (Work Group on Breastfeeding 1997). It provides health,
nutritional, immunologic, developmental, psychological advantages to the
child besides health advantages to the mother and economic benefits to
the family. (Work Group on Breastfeeding 1997) UNICEF has promoted
breastfeeding initiation within an hour of childbirth (Huffman et al
2001, Sheehan et al 1999). It establishes skin-to-skin contact providing
warmth to the newborn. Suckling at breast stimulates oxytocin release
which further increasing flow of milk from breast. Breast milk reduces
mortality in the first month of life. Early breast feed initiation is
also associated with increased exclusive breastfeeding and longer
duration of breastfeeding in following months (Unicef 2007). The WHO and
UNICEF launched the baby friendly hospital initiative in 1991 to
strengthen maternity unit practices to support breastfeeding (Unicef
2009). However in spite of all these promotions and the known benefits
of breastfeeding, exclusive breastfeeding and early initiation of
breastfeeding are not often practiced.