Background: The close relationship between mother and baby forms a fundamental emotional bond through bonding attachment, which is crucial for the child's mental health development. This is associated with the condition called Reactive Attachment Disorder (RAD), which manifests as interaction problems with the social environment due to disrupted bonding attachment in early childhood. The breastfeeding process itself is one way to build good bonding attachment. However, modern tendencies toward indirect breastfeeding reduce physical contact and may affect the formation of bonding attachment. This research investigates the association between exclusive breastfeeding practices and maternal-infant attachment patterns among postpartum women. Method: This quantitative research utilized a correlational analytical methodology with a cross-sectional framework. A probability-based sampling strategy was implemented using cluster sampling techniques. A total of 40 respondents were selected based on proportional allocation from mothers with 28-day-old infants in primary health center working area in Tasikmalaya City, West Java, Indonesia. Data collection was conducted in 2025. Statistical analysis was performed using Chi-Square test. Result: Results revealed that immediate breastfeeding practices play a crucial role in facilitating attachment bond formation between mothers and their 28-day-old babies, proven by 67.5% of respondents having a good bonding attachment category. Statistical analysis revealed a significant link between direct breastfeeding implementation and bonding attachment levels, with sig. (2-tailed) of 0.043 (value < 0.05, 95% CI). Conclusion: A positive significant relationship was established between direct breastfeeding and maternal-infant attachment outcomes. Healthcare providers should promote direct breastfeeding practices to enhance maternal-infant bonding attachment during the early postpartum period.
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