Background: Early Initiation of Breastfeeding (EIBF) is a research-supported practice that promotes successful lactation and increases the likelihood of exclusive breastfeeding. Skin-to-skin contact and breastfeeding within the first hour after birth stimulate hormonal responses that support milk production and strengthen maternal-infant bonding. This study aimed to determine the relationship between EIBF and the success of exclusive breastfeeding among postpartum mothers in the maternity ward of Paradise Mother and Child Hospital. Methods: This observational study used a cross-sectional design involving 50 postpartum mothers with infants aged 6–12 months, selected through sequential sampling. EIBF data were obtained from medical records and Maternal and Child Health (MCH) handbooks, while exclusive breastfeeding data were collected through structured interviews using a validated questionnaire. Data were analysed using the Chi-square test with a 95% confidence level. Results: Most mothers practiced EIBF (68.0%), and 72.0% successfully provided exclusive breastfeeding for the first six months. EIBF was significantly associated with successful exclusive breastfeeding (p=0.001). Conclusion: Early initiation of breastfeeding was significantly associated with successful exclusive breastfeeding. Strengthening EIBF implementation, breastfeeding education, and lactation support is important to increase exclusive breastfeeding rates and promote optimal maternal and infant health.
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