<![CDATA[Exclusive breastfeeding remains a central strategy for improving infant survival, growth, immunity, and maternal health, yet many postpartum mothers discontinue exclusive breastfeeding before six months because of pain, perceived insufficient milk, low confidence, limited family support, early formula exposure, and difficulty accessing professional lactation assistance. This systematic review aimed to synthesize recent evidence on the effectiveness of breastfeeding support in improving exclusive breastfeeding practices among postpartum mothers. A systematic search framework was developed using PubMed, ScienceDirect, CINAHL, ProQuest, Google Scholar, and relevant organizational reports published between 2021 and 2025. Eligible evidence included randomized trials, quasi-experimental studies, cohort studies, and systematic reviews evaluating professional, peer, family-based, group, digital, and community breastfeeding support. The synthesis indicates that structured support improves exclusive breastfeeding initiation, continuation, maternal self-efficacy, breastfeeding technique, problem-solving, and timely access to counseling. Interventions combining antenatal preparation, immediate postpartum assistance, follow-up after discharge, partner involvement, and responsive counseling showed stronger potential than one-time education. The findings support the integration of continuous, respectful, and culturally sensitive breastfeeding support into routine maternal and child health services.]]>
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