Knowledge, Practices and Attitudes about Breastfeeding among mothers in several Health Centers, Santo Domingo, 2024

This study aimed to identify the level of knowledge, attitudes, and practices regarding breastfeeding among mothers attending various health centers in Santo Domingo in 2024. A quantitative, descriptive, applied approach was used, with a non-experimental cross- sectional design. The sample consisted of 100 pregnant, breastfeeding, and multiparous mothers selected by convenience sampling. Two instruments were used: "Knowledge about Breastfeeding" and "Attitudes, Practices, and Knowledge about Exclusive Breastfeeding. “The results show that 77% of mothers have a medium level of knowledge, 8% a high level, and 15% a low level. Regarding attitudes and practices, 41% demonstrated a medium level,39% a high level, and 20% a low level. Notably, 93% of mothers recognize the importance of breastfeeding on demand, 98% identify the immunological benefits of breast milk, and96% report that breastfeeding fosters an emotional bond with their baby. However, 45% believe they do not produce enough milk, and 53% state that breastfeeding interferes with their work life. Two instruments were used: a data collection tool (16 items, reliability 0.71, validation 99 pts) and an attitude scale (10 items, polytomous, reliability 0.88 with Cronbach's alpha). It is concluded that although there is a positive predisposition toward breastfeeding and basic knowledge of its benefits, practical barriers and misconceptions persist. Strengthening educational programs, continuous counseling, and institutional support is necessary to ensure proper and sustained breastfeeding practices.