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CTRI Number  CTRI/2025/07/090076 [Registered on: 02/07/2025] Trial Registered Prospectively
Last Modified On: 30/06/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Other 
Public Title of Study   Why some women fail to exclusively breastfeed their infants 
Scientific Title of Study   Incidence and factors associated with failure to exclusively breastfeed before six months in mothers delivered at a tertiary care hospital- A Longitudinal cohort study 
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Aashna Shiraz  
Designation  Postgraduate trainee 
Affiliation  Ramakrishna Mission Seva Pratishthan  
Address  Department of Paediatrics, 2nd floor, Ramakrishna Mission Seva Pratishthan, Vivekananda Institute of Medical Sciences, Kolkata

Kolkata
WEST BENGAL
700026
India 
Phone  9748931152  
Fax    
Email  aashnashiraz001@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr. Braja Gopal Ray 
Designation  Associate Professor 
Affiliation  Ramakrishna Mission Seva Pratishthan  
Address  Dept. Of Paediatrics, Ramakrishna Mission Seva Pratishthan, Vivekananda Institute of Medical Sciences, Kolkata

Kolkata
WEST BENGAL
700026
India 
Phone  9748931152  
Fax    
Email  brajaray@ymail.com  
 
Details of Contact Person
Public Query
 
Name  Aashna Shiraz  
Designation  Postgraduate trainee 
Affiliation  Ramakrishna Mission Seva Pratishthan  
Address  Dept. of Paediatrics, 2nd Floor Ramakrishna Mission Seva Pratishthan, Vivekananda Institute of Medical Sciences, Kolkata

Kolkata
WEST BENGAL
700026
India 
Phone  9748931152  
Fax    
Email  aashnashiraz001@gmail.com  
 
Source of Monetary or Material Support  
Ramakrishna Mission Seva Pratishthan, Vivekananda Institute of Medical Sciences, 99 Sarat Bose Road, Kolkata, Pin- 700026 
 
Primary Sponsor  
Name  Not applicable  
Address  Not applicable  
Type of Sponsor  Other [Not applicable ] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Aashna Shiraz  RAMAKRISHNA MISSION SEVA PRATISHTHAN, VIVEKANANDA INSTITUTE OF MEDICAL SCIENCES   Postnatal ward, Well Baby Clinic, Immunisation Clinic, RAMAKRISHNA MISSION SEVA PRATISHTHAN, VIVEKANANDA INSTITUTE OF MEDICAL SCIENCES, KOLKATA- 26
Kolkata
WEST BENGAL 
9748931152

aashnashiraz001@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
RAMAKRISHNA MISSION SEVA PRATISHTHAN VIVEKANANDA INSTITUTE OF MEDICAL SCIENCES  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  All mothers who delivered in Ramakrishna Mission Seva Pratishthan, Kolkata- 26 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
 
Inclusion Criteria  
Age From  1.00 Day(s)
Age To  6.00 Month(s)
Gender  Both 
Details  All mothers who delivered at Ramakrishna Mission Seva Pratishthan, Kolkata- 26 
 
ExclusionCriteria 
Details  1. Mothers of outborn babies. 2. Mothers’ death. 3. Mother on medication that is absolutely contradicted in breastfeeding. 4. Mothers of babies having severe congenital anomalies. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
(Descriptive) Estimating the incidence of failure of exclusive breastfeeding (defined) by the mothers who delivered babies at Ramakrishna Mission Seva Pratishthan by 6 months after delivery.
(Analytical) Determine the factors which are associated with the discontinuation of exclusive breast feeding at 6 months compared to mothers who continue exclusive breast feeding till 6 months  
18 months 
 
Secondary Outcome  
Outcome  TimePoints 
To build a predictive risk model based on the data collected to identify mothers who are more likely to stop exclusive breastfeeding before 6 months  18 months 
 
Target Sample Size   Total Sample Size="1067"
Sample Size from India="1067" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   30/08/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

Lack of exclusive breastfeeding is associated with infant and

childhood morbidity and mortality including lifelong impact on school

performance, productivity, and intellectual development, and overall health

during adolescence and adulthood. Breastfeeding in general, exclusive breastfeeding in

particular, is among the best interventions in the first 1000 days. The main challenges impeding the success of breastfeeding were: formal work schedule;

informal work; family influence due to community culture from grandmothers,

cousins, and aunties; insufficient breast milk; and swollen breast or sore


nipples. The literature revealed that the initiation rate of breastfeeding is high. However, the rate

declined over six months. Aim of this study is to estimate the prevalence of

cessation of exclusive breastfeeding (defined) by the mothers who delivered

babies at a tertiary care hospital, at 6 months after delivery determine the

factors which are associated with the discontinuation of exclusive breast feeding

at 6 months compared to mothers who continue exclusive breast feeding at 6


months. Based on our study, we can create a prediction risk model where we can identify mothers who will probably stop breastfeeding or will not continue exclusive breastfeeding. Thus, we can counsel those mothers and increase the incidence of exclusive breastfeeding, which shall benefit our society. 
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