The mean age of participants was 21.42 . The finding was similar in the study conducted in Gujarat; they found the maternal mean age was 24.6 years. This may the reason in India was situated in beside in Bangladesh [14]. More than half (50.8%) of the participants were service holder and house wife 49.2%. House wife mothers were more likely to exclusive breast fed their infants than working mothers; this finding was supported by Setegn et al., 2012, they found that, unemployed mothers were about 5 times more likely to breastfed exclusively as compared to employed mothers. This may attribute to worked mothers were away from the home and from their infants which make the breast feeding difficult [15]. Most (65.8%) of the participants were primary educated. It was in contrast of the study conducted in Kaneya, among lactating mothers, that study showed majority of the mother’s level of education was college and above hence (college 54.2%, primary 18.2%, secondary 20.3%) mothers could make better informed decision of infant feeding [16]. This is due to the reasonal variation of Kaneya.

The place of delivery,  84.2% of the participants was delivered their baby in hospital and or Clinic and only 15.5%.was home. One study conducted by Howlader, S. U., Razzak, A., & Raza, S. 2018, in Bangladesh, they found that the place of delivery was 75.5% is institutional delivery among them 37.7% in Clinic, 35.6% in Hospital, and 2.3% health care center) and one forth (24.5%) was delivered in home. It was nearly similar in the present study [17]. It is also similar in the study conducted by Limo, Fridah & Jebet, 2018, in Kenya, they found that the place of delivery in hospital 83.3% and home was only 16.7%. It may the reason Kenya is the midle income country [16].  The mode of delivery were above half (65.8%) of the participants were delivered by cesarean section and normal delivery were 34.2%. Another study found in Bangladesh, they found that 53.9% baby was deliverred normally and by cesarian section was 46.1%. This is due to place of delivery [17]. In contrast other studies results showed that normal delivery was 80.6% and 19.4% operative delivery in India [18]. Another study nn Kenya found that normal delivery 67.0%, cesarean section 13.3%, assist delivery 19.7% [16].

In the present study revealed that during delivery about half (58.3%) of the participants were conduct delivery by nurse, doctor 33.3% and TBA 8.3%. Similar result was found in the study conducted by Howlader, S. U., Razzak, A., & Raza, S. 2018, in Bangladesh, they found that 56.2% delivery conducted by health service personnel, 35.2% by trained traditional birth attendence (TTBA) and TBA 8.7% [17].

In this study the mean age of the infant was 3.48 month (SD=1.34). Similar result was found in the study conducted in Pakisthan, they found that  the mean age of infants of group (62.1%) was of 2.2 months ± 0.7 and other group of infants (37.9%) was of mean age 5.2 months ± 0.6 [18]. This study result found that almost all (97.5%) of the participants were agreed to crake nipple was the barrier to exclusive breastfeeding.  Other study also suported that Cracked nipples were the problem during the first week (31.9%) as well as during the rest of the first month and  beyond the first month 36.5% and 30.3% respectively [19].Similar study was found that was conducted in Kenya, they found that majority (77.1%)  of the participants were experienced sore or cracked nipples was the barrier to exclusive breastfeeding [16]. The present study revealed that all most (85.8%) the participants were agreed to insufficient milk production was the barrier to exclusive breastfeeding. The mothers stated that because of inadequate milk production they were not able to exclusively feed infants regularly. It is nearly similar to the study conducted in India found that insufficient milk production that 65.2% is significantly related to the barrier to exclusive breastfeeding. This is due to India is the nearer country of Bangladesh [20]. Many of them were using infant’s formula and cow’s milk to feed the infants. According to a study conducted in Pakistan 71% mothers had reported lack of sufficient milk production, while a cohort study performed internationally reported 80% mothers with insufficient breast milk [21]. This was approximately greater (24%) than our local value. Inadequacy of milk production in mothers could be of reasons such as not to eat well, drink juices, milk, water and other kind of liquid diet intake. Milk production could also be increased by feeding the child with the interval of two or three hours as documented by WHO, it might prove helpful to keep up milk production and comfort of both mother and child [22].

The present study showed that around half 46.75 % of the participants were experienced of painful and enlarged breasts was barriers to exclusive breastfeeding. Incontrast only 6% participants were experienced that painful and enlarged breasts was barriers to exclusive breastfeeding that was conductedin Kenya [22]. This study showed that about 67.55 participants were the insufficient food for mother of the barriers to exclusive breastfeeding. In another study in Uganda found that ‘Poverty makes me fail to buy food and so I don’t eat a balanced diet which limits the milk for the baby [23]. This study revealed that more than half (53.3%) of the participants were agreed to health care worker prescribe formula milk and only 9.2% participants were agreed to neighbors’ pressure to wean the baby which was the barriers to exclusive breastfeeding. In another study found that advice given by health care providers (4.9%) was the least common reason and advice given by relatives or neighbors (7.3%) was the second least common reason [23].  Most (73.3%) of the participants were forced from the family members to give water, formula milk, honey, during this period. In another study showed similar result that their participants (53%) were given to the infants was mainly milk and others (47%) included soft ugali, herbal medicine and fruits juice [16].