4. DiscussionThis study has evaluat

4. Discussion
This study has evaluated the factors affecting the
exclusive breast feeding in mothers who gave birth by
cesarean section delivery. Based on the findings, 73.7% of
mothers were aged less than 30 years and 56.1% of them
were experiencing their first delivery, It seems more formula
feeding percentage in lower age & parity partly relates toincreasing knowledge and experience of mothers with
increasing age, As this study showed that with increasing the
level of literacy, formula feeding rate decreased (87.7% of
mothers had less than a bachelor's degree). Begum et al [20],
also Kornides and colleagues [21], found in their studies that
increase in mother knowledge is associated with more trends
to start and continue breast feeding. Furthermore, in this
study 71.9% of mothers were housekeeper, and 28.1% were
employed. Although the mother's employment factor is one
of the factors affecting on breastfeeding [22], But it affects
when mother returns to work [23], and it seems that working
mothers have better attitudes and are more willing to
breast-feed during maternity leave because of in service
trainings and work environment limitations, and it is
necessary to compare the two groups' attitudes and
willingness about formula feeding in future studies. As
Attanasio, et al in their study found that working mothers had
higher education level and their employment had no effect
on their breastfeeding in compare with housewives, rather
increasing in working hours was associated with cessation of
exclusive breast feeding [24]. So lower mother age and
parity and employment raise more need to education and
supporting these mothers which bring up the importance of
WHO ten steps (Step 3 & 10) [1]