Knowledge and attitude about infant feeding practices as per infant and young child feeding guidelines in pregnant women attending antenatal clinics in Western Rajasthan

Background: Infant and young child feeding (IYCF) practices play a crucial role in child survival, growth, and development. Despite national guidelines aligning with global recommendations, adherence remains a challenge, particularly in rural India. Aims and Objectives: This study aims to assess the knowledge and attitudes of pregnant women toward IYCF practices in western Rajasthan. Materials and Methods: A cross-sectional observational study was conducted at the Maternal and Child Unit of a tertiary hospital in western Rajasthan. The study included 100 pregnant women, selected based on inclusion and exclusion criteria. Data were collected through face-to-face interviews using a pre-validated questionnaire. Statistical analysis was performed using the Statistical Package for the Social Sciences 26.0, with P<0.05 considered statistically significant. Results: The mean age was 25.9±3.5 years, with 47% from rural areas. Education ranged from 7% illiterate to 12% graduates. Healthcare workers (46%) and digital sources (41%) were key IYCF information sources. Knowledge (18.5±2.8/40) was moderate, with misconceptions on breastfeeding. Attitude (11.5±1.5/20) was positive but had practice gaps. Poor knowledge is linked to early marriage and low parental education. Conclusion: Significant gaps exist in IYCF knowledge and attitudes, particularly among younger and less-educated women. Targeted educational interventions are necessary to improve IYCF adherence and enhance child health outcomes in western Rajasthan.