Breastfeeding in Bulgaria: Hidden Challenges and Support Potential

The National Center for Public Health and Analyses (NCPHA) published alarming results regarding breastfeeding practices in Bulgaria, which raise serious questions about reproductive healthcare. Expert Sofia Kandylarova presented data that reveal complex challenges facing motherhood and breastfeeding.

Statistical data show a paradoxical picture – while 82.8% of Bulgarian women start breastfeeding, only 10.4% do so in the first critical hour after birth. In comparison, in countries with a similar social profile, this percentage reaches an impressive 45%.

The World Health Organization (WHO) emphasizes the exceptional importance of breastfeeding as the primary nutritional and emotional source for newborns. According to international recommendations, babies should receive only breast milk until six months of age, which ensures complete nutrition and immune protection.

A prospective study conducted among 232 mothers during 2022-2023 reveals drastic differences in results when receiving professional support. In the group with qualified assistance, 85.2% of mothers continue exclusive breastfeeding, while under standard conditions this percentage drops to 29.8%.

A key point in the study is identifying the main reasons for stopping breastfeeding. The most common reason cited by mothers is insufficient milk quantity. However, experts emphasize that in many cases this problem can be overcome with competent professional consultation.

Kandylarova introduces the concept of a "warm support chain", which includes a comprehensive approach – from family support to creating a positive public attitude towards breastfeeding women. This model involves building an environment that encourages and facilitates motherhood.

International comparisons are eloquent – while in Bulgaria exclusive breastfeeding is practiced by 18.6% of women, in similar countries this percentage reaches 36%, and globally – 48% according to UNICEF data.

Good clinical practices recommended by the study include early contact between mother and baby, continuous joint stay in the hospital, and subsequent professional consultation in home conditions or a specialized office.

World Breastfeeding Week for 2025 with the motto "Breastfeeding as a Priority: Building a Supportive Sustainable Environment" emphasizes the need for a systemic and holistic approach to motherhood and child development.

The NCPHA study unambiguously shows that investing in professional support and awareness can significantly increase the duration and quality of breastfeeding, which has a direct relation to public health and the future generation.