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Background Breast milk is the best nutrition for babies' growth and development. There are many reasons for discontinuation of exclusive breastfeeding (BF). Objective To evaluate the impact of exclusive breastfeeding on babies' cognitive development. Methods A cohort study was conducted for full term newborn babies. They were evaluated for cognitive development using Mullen scale test at of 6 and 9 months; t test was used to obtain mean difference of cognitive values. Logistic regression analysis was performed to distinguish factors associated with the cognitive development. Results One hundred and forty babies were enrolled to this study (70 babies with exclusive BF and 70 babies with non-exclusive BF). There were 34 boys (49%) in exclusive and 37 boys (53%) in non-exclusive BF group. Mean cognitive score at age six months was 1.41 points higher for exclusive BF group, mean rate 174.31 (SO 4.89) and 172.90 (SO 4.19) for exclusive and non-exclusive BF, respectively. Mean cognitive score at nine months was 1.49 point higher in exclusive BF group with mean rate 175.28 (SO 4.39) and 173.82 (SO 3.80) for exclusive and non-exclusive BF respectively. Logistic regression analysis showed that exclusively breastfed babies had higher mean Mullen cognitive score of 4. 761 (95% CI 1.341; 16.907) and 4.431 (95% CI 1.313; 14.949) times at sixth and ninth month respectively than non-exclusive BE Conclusion Exclusively breastfed babies may have higher mean score of Mullen cognitive score at sixth and ninth months when compared with those who are non exclusively breastfed.

Cognitive development in babies with exclusive breastfeeding using Mullen Scale test