**Conflict of interest**

could help health professionals provide culturally sensitive care for their patients. This information could help clinicians to encourage women to initiate and maintain breastfeeding [20].

When establishing a conceptual model of breastfeeding practice, all the factors that intervene in its development and the different levels that interact must be considered. It is possible to appreciate how the different levels interact and influence the individual decision to breastfeed

In recent years, exclusive breastfeeding rates until the sixth month have improved because of policies and strategies for breastfeeding promotion. However, in different countries, multiple programs have been implemented to promote breastfeeding and counteract the lack of adherence observed in mothers for feeding their children exclusively with breast milk, as a result of factors such as the incorporation of women into work, multiple offers of milk formulas, and scarce training of health personnel to address the concerns of mothers. Although overall there is evidence of an increase in breastfeeding rates, there is wide variability between countries and even within the same country, noting that some of the data are far from the expected health goal.

**Figure 4.** Conceptual model of breastfeeding practices (factors and levels). Note: Individual level: red arrow; Family

level: green arrow; Community level: yellow arrow; Society level: blue arrow.

**3. Conceptual model of breastfeeding practice**

or not (**Figure 4**).

6 Selected Topics in Breastfeeding

**4. Conclusions**

The author has no conflict of interests to declare.
