Despite the significant benefits of exclusive breastfeeding for the first six months, such as providing balanced nutrition and immunity, there can be situations where it's not entirely achievable.

Here’s why exclusive breastfeeding might not be necessary

1. Lifestyle problems

Many new moms who are employed or enrolled in school find it easier to begin breastfeeding with breast milk replacements.

  It can be difficult to juggle breastfeeding with personal or professional obligations, particularly in settings without adequate maternity leave regulations or pumping stations.

2. Lactational difficulties

Breastfeeding can be challenging for some moms with inverted or flat nipples during the first few weeks, and they are less likely to stick with its substitutes.  

3. Medical Conditions

Certain women or babies have health issues that make exclusive nursing dangerous or difficult. For mothers, chronic diseases like HIV or inadequate milk supply can make them rely on formula feeding.

The infant may also have allergies, lactose intolerance, or metabolic conditions such as galactosemia.

4. Postpartum depression 

For new moms struggling with postpartum depression or anxiety, breastfeeding can be overwhelming or difficult. Both the mother and the child can benefit from formula introduction or supplementation, which can lower stress and improve their mental health. 

5. Breastfeeding strike

Sometimes the baby might refuse breast milk. A baby may refuse to be breastfed because of mouth pain, ear infections, or vaccination-related soreness.

Additionally, a cold or stuffy nose can make breathing difficult and make breastfeeding impossible.

Stress or distraction, such as overstimulation, delayed feedings, or long separations, can cause fussiness and difficulty in nursing.