 This study examined the prevalence of early initiation of breastfeeding and its associated factors in rural areas of Sindh, Pakistan. The results showed that 20.4% of mothers initiated breastfeeding within one hour of giving birth. Factors such as adequate knowledge, place of delivery, gestational age of baby, and maternal age were associated with early initiation of breastfeeding. These findings suggest that providing counseling and health education to mothers before, during, and after pregnancy can help motivate them to initiate breastfeeding early and continue exclusive breastfeeding for six months. This article was authored by Rahil Barkat, Asan Jawani, Anum Rahim, and others.