Introduction: Breast milk is planned for nursing young ones and therefore considered as nature’s most precious gift to humankind. However, despite strong evidences in support of breastfeeding, its prevalence has remained low worldwide. Objective: The objective of this study is to explore the knowledge, attitude, and perception toward breastfeeding among primigravida mothers and factors determining them. Materials and Methods: The study was conducted over 18 months on primigravida mothers admitted in postnatal care ward of tertiary care center of a medical college. Questionnaires were filled by mothers of newborns about various domains such as initiation of feeding, latching, maternal position during breastfeeding, prelacteal, colostrum, exclusive breastfeeding (EBF), and feeding at public places. Results: A total of 260 women aged 21–25 years were included in the study. Most of them were the housewives (81.5%), Hindu (95.4%), living in joint family (55.8%), and living in urban area (73.8%). About 90.4% initiated breastfeeding immediately after delivery and mothers have good knowledge on breastfeeding (81.1%). Mothers living in joint family had significantly more knowledge about the EBF and importance of colostrum. The source of their knowledge regarding breastfeeding was mostly medical staff (95.4%). Conclusion: The present study found that mothers had satisfactory knowledge regarding breastfeeding. Proper counseling and all level of support should be given to primigravida mothers, and breastfeeding practices can be increased by strengthening the existing program through media support and by removing social taboo regarding breastfeeding.

Acute intermittent porphyria (AIP) and ichthyosis vulgaris both are autosomal dominant disorders with incomplete penetrance caused by the deficiency of porphobilinogen deaminase enzyme and filaggrin protein, respectively. We report a rare case of a 9-year-old boy having two genetic diseases with an unclear association. An acute attack of AIP is characterized by gastrointestinal symptoms and neuropsychiatric manifestations. Although rare in the first decade of life, the presence of reddish urine with a typical presentation such as abdominal pain, hypertension, seizure, and paresthesias lead us to the diagnosis of AIP. The precipitating factor in the present case was prolonged fasting in Ramadan.