Background:Breastfeeding (BF) in infancy is associated with a decreased risk of acute lymphoblastic leukaemia (ALL). However, most of the studies were conducted in developed countries, neglecting developing countries where mothers might be exposed to different carcinogenic substances which could be transferred through breastmilk.Methods: This is a case-control study which was conducted in the major paediatric cancer centre in Syria. Data of case and control groups were obtained from the hospital’s records. Only patients with no hereditary or chromosomal syndrome and aged 4 years and younger were included. The case group included ALL patients and control group contained hospital patients who visited its various clinics. The patients were categorised into 3 groups depending on their feeding habits before the age of 6 months. Results:Our sample contained 70 patients in the case group with 42 (60%) being males and 82 patients in the control group with 52 (55.3%) being males. Sixty (85.7%) cases and 59 (72%) controls were exclusively breastfed. We found a statistically significant difference when comparing cases and controls in BF patterns (P<0.05) as cases were exclusively breastfed more frequently. Exclusive breastfeeding was found more frequently in the case group compared to other patterns of infancy feeding P=0.04 (OR, 2.339; CI, 1.025 -5.336). In case group, parents of a low educational level breastfed their children more frequently (P<0.05). Number of siblings was not associated with ALL or any of its variables. Furthermore, infancy feeding pattern correlation with gender, being born with no complications, consanguinity, CD10, FAB classification, ALL-subtype, risk, and family history were insignificant. Conclusion:There are certain practices among the Syrian people, especially among parents of a low educational level that has possibly exposed their children to carcinogenic substances which were possibly transferred through BF, causing this association between ALL and BF. We speculate certain substances and behaviours being responsible. However, BF had minor effects on the prognosis and subtype of ALL, and number of siblings had no effect on ALL.