Which of the following is NOT an element of the 3 E's in breastfeeding?

The concept of the "3 E's" in breastfeeding refers specifically to three key elements: Exclusive, Early, and Effective. Each of these elements plays a vital role in promoting successful breastfeeding practices and ensuring optimal health for both the infant and the mother.

The term "Exclusive" emphasizes that breastfeeding should be the sole source of nutrition for infants for the first six months of life, without the introduction of other foods or fluids. "Early" refers to the importance of initiating breastfeeding within the first hour after birth to benefit from skin-to-skin contact and to help establish the breastfeeding relationship right from the start. "Effective" highlights the need for proper latching and sucking techniques to ensure that the baby is receiving adequate nutrition and that the mother does not experience issues such as pain or complications.

In this context, "Extended" does not fit as an element of the 3 E's, as it refers more to the duration of breastfeeding beyond the initial stages, rather than addressing the specific essential practices needed to establish and continue successful breastfeeding. Thus, the correct answer is that "Effective" is not one of the recognized elements of the 3 E's.