The consequences of poor feeding practices might exhibit in the form of poor nutritional status in the early part of life whereas delayed mental as well as motor developmental disorders are some most commonly exhibited long term consequences. Objective: To determine the prevalence and associated factors of exclusive breastfeeding (EBF) among mothers of infants below six months of age. Methods: This cross-sectional study was done at the Department of Pediatrics, Sheikh Khalifa Bin Zayed Al Nahyan Hospital, Rawlakot, Azad Kashmir, Pakistan from August 2022 to January 2023. Results: In a total of 237 mothers, the mean age was 27.15 ± 3.87 years. The EBF was reported by 151 (63.7 %) mothers. High socio-economic status (adjusted odds ratio = 5.87, p = 0.003), having fewer than 4 antenatal visits (adjusted odds ratio = 4.15, p < 0.001), cesarean delivery (adjusted odds ratio = 5.57, p < 0.001). the absence of postnatal advice on EBF (adjusted odds ratio = 3.06, p = 0.004), and children aged 4-6 months (adjusted odds ratio = 8.58, p < 0.001) had significantly higher odds of absence of EBF. Conclusions: It was concluded that the exclusive breastfeeding was practiced by 63.7% mothers. High socio-economic status, fewer antenatal visits, cesarean section, absence of postnatal advice on exclusive breastfeeding, and relatively older age of the infant were associated with lack of exclusive breastfeeding practices.