Impact of maternal demographics on knowledge of exclusive breastfeeding among nursing mothers in Ifelodun local government, Nigeria

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Abstract

Background

Breastfeeding remains the recommended feeding plan for infants however; several factors seem to affect its knowledge and practice.

Objectives

This study aimed at investigating the impact of maternal demographics of age, educational status, religious affiliation and number of parities on knowledge of exclusive breastfeeding among nursing mothers in Ifelodun Local government area, Nigeria.

Methods

The study employed a descriptive survey method. A total of 206 nursing mothers in Ifelodun Local Government were selected through purposive and random sampling techniques. The participants responded to a researcher-designed questionnaire titled Knowledge of Exclusive Breastfeeding Questionnaire. The psychometric properties of the instrument were established. The data collected were analysed using both descriptive and inferential statistics. For the demographic data, percentage was employed while chi-square statistical tool was employed to test the hypotheses at 0.05 significant level.

Results

Nursing mothers in Ifelodun Local Government Area have high knowledge of exclusive breastfeeding (N=76.8%). Also, maternal demographics of age (X2= 25P=0.03), educational status (X2= 62.72; P=0.00), religious affiliation (X2= 11.01; P=0.01) and number of parity (X2= 84.01; P=0.02) have significant impact on mothers' knowledge of exclusive breastfeeding.

Conclusions

Nursing mothers in Ifelodun Local Government Area, have knowledge of exclusive breast feeding especially those who are older, literate, Christian; and multi-parous. Maternal demographics should be considered when educating nursing mothers on exclusive breastfeeding.

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Most cited references 25

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Promotion of Breastfeeding Intervention Trial (PROBIT): a randomized trial in the Republic of Belarus.

M Kramer, B Chalmers, E Hodnett … (2001)

Current evidence that breastfeeding is beneficial for infant and child health is based exclusively on observational studies. Potential sources of bias in such studies have led to doubts about the magnitude of these health benefits in industrialized countries. To assess the effects of breastfeeding promotion on breastfeeding duration and exclusivity and gastrointestinal and respiratory infection and atopic eczema among infants. The Promotion of Breastfeeding Intervention Trial (PROBIT), a cluster-randomized trial conducted June 1996-December 1997 with a 1-year follow-up. Thirty-one maternity hospitals and polyclinics in the Republic of Belarus. A total of 17 046 mother-infant pairs consisting of full-term singleton infants weighing at least 2500 g and their healthy mothers who intended to breastfeed, 16491 (96.7%) of which completed the entire 12 months of follow-up. Sites were randomly assigned to receive an experimental intervention (n = 16) modeled on the Baby-Friendly Hospital Initiative of the World Health Organization and United Nations Children's Fund, which emphasizes health care worker assistance with initiating and maintaining breastfeeding and lactation and postnatal breastfeeding support, or a control intervention (n = 15) of continuing usual infant feeding practices and policies. Duration of any breastfeeding, prevalence of predominant and exclusive breastfeeding at 3 and 6 months of life and occurrence of 1 or more episodes of gastrointestinal tract infection, 2 or more episodes of respiratory tract infection, and atopic eczema during the first 12 months of life, compared between the intervention and control groups. Infants from the intervention sites were significantly more likely than control infants to be breastfed to any degree at 12 months (19.7% vs 11.4%; adjusted odds ratio [OR], 0.47; 95% confidence interval [CI], 0.32-0.69), were more likely to be exclusively breastfed at 3 months (43.3% vs 6.4%; P<.001) and at 6 months (7.9% vs 0.6%; P =.01), and had a significant reduction in the risk of 1 or more gastrointestinal tract infections (9.1% vs 13.2%; adjusted OR, 0.60; 95% CI, 0.40-0.91) and of atopic eczema (3.3% vs 6.3%; adjusted OR, 0.54; 95% CI, 0.31-0.95), but no significant reduction in respiratory tract infection (intervention group, 39.2%; control group, 39.4%; adjusted OR, 0.87; 95% CI, 0.59-1.28). Our experimental intervention increased the duration and degree (exclusivity) of breastfeeding and decreased the risk of gastrointestinal tract infection and atopic eczema in the first year of life. These results provide a solid scientific underpinning for future interventions to promote breastfeeding.

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Factors associated with exclusive breastfeeding in Accra, Ghana.

J Aidam, Bridget A Aidam, R Escamilla … (2005)

To assess factors associated with exclusive breast-feeding (EBF) in Accra, Ghana. DESIGN, SUBJECTS, SETTING: Data on current and past infant feeding patterns, sociodemographic, biomedical and biocultural factors were collected using a cross-sectional design, from a sample of 376 women with infants 0-6 months, attending maternal and child health (MCH) clinics in Accra. EBF was defined in two ways: (a) based on a 24-h recall, and (b) based on a recall of liquids or foods given since birth. Although 99.7% of mothers were currently breastfeeding (BF), only half (51.6%) of them EBF their infants. About 98% of participants had heard about EBF, and 85.6% of them planned to EBF on delivery. Based on 'since birth' EBF, planned EBF on delivery was associated with higher likelihood of EBF (OR=2.56; 95% CI, 1.06-6.17) and delivery at a hospital/polyclinic was associated with a two times higher likelihood of EBF (OR=1.96; 95% CI, 1.08-3.54). Women living in their own houses were more likely to EBF (OR=3.96; 95% CI, 1.02-15.49) than those living in rented accommodations and family houses. Those with a more positive attitude towards EBF were more likely to EBF (OR=2.0; 95% CI, 1.11-3.57) than their counterparts with more negative attitudes. The '24-h recall' EBF model yielded similar results. In this population, EBF was associated with delivery at hospital/polyclinic, having secondary school education, intention to EBF prior to delivery, owning a home and having a positive attitude to EBF.

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Mapping exclusive breastfeeding in Africa between 2000 and 2017

Natalia V. Bhattacharjee, Lauren E. Schaeffer, Laurie B. Marczak … (2019)

Exclusive breastfeeding (EBF)—giving infants only breast-milk (and medications, oral rehydration salts and vitamins as needed) with no additional food or drink for their first six months of life—is one of the most effective strategies for preventing child mortality 1–4 . Despite these advantages, only 37% of infants under 6 months of age in Africa were exclusively breastfed in 2017 5 , and the practice of EBF varies by population. Here, we present a fine-scale geospatial analysis of EBF prevalence and trends in 49 African countries from 2000–2017, providing policy-relevant administrative- and national-level estimates. Previous national-level analyses found that most countries will not meet the World Health Organization’s Global Nutrition Target of 50% EBF prevalence by 2025 6 . Our analyses show that even fewer will achieve this ambition in all subnational areas. Our estimates provide the ability to visualize subnational EBF variability and identify populations in need of additional breastfeeding support.

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Author and article information

Journal

Journal ID (nlm-ta): Afr Health Sci

Journal ID (iso-abbrev): Afr Health Sci

Title: African Health Sciences

Publisher: Makerere Medical School (Kampala, Uganda )

ISSN (Print): 1680-6905

ISSN (Electronic): 1729-0503

Publication date (Print): June 2023

Volume: 23

Issue: 2

Pages: 694-702

Affiliations

[1 ] Department of Counsellor Education, University of Ilorin, Nigeria

[2 ] Department of Health Promotion and Environmental Health Education University of Ilorin, Nigeria

[3 ] Counselling and Human Development Centre, Al-Hikma University, Ilorin, Nigeria

Author notes

Corresponding author: Odebode Aminat Adeola, Department of Counsellor Education, University of Ilorin, Nigeria Tel: +2348136812525 odebode.aa@ 123456unilorin.edu.ng

Article

Publisher ID: jAFHS.v23.i2.pg694

DOI: 10.4314/ahs.v23i2.79

PMC ID: 10782317

PubMed ID: 38223585

SO-VID: 23499fd9-365e-444f-b483-c406043a469c

License:

Licensee African Health Sciences. This is an Open Access article distributed under the terms of the Creative commons Attribution License ( https://creativecommons.org/licenses/BY/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Impact of maternal demographics on knowledge of exclusive breastfeeding among nursing mothers in Ifelodun local government, Nigeria

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Abstract

Background

Objectives

Methods

Results

Conclusions

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Advocacy for Maternal and Women’s Health

Most cited references 25

Promotion of Breastfeeding Intervention Trial (PROBIT): a randomized trial in the Republic of Belarus.

Factors associated with exclusive breastfeeding in Accra, Ghana.

Mapping exclusive breastfeeding in Africa between 2000 and 2017

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