Preventing Malnutrition in Infancy through Optimal Breastfeeding: A Study of Mothers’ Perception in Sagamu, South Western Nigeria

Abstract

Objectives: Breastfeeding is an evidence-based cost-effective means of preventing malnutrition in early childhood, thereby improving the chances of survival. Despite its nutritional advantages breastfeeding has been sub-optimal in Nigeria, due to misconceptions. This study assessed the perception of breastfeeding among mothers accessing child health services in Sagamu, Ogun State. Methods: A cross-sectional descriptive study was carried out among 283 mothers, who utilized the child health services provided at three primary health centres in Sagamu, Ogun State, Nigeria, selected through multi-stage sampling. Data collection was done using pre-tested, semi-structured, interviewer-administered questionnaires. Data was analyzed using SPSS version 17.00. Ethical approval was obtained from the hospital’s research ethics committee. Results: Most respondents were aged between 26 and 30 years; 4% were aged less than 21 years; and only 2% were older than 40 years. Most (47.7%) had tertiary education; 38.5% had secondary education; while 2.5% had no formal education. Majority (82%) felt breastfeeding was essential for child survival, while 18% felt otherwise. Most respondents (74.2%) knew about exclusive breastfeeding; 29.3% felt it was not practicable; 1.1% felt there were cultural inhibitions to breastfeeding; while 40% felt it was impossible to feed babies on expressed breast milk. About 83% felt breast size determined milk ejection rate; 41% felt breastfeeding reduced breast size; 73.9% felt it caused the breasts to sag; and 2.5% felt it did not benefit the mother. Conclusions: The perception of respondents was fair on breastfeeding and its benefits to infants and mothers. Existing misconceptions can be corrected through continuous health education.