Maternal Socio-Demographic Factors Influencing the Initiation and Exclusivity of Breastfeeding in a Nigerian Semi-Urban Setting
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Background The success of breastfeeding promotion is influenced by maternal factors. Therefore, it is vital to examine the influence of basic maternal demographic factors on breastfeeding practices. Objective To determine the influence of maternal socio-demographic factors on the initiation and exclusivity of breastfeeding. Method A cross-sectional survey of mothers of children aged from 1 to 24 months attending a Nigerian Infant Welfare Clinic was conducted. Respondents were grouped according to age, parity, education, occupation, sites of antenatal care and delivery. These groups were compared for breastfeeding indices using bivariate and multivariate analysis. Results All the 262 respondents breastfed their children. The exclusive breastfeeding rate was 33.3% for children aged 0–3 months, 22.2% for children aged 4–6 months and 19.4% for children aged 7–24 months at the time of the study. Significantly higher proportions of mothers with at least secondary education, clinic-based antenatal care and delivery in health facilities initiated breastfeeding within 1 h of birth, avoided pre-lacteal feeding and practiced exclusive breastfeeding for the first 6 months of life. Maternal age and parity did not confer any advantage on breastfeeding practices. Delivery of children outside health facilities strongly contributed to delayed initiation of breastfeeding (P < 0.001), pre-lacteal feeding (P = 0.003) and failure to breastfeed exclusively (P = 0.049). Maternal education below secondary level strongly contributed to pre-lacteal feeding (P = 0.004) and failure to practice exclusive breastfeeding (P = 0.008). Conclusion Low maternal education and non-utilization of orthodox obstetric facilities impairs early initiation and exclusivity of breastfeeding.
KeywordsBreastfeeding Maternal education Pre-lacteal feeding
- 6.Bertini, G., Perugi, S., Dani, C., Pezzati, M., Tronchin, M., & Rubaltelli, F. F. (2003). Maternal education and the incidence and duration of breastfeeding: A prospective study. Journal of Pediatric Gastroenterology and Nutrition, 37, 447–452. doi:10.1097/00005176-200310000-00009.CrossRefPubMedGoogle Scholar
- 9.Cham, S. K., & Asirvatham, C. V. (2001). Feeding practices of infants delivered in a district hospital during the implementation of Baby Friendly Hospital Initiative. The Medical Journal of Malaysia, 56, 71–76.Google Scholar
- 11.Dubois, L., & Girard, M. (2003). Social determinants of initiation, duration and exclusivity of breastfeeding at the population level; the results of the longitudinal study of child development in Quebec (ELDEQ 1998–2002). Canadian Journal of Public Health, 94, 300–305.Google Scholar
- 17.Ogunlesi, T. A., Dedeke, I. O. F., Okeniyi, J. A. O., & Oyedeji, G. A. (2005). The Impact of Baby Friendly Hospital Initiative on breastfeeding practices in Ilesa. Nigerian Journal of Paediatrics, 32, 46–51.Google Scholar
- 18.Ogunlesi, T. A., Okeniyi, J. A. O., Oyedeji, G. A., & Oyedeji, O. A. (2005). The influence of maternal socioeconomic status on the management of malaria in their children: Implications for the Roll Back Malaria Initiative. Nigerian Journal of Paediatrics, 32, 40–46.Google Scholar
- 19.Ojofeitimi, E. O., Esimai, O. A., Owolabi, O. O., Oluwabusi, O., Olaobaju, O. F., & Olanuga, T. O. (2004). Breastfeeding practices in urban and rural health centres: Impact of Baby Friendly Hospital Initiative in Ile- Ife, Nigeria. Nutrition and Health (Berkhamsted, Hertfordshire), 14, 119–125.Google Scholar
- 20.Salami, L. I. (2008). Factors influencing breastfeeding practices in Edo State, Nigeria. Available at http://ajfand.net/issue-XI-files/pdfs/SALAMI_1680.pdf. Accessed on 10th January 8.
- 21.Simard, I., O’Brien, H. T., Beaudoin, A., et al. (2005). Factors influencing the initiation and duration of breastfeeding among low-income women followed by the Canadian Prenatal Nutrition Program in four regions of Quebec. Journal of Human Lactation, 21, 327–337. doi:10.1177/0890334405275831.CrossRefPubMedGoogle Scholar
- 23.WHO. (2001). Report of the expert consultation on the optimal duration of exclusive breastfeeding. Geneva, Switzerland. WHO/NHD/01.09.Google Scholar
- 24.WHO. (2007). Baby Friendly Hospital Initiative: Revised, updated and expanded for Integrated Care 2006. Available at http://www.who.int/nutrition/topics/BFHI_Revised_Section3.1.pdf. Accessed on 10th December 2007.
- 25.WHO/UNICEF. (1989). Protecting, promoting and supporting breastfeeding-the special role of maternity services. A joint WHO/UNICEF Statement. WHO, Geneva.Google Scholar