Determinants of Exclusive Breastfeeding Practices Among Nursing Mothers at State Hospital, Ijaiye, Abeokuta, Ogun State

Abstract

Exclusive breastfeeding (EBF) is widely recognized for its critical role in infant nutrition, immune protection, and maternal health. However, global EBF rates remain suboptimal, with significant regional and socioeconomic disparities. In Nigeria, only 29% of infants under six months are exclusively breastfed, falling short of WHO's 50% target for 2025. This study aimed to assess the knowledge, attitudes, and practices of EBF among nursing mothers at State Hospital, Ijaiye, Abeokuta, Ogun State. A descriptive cross-sectional study design was adopted, utilizing a structured questionnaire administered to 300 randomly selected nursing mothers. Data were analyzed using descriptive statistics and Chi-square tests to examine associations between key variables. The findings revealed that 70.0% of respondents strongly agreed that EBF provides optimal infant nutrition, while 73.3% acknowledged its immune-boosting benefits. Economic advantages were recognized by 60.0%, and 66.7% affirmed its role in strengthening mother-child bonding. However, misconceptions about EBF’s contraceptive effectiveness and work-related barriers were prevalent, with 43.3% reporting occupational constraints. Cultural beliefs discouraged EBF for 36.7% of respondents, while concerns about physical appearance and exhaustion were also noted. The study highlights the need for targeted breastfeeding promotion programs addressing workplace policies, cultural misconceptions, and maternal health education. Strengthening healthcare support and community-based interventions can enhance EBF adherence, improving maternal and child health outcomes.