Benefits and Perception of Exclusive Breastfeeding as Family Planning Method among Nursing Mothers Attending Post-Natal Clinic in Primary Healthcare Centres in South-South Nigeria

Background: Exclusive breastfeeding is an economically cheap, a yet crucial health practice which provides optimal nutrition for infants and short-term contraception for the mothers. The aim of this study was to assess the awareness and perception of exclusive breastfeeding as a method of family planning among nursing mothers in Ovia, Edo State, Nigeria and to identify factors that influence its perception which is vital to ensuring improved maternal and child health.
Methods: A cross-sectional study design was adopted involving 290 nursing mothers selected using a multi-stage sampling technique. Data was collected through structured, self-administered questionnaire adapted from previous studies. Data analyses applied descriptive and inferential statistics using SPSS version 25.0, with logistic regression employed to identify significant predictors. A p value of less than 0.05 was considered statistically significant.
Results: The majority (76.9%) of the respondents had knowlege of exclusive breastfeeding, about half (47.2%) were familiar with exclusive breastfeeding as a form of family planning method but only 15.2% strongly perceived exclusive breastfeeding as a good method of family planning. Age and occupation were significant predictor, with an odds ratio (OR) of 0.291 (p=0.001, CI=0.156-0.542) and occupation (p=0,041, CI=0.026-0.931) respectively.
Conclusion: The study revealed that although knowledge of exclusive breastfeeding as a method of family planning was high among nursing mothers in Ovia, their perception was poor. The findings emphasize the need to ensure healthcare providers are equipped with the necessary knowledge and tools to effectively educate nursing mothers about exclusive breastfeeding as a method of family planning.

Awareness, Contraception, Family planning, Nursing mothers,

1. Ghanbarnejad A, Homayuni A, Hosseini Z, Madani, A. Smoking Behavior among Students: Using Health Belief Model and Zero-Inflated Ordered Probity Model. Tobacco And Health 2022; 1(2): 74-82. [Google Scholar] [Crossref]

2. World Health Organization (who). Global strategy for infant and young child feeding. 2013, Available @http://www.who.int/nutrition/publications/gs_infant_feeding_text_eng.pdf. Accessed on 24th August, 2024. [Google Scholar] [Crossref]

3. Dukuzumuremyi J, Acheampong K, Abesig J, Luo J. Knowledge, attitude, and practice of exclusive breastfeeding among mothers in East Africa: a systematic review. International Breastfeeding Journal 2020; 15(1): 112-20. [Google Scholar] [Crossref]

4. Olayemi OD, Williams AO, Adekugbe O, Odubanjo MO, Fayehun O, Uneke J, Ogala W, Omotade O. Factors influencing the practice of exclusive breastfeeding in three regions of Nigeria. J Community Med Prim Health Care 2014; 26(1):30–43. [Google Scholar] [Crossref]

5. Ogbo FA, Nguyen H, Naz S, Agho KE, Page A. The association between infant and young child feeding practices and diarrhoea in Tanzanian children. Trop Med Health 2018; 46:2. [Google Scholar] [Crossref]

6. Kamath S, Garg D, Khan M, Jain A, Baliga B. Perceptions and Practices regarding Breastfeeding among Postnatal Women at a District Tertiary Referral Government Hospital in Southern India. Scientific 2016; 1-6. [Google Scholar] [Crossref]

7. E. Johnson, O. Determinants of Modern Contraceptive Uptake among Nigerian Women: Evidence from the National Demographic and Health Survey. African Journal of Reproductive Health 2017; 21(3): 89-95. [Google Scholar] [Crossref]

8. World Health Organization (WHO). WHA Global Nutrition Targets 2025: Breastfeeding Policy Brief 2014. Available @ http://www.who.int/nutrition/topics/globaltargets_breastfeeding_policybrief.pdf. Accessed on 7th March, 2025. [Google Scholar] [Crossref]

9. Nations Children’s Fund (UNICEF). Breastfeeding: A Mother’s Gift, for Every Child. 2018. Available @ https://www.unicef.org/publications/index_102824.html. Accessed 5th March, 2025. [Google Scholar] [Crossref]

10. Idris SM, Tafang AGO, Elgorashi A. Factors influencing exclusive breastfeeding among mother with infant age 0-6 months. Int. J of Science and Research. 2015; 4(8): 28–33. [Google Scholar] [Crossref]

11. Victora CG, Bahl R, Barros AJ, França GV, Horton S, Krasevec J. Breastfeeding in the 21st century: Epidemiology, mechanisms, and lifelong effect. Lancet 2016; 387(10017): 475-90. [Google Scholar] [Crossref]

12. Idang NO. Factors Influencing the Practice of Exclusive Breastfeeding among Mothers in Tertiary Health Facility in Calabar, Cross River State, Nigeria. American Journal of Nursing Science 2015; 4(1): 157-79. [Google Scholar] [Crossref]

13. Amosu AM, Degun AM, Thomas AM, Babalola AO. A study on the knowledge and support level of breast-feeding among the workers in formal employment in South-Western Nigeria. Arch Appl Sci Res 2011; 3(2):237–44. [Google Scholar] [Crossref]

14. Agunbiade OM, Ogunleye OV. Constraints to exclusive breastfeeding practice among breastfeeding mothers in Southwest Nigeria: implications for scaling up. Int Breastfeed J 2012; 7:5. [Google Scholar] [Crossref]

15. Ajibuah BJ. Appraisal of nursing mothers’ knowledge and practice of exclusive breastfeeding in Yobe state, Nigeria. J Biol Agric Healthcare 2013; 3(20):75–81. [Google Scholar] [Crossref]

16. Thomas JV, Riedel E. Barriers to exclusive breastfeeding among mothers during the first four weeks postpartum. J Am Acad Nurse Pract 2016; 4(5): 19-23. [Google Scholar] [Crossref]

17. Maduforo A, Nnaemeka U, Okeke O. The practice of exclusive breastfeeding by lactating women in Owerri metropolis, Imo State, Nigeria. Global Adv Res J Med Med Sci 2013; 2(1): 13-9. [Google Scholar] [Crossref]

18. United Nations International Children’s Emergency Fund (UNICEF). Breastfeeding: A Mother’s Gift, for Every Child 2018. Available @: https://www.unicef.org/publications/index_102824.html. Accessed on 15 Feb, 2025. [Google Scholar] [Crossref]

19. Hawley NL, Rosen RK, Strait AE, Raffucci G, Holmdahl I, Freeman JR, et al. Mothers' attitudes and beliefs about infant feeding highlight barriers to exclusive breastfeeding in American Samoa. Women Birth 2015; 28(6):231-2. [Google Scholar] [Crossref]

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