Effect of Educational Intervention on the Knowledge and Attitude of Pregnant Women Towards Practice of Exclusive Breastfeeding in General Hospital Iju Itaogbolu, Ondo State, Nigeria
Mary Idowu Edward1*, Mary Opeyemi Adigun1, Taiwo Adebayo Olomiye2 and Susan Olubunmi Kolawole3
1Department of Adult and Mental Health Nursing, Faculty of Nursing Science, University of Medical Sciences, Akure Campus, Akure, Ondo State, Nigeria
2Department of Entrepreneurial and General Studies, University of Medical Sciences, Ondo, Ondo State, Nigeria
3Mother and Child Hospital, Akure, Ondo State, Nigeria
*Corresponding Author: Mary Idowu Edward, Department of Adult and Mental Health Nursing, Faculty of Nursing Science, University of Medical Sciences, Akure Campus, Akure, Ondo State, Nigeria.
October 27, 2022; Published: January 09, 2023
Background: Given the countless benefits of exclusive breastfeeding to mothers and infants, the World Health Organization (WHO) recommends exclusive breastfeeding (EBF) for the first six months of life. However, the prevalence of exclusive breastfeeding is still not at the acceptable level most especially in the developing countries. There is much interest in the effectiveness of exclusive breastfeeding educational interventions on knowledge and attitude of pregnant women.
Aim: This study aimed to assess the effect of an educational intervention on the knowledge and attitude of pregnant women towards exclusive breastfeeding in Iju Itaogbolu, Akure Ondo State.
Method/Design: A cross sectional descriptive study was conducted on 40 pregnant women with a singleton pregnancy in their third trimester. The pregnant women assigned to the intervention were attending antenatal care at the hospital. The designed educational content consisted of topics which include the importance of exclusive breastfeeding, skin-to-skin contact, colostrum, correct attachment, rooming-in, feeding on demand and the risks of not exclusively breastfeeding.
Results: The participants’ exclusive breastfeeding knowledge and attitude was poor prior to intervention but this improves after educational intervention. The subtotal knowledge scores showed a statistically significant improvement immediately after the intervention. The median total attitude percent score was 80 (74.1–83.5) and significantly improved immediately after the intervention. There was a significant difference in the knowledge before and after intervention P=0,000. However, the no significant difference between knowledge and decision to practice exclusive breastfeeding.
Conclusion: It is concluded that this present study supports the effect of intervention during pregnancy on exclusive breastfeeding, the intervention should therefore be extended to the intrapartum and postpartum period to influence mothers attitude towards practice of exclusive breastfeeding.
Keywords: Health Educational Intervention; Exclusive Breastfeeding; Knowledge; Attitude;
- Dieterich CM., et al. “Breastfeeding and health outcomes for the mother-infant dyad”. Pediatric Clinics of North America 1 (2013): 31-48.
- Eidelman AI., et al. “Breastfeeding and the use of human milk”. Pediatrics3 (2012): e827-e41.
- Victora CG., et al. “Breastfeeding in the 21st century: Epidemiology, mechanisms, and lifelong effect”. Lancet 387 (2016): 475-490.
- Ballard O., et al. “Human milk composition: Nutrients and Bioactive Factors”. Pediatric Clinics of North America 1 (2013): 49-74.
- Sankar MJ., et al. “Optimal breastfeeding practices and infant and child mortality: a systematic review and meta-analysis”. Acta Paediatrics467 (2015): 3-13.
- Horta BL., et al. “Breastfeeding and intelligence: systematic review and meta-analysis”. Acta Paediatric 104 (2015): 14-19.
- Mannan H. “Early Infant Feeding of Formula or Solid Foods and Risk of Childhood Overweight or Obesity in a Socioeconomically Disadvantaged Region of Australia: A Longitudinal Cohort Analysis”. International Journal of Environmental Research and Public Health 15 (2018): 1685.
- Gupta A., et al. “Infant Malnutrition/Breastfeeding”. Reference Module in Biomedical Sciences: Elsevier. (2015).
- Benova L., et al. “Time trends and determinants of breastfeeding practices among adolescents and young women in Nigeria, 2003-2018”. BMJ Global Health8 (2020): e002516.
- Bai Y., et al. “Predicting Intentions to Continue Exclusive Breastfeeding for 6 Months: a Comparison Among Racial/Ethnic Groups”. Maternal and Child Health Journal 15 (2011): 1257-1264.
- UNICEF/WHO. Capture the Moment-Early Initiation of Breastfeeding: The Best Start for Every Newborn; UNICEF: New York, NY, USA, (2018).
- Khamis AG., et al. “Prevalence of Exclusive Breastfeeding and its Predictors among mothers in Micheweni, Chake-Chake and North ‘A’ districts, Zanzibar”. Clinics Mother Child Health 14 (2017): 259.
- Oche MO., et al. “Knowledge and practice of exclusive breastfeeding in Kware, Nigeria”. African Health Sciences3 (2011): 518-552.
- Phukan D., et al. “Impact of timing of breastfeeding initiation on neonatal mortality in India”. International Breastfeeding Journal 13 (2018): 27.
- Ogbo FA., et al. “Determinants of suboptimal breastfeeding practices in Nigeria: evidence from the 2008 Demographic and Health Survey”. BMC Public Health1 (2015): 259.
- Renuka M., et al. Effectiveness of educational intervention on breastfeeding among primi pregnant women- a longitudinal study”. Clinical Epidemiology and Global Health4 (2020): 1306-1311.
- Ndikom CM., et al. “Breastfeeding education and exclusive breastfeeding practices among mothers in Ibadan, Oyo State, Nigeria”. LAUTECH Journal of Nursing 5 (2020).
- Abasiattai AM., et al. “Knowledge and practice of exclusive breastfeeding among antenatal attendees in Uyo, Southern Nigeria”. European Journal of Therapy (2014).
- Ihudiebube-Splendor C’N’, et al. “Exclusive Breastfeeding Knowledge, Intention to Practice and Predictors among Primiparous Women in Enugu South-East, Nigeria”. Journal of Pregnancy (2019).
- Nukpezah RN., et al. “Knowledge and practice of exclusive breastfeeding among mothers in the Tamale Metropolis of Ghana”. Reproductive Health 15 (2018): 140.
- Santamaría-Martín MJ., et al. “Effectiveness of a group educational intervention - prolact - in primary care to promote exclusive breastfeeding: a cluster randomized clinical trial”. BMC Pregnancy Childbirth 22 (2022): 132.
- Davies-Adetugbo AA. “Promotion of breast feeding in the community: impact of health education programme in rural communities in Nigeria”. Journal of Diarrhoeal Diseases Research 1 (1996): 5-11.
- Sewhareg B., et al “Effect of prenatal education on breastfeeding initiation and exclusive breast feeding rate in Selected Health Institutions of Hawassa City, the Capital of snnpr”, Ethiopia Article”. East African Journal of Public Health4 (2013): 622-631.
- Puharić D., et al. “The effect of a combined intervention on exclusive breastfeeding in primiparas: A randomised controlled trial”. Maternal and Child Nutrition3 (2020): e12948.