Mode of delivery preferences, knowledge, and intention to practice exclusive breastfeeding among female undergraduates at Ladoke Akintola University of Technology, Ogbomoso, Oyo State

Tobi I. Akinremi; Jelili A. Quadri; Igbagboyemi A. Deniran; Yetunde O. Ogundairo; Funke B. Fasipe; Blessing O. Oyawale

doi:10.18203/2320-1770.ijrcog20254253

Authors

Tobi I. Akinremi Nutrition and Dietetics Department, Ladoke Akintola University of Technology, Ogbomoso, Oyo State, Nigeria
Jelili A. Quadri Nutrition and Dietetics Department, Ladoke Akintola University of Technology, Ogbomoso, Oyo State, Nigeria
Igbagboyemi A. Deniran Nutrition and Dietetics Department, Ladoke Akintola University of Technology, Ogbomoso, Oyo State, Nigeria
Yetunde O. Ogundairo Nutrition and Dietetics Department, Bowen University, Iwo, Osun State, Nigeria
Funke B. Fasipe Nutrition and Dietetics Department, Ladoke Akintola University of Technology, Ogbomoso, Oyo State, Nigeria
Blessing O. Oyawale Nutrition and Dietetics Department, Ladoke Akintola University of Technology, Ogbomoso, Oyo State, Nigeria

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20254253

Keywords:

Breastfeeding initiation, Caesarean section, Delivery preference, Knowledge, Pregnancy

Abstract

Background: Exclusive breastfeeding and preferred delivery modes are crucial for promoting maternal and child health. Understanding these factors among young women is important for improving future breastfeeding and delivery decisions. This study aimed to assess knowledge and intentions regarding exclusive breastfeeding and delivery mode preferences among female undergraduates of Ladoke Akintola University of Technology, Ogbomoso, Oyo State.

Methods: A descriptive cross-sectional study design was employed. A total of 1,000 respondents were selected through simple random sampling. Data were collected using a semi-structured, interviewer-administered questionnaire covering sociodemographic characteristics, knowledge of exclusive breastfeeding and delivery modes, and intentions related to breastfeeding and childbirth. Data were analyzed using the Statistical Product and Service Solutions (SPSS) version 20.0, employing descriptive statistics and chi-square tests to determine associations, with significance set at p<0.05.

Results: Most respondents (75.5%) had heard of exclusive breastfeeding, and 51.9% correctly defined it. A high proportion (75.7%) intended to practice exclusive breastfeeding, while 77.7% preferred vaginal delivery over caesarean section. Overall, 66.8% demonstrated good knowledge of exclusive breastfeeding, although 27.9% believed infant formula and breast milk contain equal nutrients. Significant associations (p<0.05) were found between sociodemographic characteristics, knowledge, and intentions regarding exclusive breastfeeding and delivery preferences.

Conclusions: Although awareness and intention to practice exclusive breastfeeding were high, misconceptions persist. Strengthening university-based maternal health education and practical learning initiatives is recommended to enhance accurate knowledge and improve reproductive health decisions among young women.

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References

World Health Organization. Exclusive breastfeeding for six months best for babies everywhere, 2023. Available at: https://www.who.int/news/item/15-01-2011-exclusive-breastfeeding-for-six-months-best-for-babies-everywhere. Accessed 01 June 2025.

Abekah-Nkrumah G, Antwi MY, Nkrumah J, Gbagbo FY. Examining working mother's experience of exclusive breastfeeding in Ghana. Int Breastfeed J. 2020;15(1):56. DOI: https://doi.org/10.1186/s13006-020-00300-0

Onah S, Osuorah DIC, Ebenbe J, Ezechukwu C, Ekwochi U, Ndukwu I. Infant feeding practices and maternal socio-demographic factors influencing exclusive breastfeeding among mothers in Nnewi, South-East Nigeria: a cross-sectional study. Int Breastfeed J. 2014;9(1):6. DOI: https://doi.org/10.1186/1746-4358-9-6

Raissian KM, Su JH. The best of intentions: prenatal breastfeeding intentions and infant health. SSM Popul Health. 2018;5:86-100. DOI: https://doi.org/10.1016/j.ssmph.2018.05.002

Haghighi M, Taheri E. Factors associated with breastfeeding in the first hour after birth in baby-friendly hospitals, Shiraz-Iran. Int J Pediatr. 2015;3:889-96.

Chen C, Yan Y, Gao X, Xiang S, He Q, Zeng G, et al. Influences of cesarean delivery on breastfeeding practices and duration: a prospective cohort study. J Hum Lact. 2018;34(3):526-34. DOI: https://doi.org/10.1177/0890334417741434

Leshi OO, Makanjuola MO. Breastfeeding knowledge, attitude and intention of nursing students in Nigeria. Open J Nurs. 2022;12(3):256-69. DOI: https://doi.org/10.4236/ojn.2022.123017

Naja F, Chatila A, Ayoub JJ, Abbas N, Mahmoud A, Ali M. Prenatal breastfeeding knowledge, attitude and intention, and their associations with feeding practices during the first six months of life: a cohort study in Lebanon and Qatar. Int Breastfeed J. 2022;17(1):15. DOI: https://doi.org/10.1186/s13006-022-00456-x

Nigeria Demographic and Health Survey (NDHS). National Population Commission and ICF; 2018. Available at: https://dhsprogram.com/publications/publication-fr359-dhs-final-reports-cfm. Accessed 8 Jun 2020.

Lestari ED, Hasanah F, Nugroho NA. Correlation between non-exclusive breastfeeding and low birth weight to stunting in children. Paediatr Indones. 2018;58(3):123-7. DOI: https://doi.org/10.14238/pi58.3.2018.123-7

Al-Ali N, Hatamleh R, Khader Y. Female public Jordanian university undergraduate students' intentions and attitudes towards breastfeeding: application of self-objectification theory. Breastfeed Rev. 2013;21(3):31-42.

Ogunba BO, Agwo EO. Knowledge, attitude and intending practice of female undergraduates about breastfeeding. Afr J Food Agric Nutr Dev. 2014;14(4):9039-54. DOI: https://doi.org/10.18697/ajfand.64.13300

Ogundare E, Babatola A, Omoyajowo A, Fatunla O, Ajite A, Adeniyi A, et al. Breastfeeding: knowledge, perception, and intention to practice among female students of tertiary institutions in Ekiti, Southwest Nigeria. Commu Health Equity Res Policy. 2023;44(1):15-28. DOI: https://doi.org/10.1177/0272684X211034349

Rababah H, Hatamleh R, Maghaydah SS, Abuhammad S. Knowledge, attitudes and future intentions towards breastfeeding among undergraduate students at a Jordanian public university. Evid Based Midwife. 2018;16(4):136-42.

Setia MS. Methodology series module 3: cross-sectional studies. Ind J Dermatol. 2016;61(3):261-4. DOI: https://doi.org/10.4103/0019-5154.182410

Etikan I, Musa SA, Alkassim RS. Comparison of convenience sampling and purposive sampling. Am J Theor Appl Stat. 2016;5(1):1-4. DOI: https://doi.org/10.11648/j.ajtas.20160501.11

Yamane T. Statistics: an introductory analysis. 2nd ed. New York: Harper and Row; 1967.

Hackshaw A. Small studies: strengths and limitations. Eur Respir J. 2008;32(5):1141-3. DOI: https://doi.org/10.1183/09031936.00136408

Suresh KP, Chandrashekara S. Sample size estimation and power analysis for clinical research studies. J Hum Reprod Sci. 2012;5(1):7-13. DOI: https://doi.org/10.4103/0974-1208.97779

Dogra A, Sharma A. Women’s preference for mode of delivery: a comparative study. Int J Reprod Contracept Obstet Gynecol. 2017;6(3):1048-52. DOI: https://doi.org/10.18203/2320-1770.ijrcog20174406

Leshi OO, Amoo SA. Breastfeeding knowledge, attitude, intention and practice of women in Purdah in Ibadan, Nigeria. North Afr J Food Nutr Res. 2023;7(15):9-19. DOI: https://doi.org/10.51745/najfnr.7.15.9-19

Blair J, Conrad FG. Sample size for cognitive interview pretesting. Public Opin Q. 2011;75(4):636-58. DOI: https://doi.org/10.1093/poq/nfr035

Akinremi TI, Quadri JA, Deniran IA, Ogundairo YO, Odidi AM, Edun BM. Dietary diversity and micronutrient adequacy of pregnant women attending antenatal clinic in Asaba Specialist Hospital, Delta State, Nigeria. Niger J Nutr Sci. 2024;45(2).

Leshi O, Samuel FO, Ajakaye OM. Breastfeeding knowledge, attitude and intention among female young adults in Ibadan, Nigeria. Open J Nurs. 2016;6(1):11-23. DOI: https://doi.org/10.4236/ojn.2016.61002

Princewill CW, Jegede AS, Nordström K, Lanre-Abass B, Elger BS. Factors affecting women's autonomous decision-making in research participation among Yoruba women of Western Nigeria. Dev World Bioeth. 2017;17(1):40-9. DOI: https://doi.org/10.1111/dewb.12112

Ogunba BO, Agwo MA, Fadupin GT. Knowledge and attitudes of Nigerian university students toward exclusive breastfeeding. Int J Nutr Metab. 2022;14(3):89-96.

Adhikari T. Knowledge and practice of mothers regarding exclusive breastfeeding having infants at a tertiary level hospital, Kathmandu. J Nepal Paediatr Soc. 2015;34(3):200-6. DOI: https://doi.org/10.3126/jnps.v34i3.12107

Lou ZX, Guo Z, John OG, Huang LJ, Liu F, et al. Breastfeeding knowledge, attitudes, and intention in a sample of undergraduate students in Mainland China. J Hum Lact. 2014;30:331-9. DOI: https://doi.org/10.1177/0890334414526058

Ramya S, Ramaswamy G, Chandran S. Awareness and practices regarding exclusive breastfeeding among mothers in Tamil Nadu. Indian J Matern Child Health. 2016;18(2):120-8.

Nwaodu-Ufomba L. Complementary feeding perception among nursing mothers in Nigeria. Indones J Glob Health Res. 2024;7(1):235-46. DOI: https://doi.org/10.37287/ijghr.v7i1.3459

Fadupin GT, Olaitan OO, Itasanmi ET, Okolosi JE. Breastfeeding knowledge and factors associated with breastfeeding initiation among postpartum mothers in Ibadan, Nigeria. Afr J Biomed Res. 2020;23(2):283-8.

Leshi OO, Amoo EO, Adebayo AO. Exclusive breastfeeding practices among educated women in Southwestern Nigeria: the gap between knowledge and practice. Int J Child Heal Nutr. 2023;12(1):22-30.

Prah J, Kudom A, Afrifa A, Abdulai M, Sirikyi I, Abu E. Caesarean section in a primary health facility in Ghana: clinical indications and feto-maternal outcomes. J Public Health Afr. 2017;8(2):704. DOI: https://doi.org/10.4081/jphia.2017.704