title: Determinants of breastfeeding pattern among nursing mothers in Anambra State, Nigeria.
abstract: OBJECTIVE
  The practice of optimal breastfeeding including exclusive breastfeeding for the first six months of life is still rare among nursing mothers despite numerous benefits of breastfeeding. This study was aimed at identifying the factors influencing breastfeeding pattern among nursing mothers in Anambra State, Nigeria.
  
  
  METHODS
  A cross sectional study was carried out in three comprehensive health centres of Nnamdi Azikiwe University Teaching Hospital (NAUTH) located at Neni, Ukpo and Nnewi communities of Anambra State. A semi structured questionnaire was interviewer administered on 228 nursing mothers consecutively selected by a systematic random sampling method as they visited the maternal and child welfare clinics. In addition, four sessions of focus group discussions (one in each centre) involving 8-10 nursing mothers were held.
  
  
  RESULTS
  Most mothers 190 (83.3%) were aged between 20 and 34 years. About 152 (66.6%) had attended or completed secondary education and were mainly traders 86 (37.7%) and full time house wives 66 (29.0%). Majority 208 (91.2%) had at least good knowledge of breastfeeding. Their main source of breastfeeding education was government health facilities (80.85%). Only 85 (37.3%) breastfed exclusively. Exclusively breastfeeding was significantly associated with maternal older age, parity, delivery at government facility, positive family attitude towards exclusive breastfeeding and breastfeeding education from government health facility (p < 0.05). Focus group discussion showed that mothers believed that adequate nutrition, physical, financial and emotional support to them would increase exclusive breastfeeding practice.
  
  
  CONCLUSIONS
  Exclusive breastfeeding rate was low among the mothers and the factors identified to influence its practice have important implications to breastfeeding intervention programmes. Activities to promote exclusive breastfeeding should be focused on the group of women and location in which it was poorly practiced. In addition, support to the mothers would be necessary.
authors.affiliation: Department of Public Health, Federal Medical Centre, Umuahia, Abia State. andyukegbu@yahoo.com
authors.forename: A U
authors.initials: AU
authors.lastname: Ukegbu
authors.forename: E U
authors.initials: EU
authors.lastname: Ebenebe
authors.forename: P O
authors.initials: PO
authors.lastname: Ukegbu
authors.forename: U U
authors.initials: UU
authors.lastname: Onyeonoro
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D001942:Breast Feeding / Q000523:psychology / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D005260:Female; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006306:Health Surveys; D006784:Hospitals, Teaching; D006801:Humans; D007407:Interviews as Topic; D009035:Mothers / Q000193:education / Q000523:psychology; D009549:Nigeria; D010298:Parity; D011247:Pregnancy; D012944:Social Support; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D055815:Young Adult