A qualitative study of mothers’ perspectives on extended breastfeeding, in Ebonyi state, Nigeria
摘要
Extended breastfeeding refers to nursing a child for up to 2 years and beyond, a recommendation of the WHO/UNICEF. The National Policy on Infant and Young Child Feeding in Nigeria has adopted this standard, yet little is known about mothers’ capacities and experiences of extended breastfeeding. This study explored the perspectives and experiences of mothers regarding extended breastfeeding in southeast Nigeria. Issues surrounding implementation, enablers and barriers were explored.
MethodAn exploratory descriptive qualitative (EDQ) study design employing a phenomenological approach was used to explore mothers’ perspectives on extended breastfeeding. A total of thirty-seven mothers with children aged two years and above were purposively selected and recruited from the child welfare clinics of one primary and one tertiary health facility. Data were collected through five focus group discussions, each comprising 7–8 participants, conducted between April and June 2024.
ResultsMany mothers perceived extended breastfeeding as challenging. Maternal stress, hunger, lack of time, and the perception of no added advantage were commonly identified barriers. Sufficient food for maternal nourishment and support from family members/friends resonated as facilitators to the practice.
Conclusions/implicationsThe standard policy to breastfeed up to two years appears to prioritize infant needs while placing unrealistic demands on the current lives of Nigerian women. Based on our findings, we call for a policy review that considers the physical, psychological, and socio-economic needs of mothers while determining adequate and reasonable standards for breastfeeding that also benefit their babies.