Background: Exclusive breastfeeding is the ideal for infants in the first six months, however the practice is low. The role of
mothers' knowledge of breastfeeding on practise is not clear.This study was designed to assess knowledge and practice of
nursing mothers concerning breastfeeding in the selected Local Government Area of Lagos State.
Methods: Three hundred and twenty one mothers with infants under 6 months of age were recruited from the Immunization
clinics of two government hospitals in Kosofe Local Government Area (LGA). Semi-structured, self-administered
questionnaire was used to obtain information on the socio-demographic characteristics, knowledge of breastfeeding as well as
practice.
Results: About half (56%) of the mothers were Yoruba and 68.2% were Christians. Mean age of the respondents was 29.6±
3.5 years, 56% had tertiary education and 20% had secondary education and primary education respectively. About 69%
had adequate breastfeeding knowledge, while 94.4% were aware of exclusive breastfeeding. About83%stated breast milk as
the best foodfor their infants. Although 96.3% were currently breastfeeding, 38.3% gave infant formula to their children in the
previous 24 hours.Exclusive breastfeeding was practiced only by 8.4% of the mothers, and 62.6% had introduced water. Only
18.7% had good breastfeeding practices.The relationship between knowledge and practice was not statistically significant,
but between knowledge and practice of exclusive breastfeeding (p<0.05).
Conclusion: High awareness of EBF and adequate knowledge of breastfeeding did not translate into practice. Other
determinants of practice of EBF must be identified by further research.