Knowledge and Attitude of Pregnant Women Towards Exclusive Breastfeeding in Osun State

Exclusive breastfeeding for the first six months of life is a cornerstone of infant nutrition and is linked to reduced child morbidity and mortality. Despite global and national recommendations, uptake remains inconsistent in many Nigerian communities. This study examined the knowledge and attitude of pregnant women towards exclusive breastfeeding in Osun State, South West Nigeria. A cross-sectional descriptive design was employed, with 300 pregnant women recruited from antenatal clinics in Osogbo, Ilesha, and Ede local government areas. A structured questionnaire was used for data collection, and data were analysed using frequency tables and chi-square tests. Results revealed that 68 percent of respondents had good knowledge of the recommended duration of exclusive breastfeeding, yet only 52 percent expressed a positive intention to practise it exclusively. Common attitudinal barriers included perception of insufficient breast milk, social pressure from family members to introduce early complementary foods, and cultural beliefs about colostrum. Women who had attended breastfeeding education sessions during antenatal care demonstrated significantly more positive attitudes. The study recommended strengthening breastfeeding counselling during antenatal visits, training healthcare workers in lactation support, and engaging community and family influencers in breastfeeding promotion campaigns. Keywords: exclusive breastfeeding, knowledge, attitude, pregnant women, Osun State