1.1 Background of the study

Through the course of human history, the feeding of the new born has puzzled man. A lot has been written about what is more beneficial for the growth and wellbeing of the child, mostly outlining breastfeeding’s pivotal role (Papastavrou, 2014). The World Health Organization (WHO) recommends exclusive breastfeeding during the first six months of life, from six months onwards, continued breastfeeding combined with complementary foods of good quality and in the right quantity for two years is recommended.   Exclusive breastfeeding means that the child only receives breast milk, and if necessary the addition of vitamins, minerals and medicine for the first six months of life. The (WHO) recommendation applies to all countries and populations regardless of economic status or developmental level.     Breastfeeding has many health benefits for both the mother and the infant. Breast milk is not only a source of food but contains immune related components and various biologically active substances that contribute to efficient nutrient utilization and gives the child active and passive protection against infections. Breast milk provides all of the nutrients, vitamins and minerals an infant needs for growth for the first six months of life. Optimal breastfeeding practices in the first two years of life can have the single largest impact on child survival of all preventive interventions. Breast feeding provides many health benefits for the mother. These benefits includes more rapid recovery from childbirth, decreased postpartum bleeding, delayed return to fertility, reduced risk for breast and ovarian cancers, and less bladder and other infections.               

In developing countries, and in Nigeria for instance, breastfeeding can be the difference between life and death for several reasons, including poor hygiene, prevalence of malaria and lack of safe drinking water. An exclusively breastfed child is less likely to die in the first six months than a non-exclusively breastfed child. Adequate nutrition during early life is critical for cognitive, mental and physical development. This period ensures proper development and plays a significant role in lifelong health outcomes. Inadequate nutrition during pregnancy and the first two years of life can lead to irreversible limitation in the ability of a child to achieve his or her full potential. These outcomes may include delays mental development, reduced mental capacity, reduced school performance and working capacity and overall increased susceptibility to diseases and infections.           An undernourished child has an increased risk of dying from diarrhea, measles, malaria and pneumonia. The first 1000 days of life from conception through the first two years of life is often referred to as “window of opportunity” because of the profound positive effect optional nutrition can have on the developing child and due to the fact that damage during this period is often permanent and irreversible.           Human breast milk provides energy, nutrients and trace elements that are required by infants until weaning. During lactation, bone is mobilized and exerts influence on the availability of these macro-elements to the mineral poll that supply the mammary gland.           

Kinsara 2006, posited that human breast milk composition is dependent on many maternal and gestational factors ranging from stage of lactation, maternal age, maternal nutritional status, diet, parity and gestational age.A woman’s appetite increases during pregnancy and lactation, these results in increase in food intake. This occurs because the energy, protein and other nutrients in breast milk comes from the mothers’ diet or from her own body stores, so there is need for increased food intake to compensate for the demand of lactation.In sub-Sahara Africa, many women suffer from chronic under-nutrition and micronutrient deficiencies and fail to gain enough weight during pregnancy. This could be traced to the low standard of living, unemployment and global economic recession and failure of government at all levels to provide for its citizens basic amenities. This has a great impact on the rate at which the young infant is breastfed.  In the present study, we will be looking at the effects of maternal nutrition on the actualization of exclusive breastfeeding. This research work will also be looking at other constraints that can cause the discontinuation of exclusive breastfeeding and also make recommendations on how to improve mothers’ adherence to the campaign on exclusive breastfeeding