Acceptance of donor breastmilk by mothers in Lagos: a cross-sectional survey

Authors

  • Olanike Olutekunbi Department of Paediatrics, Massey Street Children's Hospital, Ita-Faji, Lagos, Nigeria
  • Olufunmilayo Opeyemi Oluwabiyi Department of Paediatrics, General Hospital Ifako-Ijaye, Lagos, Nigeria
  • Adegbajo Adedeji Odedina Department of Paediatrics, Lagos Island Maternity Hospital, Lagos, Nigeria
  • Adaobi Uzoamaka Solarin Department of Paediatrics, Lagos State University College of Medicine, Lagos, Nigeria
  • Ibironke Jadesola Akinola Department of Paediatrics, Lagos State University College of Medicine, Lagos, Nigeria
  • Funlola Olusola Showunmi Department of Paediatrics, General Hospital, Isolo, Lagos, Nigeria
  • Tolulope Adedoyin Olatunji Department of Paediatrics, General Hospital, Isolo, Lagos, Nigeria
  • Gbenga Fakunle Abe Department of Paediatrics, Maternal and Child Hospital Eti-Osa, Lagos, Nigeria
  • Oyejoke Oyapero Department of Paediatrics, General hospital Ikorodu, Lagos, Nigeria
  • Grace Abosede Ogunleye Department of Paediatrics, Maternal and Child hospital Alimosho, Lagos, Nigeria
  • Opeyemi Oshinowo Department of Paediatrics, Massey Street Children's Hospital, Ita-Faji, Lagos, Nigeria
  • Esther Olutola Department of Paediatrics, Massey Street Children's Hospital, Ita-Faji, Lagos, Nigeria
  • Ifeanyichukwu Anthony Ogueji Apin Public Health Initiatives, Abuja, Nigeria
  • Ayotunde Isaac Buremoh Department of Medical, University College Hospital, Ibadan, Oyo State, Nigeria

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20263155

Keywords:

Breastmilk donation, Donor breast milk, Exclusive breastfeeding, Human milk bank

Abstract

Background: Human breast milk meets the nutritional needs of babies and reduces the incidence of infection. Not all babies benefit from this nature’s gift. WHO recommends that such babies should receive the next preferred choice of donor breast milk (DBM), which is not common in Nigeria. This study aimed to determine the acceptance of donor breast milk by the mothers in Lagos State, South-Western Nigeria.

Methods: A questionnaire-based, descriptive, cross-sectional study. Questionnaires were administered to mothers of babies attending the immunization and neonatal clinics at seven Lagos State government-owned hospitals from September to November 2021.

Results: A total of 1750 questionnaires were analyzed. The mean age of the respondents was 30.9±6.3 years. Most respondents (59.2%) had a tertiary education. Most (88.8%) had no prior knowledge of DBM, and 83.5% would not allow their babies to receive DBM. Maternal education (p=0.031) and the mode of delivery (p=0.049) are significantly associated with the knowledge of DBM, and a significant association exists between knowledge of DBM and perception of receiving DBM (p=0.001). All mothers who had heard of DBM (100%) were willing to allow their babies to receive DBM, compared to only 5.9% of mothers who had not heard of DBM.

Conclusions: Mothers in Lagos are not willing to give their babies DBM. Religious and cultural reasons strongly influence acceptance of DBM. These mothers, however, are willing to donate their milk for other babies.

References

World Health Organisation. Exclusive breastfeeding for optimal growth, development and health of infants, 2023. Available at: https://www.who.int/tools/elena/interventions/exclusive-breastfeeding. Accessed on 01 January 2026.

United Nations Children’s Fund (UNICEF). Strategic Guidance Note on the Newborn Provisional Version, May 2006, New York, 2006. Available at: http://lifesavingcommodities.org/wp-content/uploads/2015/04/Strategic-Guidance-Note-on-the-Newbron.pdf. Assessed on 30 September 2018.

World Health Organization (WHO) and UNICEF. Global strategy for infant and young child feeding. Available at: https://www.who.int/publications/i/item/9241562218. Assessed on 01 January 2026.

World health Organization. Guidelines on optimal feeding of low-birth-weight infants in low- and middle-income countries, 2011. Available at: https://www.who.int/publications/i/item/9789241548366. Assessed on 01 January 2026.

NICE Clinical Guidelines. Donor Breast Milk Banks: The Operation of Donor Milk Bank Services. Centre for Clinical Practice at NICE, London, 2006. Available at: https://www.ncbi.nlm.nih.gov/books/NBK66147/. Assessed on 01 January 2026.

UNICEF Nigeria. More than 5 million Nigerian newborns miss out on head start in life, 2016. Available at: https://www.unicef.org/nigeria/media_10520.html. Assessed on 01 January 2026.

Tyebally Fang M, Chatzixiros E, Grummer-Strawn L, Engmann C, Israel-Ballard K, Mansen K, et al. Developing global guidance on human milk banking. Bull World Health Organ. 2021;99(12):892-900.

Bertino E, Guiliani F, Occhi L, Coscia A, Tonetto P, Marchino F. Benefits of human donor milk for preterm infants: current evidence. Early Hum Dev. 2009;85(10):S9-10.

Iloh K, Osuorah C, Ndu I, Asinobi I, Obumneme-Anyim I, Ezeudu C, et al. Perception of donor breastmilk and determinants of its acceptability among mothers in a developing community: Across sectional multi-center study in south-east Nigeria. Int Breastfeed J. 2018;13(1):47.

Abhulimhen-Iyoha BI, Okonkwo IR, Ideh RC, Okolo AA. Mothers’ perception of the use of banked human milk for feeding of the infants. Niger J Paed. 2015;42(3):223-7.

Gürol A, Ozkan H, Celebioğlu A. Turkish women's knowledge and views regarding mother's milk banking. Collegian. 2014;21(3):239-44.

Smyk JM, Pergol J, Danielecka Z, Kacperczyk-Bartnik JP, Bartnik P, Dobrowolska-Redo A, et al. Knowledge, opinions and attitudes of Polish women towards banking and donation of human breast milk. Ginekologia Polska. 2021;92(11):784-91.

Gelano TF, Bacha YD, Assefa N, Motumma A, Roba AA, Ayele Y, et al. Acceptability of donor breast milk banking, its use for feeding infants, and associated factors among mothers in eastern Ethiopia. Int Breastfeed J. 2018;13(1):23.

Kimani‐Murage EW, Wanjohi MN, Kamande EW, Macharia TN, Mwaniki E, Zerfu T, et al. Perceptions on donated human milk and human milk banking in Nairobi, Kenya. Mater Child Nutrit. 2019;15(4):e12842.

Ergin A, Uzun SU. Turkish women’s knowledge, attitudes, and behaviors on wet-nursing, milk sharing and human milk banking. Matern Child Health J. 2018; 22(4):454-60.

Palmquist AE, Doehler K. Contextualizing online human milk sharing: Structural factors and lactation disparity among middle income women in the US. Soc Sci Med. 2014;122:140-7.

Tu H, Li P, Zhu L, Quan X, Fan S, Wang Z. Postpartum women’s views on human milk banking in a city in Southeast China: a cross-sectional survey. Int Breastfeed J. 2022;17(1):3.

Downloads

Published

2026-08-31

How to Cite

Olutekunbi, O., Oluwabiyi, O. O., Odedina, A. A., Solarin, A. U., Akinola, I. J., Showunmi, F. O., Olatunji, T. A., Abe, G. F., Oyapero, O., Ogunleye, G. A., Oshinowo, O., Olutola, E., Ogueji, I. A., & Buremoh, A. I. (2026). Acceptance of donor breastmilk by mothers in Lagos: a cross-sectional survey. International Journal Of Community Medicine And Public Health, 13(9), 4800–4805. https://doi.org/10.18203/2394-6040.ijcmph20263155

Issue

Section

Original Research Articles