Exclusive breastfeeding knowledge and attitude among nursing students in Beni-Suef

Heba R. Elareed, Shaimaa A. Senosy


Background: Previous research conclude small amount of exclusive breastfeeding among the mothers of Egypt and reflect the obvious requirement for appropriate approaches to improve exclusive breastfeeding. The study objective was to evaluate the exclusive breastfeeding attitudes and knowledge among students of nursing in Beni-Suef, Egypt.

Methods: A cross-sectional study was performed among 800 undergraduate students in the Faculty of Nursing at Beni-Suef University; convenience sampling was applied in this study, by anonymous self-administered questionnaire composed of 20 items to evaluate the students' knowledge, 17 items to assess attitudes towards breastfeeding and socio-demographics characteristics questions.

Results: Overall the majority of study participants (80.2%) had inadequate knowledge, (54.4%) of the participants has negative attitude towards breastfeeding, a statistically significant association between gender and the score of knowledge, p=0.03. and a statistically significant association was found between the score of knowledge and attitude p=0.001.

Conclusions: The conducted study illustrated inadequate knowledge and a negative attitude of undergraduate nursing students of University of Beni- Suef to exclusive breastfeeding.


Exclusive breastfeeding, Knowledge, Bottle feeding, Nursing students

Full Text:



United Nations Children’s Fund (UNICEF) (2018) infant and young child feeding. Available at: Accessed on 13 July 2019.

Darmstadt GL, Hussein MH, Winch PJ, Haws RA, Lamia M, El Said MA. Neonatal Home Care Practices in Rural Egypt during the First Week of Life. Trop Med Int Health. 2007;12783-97.

El-Gilany A. Breastfeeding indicators in Dakahlia governorate. East Mediterranean Health Journal, 2003;9(5-6):961-73.

Schmied V, Beake S, Sheehan A, McCourt C, Dykes F. Women’s perceptions and experiences of breastfeeding support: a metasynthesis. Birth. 2011;38(1):49–60.

Ahmed A, Bantz D, Richardson C. Breastfeeding knowledge of university nursing students. Maternal Child Nursing. 2011;36(6):361-7.

Bozzette M, Posner T. Increasing student nurses’ knowledge of breastfeeding in baccalaureate education. Nurse Education in Practice, Advance Online Publication. 2012.

Spear, H. Baccalaureate nursing student’s breastfeeding knowledge: A descriptive survey. Nurse Education Today. 2006;26(4):332-7.

Dodgson J, Tarrant M. Outcomes of a breastfeeding educational intervention for baccalaureate nursing students. Nurse Education Today. 2007;27(8):856-67.

World Health Organization (WHO) (2009a) Infant and Young Child Feeding, Model Chapter for Textbooks for Medical Students and Allied Health Professionals. Available at: http://whqlibdoc.who. int/publications/2009/9789241597494_eng.pdf. Accessed on 23 July 2010.

Oweis A, Tayem A, Froelicher ES. Breastfeeding practices among Jordanian women. Int J Nursing Pract. 2009;15(1):32-40.

Brodribb W, Falon A, Jackson C, Hegney D. Breastfeeding and Australian GP registrars – their knowledge and attitudes. Journal of Human Lactation. 2008;24(4):422-30.

Abdul HSB, Yahya N. Knowledge, Attitude, Prior Exposure and Intention to Breastfeed among Undergraduate University Students. J Clin Health Sci. 2008;3(2):26-35.

Sobti J, Mathur GP, Gupta A. WHO’s proposed global strategy for infant and young child feeding: a viewpoint. J Indian Med Assoc. 2008;100(8):502-6.

De la Mora A, Russell DW. The Iowa infant feeding attitude scale: Analysis of reliability and validity. J Appl Soc Psychol. 1999;29:2362–80.

Marrone S, Vogeltanz-Holm N, Holm J. Attitudes, knowledge, and intentions related to breastfeeding among university undergraduate women and men. J Human Lactation. 2018;24:186-92.

Kavanagh KF, Zixin L, Nicklas JC, Habibi MF, Murphy LT. Breastfeeding knowledge, attitudes prior exposure and intent among undergraduate students. J Human Lactation. 2012;28:556-64.

Afrosea L, Banua B, Ahmeda KR, Khanom K. Factors associated with knowledge about breastfeeding among female garment workers in Dhaka city, WHO South-East Asia J Public Health. 2012;1(3):249-55

Ahmed A, El Guindy SR. Breastfeeding knowledge and attitudes among Egyptian baccalaureate students Int Nurs Rev. 2011;58(3):372-8.

Hamade H, Naja F, Keyrouz S, Hwalla N, Karam J, Al-Rustom L, Nasreddine L. Breastfeeding knowledge, attitude, perceived behavior and intention among female undergraduate university students in the Middle East: The case of Lebanon and Syria, Food Nutrition Bulletin. 2014;35(2):179-90.