Factors affecting exclusive breastfeeding in term infants
Abstract
Background Exclusive breastfeeding by healthy mothers to their healthy, term babies who underwent vaginal birth, should be readily accomplished. However, exclusive breastfeeding by Indonesian mothers has declined.
Objective To assess the monthly success rate prevalences for exclusive breastfeeding for the first 6 months of life, as well as factors that affect exclusive breastfeeding.
Methods A prospective cohort study was conducted in 243 healthy mothers with healthy term babies who underwent normal births at Cipto Mangunkusumo Hospital (CMH), Jakarta, Indonesia. Guided interviews were conducted monthly for six months. Bivariate and multivariate analyses were performed on the factors potentially affecting breastfeeding with equal subject numbers.
Results Exclusive breastfeeding prevalences were 64.8% (first month), 53.7% (second month), 43% (third month), 30.7% (fourth month), 23.5% (fifth month), and 22.3% (sixth month). Multivariate analysis revealed that the mother’s confidence in breast milk production, as well as husband or family support, affected the success of exclusive breastfeeding for each month. Maternal not working/studying outside the home affected the success of exclusive breastfeeding in the third (RR 3.38; 95%CI 1.21 to 9.43) and fourth months (RR 6.56; 95%CI 1.39 to 30.99).
Conclusion Exclusive breastfeeding prevalences in Cipto Mangunkusumo Hospital decrease in a monthly fashion up to the sixth month. Several factors affecte the success rate for each month in the six month period, including maternal confidence in breast milk production and family support.
References
2. World Health Organization. Infant and young child nutrition: Global strategy for infant and young child. Geneva: WHO; 2002. p. 5-19.
3. Badan Pusat Statistik. Survei Demografi dan Kesehatan Indonesia 2007. Jakarta: Badan Pusat Statistik; 2008. p. 139-173.
4. Badan Penelitian dan Pengembangan Kementrian Kesehatan RI. Riset Kesehatan Dasar 2010. Jakarta: Kementrian Kesehatan RI; 2010. p. 17-39.
5. Mikiel-Kostyra K, Mazur J, Wojdan-Godek E. Factors affecting exclusive breastfeeding in Poland: cross-sectional survey of population-based samples. Soz Praventivemed. 2005;50:52-9.
6. Merten S, Dratva J, Ackermann-Liebrich U. Do baby-friendly hospitals influence breastfeeding duration on a national level? Pediatrics. 2005;116:702-8.
7. Sapna P, Ameya H, Rooma P, Aarti P, Rashid AK, Narayan KA. Prevalence of exclusive breast feeding and its correlates in an urban slum in western India. IeJ SME. 2009;3:14-8.
8. Leong TK. Knowledge, attitude and practice on breastfeeding in Klang, Malaysia. The International Medical Journal of Malaysia. 2009;8:17-21.
9. Taveras EM, Capra AM, Braveman PA, Jensvold NG, Escobar GJ, Lieu TA. Clinician support and psychosocial risk factors associated with breastfeeding discontinuation. Pediatrics. 2003;112:108-15.
10. Nkala TE, Msuya SE. Prevalence and predictors of exclusive breastfeeding among women in Kigoma region, Western Tanzania: a community based cross-sectional study. Int Breastfeed J. 2011;6:17.
11. Badan Pusat Statistik (BPS), Badan Koordinasi Keluarga Berencana Nasional (BKKBN), Kementerian Kesehatan RI. Survei Demografi dan Kesehatan Indonesia 2002. Jakarta: Badan Pusat Statistik; 2003. p. 108-18.
12. Narchi NZ, Fernandes RA, Dias Lde A, Novais DH. Variables that influence the maintenance of exclusive breastfeeding. Rev Esc Enferm USP. 2009;43:87-94.
13. Stalker P. Millenium development goals. Jakarta: Badan Perencanaan Pembangunan Nasional; 2008. p. 1-22.
14. Alemayehu T, Haidar J, Habte D. Determinant of exclusive breastfeeding practices in Ethiopia. Ethiop J Health Dev. 2009;23:12-8.
15. Gupta A, Holla R, Dadhich JP. The state of the world's breastfeeding: report card. Initiation of breastfeeding within 1 hour. International Baby Food Action Network Asia. 2012; 53-63.
16. Aruldas K, Khan ME, Hazra A. Increasing early and exclusive breastfeeding in rural Uttar Pradesh. J Fam Welfare. 2010;56:43-9.
17. Mattar CN, Chong YS, Chan YS, Chew A, Tan P, Chan YH, et al. Simple antenatal preparation to improve breastfeeding practice: a randomized controlled trial. Obstet Gynecol. 2007;109:73-80.
18. Merten S, Ackermann-Liebrich U. Exclusive breastfeeding rates and associated factors in Swiss baby-friendly hospitals. J Hum Lact. 2004;20:9-17.
19. Marques NM, Lira PI, Lima MC, da Silva NL, Filho MB, Huttly SR, et al. Breastfeeding and early weaning practices in northeast Brazil: a longitudinal study. Pediatrics 2001;108:66.
20. Ertem IO, Votto N, Leventhal JM. The timing and predictors of the early termination of breastfeeding. Pediatrics. 2001;107:543-8.
21. Jones JR, Kogan MD, Singh GK, Dee DL, Grummer-Strawn LM. Factors associated with exclusive breastfeeding in United States. Pediatrics. 2011;128:1117-25.
22. Gambrell RD. Immediate postpartum oral contraception. Obstet Gynecol. 1970;36:101-6.
23. Ong G, Yap M, Li FL, Choo TB. Impact of working status on breastfeeding in Singapore: evidence from the National Breastfeeding Survey 2001. Eur J Public Health. 2005;15:424-30.
24. Departemen Tenaga Kerja dan Transmigrasi. Undang-undang Republik Indonesia No.13 tahun 2003 tentang ketenagakerjaan. (cited 2007 November 2). Available from: http://www.tenagakerja-div.go.id/file/uu/uu_13_2003.pdf.
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Accepted 2018-02-19
Published 2018-03-20
