Pattern and influencing factors of breastfeeding of working mothers in several areas in Jakarta
Abstract
Background Breast milk contains many essential nutrition factorsbest for babies. The 1997 Indonesian Health Demography found
that the proportion of exclusive breastfeeding was still low (52%)
and increased to 55.1% in 2002. Due to increasing number of
working mothers, promoting breast feeding among them should be
performed properly. There are no data on exclusive breastfeeding
rate and pattern among working mothers in Indonesia.
Objective To describe exclusive breastfeeding rate and pattern
among working mothers in several areas in Jakarta and the influ-
encing factors.
Methods A descriptive study using a questionnaire was conducted
from October 2005 to February 2006. Subjects were working
mothers who had 6 to 12 month old baby and breastfed and the
baby had no congenital or chronic disease.
Results Among 290 mothers interviewed, 40% worked at banks
or insurance business, 34% were private employees, 25% medical
staffs, and 2% were teachers. Almost 80% have exclusively
breastfed for less than 4 months, 17% for 4 months, and only 4%
for 6 months. Maternal leave, family support, mothers’ knowl-
edge, facilities at workplace, media influences, and working hours
seemed to have no relations to breastfeeding rate. There were
122 (42%) mothers who had good knowledge about physiology
of lactation, 155 of them (53%) had fair knowledge, and only
45% of them had poor knowledge.
Conclusions The proportion of working mothers in several areas
in Jakarta who have exclusively breastfed for 4 months is 17%, and
only 4% of subjects do exclusive breastfeeding for 6 months. Most
subjects have a good to fair knowledge about the physiology of
lactation but it does not seem to influence the decision to exclu-
sively breastfed their babies.
References
pembenaran. Sari Pediatri 1994;1:118-27.
2. Suradi R. Spesifitas biologis air susu ibu. Sari Pediatri
2001;3:134-40.
3. American Academic of Pediatrics. Work group on breast-
feeding. Breastfeeding and the use of human milk. Pediatrics
1997;100:1035-9.
4. Dewey KG. The evidence for breastfeeding: Nutrition,
growth, and complementary feeding of the breastfed infant.
Ped Clin of North Am 2001;48:87-104.
5. Zembo CT. Breastfeeding. Obstet Gynecol Clin 2002;29:51-76.
6. King FS, Burgess A. Breastfeeding. In: King FS, Burgess A,
editors. Nutrition for developing countries. 2nd edition. New
York: Oxford University Press; 1996. p. 91-4.
7. Picciano MF. The evidence of breastfeeding: nutrient
composition of human milk. Pediatr Clin N Am 2001;48:
53-67.
8. Anderson JW, Johnstone BM, Remley DT. Breast-feeding and
cognitive development: a meta-analysis. Am J Clin Nutr
1999;70:525-35.
9. Jain A, Concato J, Leventhal JM. How good is the evidence
linking breastfeeding and intelligence? Pediatrics 2002;109:
1044-53.
10. Departemen Kesehatan RI. Strategi nasional peningkatan
pemberian ASI.
11. Pusat Kesehatan Kerja Depkes RI. Kebijakan Departemen
Kesehatan dalam pemberian ASI pada wanita yang bekerja.
Cited 2005 January 14. available from:url:http://www.
depkes.go.id/idex.php?option=oom_download &itemid=50
&func=download &filecatid=188.
12. USAID Country Health Statistical Report. Indonesia.
September 2004 .
13. Arora S, McJunkin C, Wehrer J, Kuhn P. Majors factors
influencing breastfeeding rates: Mother’s perception of
father’s attitude and milk supply. Pediatrics 2000;106:
67-71.
14. Dearden KA, Quan LN, Do M, Marsh DR, Pachon H,
Schroeder DG, et al. Work outside the home is the primary
barrier to exclusive breastfeeding in rural Viet Nam: Insights
from mothers who exclusively breastfed and worked. Food
Nutr Bul 2002;23:99-105.
15. Health Situation in the South-East Asia Region, 1994-
1997. cited 2005 April 2. Available from: url: http://
www.w3. whosea. org/health_situt_94-97/pdf’s/defi-
nition.pdf.
16. Slusser WM, Lange L, Dickson V, Hawkes C, Cohen R.
Breastmilk expression in the workplace: A look at frequency
and time. J Hum Lact 2004;20:164-9
17. Departemen Pendidikan Nasional RI. Ringkasan statistik
pendidikan. Cited 2006 February 20. available from: http://
www.depdiknas.go.id/publikasi/brief/01-02/tab53.htm.
18. Departemen Pendidikan Nasional RI. Ringkasan statistik
pendidikan. Cited 2006 February 20. available from: url: http:/
/www.depdiknas.go.id/statistik/thn03-04/dikti/tab16.htm.
19. Aritonang IA, Hartini THNS. Masih lebih banyak lagi bayi yang
tidak diberi ASI eksklusif. cited 2005 May 19. available from:
url: http://www.tempo.co.id/medika/arsip/012001/lap-1.htm.
20. Iskandar MB, Costello C, Nasution Y. Initiation and duration
of breastfeeding in Indonesia. Asia-Pacific Population Journal
1993;5:89-112.
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Accepted 2016-08-25
Published 2007-02-28