Knowledge, attitude, and behavior of pregnant women on early initiation of breastfeeding

  • Yoke Ayukarningsih Department of Child Heath, Jendral A Yani Medical School
  • Sutedja Sutedja Department of Child Heath, Jendral A Yani Medical School
  • Anna Mardiyah Department of Child Heath, Jendral A Yani Medical School
Keywords: early initiation of breastfeeding, know ledge, attitude, behavior

Abstract

Background Infant mortality rate is an indicator of the degree of
health in society. In Indonesia, the infant mortality rate remains
high, with most deaths occurring in the first 24 hours of life.
Breastfeeding has been shown to reduce infant mortality, especially
if undertaken in the first hour of life. This practice is known
as early initiation of breastfeeding (EIB). According to various
studies, EIB implementation may be influen ced by many factors
such as knowledge, attitude, behavior, and health care facilities.
Objective To assess the level of knowledge, attitude, and behavior
of pregnant women towards EIB.
Methods We conducted a descriptive study using questionnaires
on 74 pregnant women in the outpatient clinic of Obstetrics and
Gynecology Department, Dustira Hospital, Cimahi, West Java,
Indonesia from November to December 2012.
Results Out of 74 respondents, 21 % had a good level of knowledge
on EIB, 23% had an adequate knowledge, and 56% had less than
adequate knowledge on EIB. A positive attitude towards EIB
was found in 65% of the respondents, while 35% had a negative
attitude. With regards to behavior conducive to EIB, 8% of
respondents had good behavior, 57% had moderate behaviot; and
35%had less than adequate behavior.
Conclusion Majority of pregnant women have less than adequate
knowledge on EIB, a positive attitude towards EIB, and moderate
to less than adequate behavior conducive to EIB.

References

Notoatmodjo S. Promosi kes ehatan dan ilmu perilaku. Jakarta: Rineka Cipta; 2007. p. 4-8.

Pratiwi IGAN. Sepuluh langkah sukses menyusui: sebuah tantangan. Sari Pediatri. 2011;1:30-4.

World Health Organization. Child Mortality Indicators. [cited 2012 June 20)]. Available from: http://data.worldbank.org/indicator/SP.DYN.IMRT.IN?order=wbapi_data_value_2011+wbapi_data_value+wbapi_data_valuelast&sort=asc.

Lawn JE, Cousens S, Zupan J, Lancet Neonatal Survival Steering Team. 4 Million neonatal deaths: when? where? why? Lancet. 2005;365:891-900.

Zupan J. Perinatal mortality in developing countries. New Engl J Med. 2005;352:2047-8.

Arifeen S, Black RE, Antelman G, Baqui A, Caulfield L, Becker S. Exclusive breastfeeding reduces acute respiratory infection and diarrhea deaths among infants in Dhaka slums. Pediatrics. 2001;108:E67.

Edmond KM, Zandoh C, Quigley MA, Amenga-Etego S, Owusu-Agyei S, Kirkwood BR. Delayed breastfeeding initiation increases risk of neonatal mortality. Pediatrics. 2006;117:E380-6.

Stettler N, Bhatia J, Parish A, Stalling VA. Feeding healthy infants, children and adolescents. In: Kliegmen RM, Behrman RE, Nelson WE, Vaughan VC, editors. Nelson textbook of pediatrics. 19th ed. Philadelphia: Elsevier; 2011. p.160-9.

World Health Organization. Infant and young child feeding: a tool for assessing national practices, policies and programmers. WHO: Geneva; 2003. p.1-9.

Setty V. Better breastfeeding, healthier lives. Population Reports Series L No.14, Baltimore. MD, USA.John Hopkins Blumberg School of Public Health. March 2006. [cited 2012 June 25]. Available from: http://www.infoforhealth.org/pr/114/webtables.shtml#webtable1.

Dyson L, McCormick F, Renfrew MJ. Intervention for promoting the initiation of breastfeeding (review) . Cochrane Database Syst Rev. 2005;2:CD001688.

Pelatihan klinik: Asuhan persalinan normal asuhan esensial, pencegahan dan penanggulangan segera komplikasi persalinan dan bayi baru lahir (buku acuhan). Jakarta: Departemen Kesehatan RI; 2008. p. 10-11.

Gumelar LAS. Pedoman peningkatan penerapan 10 langkah menuju keberhasilan menyusui. The second international conference on CSR and combating malnutrition: Obtaining MDGs in Indonesia; 2010 Dec 13-14; Jakarta, Indonesia.

Dwinanda A. Angka keberhasilan inisiasi menyusu dini di Rumah Sakit Dustira periode Juni-November 2011 [thesis]. Cimahi: Fakultas Kedokteran Universitas Jenderal Achmad Yani; 2012.

Fikawati S, Syafiq A. Kajian implementasi dan kebijakan air susu ibu eksklusif dan inisiasi menyusu dini di Indonesia. Makara Kesehatan. 2010;14:17-24.

Rahayu PW. Hubungan tingkat pengetahuan ibu bersalin tentang inisiasi menyusu dini dengan pelaksanaan EIB di BPS Hj. Wahyuni Medoho Semarang [thesis]. Semarang: Universitas Diponegoro; 2009.

Wiji S. Hubungan pengetahuan dan pelaksanaan EIB oleh bidan di wilayah puskesmas kebon agung Demak [thesis]. Semarang: DJ Ilmu Kebidanan Universitas Muhammadiyah Semarang; 2009.

Faswita W. Pengetahuan dan sikap ibu hamil tentang inisiasi menyusu dini di poliklinik ibu hamil RSUD Dr. R.M Djoelham Binjai [thesis]. Medan: Fakultas Ilmu Keperawatan Universitas Sumatera Utara; 2010.

Ervina. Tingkat pengetahuan ibu hamil tentang EIB di Poliklinik Ibu Hamil RSUP Haji Adam Malik Medan Tahun 2010 [thesis]. Medan: Fakultas Kedokteran Universitas Sumatera Utara; 2010.

Direktorat bina gizi masyarakat departemen kesehatan. Pesan-pesan tentang inisiasi menyusui dini (EIB) dan air susu ibu (ASI) eksklusif untuk tenaga kesehatan dan keluarga Indonesia. Jakarta: Departemen Kesehatan RI; 2008. p.3-5.

Mohrbacher N, Kendall-Tacket K. Breastfeeding made simple: seven natural laws for nursing mother. Oakland: New Harbinger Publication; 2005. p.5-39.

Rohani. Pengaruh karakteristik ibu menyusui terhadap pemberian ASI eksklusif di Wilayah Kerja Puskesmas Teluk Kecamatan Secanggang Kabupaten Langkat Tahun 2007 [thesis]. Medan: Fakultas Kesehatan Masyarakat Universitas Sumatera Utara; 2007.

Kaushik S, Trivedi SS, Jain A, Bhattacharjee J. Unusual changes in colostrum composition in lactating Indian women having medical complications during pregnancy , a pilot study. Indian J Clin Biochem. 2002: 17:68-73.

Direktorat kesehatan anak khusus. Panduan pelayanan kesehatan bayi baru lahir berbasis perlindungan anak. Jakarta: Kementrian Kesehatan RI; 2010. p. 18-22.

Guyton AC, Hall JE. Textbook of medical physiology. 11th ed. Philadelphia: Saunders Elsevier; 2006. p. 1038-41.

Ganggal P, Bhagat K, Prabhu S, Nair R. Breastcrawl: initiation of breastfeeding by breastcrawl [cited 2012 July 16]. Available from: http://breastcrawl.org/.

Silaen P. Pengetahuan ibu tentang inisiasi menyusu dini. Jurnal Ilmiah Pendidikan Tinggi. 2011;4:127-39.

Hartatik. Tingkat pengetahuan ibu hamil tentang inisiasi menyusu dini di BPS Dyah Sumarmo Desa Tanjungsari Kecamatan Banyudono Kabupaten Boyolali tahun 2012 [thesis]. Surakarta: Program studi DJ Kebidanan STIKES Kusuma Husada Surakarta; 2012.

Walgito B. Psikologi sosial (suatu pengantar). Yogyakarta: CV Andi Offset; 2009. p.55-8.

Notoatmodjo, S. Promosi kesehatan dan perilaku kesehatan. Jakarta: Rineka Cipta; 2012. p. 45-9.

Roesli U. Inisiasi menyusu dini plus ASI eksklusif. Jakarta: Pustaka Bunda; 2008. p.35-45.

Published
2014-06-30
How to Cite
1.
Ayukarningsih Y, Sutedja S, Mardiyah A. Knowledge, attitude, and behavior of pregnant women on early initiation of breastfeeding. PI [Internet]. 30Jun.2014 [cited 23Dec.2024];54(3):174-0. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/518
Section
Articles
Received 2016-09-09
Accepted 2016-09-09
Published 2014-06-30