Exclusive Breastfeeding Knowledge among Primiparous Mothers

OBJECTIVES The study’s objective was to assess the knowledge of primiparous mothers for exclusive breastfeeding to babies for the first six months on their first postnatal follow-up. METHODOLOGY A cross-sectional descriptive was conducted at Pediatrics Department, KRL Hospital Islamabad, for six months over 100 women from October 2022 to March 2023. A self-administered questionnaire was used to obtain information from the study participants. Females with primi gravida were selected, and interviews were conducted on a specific breastfeeding awareness questionnaire. The participant with correct and incorrect responses scored 1 and 0, respectively. Participants with scores of 0-4 were regarded as having poor knowledge, 4-7 as average and 7-10 as good knowledge regarding breastfeeding. The latest SPSS version analyzed Data. RESULTSResults show that the mean age was 24 years SD ± 1.2. Forty-one per cent of mothers were illiterate, 42% had Primary education, 15% had secondary school education, and only 2 % were university educated. Fifty-nine per cent of mothers were housewives, 29% were students, and 12% were working women. Moreover, 21% of mothers had poor knowledge of breastfeeding, 12% had average knowledge of breastfeeding, and 67% had good knowledge of breastfeeding. CONCLUSION Our study concludes that the knowledge of the primiparous mothers about breastfeeding was adequate

Breastfeeding Practices among Mothers in Southwest Nigeria

BACKGROUND፡ This study was conducted to determine the breastfeeding practices among parous antenatal attendees in two teaching hospitals in Southwest Nigeria.METHODS: A cross-sectional study was carried out on 340 parous antenatal clinic attendees in two teaching hospitals in Ogun State, Nigeria. A structured questionnaire was used to obtain data on breastfeeding practices. Data were analyzed using Statistical Package for Social Sciences (SPSS) windows version 21.0 (IBM Corp., Armonk, NY, USA).RESULTS: Out of a total of 340 women, 319 (93.8%) breastfed their last babies. The median duration of breastfeeding was 15 months. One hundred and thirty two women (38.8%) initiated breastfeeding within 30 minutes of delivery, and 200 women (58.8%) exclusively breastfed their babies for six months. The majority of the women, 299(87.9%k) did not report any problem associated with breastfeeding. Logistic regression analysis showed that women who had no breastfeeding problems were more likely to exclusively breastfeed their infants for six months compared to those with breastfeeding problems (AOR 3.4; CI 1.6-7.1; P=0.001). Similarly, women who got breastfeeding information from mass media were more likely to practice exclusive breastfeeding for six months compared to those that got breastfeeding information from other sources (AOR42.2; CI 3.1-568.5; P=0.005).CONCLUSION: Exclusive breastfeeding is suboptimal in Ogun State, Nigeria. Provision of breastfeeding information via mass media will assist in improving breastfeeding practice. Educating mothers on the techniques that help to prevent breastfeeding complications will also be beneficial

Meta-Analysis: Effect of Breastfeeding Education Program on the Breastfeeding Self-Efficacy and Exclusive Breastfeeding

Background: Improving self-efficacy in breastfeeding and the practice of exclusive breastfeeding is important for the health of infants and mothers. WHO recommends exclusive breastfeeding for six months without any additional food and fluids. One form of intervention that has been carried out is an educational program given to pregnant women. The purpose of this study was to determine the effect of breastfeeding education on self-efficacy in breastfeeding and exclusive breastfeeding.Subjects and Method: This was a meta-analysis study using PRISMA flowchart guidelines. The article search process was carried out between 2011-2021 using databases from PubMed and Sciencedirect. Based on the database, there were 15 articles that met the inclusion criteria. The analysis was carried out using RevMan 5.3 software.Results: There were 15 articles that met the inclusion criteria which were analyzed using the Randomized Controlled Trial method. Based on 7 studies on the effect of education and self-efficacy, it showed that pregnant women who received breastfeeding education interventions had a self-efficacy score of 0.43 times higher than the control group (SMD= 0.43; 95% CI= 0.27 to 0.60; p< 0.001) and 8 Research on the effect of education on the practice of exclusive breastfeeding showed an increase of 2.46 times in exclusive breastfeeding compared to the control group (RR= 1.59; 95% CI= 1.40 to 1.81; p=0.020).Conclusion: Breastfeeding education programs for pregnant women affect self-efficacy in breastfeeding and exclusive breastfeeding.Keywords: breastfeeding education, pregnant woman, self-efficacy, exclusive breastfeedingCorrespondence:Annisa Nurindra Rahmadani. Faculty of Public Health, Universitas Diponegoro. Jl. Prof. Soedarto, SH., Tembalang, Semarang. Email: [email protected]. Mobile: +6283838761325.Journal of Health Promotion and Behavior, (2022), 07(01): 42-54DOI: https://doi.org/10.26911/thejhpb.2021.07.01.05

ANALYSIS OF FACTORS INFLUENCING EXCLUSIVE BREASTFEEDING TO BREASTFEEDING MOTHERS AT THE KAPASA HEALTH CENTER, MAKASSAR CITY

Menyusui adalah proses alami bagi seorang ibu untuk mendukung dan mengembangkan bayinya setelah lahir. ASI adalah makanan yang sempurna untuk bayi dan mengandung semua nutrisi yang dibutuhkan untuk pertumbuhan dan perkembangan setidaknya selama 6 bulan pertama kehidupan. Berdasarkan Peraturan  Pemerintah No. 33 Tahun 2012 tentang Pemberian ASI Eksklusif, ASI adalah cairan yang dikeluarkan oleh kelenjar susu ibu. Bayi disusui secara eksklusif sejak lahir hingga berusia enam tahun bulan tanpa menambah atau mengganti makanan atau minuman lainnya.  Namun,  adakalanya  seorang  ibu mengalami masalah dalam pemberian ASI. Kendala yang   utama   adalah   karena   produksi   ASI   tidak lancar . Menyusui adalah salah satu cara yang paling efektif untuk memastikan kesehatan dan kelangsungan hidup anak. Metode penelitian : Jenis penelitian observasional dengan desain cross sectional. Teknik pengambilan sampel dalam penelitian ini ditetapkan dengan teknik purposive sampling yaitu seluruh populasi dijadikan sampel sebanyak 53 orang. Hasil penelitian : ada hubungan yang signifikan pengetahuan ibu dengan pemberian ASI eksklusif nilai p = 0,001, ada hubungan yang signifikan dukungan keluarga dengan pemberian ASI eksklusif nilai p = 0,000, ada hubungan yang signifikan pekerjaann ibu dengan pemberian ASI eksklusif nilai p = 0,000. Kesimpulan dalam penelitian ini adalah ada pengaruh pengetahun, dukungan keluarga, dan pekerjaan terhadap pemberian ASI eksklusif. Sehingga diharapkan profesional kesehatan dan pembuat kebijakan akan mendapat informasi untuk merencanakan cara terbaik dalam mendukung ibu untuk meningkatkan keberhasilan dalam memberikan Asi eksklusif

Meta-Analysis: Effect of Breastfeeding Education Program on the Breastfeeding Self-Efficacy and Exclusive Breastfeeding

Background: Improving self-efficacy in breastfeeding and the practice of exclusive breastfeeding is important for the health of infants and mothers. WHO recommends exclusive breastfeeding for six months without any additional food and fluids. One form of intervention that has been carried out is an educational program given to pregnant women. The purpose of this study was to determine the effect of breastfeeding education on self-efficacy in breastfeeding and exclusive breastfeeding. Subjects and Method: This was a meta-analysis study using PRISMA flowchart guidelines. The article search process was carried out between 2011-2021 using databases from PubMed and Sciencedirect. Based on the database, there were 15 articles that met the inclusion criteria. The analysis was carried out using RevMan 5.3 software. Results: There were 15 articles that met the inclusion criteria which were analyzed using the Randomized Controlled Trial method. Based on 7 studies on the effect of education and self-efficacy, it showed that pregnant women who received breastfeeding education interventions had a self-efficacy score of 0.43 times higher than the control group (SMD= 0.43; 95% CI= 0.27 to 0.60; p< 0.001) and 8 Research on the effect of education on the practice of exclusive breastfeeding showed an increase of 2.46 times in exclusive breastfeeding compared to the control group (RR= 1.59; 95% CI= 1.40 to 1.81; p=0.020). Conclusion: Breastfeeding education programs for pregnant women affect self-efficacy in breastfeeding and exclusive breastfeeding. Keywords: breastfeeding education, pregnant woman, self-efficacy, exclusive breastfeeding Correspondence: Annisa Nurindra Rahmadani. Faculty of Public Health, Universitas Diponegoro. Jl. Prof. Soedarto, SH., Tembalang, Semarang. Email: [email protected]. Mobile: +6283838761325. Journal of Health Promotion and Behavior, (2022), 07(01): 42-54 DOI: https://doi.org/10.26911/thejhpb.2021.07.01.05

FACTORS ASSOCIATED TO EARLY INTRODUCTION OF COMPLEMENTARY FEEDING : META ANALYSIS STUDY IN INDONESIA

More than 40% of mothers in the world, including Indonesia, have given food other than breast milk when the baby is less than six months old. Various factors can lead to early complementary feeding in Indonesia. The novelty of this research is because it examines about factors associated with early complementary feeding in Indonesia. This study aimed to determine the factors associated with early complementary feeding in Indonesia. This study used a quantitative design and meta-analytical analysis technique. Articles were included in this study, which were searched using Google Scholar, Garuda Portal, and ISJD databases. A total of 1,157 identification articles, with keywords ((early complementary feeding, complementary feeding administration in infants aged 0-6 months, early breastfeeding or prelacteal feeding) and (factors or factors related to, risk factors, knowledge) mother or education level, family support, support health workers, promotion of complementary feeding products, baby porridge, baby biscuits, formula or culture) and (cross sectional or case control) and (region in Indonesia)). The search was performed using the Indonesian language. Fifteen articles were systematically reviewed and included in this meta-analysis.  There is no significant relationship between maternal education level, family support, support from health workers and culture with early complementary feeding in Indonesia. Mothers’ low knowledge of exclusive breastfeeding and complementary feeding is one of the factors contributing to early complementary feeding in Indonesia. Conclusion is Mother which low knowledge is at risk 2.63 times to have early introduction of complementary feeding for baby (95% Cl; 1.14-6.09)

Promoting exclusive breastfeeding among teenage-mothers in Ghana : towards a behavioural conceptual model

Ghana subscribed to the global target of reaching at least 50% of exclusive breastfeeding in the first six months of birth by the year 2030. Policies and programmes to promote exclusive breastfeeding have been formulated and implemented in the country. In spite of these efforts, existing evidence showed that the rate of exclusive breastfeeding in the first six months post-delivery has been declining over the past decade. It was therefore important to understand behavioural factors that influence exclusive breastfeeding among teenage-mothers and propose a behavioural conceptual model based on the understanding of exclusive breastfeeding from the perspective of the teenage-mothers and their social environments. The study was conducted in three phases using multistrand mixed methods within the pragmatism philosophical framework. The Theory of Planned Behaviour and the six steps framework for developing models to address public health issues were used as frameworks in the study. In the first phase, the researcher used qualitative exploratory descriptive design to gain an understanding of the behavioural determinants of exclusive breastfeeding from the perspective of teenagers aged between 13 - 19 years attending antenatal care services at public facilities. Data were generated through focus group discussions and analysed using Group-level thematic and content analysis. In the second phase, longitudinal descriptive correlational designs were used to establish the relationships between the exclusive breastfeeding intentions during the prenatal period and actual breastfeeding practices at six months post-delivery. Structured questionnaires were used to collect data during the last visit of antenatal care visits and six months post-delivery. Data generated were analysed through descriptive inferential statistics. In the last phase, the researcher used meta-inferences to identify the key concepts of conceptual model from the integrated qualitative and quantitative results. Theoretical triangulations were used to define and establish relationships between the concepts and to structure the conceptual model. The integrated results of the two phases of the study showed that exclusive breastfeeding practices among teenage-mothers within the social context of Ghana are determined by certain personal and social related behavioural factors. The approval of the exclusive breastfeeding practice by the teenagers’ mothers and nurses/midwives’ capabilities to provide effective breastfeeding education were the strongest determinants of exclusive breastfeeding up to six months among teenage-mothers in Ghana. From these results, the researcher proposed an integrated behavioural conceptual model that provides an understanding of exclusive breastfeeding practice and the process of promoting exclusive breastfeeding among teenage-mothers in the social context of Ghana. The findings of this study have implications for public health policy-makers, health services managers, health sciences education and further research.Health StudiesD. Lit. et Phil. (Health Studies

Nivel de conocimiento sobre lactancia materna en primiparas hospitalizadas en el Hospital de Apoyo II-2 Sullana, 2018-2019

Objetivo: Evaluar el nivel de conocimiento referente a la lactancia materna en primíparas hospitalizadas en el departamento de Maternidad del Hospital de Apoyo II-2 Sullana, durante el periodo 2018 – 2019. Metodología: Se realizó un estudio descriptivo, trasversal y prospectivo en madres primíparas con recién nacidos sanos. Se aplicó un cuestionario estructurado en 19 preguntas para evaluar el conocimiento sobre la importancia, beneficios y técnicas de lactancia materna, este cuestionario fue validado mediante una prueba piloto (30 madres primigestas) en nuestra población (Alfa de Cronbach de 0.85). En análisis estadístico se realizó mediante el programa SPSS v24. Para evaluar el nivel de conocimientos se aplicó la escala de Stanones. Resultados: Se encontró que las madres primigestas encuestadas presentaban un nivel de conocimiento medio (entre 11,23 y 15,14 puntos) en 76 (63,33%). La nota promedio de las madres encuestadas fue de 13,81 puntos de 19 puntos en total. Conclusión: Se debe tomar en cuenta el nivel de conocimiento de las madres para poder generar e implementar estrategias eficaces que incentiven la lactancia materna.Objective: To evaluate the level of knowledge regarding breastfeeding in primiparous mothers hospitalized in the Maternity Department of Hospital de Apoyo II-2 Sullana, during the period 2018 - 2019. Methodology: A descriptive, cross-sectional and prospective study was conducted in primiparous mothers with healthy newborns. A questionnaire structured in 19 questions was applied to evaluate the knowledge on the importance, benefits and techniques of breastfeeding, this questionnaire was validated by means of a pilot test (30 primiparous mothers) in our population (Alfa de Cronbach of 0.85). Statistical analysis was carried out using SPSS v24. The Stanones scale was used to evaluate the level of knowledge. Results: The primed mothers surveyed were found to have an average level of knowledge (between 11.23 and 15.14 points) of 76 (63.33%). The average score of the mothers surveyed was 13.81 points out of a total of 19 points. Conclusion: The mothers' level of knowledge must be taken into account in order to generate and implement effective strategies to encourage breastfeeding.Tesi

Nivel de conocimiento y prácticas sobre lactancia materna en puérperas primíparas de un Hospital de Lima Este, 2023

El presente trabajo tuvo como objetivo determinar cómo el nivel de conocimiento se relaciona con las prácticas sobre lactancia Materna en puérperas primíparas de un Hospital de Lima Este, 2023. Metodológicamente fue cuantitativo, no experimental correlacional, se tuvo una muestra integrada por 80 puérperas primíparas y fueron aplicados dos cuestionarios. Los resultados evidencian que el género fue femenino en un 100%; el rango de edad de 18 a 30 años, el estado civil conviviente 77.5%, y el grado de instrucción primaria, el nivel de conocimiento fue alto en un 70.0% y las prácticas sobre lactancia materna fueron adecuadas en un 88.8%, estadísticamente se comprobó que las dimensiones conocimientos generales y beneficios se relacionaron con la práctica sobre lactancia materna con un p.valor igual a 0.000. Se concluye que la relación entre el nivel de conocimiento y las prácticas sobre lactancia Materna en puérperas primíparas de un Hospital de Lima Este, 2023 es positiva y muy buena (Rho de Spearman= 0,81), y, es estadísticamente significativa con un valor de significancia calculada de p=0,000 < 0,05