Barriers to exclusive breast-feeding in Indonesian hospitals: a qualitative study of early infant feeding practices

Flaherman, Valerie J.; Chan, Shannon; Desai, Riya; Agung, Fransisca Handy; Hartati, Hendri; Yelda, Fitra

doi:10.1017/s1368980018001453

Cited by 26 publications

(26 citation statements)

References 25 publications

(35 reference statements)

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“…The promotion of infant formula also discourages EB practice in Indonesia [24]. The ease of infant formula access; aggressive marketing in retail outlets and the media; continued provision of formula samples and feeding supplies by health professionals; and lack of comprehensive understandings of optimal infant nutrition and feeding practices, are some of the reasons that families choose to use infant formula [13,24]. Violations of the Code by infant formula companies include incentivizing the provision of infant formula and feeding supplies by health professionals and retail outlets, and producing misleading advertisements and product labelling [25].…”

Section: Previous Studiesmentioning

confidence: 99%

“…Bangka Belitung province had the highest rate of EB (56.7%), while West Nusa Tenggara province had the lowest prevalence (20.3%). Several recent studies have identified barriers to optimal breastfeeding practices in Indonesia, including: limited knowledge of breastfeeding among mothers and health workers; promotion of infant formula in retail outlets and by health workers; limited duration of maternity leave postpartum; and logistical challenges for women who return to the workforce after maternity leave [ 13 – 18 ].…”

Section: Introductionmentioning

confidence: 99%

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Progress towards reducing sociodemographic disparities in breastfeeding outcomes in Indonesia: a trend analysis from 2002 to 2017

et al. 2020

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Background: Improving breastfeeding practice is important for reducing child health inequalities and achieving several Sustainable Development Goals. Indonesia has enacted legislation to promote optimal breastfeeding practices in recent years. We examined breastfeeding practices among Indonesian women from 2002 to 2017, comparing trends within and across sociodemographic subgroups. Methods: Data from four waves of the Indonesia Demographic and Health Surveys were used to estimate changes in breastfeeding practices among women from selected sociodemographic groups over time. We examined three breastfeeding outcomes: (1) early initiation of breastfeeding; (2) exclusive breastfeeding; and (3) continued breastfeeding at 1 year. Multivariate logistic regression was used to assess changes in time trends of each outcome across population groups. Results: The proportion of women reporting early initiation of breastfeeding and exclusive breastfeeding increased significantly between 2002 to 2017 (p < 0.05), with larger increases among women who: were from higher wealth quintiles; worked in professional sectors; and lived in Java and Bali. However, 42.7% of women reported not undertaking early initiation of breastfeeding, and 48.9% of women reported not undertaking exclusive breastfeeding in 2017. Women who were employees had lower exclusive breastfeeding prevalence, compared to unemployed or self-employed women. Women in Java and Bali had higher increase in early initiation of breastfeeding and exclusive breastfeeding compared to women in Sumatra. We did not find statistically significant decline in continued breastfeeding at 1 year over time for the overall population, except among women who: were from the second poorest wealth quintile; lived in rural areas; did not have a health facility birth; and lived in Kalimantan and Sulawesi (p < 0.05).

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Section: Previous Studiesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Progress towards reducing sociodemographic disparities in breastfeeding outcomes in Indonesia: a trend analysis from 2002 to 2017

et al. 2020

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“…Hospital breastfeeding support was also implemented by following the Ten Steps to Successful Breastfeeding of Baby-Friendly Hospital Initiative (BFHI), including facilitating skin-to-skin contact or rooming-in practice in Indonesian public hospitals [6]. In spite of legislation and hospital efforts, mothers' perceptions of low milk supply and need for formula supplementation were the most common reasons for premature termination of breastfeeding in the immediate postpartum period and up to 6-months [7]. An in-depth understanding of mothers' perception of milk supply and its relation to breastfeeding practices is necessary and will be helpful for developing effective healthcare strategies to improve exclusive breastfeeding rates in Indonesia.…”

Section: Introductionmentioning

confidence: 99%

“…Specifically, mothers often adopt some unreliable signs, such as infant satiety cues or infant crying, as the primary indicator of insufficient milk supply [9], instead of assessing the infant's number of wet diapers and stools [10]. After delivery, mothers who perceive inadequate breast milk production tend to delay initiation of breastfeeding, wait until they believe their breast milk is 'adequate' [11], and may start to introduce unnecessary formula supplementation early [7]. Furthermore, studies suggest that approximately 25%~73% of mothers engage in early unnecessary cessation of breastfeeding due to perceived low milk production [12,13].…”

Section: Introductionmentioning

confidence: 99%

The relationship between perceived milk supply and exclusive breastfeeding during the first six months postpartum: a cross-sectional study

et al. 2020

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Background: Perceived milk supply is an important modifiable factor for optimal breastfeeding. However, little is known about maternal perception of milk supply or how it impacts breastfeeding practices. The aim of this study was to examine relationships of perceived milk supply, maternal breastfeeding self-efficacy, and skin-to-skin contact with early initiation and exclusive breastfeeding among mothers of infants less than 6 months of age in Indonesia. Methods: This was a cross-sectional study conducted in Yogyakarta City, Indonesia between August and October 2015. Maternal perception of milk supply was assessed using the Hill and Humenick Lactation Scale. Data on breastfeeding practices, and maternal and infant factors were collected using a structured questionnaire. Multiple regression and multivariate logistic regression analyses were performed to obtain estimates of associations. Results: Thirty four percent of mothers had initiated breastfeeding within an hour after birth, and 62.4% of mothers were exclusively breastfeeding. High levels of perceived breast milk supply were reported in mothers who practiced skin-to-skin contact or rooming-in with their infants, experienced positive infant sucking behavior, or had high breastfeeding self-efficacy (p < 0.05). Mothers with a higher level of perceived milk production (Odds Ratio [OR] 3.20; 95% Confidence Interval [CI] 1.76, 5.83) or practicing skin-to-skin contact (OR 2.36; 95% CI 1.13, 4.91) were more likely to exclusively breastfeed, while employed mothers were less likely to breastfeed their infants exclusively (OR 0.47; 95% CI 0.24, 0.93). Conclusions: In this study, skin-to-skin contact and breastfeeding self-efficacy are important determinants of perceived milk supply. Higher perception of milk supply was positively linked with exclusive breastfeeding. Our study highlights the importance of the assessment for mother's perception of milk supply, maternal breastfeeding self-efficacy, and skin-to-skin contact in achieving optimal breastfeeding outcomes.

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“…Beberapa peneliti telah menunjukkan hasil keefektifan intervensi pemberian dukungan menyusui, meskipun diantara penelitian tersebut masih terdapat bukti yang belum menunjukkan dampak positif intervensi. Oleh sebab itu, pengembangan multipel intervensi dilakukan meliputi dukungan menyusui co-parenting multifaset bagi ibu primipara multikultural (Abbass-Dick et al, 2015) (Flaherman et al, 2018), pemahaman yang salah mengenai kolostrum, dan penempatan neonatus terpisah dari ibu agar ibu dapat beristirahat paska operasi (Titaley, Loh, Prasetyo, Ariawan, & Shankar, 2014). Berdasarkan beberapa temuan tersebut, maka pendidikan kesehatan yang memadai terkait menyusui harus terus-menerus dilakukan agar ibu mendapat informasi yang benar dan dapat memperbaiki persepsi ibu dan keluarga.…”

Section: Variasi Intervensi Dukungan Menyusui Untuk Mempromosikan Pemunclassified

Pengaruh Dukungan Keluarga dan Teman Sebaya terhadap Ibu Menyusui Neonatus di Rumah Sakit: Telaah Literatur

Natalia

Rustina

2020

JPKI

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ABSTRAKPemberian ASI pada neonatus di rumah sakit mengalami banyak tantangan. Sementara itu, mempertahankan pemberian ASI dapat meningkatkan status kesehatan bayi, menurunkan morbiditas dan mortalitas neonatal. Intervensi untuk mempertahankan menyusui selama masa perawatan diantaranya dukungan menyusui dari keluarga dan teman sebaya. Tujuan penulisan artikel adalah untuk menelaah pengaruh intervensi dukungan keluarga dan teman sebaya terhadap ibu menyusui neonatus di rumah sakit. Artikel ini menggunakan pendekatan telaah literatur tahun 2009-2019. Telaah literatur dilakukan terhadap sembilan artikel yang memenuhi kriteria inklusi menunjukkan bahwa sumber dukungan menyusui dapat diperoleh dari keluarga dan teman sebaya. Dukungan menyusui dari pasangan, nenek, dan teman sebaya direkomendasikan untuk ibu-ibu berisiko menghentikan menyusui bayi. Dukungan menyusui yang bersumber dari keluarga dan teman sebaya memberi dampak positif terhadap peningkatan pengetahuan, sikap dan praktik menyusui. Peningkatan proporsi pemberian ASI, durasi menyusui, dan efikasi diri keluarga dalam membantu ibu menyusui. Perawat dapat menggunakan intervensi dukungan menyusui yang bervariasi sesuai dengan kondisi ibu untuk mempromosikan pemberian ASI pada neonatus di rumah sakit. ABSTRACTBreastfeeding newborns in hospitals experiences many challenges. Meanwhile, maintaining breastfeeding can improve a baby's health status, reduce neonatal morbidity and mortality. Interventions in order to breastfeeding during the treatment period include breastfeeding support from family and peers. This literature review aim to examine the effect of family and peer support on breastfeeding mothers in the hospital. This article uses a literature review approach from 2009-2019. Literature review conducted on nine articles that met the inclusion criteria shows that breastfeeding support can be obtained from family and peers. Breastfeeding support from partners, grandmothers, and peers is recommended for mothers at risk of stopping breastfeeding babies. Breastfeeding support sourced from family and peers has a positive impact on improving breastfeeding knowledge, attitudes and practices. Increasing the proportion of breastfeeding, duration of breastfeeding, and family self-efficacy in helping breastfeeding mothers. Nurses can use breastfeeding support interventions that vary according to the mother's condition to promote breastfeeding for newborns in the hospital.

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Barriers to exclusive breast-feeding in Indonesian hospitals: a qualitative study of early infant feeding practices

Cited by 26 publications

References 25 publications

Progress towards reducing sociodemographic disparities in breastfeeding outcomes in Indonesia: a trend analysis from 2002 to 2017

Progress towards reducing sociodemographic disparities in breastfeeding outcomes in Indonesia: a trend analysis from 2002 to 2017

The relationship between perceived milk supply and exclusive breastfeeding during the first six months postpartum: a cross-sectional study

Pengaruh Dukungan Keluarga dan Teman Sebaya terhadap Ibu Menyusui Neonatus di Rumah Sakit: Telaah Literatur

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