The Effect of Lactation Education on Increasing Knowledge of Breastfeeding Mothers at Manembo-Nembo Hospital, Bitung City

Philia Phoebe Pangandaheng; Reny Retnaningsih

doi:10.55606/detector.v3i2.5947

Authors

Philia Phoebe Pangandaheng Institut Teknologi Sains dan Kesehatan Rs. dr. Soepraoen Malang
Reny Retnaningsih Institut Teknologi Sains dan Kesehatan Rs. dr. Soepraoen Malang

DOI:

https://doi.org/10.55606/detector.v3i2.5947

Keywords:

Breast Milk, Breastfeeding Knowledge, Hospital, Lactation Education, Postpartum Mothers

Abstract

Breastfeeding success is greatly influenced by the mother's level of knowledge, especially during the early postpartum period, which is a crucial adaptation phase in the lactation process. Lactation education is a strategic intervention to improve mothers' understanding of the benefits of breast milk, proper breastfeeding techniques, and management of lactation problems. This study aims to analyze the effect of lactation education on improving mothers' knowledge of breastfeeding at Manembo-Nembo Hospital, Bitung City. This study used a quasi-experimental design with a one-group pretest–posttest approach. The study sample consisted of 30 mothers selected using a purposive sampling technique. Knowledge levels were measured before and after lactation education using a structured questionnaire. The lactation education intervention was delivered through interactive lectures, discussions, and demonstrations of breastfeeding techniques. Data were analyzed univariately and bivariately using the Wilcoxon Signed Rank Test with a significance level of p < 0.05. The results showed an increase in mothers' knowledge after lactation education. The distribution of knowledge levels shifted to the better category, and the Wilcoxon test results showed a significant difference between knowledge scores before and after the intervention (p < 0.05). The conclusion of this study indicates that lactation education significantly improved maternal breastfeeding knowledge. Lactation education can be used as an effective intervention in postpartum care in hospitals to support successful breastfeeding and improve the quality of midwifery care.

Downloads

Download data is not yet available.

References

Abuidhail, J., Al-Modallal, H., Yousif, R., & Almresi, N. (2017). Exclusive breastfeeding and breastfeeding knowledge among mothers in Jordan. Journal of Human Lactation, 33(1), 103–110. https://doi.org/10.1177/0890334416679382

Balogun, O. O., O’Sullivan, E. J., McFadden, A., Ota, E., Gavine, A., Garner, C. D., … MacGillivray, S. (2016). Interventions for promoting the initiation of breastfeeding. Cochrane Database of Systematic Reviews, 2016(11), CD001688. https://doi.org/10.1002/14651858.CD001688.pub3

Bandura, A. (2018). Toward a psychology of human agency: Pathways and reflections. Perspectives on Psychological Science, 13(2), 130–136. https://doi.org/10.1177/1745691617699280

Brockway, M., Benzies, K., & Hayden, K. A. (2017). Interventions to improve breastfeeding self-efficacy and resultant breastfeeding rates: A systematic review and meta-analysis. Journal of Human Lactation, 33(3), 486–499. https://doi.org/10.1177/0890334417707957

Brown, A. (2017). Breastfeeding as a public health responsibility: A review of the evidence. Journal of Human Nutrition and Dietetics, 30(6), 759–770. https://doi.org/10.1111/jhn.12496

Central Statistics Agency. (2023). Percentage of infants aged 0–5 months who receive exclusive breastfeeding by province. BPS Republic of Indonesia.

Chang, Y. S., Glaria, A. A., Davie, P., Beake, S., Bick, D., & Taylor, B. (2020). Breastfeeding self-efficacy and related outcomes: A systematic review. Midwifery, 90, 102810. https://doi.org/10.1016/j.midw.2020.102810

Dennis, C. L. (2015). Theoretical underpinnings of breastfeeding confidence: A self-efficacy framework. Journal of Human Lactation, 31(3), 388–395. https://doi.org/10.1177/0890334415575194

Glanz, K., Rimer, B. K., & Viswanath, K. (2015). Health behavior: Theory, research, and practice (5th ed.). Jossey-Bass.

Jaafar, S. H., Ho, J. J., Lee, K. S., & Brown, J. (2016). Rooming-in for new mother and infant versus separate care for increasing the duration of breastfeeding. Cochrane Database of Systematic Reviews, 2016(8), CD006641. https://doi.org/10.1002/14651858.CD006641.pub3

Kim, S. K., Park, S., Oh, J., Kim, J., & Ahn, S. (2018). Interventions promoting exclusive breastfeeding up to six months after birth: A systematic review and meta-analysis of randomized controlled trials. International Journal of Nursing Studies, 80, 94–105. https://doi.org/10.1016/j.ijnurstu.2018.01.004

McFadden, A., Gavine, A., Renfrew, M. J., Wade, A., Buchanan, P., Taylor, J. L., … MacGillivray, S. (2017). Support for healthy breastfeeding mothers with healthy term babies. Cochrane Database of Systematic Reviews, 2017(2), CD001141. https://doi.org/10.1002/14651858.CD001141.pub5

Ministry of Health of the Republic of Indonesia. (2022). Indonesian Demographic and Health Survey (IDHS) 2022: Summary of main results. Ministry of Health of the Republic of Indonesia.

Ministry of Health of the Republic of Indonesia. (2023). Indonesian Health Survey (SKI) 2023: Summary of main results. Ministry of Health of the Republic of Indonesia.

Nair, N., Tripathy, P., Sachdev, H. S., Pradhan, H., Bhattacharyya, S., Gope, R., … Costello, A. (2020). Effect of participatory women’s groups and counselling on breastfeeding practices. BMC Public Health, 20, 282. https://doi.org/10.1186/s12889-020-8367-1

Pérez-Escamilla, R., Martinez, J. L., & Segura-Pérez, S. (2017). Impact of the Baby-friendly Hospital Initiative on breastfeeding and child health outcomes: A systematic review. Maternal & Child Nutrition, 12(3), e12376. https://doi.org/10.1111/mcn.12376

Rollins, N. C., Bhandari, N., Hajeebhoy, N., Horton, S., Lutter, C. K., Martines, J. C., … Victora, C. G. (2016). Why invest, and what it will take to improve breastfeeding practices? The Lancet, 387(10017), 491–504. https://doi.org/10.1016/S0140-6736(15)01044-2

Shorey, S., Chan, S. W. C., & Chong, Y. S. (2019). A systematic mixed-methods review on breastfeeding education and support. Journal of Advanced Nursing, 75(6), 1100–1117. https://doi.org/10.1111/jan.13941

UNICEF, & World Health Organization. (2018). Implementation guidance: Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services. WHO.

UNICEF, & World Health Organization. (2023). Global breastfeeding scorecard 2023: Rates, trends and disparities. WHO.

UNICEF. (2019). Breastfeeding: A mother’s gift, for every child. UNICEF.

Victora, C. G., Bahl, R., Barros, A. J. D., França, G. V. A., Horton, S., Krasevec, J., … Rollins, N. C. (2016). Breastfeeding in the 21st century: Epidemiology, mechanisms, and lifelong effect. The Lancet, 387(10017), 475–490. https://doi.org/10.1016/S0140-6736(15)01024-7

World Health Organization, & UNICEF. (2021). Global strategy for infant and young child feeding. WHO.

World Health Organization. (2017). Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services. WHO.