Maternal Country of Birth and Exclusive Breastfeeding During the First In-Hospital Day in Portugal: The Influence of the Baby-Friendly Hospital Initiative

2020 ◽  
pp. 089033442098224
Author(s):  
Cosima Lisi ◽  
Cláudia De Freitas ◽  
Henrique Barros
Keyword(s):  
Exclusive Breastfeeding ◽  
Positive Association ◽  
Positive Influence ◽  
Breastfeeding Initiation ◽  
Eastern European ◽  
Baby Friendly Hospital Initiative ◽  
Country Of Birth ◽  
Breastfeeding Practices ◽  
Healthcare Experiences ◽  
Eastern European Countries

Background Early breastfeeding practices are important determinants of later breastfeeding behaviors and can be influenced by multiple factors. Despite the Baby-Friendly Hospital Initiative reported positive influence on breastfeeding initiation, its influence on the association between maternal country of birth and first day in-hospital breastfeeding has not been examined. Research aims To determine (1) if association between maternal country of birth and first day in-hospital exclusive breastfeeding exists in Portugal and (2) if any association is affected by giving birth in a Baby-Friendly Hospital. Methods Data were drawn from baMBINO—a longitudinal, 2017–2019 nationwide study designed to assess the perinatal health and healthcare experiences of migrant and native Portuguese women. Data from participants ( N = 5,340) were collected during their hospital stay from 32 maternity units. Missing data were handled through multiple imputation. After stratifying by Baby-Friendly Hospital Initiative accreditation, a multivariate logistic regression was performed. Results First day in-hospital exclusive breastfeeding rates were high among both migrant and native participants (89.2% vs. 87.4%). Migrants were more likely to exclusively breastfeed when compared to natives ( OR = 1.19, 95% CI [1.00, 1.41]). In non-Baby-Friendly Hospitals, a positive association was found between participants from Eastern European countries (a OR = 2.46, 95% CI [1.27, 4.78]) and first day in-hospital exclusive breastfeeding. In accredited hospitals, maternal country of birth did not influence exclusive breastfeeding during the first 24 hr. Conclusions The Baby-Friendly Hospital Initiative attenuates differences between migrant and native participants, promoting optimal breastfeeding practices among natives.

scholarly journals FAKTOR YANG MEMPENGARUHI PRAKTIK MENYUSUI PADA IBU POST SECTIO CAESAREA DI RSI A. YANI SURABAYA

2018 ◽  
Vol 9 (1) ◽  
Author(s):  
Uke Maharani Dewi
Keyword(s):  
Vaginal Delivery ◽  
Breast Feeding ◽  
Exclusive Breastfeeding ◽  
Health Workers ◽  
Previous Experience ◽  
Sectio Caesarea ◽  
Feeding Practice ◽  
Breastfeeding Initiation ◽  
Breastfeeding Practices ◽  
Breastfeeding Practice

factors that affect the practice of nursing in the mother post section caesarea. Various programs to support the delivery of ASI has intensified coverage of ASI but still does not meet the expected target. Previous studies showed that breastfeeding initiation was late in babies born with sectio caesarea compared to those with vaginal delivery and prevalence of exclusive breastfeeding practice was low in the former group. The objective of this study was to define factors correlated breast feeding practice initiation on post sectio caesarea mother. 72 post sectio caesarea mothers were observed and interviewed on January 2012 to find the factors correlated with breastfeeding practice. The results showed that although 26.4% of them had previous experience in breastfeeding, only 6.9% and 29.2% of total breastfeeding is started on the first and second post sectio caesarea respectively. Support for breastfeeding practice from health workers was low, and there were significant correlation between the support and rooming conditions with breastfeeding practices (p = 0.001).

Influences of Cesarean Delivery on Breastfeeding Practices and Duration: A Prospective Cohort Study

2018 ◽  
Vol 34 (3) ◽  
pp. 526-534 ◽  
Author(s):  
Cheng Chen ◽  
Yan Yan ◽  
Xiao Gao ◽  
Shiting Xiang ◽  
Qiong He ◽  
...  
Keyword(s):  
Cohort Study ◽  
Regression Model ◽  
Cesarean Delivery ◽  
Vaginal Delivery ◽  
Prospective Cohort Study ◽  
Exclusive Breastfeeding ◽  
Prospective Cohort ◽  
Breastfeeding Duration ◽  
Breastfeeding Initiation ◽  
Breastfeeding Practices

Background: Mothers are encouraged to exclusively breastfeed for the first 6 months. However, cesarean delivery rates have increased worldwide, which may affect breastfeeding. Research aim: This study aimed to determine the potential effects of cesarean delivery on breastfeeding practices and breastfeeding duration. Methods: This was a 6-month cohort study extracted from a 24-month prospective cohort study of mother–infant pairs in three communities in Hunan, China. Data about participants’ characteristics, delivery methods, breastfeeding initiation, use of formula in the hospital, exclusive breastfeeding, and any breastfeeding were collected at 1, 3, and 6 months following each infant’s birth. The chi-square test, logistic regression model, and Cox proportional hazard regression model were used to examine the relationship between breastfeeding practices and cesarean delivery. Results: The number of women who had a cesarean delivery was 387 (40.6%), and 567 (59.4%) women had a vaginal delivery. The exclusive breastfeeding rates at 1, 3, and 6 months were 80.2%, 67.4%, and 21.5%, respectively. Women who had a cesarean delivery showed a lower rate of exclusive breastfeeding and any breastfeeding than those who had a vaginal delivery ( p < .05). In addition, cesarean delivery was related with using formula in the hospital and delayed breastfeeding initiation. Cesarean delivery also shortened the breastfeeding duration (hazard ratio = 1.40, 95% confidence interval [1.06, 1.84]). Conclusion: Healthcare professionals should provide more breastfeeding skills to women who have a cesarean delivery and warn mothers about the dangers of elective cesarean section for breastfeeding practices.

scholarly journals Are we doing enough? Improved breastfeeding practices at 14weeks but challenges of non-initiation and early cessation of breastfeeding remain: findings of two consecutive cross-sectional surveys in KwaZulu-Natal, South Africa

2020 ◽  
Author(s):  
Christiane Horwood ◽  
Lyn Haskins ◽  
Ingunn Marie Engebretsen ◽  
Catherine Connolly ◽  
Anna Coutsoudis ◽  
...  
Keyword(s):  
Exclusive Breastfeeding ◽  
Hiv Positive ◽  
Breastfeeding Initiation ◽  
Structured Interviews ◽  
Breastfeeding Support ◽  
Cross Sectional ◽  
Breastfeeding Practices ◽  
Hiv Positive Mothers ◽  
Kwazulu Natal ◽  
Before And After

Abstract Background KwaZulu-Natal (KZN) Initiative for breastfeeding support (KIBS) was a multipronged intervention to support breastfeeding initiation and sustained breastfeeding implemented between 2014 and 2017. We present results of two surveys conducted before and after KIBS implementation to assess changes in feeding practices in KZN over this time period. Methods Two cross-sectional surveys were conducted in primary health care clinics. Multistage stratified random sampling was used to select clinics and participants. Sample size was calculated to provide district estimates of 14-week exclusive breastfeeding (EBF) rates at baseline (KIBS1), and provincial estimates at endpoint (KIBS2). At KIBS1 the sample required was nine participating clinics in each of 11 districts (99 clinics) with 369 participants per district (N=4059), and at KIBS2 was 30 clinics in KZN with 30 participants per clinic (N=900). All caregivers aged ≥ 15 years attending the clinic with infants aged 13- <16 weeks were eligible to participate. Data was collected using structured interviews on android devices. Multi-variable logistic regression was used to adjust odds ratios for differences between time points. Results At KIBS1 (May2014- March2015), 4172 interviews were conducted with carers, of whom 3659 (87.6%) were mothers. At KIBS2 (January-August 2017), 929 interviews were conducted which included 788 (84.8%) mothers. Among all carers the proportion of EBF was 44.6% and 50.5% (p= 0.1) at KIBS1 and KIBS2 respectively, but greater improvements in EBF were shown among mothers (49.9 vs 59.1: p=0.02). There were reductions in mixed feeding among all infants (23.2% vs 16.3%; p=0.016). Although there was no change in the proportion of carers reporting not breastfeeding (31.9% vs 32.8%; p= 0.2), the duration of breastfeeding among mothers who had stopped breastfeeding was longer at KIBS2 compared to KIBS1 (p=0.0015). Mothers who had returned to work or school were less likely to be breastfeeding (AOR 3.76; 95% CI 3.1-4.6), this was similar among HIV positive mothers (AOR 2.1; 95% CI 1.7-2.6). Conclusion Despite improvements to exclusive breastfeeding, failure to initiate and sustain breastfeeding is a challenge to achieving optimal breastfeeding practices. Interventions are required to address these challenges and support breastfeeding particularly among working mothers and HIV positive mothers.

scholarly journals Hubungan Antara Pengetahuan Ibu dan IMD Dengan Praktik ASI Eksklusif

2017 ◽  
Vol 1 (4) ◽  
pp. 406
Author(s):  
Zuhud Nur Rosyid ◽  
Sri Sumarmi
Keyword(s):  
Breast Milk ◽  
Exclusive Breastfeeding ◽  
Random Sampling ◽  
Feeding Practice ◽  
Breastfeeding Initiation ◽  
Chi Square ◽  
Cross Sectional ◽  
Breastfeeding Practices ◽  
Cross Sectional Design ◽  
The Relationship

Background: Breast milk is the most appropriate food given to babies. Breast milk is the only drink or food that a baby needs at the age of 0-6 months first. Breast milk helps growth and development, contains anti-body and other essential nutrients that can protect babies from various diseases. In 2013, the exclusive breast milk presentation at Puskesmas Ayah I is 87.65%, decreasing in 2014 and 2015 become 78.26% and 71.65%. Many factors can influence the behavior of exclusive breastfeeding. Objectives: The purpose of this research was to analyze the relationship between mother knowledge and early breastfeeding initiation practice with exclusive breastfeeding prectices in the working area of Puskesmas Ayah I Kebumen Ditrict.Methods: The type of this research was quantitative using cross sectional design. This study was conducted from June-August of 2017. The population used was all mothers who were breastfeeding and had infants aged 6-11 months in three villages in the working area of Puskesmas Ayah I namely Tlagasari, Ayah and Bulurejo villages. Sampling by proportional random sampling method with sample size were 61 respondents. Data was analised by chi-square test.Results: The result showed that there was a relationship between mothers’s knowledge and exclusive breastfeding practice (p=0.000), and early breastfeeding initiation practice with Exclusive Breast-feeding practice (p=0.025)Conclusion: The mother's knowledge level on exclusive breastfeeding affects the success of exclusive breastfeeding practices. The existence of early initiation of breastfeeding practices by the mother, a greater chance in giving exclusive breastfeeding in infants.ABSTRAK Latar belakang : Air Susu Ibu (ASI) merupakan makanan yang paling tepat diberikan pada bayi. Air susu ibu satu-satunya minuman atau makanan yang diperlukan bayi pada usia 0-6 bulan pertama. ASI membantu pertumbuhan dan perkembangan, mengandung anti bodi dan zat gizi penting lainnya yang mampu melindungi bayi dari berbagai penyakit. Pada tahun 2013, cakupan ASI eksklusif di Puskesmas Ayah I sebesar 87, 65%, terjadi penurunan pada tahun 2014 dan tahun 2015 menjadi 78,26% dan 71,65%. Terdapat beberapa faktor yang berhubungan dengan perilaku pemberian ASI secara Eksklusif.Tujuan: Tujuan dari penelitian ini yaitu menganalisis hubungan antara pengetahuan ibu dan IMD dengan pemberian ASI secara eksklusif pada wilayah kerja Puskesmas Ayah I Kebumen.Metode : penelitian ini bersifat kuantitatif dengan desain cross sectional. Penelitian dilakukan bulan Juni sampai Agutus tahun 2017. Populasi dalam penelitian ini yaitu seluruh ibu yang pernah atau sedang menyusui dan memiliki bayi usia 6-11 bulan di desa Tlagasari, Ayah, dan Bulurejo Puskesmas Ayah I. Sampel diambil melalui metode proportional random sampling dan diperoleh sampel sebesar 61 responden. Analisis data menggunakan uji chi-square.Hasil : Bahwa ada hubungan yang bermakna antara pengetahuan ibu dengan pemberian ASI secara eksklusif (p=0,000), dan IMD dengan pemberian ASI secara eksklusif (p=0,025).Kesimpulan : Tingkat pengetahuan ibu mengenai ASI eksklusif berpengaruh terhadap keberhasilan praktik pemberian ASI eksklusif. Adanya praktik IMD oleh ibu, berpeluang lebih besar dalam memberikan ASI eksklusif pada bayi. 

scholarly journals Are we doing enough? Improved breastfeeding practices at 14weeks but challenges of non-initiation and early cessation of breastfeeding remain: findings of two consecutive cross-sectional surveys in KwaZulu-Natal, South Africa

2020 ◽  
Author(s):  
Christiane Horwood ◽  
Lyn Haskins ◽  
Ingunn Marie Engebretsen ◽  
Catherine Connolly ◽  
Anna Coutsoudis ◽  
...  
Keyword(s):  
Exclusive Breastfeeding ◽  
Hiv Positive ◽  
Breastfeeding Initiation ◽  
Structured Interviews ◽  
Breastfeeding Support ◽  
Cross Sectional ◽  
Breastfeeding Practices ◽  
Hiv Positive Mothers ◽  
Kwazulu Natal ◽  
Before And After

Abstract Background KwaZulu-Natal (KZN) Initiative for breastfeeding support (KIBS) was a multipronged intervention to support breastfeeding initiation and sustained breastfeeding implemented between 2014 and 2017. We present results of two surveys conducted before and after KIBS implementation to assess changes in feeding practices in KZN over this time period. Methods Two cross-sectional surveys were conducted in primary health care clinics. Multistage stratified random sampling was used to select clinics and participants. Sample size was calculated to provide district estimates of 14-week exclusive breastfeeding (EBF) rates at baseline (KIBS1), and provincial estimates at endpoint (KIBS2). At KIBS1 the sample required was nine participating clinics in each of 11 districts (99 clinics) with 369 participants per district (N=4059), and at KIBS2 was 30 clinics in KZN with 30 participants per clinic (N=900). All caregivers aged ≥ 15 years attending the clinic with infants aged 13- <16 weeks were eligible to participate. Data was collected using structured interviews on android devices. Multi-variable logistic regression was used to adjust odds ratios for differences between time points. Results At KIBS1 (May2014- March2015), 4172 interviews were conducted with carers, of whom 3659 (87.6%) were mothers. At KIBS2 (January-August 2017), 929 interviews were conducted which included 788 (84.8%) mothers. Among all carers the proportion of EBF was 44.6% and 50.5% (p= 0.1) at KIBS1 and KIBS2 respectively, but greater improvements in EBF were shown among mothers (49.9 vs 59.1: p=0.02). There were reductions in mixed feeding among all infants (23.2% vs 16.3%; p=0.016). Although there was no change in the proportion of carers reporting not breastfeeding (31.9% vs 32.8%; p= 0.2), the duration of breastfeeding among mothers who had stopped breastfeeding was longer at KIBS2 compared to KIBS1 (p=0.0015). Mothers who had returned to work or school were less likely to be breastfeeding (AOR 3.76; 95% CI 3.1-4.6), this was similar among HIV positive mothers (AOR 2.1; 95% CI 1.7-2.6). Conclusion Despite improvements to exclusive breastfeeding, failure to initiate and sustain breastfeeding is a challenge to achieving optimal breastfeeding practices. Interventions are required to address these challenges and support breastfeeding particularly among working mothers and HIV positive mothers.

scholarly journals Maternal country of birth and in-hospital exclusive breastfeeding: results from a Portuguese study

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
C Lisi ◽  
C Freitas ◽  
H Barros
Keyword(s):  
Hospital Stay ◽  
Exclusive Breastfeeding ◽  
Early Stage ◽  
Mode Of Delivery ◽  
Country Of Birth ◽  
African Countries ◽  
Native Women ◽  
Mainland Portugal ◽  
Breastfeeding Practices ◽  
Portuguese Study

Abstract Background Breastfeeding provides benefits for children, mothers, society and the environment. The promotion of optimal breastfeeding, from an early stage in life is, therefore, a public health priority. Infant feeding can be influenced by maternal country of birth. However, studies carried out in European settings point to inconsistent findings. This study aims to compare first day in-hospital exclusive breastfeeding among migrant and native women in Portugal. Methods This study is based on a national project on perinatal health among migrants and natives in Portugal (baMBINO). Out of 39 public maternity units in mainland Portugal, 32 were enrolled. Women aged 18 years old or older with a live birth were recruited. The final sample included 5109 participants (2431 natives and 2678 migrants). Logistic regression was used to assess the association between maternal country of birth and in-hospital exclusive breastfeeding. Results Migrant participants included women from Portuguese-speaking African countries (PSAC) (49,7%), Brazil (18%), Eastern Europe (10.2%), other European countries (9.6%), Asia (5.5%) and other countries (7.0%). No differences were found between migrants and natives, with the exception of women from PSAC who were more likely to exclusively breastfeed during the first day of hospital stay (aOR 1.34 CI95% 1.05-1.72), irrespective of maternal age, education, parity, type of pregnancy, reproductive assistance, tobacco use, gestational age, newborn birth weight, mode of delivery and antenatal care. Conclusions In Portugal, women from PSAC are more likely to exclusively breastfeed their babies during the first day of hospital stay when compared to native women. Strategies to maintain healthy breastfeeding practices in this population are fundamental. Key messages Women from PSAC are more likely to breastfeed exclusively in the first day after delivery than Portuguese natives. They should be supported in the maintenance of optimal breastfeeding practices.

scholarly journals Time trends and determinants of breastfeeding practices among adolescents and young women in Nigeria, 2003–2018

2020 ◽  
Vol 5 (8) ◽  
pp. e002516
Author(s):  
Lenka Benova ◽  
Manahil Siddiqi ◽  
Ibukun-Oluwa Omolade Abejirinde ◽  
Okikiolu Badejo
Keyword(s):  
Adolescent Mothers ◽  
Young Women ◽  
Exclusive Breastfeeding ◽  
Maternal Age ◽  
Age Groups ◽  
Economic Benefits ◽  
Demographic And Health Surveys ◽  
Breastfeeding Initiation ◽  
Age Group ◽  
Breastfeeding Practices

IntroductionOptimal breastfeeding practices have far-reaching health and economic benefits. Evidence suggests disparities in breastfeeding practices by maternal age-groups, with younger mothers often having lower rates of breastfeeding initiation, continuation and exclusivity compared with older mothers. There is limited knowledge of trends and factors associated with breastfeeding practices, particularly among adolescent and younger mothers in Nigeria. We examine key breastfeeding practices in Nigeria over a 15-year period, comparing adolescent mothers to young women.MethodsWe used four Nigeria Demographic and Health Surveys collected between 2003 and 2018. We constructed six key breastfeeding indicators to cover the time period of breastfeeding from initiation to child age 24 months in women of three maternal age groups at the time of birth: young adolescents (<18 years), older adolescents (18–19.9 years) and young women (20–24.9 years). We used logistic regression to examine the association between maternal age group and select breastfeeding behaviours on the 2018 survey.ResultsAnalysis showed an increase in optimal breastfeeding practices across the four surveys and among all maternal age groups examined. Adolescent mothers had consistently lower prevalence for three of the six key breastfeeding indicators: early initiation of breastfeeding, exclusive breastfeeding <6 months and no prelacteal feed. Compared with young women, adolescent mothers had a higher prevalence of continued breastfeeding at 1 and 2 years. In multivariate analysis, we found that maternal age group was not associated with early breastfeeding initiation or with exclusive breastfeeding <6 months. However, several sociodemographic (ethnicity, region of residence) and healthcare-related (mode of delivery, antenatal care, postnatal breastfeeding counselling) factors were strongly associated with these two practices.ConclusionsIn Nigeria, there is need to better support breastfeeding and nutritional practices in adolescents and young women focusing on ethnic groups (Hausa, Fulani, Kanuri/Beriberi) and geographic regions (South East) that are lagging behind.

scholarly journals Is increasing urbanicity associated with changes in breastfeeding duration in rural India? An analysis of cross-sectional household data from the Andhra Pradesh children and parents study

BMJ Open ◽  
2017 ◽  
Vol 7 (9) ◽  
pp. e016331 ◽  
Author(s):  
Laura Oakley ◽  
Christopher P Baker ◽  
Srivalli Addanki ◽  
Vipin Gupta ◽  
Gagandeep Kaur Walia ◽  
...  
Keyword(s):  
Exclusive Breastfeeding ◽  
Andhra Pradesh ◽  
Maternal Education ◽  
Early Stage ◽  
Breastfeeding Duration ◽  
Similar Proportion ◽  
Breastfeeding Initiation ◽  
Cross Sectional ◽  
Breastfeeding Practices ◽  
Children And Parents

ObjectiveTo investigate whether village-level urbanicity and lower level socioeconomic factors are associated with breastfeeding practices in transitioning rural communities in India.Setting29 villages in Ranga Reddy district, southern India between 2011 and 2014.Participants7848 children under 6 years identified via a cross-sectional household survey conducted as part of the Andhra Pradesh Children and Parents Study.Outcome measuresTwo key indicators of optimal breastfeeding: termination of exclusive breastfeeding before 6 months and discontinuation of breastfeeding by 24 months. Village urbanicity was classified as low, medium or high according to satellite assessed night-light intensity.ResultsBreastfeeding initiation was almost universal, and approximately two in three children were exclusively breastfed to 6 months and a similar proportion breastfed to 24 months. Using multilevel logistic regression, increasing urbanicity was associated with breastfeeding discontinuation before 24 months (medium urbanicity OR 1.45, 95% CI 0.71 to 2.96; high urbanicity OR 2.96, 95% CI 1.45 to 6.05) but not with early (<6 months) termination of exclusive breastfeeding. Increased maternal education was independently associated with both measures of suboptimal breastfeeding, and higher household socioeconomic position was associated with early termination of exclusive breastfeeding.ConclusionIn this transitional Indian rural community, early stage urbanicity was associated with a shorter duration of breastfeeding. Closer surveillance of changes in breastfeeding practices alongside appropriate intervention strategies are recommended for emerging economies.

Trends in Breastfeeding Practices and Mothers’ Experience in the French Nutrinet-Santé Cohort.

2020 ◽  
Author(s):  
Frederic Courtois ◽  
Sandrine Péneau ◽  
Benoît Salavane ◽  
Valentina A Andreeva ◽  
Marie-Françoise Roland-Cachera ◽  
...  
Keyword(s):  
20Th Century ◽  
Exclusive Breastfeeding ◽  
Health Benefits ◽  
Breastfeeding Duration ◽  
Breastfeeding Initiation ◽  
Breastfeeding Support ◽  
The Past ◽  
Breastfeeding Practices ◽  
The World ◽  
Breastfeeding Cessation

Abstract BackgroundDespite the suggested health benefits of breastfeeding for infants and mothers,France has one of the lowest rates regarding breastfeeding initiation and duration in the world. Fewstudies have been performed concerning the extent of breastfeeding practices in France since themiddle of the 20th century, or regarding the mothers’ practices from initiation to cessation. Thepurpose of our study is to determine trends in breastfeeding over the past decades and to examinemothers’ perceptions about factors known to have an impact on breastfeeding support and cessation.Methods29,953 parous women from the French NutriNet-Santé cohort were included in theprsent study. Using web-questionnaires, they were asked retrospectively if they breastfed or nottheir youngest child, and if so, the duration of the exclusive and total breastfeeding. For those whohad breastfed, we investigated their perceptions about support at initiation and during the entirebreastfeeding period and the reasons for breastfeeding cessation. We also asked those who did notbreastfeed about their perceptions on non-breastfeeding their youngest child and the reasons forchoosing to bottle-fed him or her. Analyses were weighted according to the French census data.Results67.3% of mothers in the NutriNet-Santé cohort breastfed their youngest child. Theproportion of breastfed children increased tover the past few decades, from 55.0% (95%CI: 54.3 –55.6) in the 1970s to 82.9% (82.4 – 83.4) in the 2010s. Mean total breastfeeding duration was 4.7months (4.5 – 5.0) while exclusive breastfeeding duration was 2.8 months (2.7 – 2.9). Mothers feltsupported at initiation and over the breastfeeding period. 59.5% of mothers reported a desire to havebreastfed more than 2 months longer. Mothers who did not breastfeed did it by choice (64.3%).They did not feel guilty (78.2%) and did not perceive a problem not to breastfeed (58.8%), butalmost half of them would have liked to breastfeed (45.9%).ConclusionBreastfeeding duration has increased in the past decades but did not reach the publichealth recommendations threshold. Other targets than mothers have to be considered, like the fatherand her environment, to increase breastfeeding practices.Trial RegistrationThe study was registered at ClinicalTrials.gov (NCT03335644).

scholarly journals Hubungan Antara Pengetahuan Ibu dan IMD Dengan Praktik ASI Eksklusif

2017 ◽  
Vol 1 (4) ◽  
pp. 406
Author(s):  
Zuhud Nur Rosyid ◽  
Sri Sumarmi
Keyword(s):  
Breast Milk ◽  
Exclusive Breastfeeding ◽  
Random Sampling ◽  
Feeding Practice ◽  
Breastfeeding Initiation ◽  
Chi Square ◽  
Cross Sectional ◽  
Breastfeeding Practices ◽  
Cross Sectional Design ◽  
The Relationship

Background: Breast milk is the most appropriate food given to babies. Breast milk is the only drink or food that a baby needs at the age of 0-6 months first. Breast milk helps growth and development, contains anti-body and other essential nutrients that can protect babies from various diseases. In 2013, the exclusive breast milk presentation at Puskesmas Ayah I is 87.65%, decreasing in 2014 and 2015 become 78.26% and 71.65%. Many factors can influence the behavior of exclusive breastfeeding. Objectives: The purpose of this research was to analyze the relationship between mother knowledge and early breastfeeding initiation practice with exclusive breastfeeding prectices in the working area of Puskesmas Ayah I Kebumen Ditrict.Methods: The type of this research was quantitative using cross sectional design. This study was conducted from June-August of 2017. The population used was all mothers who were breastfeeding and had infants aged 6-11 months in three villages in the working area of Puskesmas Ayah I namely Tlagasari, Ayah and Bulurejo villages. Sampling by proportional random sampling method with sample size were 61 respondents. Data was analised by chi-square test.Results: The result showed that there was a relationship between mothers’s knowledge and exclusive breastfeding practice (p=0.000), and early breastfeeding initiation practice with Exclusive Breast-feeding practice (p=0.025)Conclusion: The mother's knowledge level on exclusive breastfeeding affects the success of exclusive breastfeeding practices. The existence of early initiation of breastfeeding practices by the mother, a greater chance in giving exclusive breastfeeding in infants.ABSTRAK Latar belakang : Air Susu Ibu (ASI) merupakan makanan yang paling tepat diberikan pada bayi. Air susu ibu satu-satunya minuman atau makanan yang diperlukan bayi pada usia 0-6 bulan pertama. ASI membantu pertumbuhan dan perkembangan, mengandung anti bodi dan zat gizi penting lainnya yang mampu melindungi bayi dari berbagai penyakit. Pada tahun 2013, cakupan ASI eksklusif di Puskesmas Ayah I sebesar 87, 65%, terjadi penurunan pada tahun 2014 dan tahun 2015 menjadi 78,26% dan 71,65%. Terdapat beberapa faktor yang berhubungan dengan perilaku pemberian ASI secara Eksklusif.Tujuan: Tujuan dari penelitian ini yaitu menganalisis hubungan antara pengetahuan ibu dan IMD dengan pemberian ASI secara eksklusif pada wilayah kerja Puskesmas Ayah I Kebumen.Metode : penelitian ini bersifat kuantitatif dengan desain cross sectional. Penelitian dilakukan bulan Juni sampai Agutus tahun 2017. Populasi dalam penelitian ini yaitu seluruh ibu yang pernah atau sedang menyusui dan memiliki bayi usia 6-11 bulan di desa Tlagasari, Ayah, dan Bulurejo Puskesmas Ayah I. Sampel diambil melalui metode proportional random sampling dan diperoleh sampel sebesar 61 responden. Analisis data menggunakan uji chi-square.Hasil : Bahwa ada hubungan yang bermakna antara pengetahuan ibu dengan pemberian ASI secara eksklusif (p=0,000), dan IMD dengan pemberian ASI secara eksklusif (p=0,025).Kesimpulan : Tingkat pengetahuan ibu mengenai ASI eksklusif berpengaruh terhadap keberhasilan praktik pemberian ASI eksklusif. Adanya praktik IMD oleh ibu, berpeluang lebih besar dalam memberikan ASI eksklusif pada bayi. 

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