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 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 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 ◽  
Structured Interviews ◽  
Breastfeeding Support ◽  
Cross Sectional ◽  
Health Care Clinics ◽  
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 the initiation and sustaining of breastfeeding, implemented between 2014 and 2017. We present results of two surveys conducted before and after KIBS implementation to assess changes in infant 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 exclusively breastfeeding 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 who reported 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), as were 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 Are we doing enough? Exclusive breastfeeding has increased but non-initiation and early cessation of breastfeeding remain a challenge: findings of two consecutive cross-sectional surveys in KwaZulu-Natal, South Africa

2019 ◽  
Author(s):  
Christiane Horwood ◽  
Lyn Haskins ◽  
Ingunn Marie Engebretsen ◽  
Catherine Connolly ◽  
Anna Coutsoudis ◽  
...  
Keyword(s):  
Exclusive Breastfeeding ◽  
Hiv Positive ◽  
Structured Interviews ◽  
Breastfeeding Support ◽  
Cross Sectional ◽  
Health Care Clinics ◽  
Hiv Positive Mothers ◽  
Kwazulu Natal ◽  
Before And After ◽  
Duration Of Breastfeeding

Abstract Background: KwaZulu-Natal (KZN) Initiative for breastfeeding support (KIBS) was a multipronged intervention to support breastfeeding implemented between 2014 and 2017. We present results of two surveys conducted before and after KIBS implementation to assess changes in infant 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 this 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 and analyzed using Stata13. Results: At KIBS1 (May 2014- March 2015), 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 exclusively breastfeeding 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 who reported 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 reasons for these challenges and support breastfeeding particularly among working mothers and HIV positive mothers.

scholarly journals Determinants of breastfeeding practices among mothers in Malawi: a population-based survey

2019 ◽  
Vol 12 (2) ◽  
pp. 132-141
Author(s):  
Roselyn Chipojola ◽  
Gabrielle T Lee ◽  
Hsiao-Yean Chiu ◽  
Pi-Chen Chang ◽  
Shu-Yu Kuo
Keyword(s):  
Antenatal Care ◽  
Exclusive Breastfeeding ◽  
Multivariate Logistic Regression Analysis ◽  
Early Initiation ◽  
Bottle Feeding ◽  
Care Practice ◽  
Breastfeeding Support ◽  
Cross Sectional ◽  
Breastfeeding Practices ◽  
Determinants Of Breastfeeding

Abstract Background High rates of early initiation and exclusive breastfeeding have been reported in Malawi, yet the underlying factors are unknown. Our objective is to examine the determinants of breastfeeding practices for mothers of infants less than 24 months old in Malawi. Methods A cross-sectional study was conducted using nationally representative data from the 2010 Malawi Demographic and Health Survey. Multivariate logistic regression analysis was used. Results Of 7282 women, 95.4% initiated breastfeeding within 1 hour after birth; thereafter 71.3% of women practiced exclusive breastfeeding, 6.1% predominantly breastfed, and 1.9% chose bottle feeding exclusively. The odds of early initiation were higher among women with frequent antenatal care visits and multiparous mothers. Similarly, frequent antenatal care visits and hospital delivery were positive determinants for exclusive breastfeeding. Infants at 6 months of age were more likely to predominantly breastfeed than they were at 1 month. The odds of bottle feeding were higher among women who were educated, who delivered at a hospital. Conclusions Optimal breastfeeding practices are highly prevalent in Malawi. Health care practice emphasizing frequent antenatal care visits that provide breastfeeding education and breastfeeding support in hospital care after childbirth are important for sustaining breastfeeding.

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 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.

scholarly journals Breastfeeding Practice among HIV Positive Mothers Receiving Care for PMTCT at the University of Port Harcourt Teaching Hospital (UPTH), Port Harcourt, Nigeria

2020 ◽  
pp. 1-8
Author(s):  
Nsirimobu Ichendu Paul ◽  
Balafama Abinye Alex-Hart
Keyword(s):  
Exclusive Breastfeeding ◽  
Hiv Transmission ◽  
Cross Sectional Study ◽  
Hiv Positive ◽  
P Value ◽  
Feeding Practice ◽  
Cross Sectional ◽  
Feeding Method ◽  
Port Harcourt ◽  
Hiv Positive Mothers

Background: Exclusive Breastfeeding (EBF) is the recommended feeding method for HIV exposed infants in resource limited settings. This study aimed to evaluate the feeding practices and possible determinants among HIV-positive mothers receiving care for prevention of mother-to-child transmission programme (PMTCT) in Port Harcourt, Nigeria. Methods: This was a cross-sectional study among HIV positive mothers who were receiving care for PMTCT. A structured questionnaire was self-administered to mothers whose babies were at least one year old. Information obtained included the sociodemographic characteristics of the mothers, the choice of feeding practiced by the mothers, reason for the choice of feeding, duration of breastfeeding and reason for breastfeeding. Obtained data was analysed and a p-value of <0.05 was considered statistically significant. Results:  A total of 234 mothers participated in the study. Exclusive breastfeeding (EBF) was the predominant type of feeding practiced by the mothers with an EBF rate of 91.4%. Prevention of HIV transmission to the child (85.5%) and the nutritional benefits of the milk (70.9%) were the main underlying reason for the mother’s choice of feeding. One hundred and sixty eight (76.4%) breastfed for 7-12 Months, 156 (70.9%) practiced breastfeeding because of personal choice, while 42 (19.9%) breastfed for fear of HIV status being disclosed. Significantly more of the married mothers exclusively breastfed their children than the unmarried counterparts (X 2 = 23.99, p = 0.0001).  Conclusion: Breastfeeding is the commonest feeding practice among HIV positive mother and the EBF rate among these mothers is high and must be encouraged. Regular and consistent use of ART among HIV positive mothers must be encouraged and supported since the desire to prevent MTCT was the commonest motivation for the feeding choice among these mothers.

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. 

Sign in / Sign up

Export Citation Format

Share Document