scholarly journals Influence of Breastfeeding Support Group (KP-ASI) on the success of exclusive breastfeeding in the Molingkapoto Community Health Center

2021 ◽  
Vol 6 (1) ◽  
pp. 1
Author(s):  
Dwi Nur Octaviani ◽  
Sugianto Sugianto ◽  
Masmuni Wahda Aisya ◽  
Nurhayati Mahmud
Keyword(s):  
Support Groups ◽  
Support Group ◽  
Exclusive Breastfeeding ◽  
Community Health Center ◽  
Statistical Test ◽  
Breastfeeding Support ◽  
Chi Square ◽  
Cross Sectional ◽  
Independent Variable ◽  
Quantitative Descriptive

Exclusive breastfeeding is giving only breast milk without giving other food and drinks to babies from birth to 6 months of age, except for drugs and vitamins. The purpose of this study was to determine the effect of breastfeeding support groups (KP-ASI) on the success of exclusive breastfeeding. The research method used is quantitative descriptive analytic which is cross sectional. The independent variable is the breastfeeding support group (KP-ASI), while the dependent variable is the success of exclusive breastfeeding. Case samples are mothers who have babies aged 6-24 months. The results of the study were based on the Chi-square statistical test, the results obtained were p = 0.001 (p <0.05), meaning that there was a significant relationship between breastfeeding support groups (KP-ASI) on the success of exclusive breastfeeding. Conclusion Breastfeeding Support Groups (KP-ASI) have a very big influence on the success of exclusive breastfeeding; most of who are assisted makes it to the exclusive breastfeeding stage.

Mothers’ Perceptions of the Influence of a Breastfeeding Support Group in Achieving Their Breastfeeding Goals

2020 ◽  
Vol 11 (2) ◽  
pp. 74-83
Author(s):  
JoAnne Silbert-Flagg ◽  
Deborah Busch ◽  
Joycelyne Absolu Bataille
Keyword(s):  
Support Groups ◽  
Support Group ◽  
Online Survey ◽  
Breastfeeding Support ◽  
Chi Square ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Peer Support Group ◽  
Extended Duration ◽  
Duration Of Breastfeeding

ObjectiveThe study aims were to identify maternal perceptions about the influence of a hospital-based breastfeeding peer support group in addressing breastfeeding concerns, assisting them to achieve their breastfeeding goals, and providing additional benefits.MethodsA descriptive, cross-sectional, online survey was conducted with a convenience sample of women who attended a hospital's breastfeeding support group. Participants reported their breastfeeding concerns and breastfeeding goals prior to and after their attendance at the breastfeeding support group. Changes in reported breastfeeding concerns and breastfeeding goals were analyzed with chi-square statistics.ResultsAfter participating in the support group session, survey participants (N = 100) expressed less concern about latching (81%–66%), mother's milk production (77%–62%), breastfeeding while apart from infant (75%–65%), and all other reported breastfeeding concerns. Overall, participants reported the support group successfully addressed their concerns (92%, n = 89), provided adequate time for responses to their questions (87%, n = 87), and assisted them to achieve their breastfeeding goals (91%, n = 88). Over 90% of participants planned to exclusively breastfeed through 6 months.ConclusionHospital-based breastfeeding support groups can successfully address mothers’ key breastfeeding concerns and support extended duration of breastfeeding.

scholarly journals Hubungan Promosi Iklan Susu Formula Dengan Pemberian ASI Eksklusif Di Desa Pandanarum Kecamatan Pacet Kabupaten Mojokerto

2018 ◽  
Vol 3 (2) ◽  
Author(s):  
Fathiya Luthfil Yumni ◽  
Cholifah Tri Wahyuni
Keyword(s):  
Exclusive Breastfeeding ◽  
Cross Sectional Study ◽  
Statistical Test ◽  
Milk Formula ◽  
Chi Square ◽  
Cross Sectional ◽  
The Public ◽  
Powder Milk ◽  
Independent Variable ◽  
Correlation Design

The advertisement promotion of powder milk (formula) affected the giving of exclusive breastfeeding.  The amount of exclusive breastfeeding was still underneath. Indonesian health data profileshowed a decline percentage in 2014 related to the amount of infant that got exclusive breastfeedingfrom 0 up to 6 months they are 52.3 %, there are so many factors affected mother to give exclusive breastfeeding (ASI) in Pandanarum village, Pacetsubdistric, Mojokerto.               This research used Analytic Correlation design with Cross Sectional Study. The population of this research consisted of mothers who have an infant 0–2 years. The technique in gaining sampling used Cluster Random Sampling.There are 46 mothers who have infant 0-2 years who lived in Pandanarum village. The analysis used was Chi-Square statistical test.               The variables consisted of powder milk (formula)advertisementas an independent variable and giving exclusive breastfeeding as a dependent variable. The finding showed that there was significant relationship between advertisement promotion of powder milk (formula) and giving exclusive breastfeeding based on Chi-Square statistical test met (ρ = 0.012 <0.05).               The number of outstanding advertisementpromotion of powder milk (formula) hence the need of education for mothers on exclusive breastfeeding promotion and also about the importance of giving exclusive breastfeeding, as well as it benefits such as thrifty, efficient and have a better content compared with powder milk (formula). The promotion is used to attract the public, especially mothers to give exclusive breastfeeding. Keywords: Advertisement Promotion, Exclusive Breastfeeding.

scholarly journals FAKTOR-FAKTOR YANG MENYEBABKAN KETIDAKBERHASILAN PEMBERIAN ASI EKSLUSIF MELALUI KELOMPOK PENDUKUNG ASI (KP-ASI)

2020 ◽  
Vol 4 (2) ◽  
pp. 242-252
Author(s):  
Besti Verawati ◽  
Nopri Yanto ◽  
Indrawati Indrawati ◽  
Yufi Permata Dewi
Keyword(s):  
Health Center ◽  
Support Groups ◽  
Exclusive Breastfeeding ◽  
Univariate Analysis ◽  
P Value ◽  
Breastfeeding Support ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
Test Result

Sidomulyo Health Center working area of 33.7%. One of the factors that influence the low level of exclusive breastfeeding is the lack of encouragement and support from family and the environment. Support from the environment can be realized by forming a breastfeeding support group (KP-ASI). The purpose of this study was to analyze the factors that cause the unsuccessfulness of exclusive breastfeeding through breastfeeding support groups (KP-ASI) at Sidomulyo Health Center Pekanbaru. Methode: This type of research is quantitative with cross sectional method. This research was conducted on 02 June - 17 June 2020 at Puskesmas Sidomulyo Pekanbaru with a sample size of 25 KP-ASI members and 25 infant mothers. The technique of collecting interview data using a questionnaire. The analysis used was univariate and bivariate with the Chi Square test. Result: The results of univariate analysis showed that most 13 people (52%) had good motivation, most of the availability of infrastructure, 14 people (56%) were in the inadequate category and supervision, namely 13 people (52%) were in the poor category The results showed a p value of 0.028 for the motivation variable, 0.070 for the variable availability of infrastructure and 0.025 for the monitoring variable. Conclusion: The conclusion is there is a relationship between motivation and supervision with the practice of exclusive breastfeeding. Meanwhile, seen from the p value> 0.05 for the variable availability of infrastructure, there is no relationship between the availability of infrastructure and the practice of exclusive breastfeeding

scholarly journals PENGARUH KELOMPOK PENDUKUNG AIR SUSU IBU (KP-ASI) TERHADAP PERILAKU PEMBERIAN ASI EKSKLUSIF DAN STATUS GIZI BAYI 6-12 BULAN

2018 ◽  
Vol 13 (1) ◽  
pp. 33
Author(s):  
Nur Hikmah Wati ◽  
Lailatul Muniroh
Keyword(s):  
Support Group ◽  
Exclusive Breastfeeding ◽  
Nutrition Status ◽  
Breastfeeding Support ◽  
Chi Square ◽  
Cross Sectional ◽  
Significant Difference ◽  
Chi Square Test ◽  
The Difference ◽  
Cross Sectional Design

Breast Milk is the best and nutritious food in early life for every infants born. Undernourishment in infants can cause growth and development disorders. The attainment of exclusive breastfeeding that still low in Wonoayu sub-district in 2015 becomes the base  the formation of breastfeeding support group (KP-ASI). The aim of this study was to observe the difference of exclusive breastfeeding record and nutrition status of infants aged 6-12 months of KP-ASI participant and non KP-ASI participant. This research was an analytic observational with cross sectional design. This research was done in the working area at Wonoayu and Buduran Health Center, district Sidoarjo. The sample were taken using stratified random sampling, the sample size 36 mothers of infants 6-12 months from KP-ASI participants and 36 mothers of infants 6-12 months from the non KP-ASI participants. The data collection was interviewed by using questionnaire and anthropometry measurements by using length board and baby scale. Data analysis of the research was Chi-Square test and Logistic Regression. The result showed that there was significant difference exclusive breastfeeding record between  groups (p=0.002)  but there was no difference in nutrition status of infants aged 6-12 months (p=0.547) in between both group. Mother employment status (p=0.022 OR=0.211), other family support (p=0.015 OR=O.195) becomes a confounding variable aside from implementation of KP-ASI (p=0.032 OR=3.701) which influence exclusive breastfeeding record. The conclusion of this study was that KP-ASI participant have 3,701 times higher chance to give exclusive breastfeeding the their babies compared with non-KP ASI nember there was no difference nutrition status of infants aged 6-12 months from both group it’ is suggested for Public Health Service of Regency Sidoarjo to develop and reactivate implementation of breastfeeding support group in other district to improve the practice of exclusive breastfeeding.

scholarly journals PEMANFAATAN POJOK LAKTASI DI PUSKESMAS I CILONGOK KABUPATEN BANYUMAS

2014 ◽  
Vol 1 (1) ◽  
Author(s):  
Khusnul Khotimah ◽  
Ova Emilia ◽  
Mohammad Hakimi
Keyword(s):  
American Academy ◽  
Exclusive Breastfeeding ◽  
Multivariable Analysis ◽  
Chi Square ◽  
Cross Sectional ◽  
Bivariable Analysis ◽  
Data Survey ◽  
Chi Square Test ◽  
Independent Variable ◽  
Cross Sectional Design

PEMANFAATAN POJOK LAKTASI DI PUSKESMAS I CILONGOKKABUPATEN BANYUMASKhusnul Khotimah, Ova Emilia,Mohammad HakimiABSTRACTBackground : Based on survey Indonesian demographic and health in 2007 that exclusive breastfeeding 38 %decrease from 39,5% in 2002-2003, child under 6 months who gets milk incease from 16,7% until 27,9% in2007. American Academy of Pediatrics (1)get recomendation baby must get exclusive breastfeeding in 6 monthuntil 2 years old. Banyumas regency are have a program to increase scope of exclusive breastfeeding by regulationof regent number 52 in 2012 about increase exclusive breastfeeding in Banyumas Regency. One of the material insocialization is about lactation room and standardization, right of women worker to breastfed in office, publicfacility.Objective : to determine factors can effected utilization of lactation room in Puskesmas I Cilongok.Methods : this study was an observational study with a cross sectional design and qualitative study or called mixmethod. Location of study in Puskesmas I Cilongok. Sample of this study is employed mother who breastfeedand visitors of Puskesmas I Cilongok in Banyumas Regency. Sampling method used sampling convinience get 41women until this study done. independent variable are attitude of breastfeed mother about lactation room andbehavior of breastfeed mother. Dependent variable is utilization of lactation room. Data analysis consisted ofunivariable analysis, bivariable analysis using chi-square test and multivariable analysis using logistic regressiontest and also qualitative analysis.Results and Discussion : there is no effect attitude of breastfeed mother about lactation room with utilization oflactation room, can we see from p = 0,247 (RP1,58; 95% CI 0,70-3,55), the similar result from dialogue thatmother have good attittude but not utilized, they say not get socialization from health worker. The good Behaviorbreastfeed mother have relation with utilization, can we see p = 0,028, RP2,35 (95% CI 1,05-5,23). Results fromdialogue mother who get bad behavior not utilized. Utilization in lactation room only just breastfeeding, neverused to pamp and saving breastmilk. People not respond that room lactation is a necessary, because withoutpolicy about room lactation, they are can breastfed in any where.Conclusion : Good attitude of breastfeed mother about lactation room can not get effect utilization of lactationroomand good behavior breastfeedmother can get effect with utilization lactation room in Puskesmas I Cilongok.Keyword: attitude breastfeed mother, behavior breastfeed mother and utilization lactation room ABSTRAKLatar Belakang:Berdasarkan data Survey Demografi dan Kesehatan Indonesia (SDKI) tahun 2007 tercatat bahwacakupan ASI eksklusif sebesar 38% menurun dari 39,5%di tahun 2002-2003, sementara jumlah bayi dibawah 6bulan yang diberi susu formula meningkat dari 16,7% menjadi 27,9% ditahun 2007. American Academy ofPediatrics (1)merekomendasikan bahwa durasi minimal ASI eksklusif menjadi 6 bulan tetapi optimal harus terusselamaminimal 2 tahun.Kabupaten Banyumas sedangmemiliki program gunameningkatkan cakupan ASI eksklusifyang dituangkan lewat Peraturan Bupati Banyumas nomor 52 tahun 2012 tentang peningkatan pemberian ASI diKabupaten Banyumas. Salah satu materi sosialisasi tersebut berisi tentang anjuran pengadaan pojok laktasibeserta standarisasinya, hak ibu bekerja yang menyusui di kantor pemerintahan, sarana pra sarana umum juga.Tujuan:Untuk mengetahui faktor-faktor yang mempengaruhi pemanfaatan pojok laktasi di Puskesmas I Cilongok.Metode:Penelitian ini menggunakan jenis observasional dengan desaincross sectionaldan kualitatif. Tempatpenelitian Puskesmas I Cilongok. Sampel penelitian ibu bekerja menyusui dan pengunjung puskesmas memilikibayi umur 0 bulan sampai dengan 2 tahun berada di Puskesmas I Cilongok. Pengambilan sampel menggunakansampling conviniencediperoleh 41 orang selama penelitian dilakukan.Variabelindependen adalah sikap ibumenyusui terhadap pojok laktasi, perilaku ibu menyusui. Variabel dependen ialah pemanfaatan pojok laktasi.Analisa data meliputi analisis univariabel, bivariabeldengan menggunakan chi square sedangkan multivariabelmenggunakan uji regresi logistik serta analisis kualitatif.Hasil dan Pembahasan:Sikap ibu menyusui terhadap ketersediaan pojok laktasi tidakmempengaruhi pemanfaatanpojok laktasi dilihat dari nilai p = 0,247 (RP1,58; 95% CI 0,70-3,55), hasil ini didukung hasil wawancara bahwasikap baik tetapi tidak memanfaatkan pojok laktasi dengan alasan sosialisasi yang kurang dari petugas kesehatan.Perilaku ibu menyusui yang baik berhubungan dengan pemanfaatan pojok laktasi dilihat dari nilai p = 0,028,RP2,35 (95% CI 1,05-5,23). Hasil wawancara ibu yang berperilaku tidak baik cenderung tidak memanfaatkanpojok laktasi. Pemanfaatan pojok laktasi hanya untuk menyusui saja, tidak digunakan untuk memeras danpenyimpanan ASI. Rendahnya pemanfaatan pojok laktasi dikarenakan faktor kebutuhan. Masyarakat desa tidakmenganggap bahwa pojok laktasi merupakan kebutuhan, karena tanpa adanya kebijakan pengadaan pojok laktasimereka dapat menyusui dimanapun.Kesimpulan:sikap ibu menyusui terhadap ketersediaan pojok laktasi yang baik tidak mempengaruhi pemanfaatanpojok laktasi dan perilaku ibu menyusui yang baik dapat mempengaruhi pemanfaatan pojok laktasi di PuskesmasI Cilongok Kabupaten Banyumas.Kata kunci: sikap ibu, perilaku ibu, pemanfaatan pojok laktasi

scholarly journals Correlation between Nutritional Status and Pneumonia among 6-59 Months Years Old in Tangerang, Banten

2020 ◽  
Author(s):  
Zico Permadi ◽  
◽  
Maria Ekawati ◽  
Citra Ayu Aprilia ◽  
◽  
...  
Keyword(s):  
Nutritional Status ◽  
Community Health Center ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
Independent Variable ◽  
Weight For Age ◽  
Children Under 5

ABSTRACT Background: Pneumonia is still causing the most deaths among children in developing countries. This disesase often occurs in children under 5 years of age. Nutritional status is a factor that is closely related to infectious diseases such as pneumonia. This study aimed to examine the correlation between nutritional status and pneumonia among 6-59 months years old in Tangerang, Banten. Subject and Methods: A cross-sectional study was conducted at Pakuhaji Community Health Center, Tangerang, Banten, from January to February 2018. A total of 29 children under five were enrolled in this study. The dependent variable was pneumonia. The independent variable was nutritional status. The data were collected from direct measurement of the children under five and questtioner. The data were analyzed by Chi-square. Results: As many as 16 children under five (55.17%) had pneumonia, 7 children under five (24.13%) were malnutrition, 3 children under five (10.34%) were short, and 5 children under five (7.24%) were thin. Nutritional status based on weight for age and weight for height had differences in nutritional status with the incidence of pneumonia among children under five, and they were statistically significant (p< 0.001). Conclusion: Nutritional status is associate with the incidence of pneumonia among 6-59 months years old (children under five) in Tangerang, Banten. Keywords: pneumonia incidence rate, pneumonia, nutritional status, chidren under five Correspondence: Citra Ayu Aprilia. Faculty of Medicine, Universitas Pembangunan Nasional Veteran Jakarta. Email: [email protected]. Mobile: +628122090545. DOI: https://doi.org/10.26911/the7thicph.03.13

scholarly journals PEMBERDAYAAN KELOMPOK PENDUKUNG ASI EKSKLUSIF DALAM GERAKAN GEMAR ASI EKSKLUSIF

Warta LPM ◽  
2016 ◽  
Vol 19 (1) ◽  
pp. 90-96
Author(s):  
Rina Sri Widayati ◽  
Istiqomah Risa Wahyuningsih
Keyword(s):  
Support Groups ◽  
Support Group ◽  
Exclusive Breastfeeding ◽  
Peer Group ◽  
Monitoring And Evaluation ◽  
Health Centers ◽  
Breastfeeding Support ◽  
Community Based ◽  
Training Activities ◽  
Initiation Of Breastfeeding

The gold standard in infant feeding and child starting from Early Initiation of Breastfeeding (IMD), exclusive breastfeeding for the six months. One of the health problems faced in the area of †health centers Pucang Sawit is the lack of motivation of counselor support group exclusive breastfeeding. There are only three groups motivator breastfeeding support so not comparable with the number of babies in the region Pucang Sawit. Approaches through peer (Peer Support) on exclusive breastfeeding support group as one of the community-based empowerment efforts so as to help improve coverage eksklusive breastfeeding in Surakarta close to the target so that the vision of becoming a pilot Surakarta can be realized. Implementation ofservice programs are divided into three programs: the first socialization to the cadre and peer group as well as breastfeeding support group facilitator conducted one day, both the implementation of training activities breastfeeding support group for 4 days which consists of four small groups and accompanied by two facilitators each and third activity is monitoring and evaluation results formations breastfeeding support groups.

scholarly journals Effect of Exclusive Breastfeeding on Growth and Development of Infants Aged 0-24 Months

2020 ◽  
Author(s):  
Siska Nurul Abidah ◽  
◽  
Hinda Novianti ◽  
Keyword(s):  
Exclusive Breastfeeding ◽  
Growth And Development ◽  
Optimal Growth ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Nahdlatul Ulama ◽  
Independent Variable ◽  
Height For Age ◽  
Weight For Age

ABSTRACT Background: Impaired growth and development of children impact the child’s future. Exclusive breastfeeding is essential for the optimal growth and development of children. This study aimed to determine the effect of exclusive breastfeeding on the growth and development of infants aged 0-24 months. Subjects and Method: This was a cross-sectional study conducted at Wonokromo district, Surabaya, East Java, from June to July 2020. A total of 40 under-two-years children was selected by purposive sampling. The dependent variable was the growth and development of children. The data for the growth of children were collected by accessing weight-for-age, length/ height-for-age, and head circumference measurement. The data for the development of children were collected using Revised Prescreening Developmental questionnaires (R-PDQ). The independent variable was exclusive breastfeeding. The data were analyzed by chi-square. Results: Children receiving exclusive breastfeeding (96.8%) showed a better status of growth and development than without receiving exclusive breastfeeding (11.1%), and it was statistically significant (p < 0.001). Conclusion: Children receiving exclusive breastfeeding (96.8%) show a better status of growth and development than without receiving exclusive breastfeeding. Keywords: exclusive breastfeeding, growth and development, children Correspondence: Siska Nurul Abidah. Faculty of Nursing and Midwifery, Universitas Nahdlatul Ulama Surabaya. Jl. Raya Jemursari No.57, Jemur Wonosari, Wonocolo, Surabaya, East Java, 60237. Email: [email protected]. Mobile: +6282232261545. DOI: https://doi.org/10.26911/the7thicph.03.60

scholarly journals HUBUNGAN JENIS PEKERJAAN IBU DENGAN PEMBERIAN ASI PADA BAYI DI PUSKESMAS RANOMUUT MANADO

2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Edward R. Koba ◽  
Sefti S. Rompas ◽  
Vandri D. Kallo
Keyword(s):  
Health Center ◽  
Research Design ◽  
Exclusive Breastfeeding ◽  
Statistical Tests ◽  
Sampling Technique ◽  
Statistical Test ◽  
Chi Square ◽  
Cross Sectional ◽  
Purposive Sampling ◽  
Center Research

Abstract : Exclusive breastfeeding is not giving the baby food or other drinks, other than breastfeeding. Work is generally a time-consuming activity for the mother. One of the causes of the failure of exclusive breastfeeding is working mothers. The purpose of this research was to determine the relation between the type of work of mothers with exclusive breastfeeding to infants at Ranomuut Manado Health Center. Research Design This type of research uses an analytical survey type with a cross sectional approach. The number of samples is 39 people using purposive sampling technique. The data was collected using by questionnaire. The analysis of the data using Pearson Chi-square statistical test. The results showed that mothers with the most types of work were IRT (51.3), most babies received exclusive breastfeeding for (48.7%) and the results of statistical tests obtained p = 0.024 <0.05. The Conclusion of this research are there is a correlation between the type of work of mothers with exclusive breastfeeding for infants at Ranomuut Manado Health Center.Keywords: Type of works, Exclusive Breastfeeding.Abstrak : Menyusui eksklusif adalah tidak memberikan bayi makanan atau minuman lain, selain menyusui. Bekerja umumnya merupakan kegiatan yang menyita waktu bagi ibu. Salah satu penyebab belum berhasilnya pemberian ASI Eksklusif adalah ibu bekerja. Tujuan Penelitian ini bertujuan untuk mengetahui hubungan jenis pekerjaan ibu dengan pemberian ASI Eksklusif pada bayi di Puskesmas Ranomuut Manado. Desain Penelitian Jenis penelitian ini menggunakan jenis penelitian survey analitik dengan pendekatan cross sectional. Jumlah sampel 39 orang dengan menggunakan teknik sampel purposive sampling. Alat pengumpulan data berupa kuesioner. Analisa data menggunakan uji statistic Pearson Chi-square. Hasil Penelitian didapatkan bahwa ibu dengan jenis pekerjaan paling banya yaitu sebagai IRT (51,3), sebagian besar bayi mendapatkan ASI Eksklusif sebesar (48,7%) dan hasil uji statistic didapatkan nilai p = 0,024 < 0,05. Kesimpulan ada hubungan jenis pekerjaan ibu dengan pemberian ASI Eksklusif pada bayi di Puskesmas Ranomuut Manado. Kata Kunci : Jenis Pekerjaan ibu, ASI Eksklusif

scholarly journals Comparing breastfeeding experiences between mothers spending the traditional Chinese confinement period in a confinement centre and those staying at home: a cohort study

2020 ◽  
Author(s):  
Siew Cheng Foong ◽  
May Loong Tan ◽  
Wai Cheng Foong ◽  
Jacqueline J Ho ◽  
Fairuz Fadzilah Rahim
Keyword(s):  
Logistic Regression ◽  
Support Groups ◽  
Exclusive Breastfeeding ◽  
Post Partum ◽  
Multiple Logistic Regression ◽  
Breastfeeding Support ◽  
Chi Square ◽  
Ethnic Chinese ◽  
Chinese Mothers ◽  
Breastfeeding Rates

Abstract Background Ethnic Chinese mothers in Malaysia adhere to 30 days of traditional post-partum practices (the “confinement period”) aimed at recuperation after delivery. Recently there has been an emergence of confinement centres (CCs) where mothers stay and receive traditional confinement care. Ethnic Chinese mothers have low breastfeeding rates. There are concerns that practices in CCs could contribute to this but no data exists. We described mother’s breastfeeding experience at CCs and identify areas for potential improvement in breastfeeding support.Methods Ethnic Chinese mothers intending to breastfeed their healthy infants were recruited post-delivery between August and October 2017 then, at 1 and 6 months, were telephone interviewed about their experience. For every participant going to a CC, another mother going home was recruited. Chi-square test was used to compare groups and multiple logistic regression was used to assess the effect of confinement place on exclusive breastfeeding. Results Of 187 mothers, 88(47%) went to CCs. Significantly more were primipara and fewer had previous breastfeeding experience. Response rates for the 1- and 6- month interviews were 88%(CC) versus 97%(home); and 77%(CC) versus 87%(home).Exclusive breastfeeding rates were similar between the groups: 62%(CC) versus 56%(home) at 1 month (p=0.4); and 37%(CC) versus 42%(home) at 6 months (p=0.5). Multiple logistic regression did not show that CCs were a factor affecting exclusive breastfeeding rates at 1 month, (adjusted odds ratio(aOR) 1.7, 95% confidence interval(CI) 0.9, 3.3), or 6 months (aOR 0.9, 95% CI 0.4, 1.7). However, significantly more CC participants only fed expressed breast milk. Despite 66% of CC participants reporting that their centre supported breastfeeding, only 6(8%) CC participants compared to 66(69%) of home participants slept with their baby (p<0.001). The proportion encountering breastfeeding difficulties were similar between groups. CC participants sought help for breastfeeding problems mainly from CC staff and support groups while home participants obtained help from friends and healthcare professionals. Conclusion Breastfeeding rates appeared to be similar at CCs and home but there were gaps in how CCs supported breastfeeding. Targeted training to CC staff to support breastfeeding may result in better outcomes for mothers staying in CCs. Trial registration National Medical Research Register NMRR-17-1174-36384S1

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