Factors affecting exclusive breastfeeding in term infants
Abstract: Exclusive
breastfeeding by healthy mothers to their healthy, term babies who underwent
vaginal birth, should be readily accomplished. However, exclusive breastfeeding
by Indonesian mothers has declined.
Objective To assess the monthly success rate prevalences for exclusive
breastfeeding for the first 6 months of life, as well as factors that affect
exclusive breastfeeding.
Methods A prospective cohort study was conducted in 243 healthy mothers
with healthy term babies who underwent normal births at Cipto Mangunkusumo
Hospital (CMH), Jakarta, Indonesia. Guided interviews were conducted monthly
for six months. Bivariate and multivariate analyses were performed on the
factors potentially affecting breastfeeding with equal subject numbers.
Results Exclusive breastfeeding prevalences were 64.8% (first month),
53.7% (second month), 43% (third month), 30.7% (fourth month), 23.5% (fifth
month), and 22.3% (sixth month). Multivariate analysis revealed that the
mother’s confidence in breast milk production, as well as husband or family
support, affected the success of exclusive breastfeeding for each month.
Maternal not working/studying outside the home affected the success of
exclusive breastfeeding in the third (RR 3.38; 95%CI 1.21 to 9.43) and fourth months
(RR 6.56; 95%CI 1.39 to 30.99).
Conclusion Exclusive breastfeeding prevalences in Cipto Mangunkusumo
Hospital decrease in a monthly fashion up to the sixth month. Several factors
affecte the success rate for each month in the six month period, including
maternal confidence in breast milk production and family support.
Keywords: exclusive
breastfeeding; term babies; breastfeeding
Author: Novitria Dwinanda,
Badriul Hegar Syarif, Damayanti Rusli Sjarif
Journal Code: jpkedokterangg180021
