Abstract
Background: Globally, 40% of children under the age of 6 months are exclusively breastfed. The results of the Basic Health Research (RISKESDAS) in 2018, the rate of exclusive breastfeeding for infants aged 0-6 months, it merely reached 37.3%. Purpose: To discover the factors that affected the failure of exclusive breastfeeding. Method: Scoping review adapted the Arskey and O'Malley framework, using a database from PubMed, Willey. and ScienceDirect. Finding: 21 articles out of 1563 selected based on inclusion and exclusion criteria. Factors related to the failure of exclusive breastfeeding were divided into three factors, namely (1) sociodemographic factors consist of knowledge, occupation, age, environment and socio-culture, (2) health factors consist maternal parity, BMI, and psychological, (3) psychosocial factors consist of attitudes, breastfeeding intentions, family support, support from health workers and information obtained by the mother. Conclusion: The factors that most affected the failure of exclusive breastfeeding were the lack of family support for breastfeeding mothers, the support of passive health workers in providing information about exclusive breastfeeding and the work status of mothers who required mothers to work outside the home. In-depth research must be needed to find out the best strategy in increasing the achievement of exclusive breastfeeding.
 
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Highlights
40% of children under 6 months of age are exclusively breastfed
World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF) launched the Baby-friendly Hospital Initiative (BFHI) to improve breastfeeding practices and support breastfeeding in maternity wards around the world
The purpose of this study is to find out why first-time mothers are more likely to stop breastfeeding than mothers who are experienced in exclusive breastfeeding. to identify contributing factors that can be improved to help women breastfeed longer
Summary
40% of children under 6 months of age are exclusively breastfed. In America 57.6% of mothers breastfeed until the age of 6 months but only 25% who breastfeed exclusively [1]. The results of the IDHS survey explained that in 2002 the coverage of exclusive breastfeeding reached 40%, decreased in 2007 to 32%, the survey results prove that in three periods from 2007 to 2017 there was a significant increase of 42% in 2012 and 52% in 2017. One of the six main global nutrition goals in the World Health Organization (WHO) Comprehensive Nutrition, Maternal and Infant Plan is to increase the practice of exclusive breastfeeding during the first 6 months to at least 50% [2]. The results of the Basic Health Research (RISKESDAS) in 2018, the rate of exclusive breastfeeding for infants aged 0-6 months, it merely reached 37.3%. In-depth research must be needed to find out the best strategy in increasing the achievement of exclusive breastfeeding
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