Exploring Plant and Behaviour on Usada Herbal Galactagogue Usage among Lactating Mothers in Bali

Abstract

Background: Breastfeeding is essential for the health of newborn infants and mothers. Basic health research in 2018 shows that exclusive breastfeeding in Bali has not reached the national target. High rates of cesarean section delay breastfeeding initiation, the important predictor of continued breastfeeding. Main concern for lactating mothers about medications, increase the use of herbal galactagogue to aid lactation. The use of traditional medicinal plant in Bali is 40% higher than national average and its existence is strengthened by the issuance of Bali Governor Regulation No. 55 of 2019 concerning Traditional Balinese Health Services. Despite increasing popularity of traditional medicine, there are currently limited data available on the plant list and pattern of use herbal galactagogue. Objectives: to explore the galactagogue plants, pattern of use, perceived effectiveness of herbal galactagogues during breastfeeding among lactating mother’s in Bali. Material and Methods: This study was conducted using a questionnaires and in-depth interviews. The questionnaire and interview guideline was validated by lactation consultants and traditional health practitioners in Bali. The study was approved by Human Research Ethic Committee of Bina Usada Bali. Results: The use of herbal galaktagogue is mostly practiced by highly educated mothers, mother’s occupation as health workers and primiparous. There are 26 types of plants that are often used by lactating mothers in Bali. Majority of respondent begin to use herbal galactagogue after giving birth (82%) for approximately < 1 month. Majority of lactating mothers in Bali perceived effectiveness of herbal galactagogue usage based on breastfeeding adequacy indicators. About 95% respondents feel confidence and have self-empowerment after use herbal galactagogue, resultes in psychological benefits. Conclusions: The use of herbal galactagogue is common amongst lactating mothers in Bali, while information about efficacy and safety is lacking. Futher research is needed to give evidence-based information to support exclusive breastfeeding.