Failure Of Exclusive Breastfeeding Research Articles

Improving The Ability of Posyandu Cadres and Breastfeeding Mothers In Oxytocin Stimulation And Breastfeeding SEFT “SOS Menyusui" As An Effort To Prevent Stunting

Malnutrition is one of the biggest causes of morbidity and mortality in children under 5 years of age in developing countries related to metabolic, social, and environmental risk factors during the first 1000 days of life/HPK (from conception to the first 2 years of life). Stunting is the most common form of malnutrition in children, and exclusive breastfeeding for infants aged 0-6 months and continued until the child is 2 years old is an effort to prevent stunting. Breastfeeding mothers can experience various problems in the breastfeeding process, such as decreased production and smoothness of breast milk which can cause failure of exclusive breastfeeding. Breastfeeding training using Oxytocin Stimulation and SEFT breastfeeding (SOS Breastfeeding) for cadres and breastfeeding mothers with their families is an effort to maintain breast milk production and smoothness, through relaxation techniques and reducing stress levels to help minimize prolactin inhibitors and gentle massage for oxytocin stimulation to increase smoothness of breast milk. The training was attended by 7 cadres and 15 breastfeeding mothers with their families. The training method was conducted directly with lecture techniques, simulations, and demonstrations to Posyandu cadres, breastfeeding mothers, and their families. Participants were given a pretest, an explanation of the process of breast milk production and release, a simulation and demonstration of SOS breastfeeding, and a post-test. The results of the training showed an increase in the knowledge, attitude, and skills scores of cadres and breastfeeding mothers before and after training with an average knowledge and attitude score of 6.8 pretests (with the lowest score of 4 and the highest score of 8) and an average posttest score of 8.6 (the lowest score of 6 and the highest score of 10), and breastfeeding mothers and cadres were able to redemonstrate the SOS breastfeeding technique according to the guidelines. To maximize the results of the training, this activity requires ongoing cooperation between families with breastfeeding mothers, cadres, and regional midwives, to continue to improve the support system and interest in breastfeeding until the child is 2 years old.

Edukasi Manajemen Menyusui pada Ibu Hamil sebagai Optimalisasi Pemberian ASI Ekslusif

Breast milk or breast milk is the main food source for babies up to 6 months old. Exclusive breastfeeding during the first 6 months of a baby's life has many benefits for the baby, one of which is boosting the immune system. According to data from Riskesdas, in 2018 only 37.3% of babies received exclusive breastfeeding. The failure of exclusive breastfeeding is one of the reasons for the lack of knowledge of mothers about how to breastfeed properly and correctly which can cause breastfeeding problems. The purpose of this community service activity is to increase the knowledge of pregnant women about breastfeeding management including correct breastfeeding techniques, expressed breast milk, breast problems, and solutions while breastfeeding. The service method is carried out by providing education, which begins with a pre-test, then materials and direct practice on how to breastfeed, and ends with a post-test. The result of the service activities is an increase in the knowledge of pregnant women related to correct breastfeeding techniques, breast milk (ASIP), breast problems, and solutions when breastfeeding from before and after education. The knowledge gained by pregnant women can be used as a provision to go through the breastfeeding process so that it can increase exclusive breastfeeding to the baby.

BREASTFEEDING BARRIERS THAT CONTRIBUTE TO EXCLUSIVE BREASTFEEDING FAILURE

Background: Breast milk is the best nutrition for children, but many children in Indonesia do not receive exclusive breastfeeding. According to SSGI data, only 48.58% of babies in Bogor district are exclusively breastfed. This is due to various obstacles in the breastfeeding process, which can stem from both maternal and infant factors. If this situation continues, the child's nutritional needs may not be adequately met. Objective: To determine the most dominant factor in exclusive breastfeeding failure. Method: A cross-sectional study was conducted with a random sample of 182 individuals in Bogor Regency. Data were analyzed using the chi-square test and logistic regression. Result: There was no significant association between exclusive breastfeeding failure and mothers having difficulty managing time between work and breastfeeding, difficulties in positioning the baby, or experiencing nipple blisters (p≤0.05). Additionally, no significant associations were found between exclusive breastfeeding failure and infants remaining fussy even after breastfeeding, mothers experiencing depression during initial breastfeeding, feeling embarrassed while breastfeeding, infants having difficulty breastfeeding, or mothers experiencing swollen breasts (p>0.05). Conclusion: Infants who remained fussy despite breastfeeding were found to be the most dominant factor contributing to exclusive breastfeeding failure, with an odds ratio (OR) of 2.308.

Factors of Failure to Exclusively Breastfeed In the BLUD UPTD Working Area of the Kandai Public Health Center of Kendari City

Background: Mother's milk (ASI) is a baby's need which is very necessary for the baby's growth and development. However, if exclusive breastfeeding is not provided, it can cause problems with the baby's growth and development Methods: This type of research is quantitative research using a cross-sectional study design, where the type of research emphasizes measuring/observing the independent and dependent variables only once at a time. This research involved 90 respondents. Results: In this study, the results showed that there was no relationship between working mothers and failure to provide exclusive breastfeeding in the Kandai Community Health Center working area with a Fisher's Exact Test value = 0.450 > 0.05. There is a relationship between social support and failure to provide exclusive breastfeeding in the Kandai Health Center working area with a calculated X2 value > X2 table. and there is a relationship between the promotion of formula milk and failure to provide exclusive breastfeeding in the Kandai public Health Center working area, the value of X2 calculated > X2 table. Conclusions: Promotion of formula milk, social support and no relationship between working mothers and the failure of exclusive breastfeeding in the Kandai Health Center working area. So it is necessary to pay attention to mothers who have babies <6 months to be able to provide exclusive milk to maintain the baby's growth and development well.

Small group classes with pregnancy cadres (kekasih) can improve knowledge and attitudes about exclusive breastfeeding among third-trimester pregnant women on the remote Island of Enggano, Bengkulu Province

<p><strong><em>Background</em></strong><em>: One of the government programs that focuses on the first 1000 days of life is exclusive breastfeeding for infants aged 0-6 months, but there is often a failure of exclusive breastfeeding at the age of 0-3 days due to pre-lactal feeding, so education during pregnancy is needed to improve the knowledge and attitudes of pregnant women through KEKASIH (Small Group of Cadres with Pregnant Women) classes. </em><strong><em>Objectives</em></strong><strong><em>:</em></strong><em> This study aims to determine the effectiveness of KEKASIH classes on knowledge and attitudes of pregnant women trimester III in remote areas of Enggano Island, Bengkulu Province in 2023.</em></p><p><strong><em>Methods:</em></strong><em> Quasi-experimental research design with pre- and post-test and control group. Intervention in the form of KEKASIH class, which is a modified class for pregnant women divided into small groups with cadres as facilitators. Independent variables were KEKASIH class, dependent variables were knowledge and attitude. External variables are age, parity, education, distance of pregnancy, employment. The sample was trimester III pregnant women a total of 50 people consisting of the treatrimesterent group is pregnant women in KEKASIH class, the control group is pregnant women who receive conventional health promotion.</em></p><p><strong><em>Results:</em></strong><em>The results of the study showed that there was a difference in the mean knowledge score before and after exclusive breastfeeding education through KEKASIH class from 27.36 to 49.04, p=0.00. There is no difference in the mean attitude score before and after exclusive breastfeeding education in the control group from 28.16 to 28.96 p=0.00.</em></p><p><strong><em>Conclusions:</em></strong><em> KEKASIH Class is more effective in improving mothers' knowledge and attitudes about exclusive breastfeeding with a value of p=00. Educational factors affect mothers' knowledge, but gestational distance and parity affect mothers' attitudes about exclusive breastfeeding.</em></p>

History of Risky Pregnancies and Failure of Exclusive Breastfeeding in Indonesia

The coverage of exclusive breastfeeding for infants in Indonesia still needs to be higher compared to the national target (80%). Low coverage of exclusive breastfeeding is a risk factor for various nutritional problems in toddlers. The causes of failure of exclusive breastfeeding are multifactorial, including risky pregnancy. This study aims to determine the association of risky pregnancies with the failure of exclusive breastfeeding using national data from the 2017 Indonesian Health Demographic Survey (IDHS) with a cross-sectional design. The study sample that met the criteria was 6,689 mothers with children aged 6-23 months. The independent variable is risky pregnancy (parity, pregnancy spacing, age during pregnancy), and the dependent variable is the failure of exclusive breastfeeding. Data analysis using multivariate logistic regression. The results found that only 26.2% of exclusive breastfeeding practices. Risky pregnancy is associated with the failure of exclusive breastfeeding. Mothers with too much parity risked 1,195 times, mothers with primiparous parity risked 1,716 times, too close birth spacing risked 1,210 times, and too young mothers were 1,267 times more likely not to exclusively breastfeed than mothers who had normal pregnancies after controlling for the area of residence. It is necessary to improve health promotion programs to the public regarding the importance of offering exclusive breastfeeding to infants and improving fertility characteristics.

Determinants of cessation of exclusive breastfeeding in the early postnatal period in Indonesia

Breast milk is the main source of nutrients in infants under six months of age. The causes of low exclusive breastfeeding coverage vary from region to region. Lack of husband’s support is one of the factors contributing to exclusive breastfeeding failure. This study aimed to determine the determinants of exclusive breastfeeding failure, designed as a cross-sectional study, conducted in Sawangan District, Depok City, in February 2023. Subjects were selected using the total sampling method, namely all mothers who had babies aged 0-6 months who conducted antenatal checks at Health Center and private midwife clinics who were available to be interviewed and filled out a questionnaire with as many as 224 people and analyzed using the Chi-square test at 95% CI. Results: During antenatal care, the father's role in buying formula/instant porridge/bananas (p= 0,0000 and applying honey or mashed dates to the newborn (p= 0,000) was associated with failure of exclusive breastfeeding in the early postnatal period. Both variables were associated with a 3,7 times higher risk of discontinuing exclusive breastfeeding in the early postnatal period. In conclusion, the determinants of exclusive breastfeeding failure in the early postnatal period were fathers who bought formula/instant porridge/bananas and applied honey or mashed dates to newborns. Socialization and education of fathers regarding the importance of fathers’ involvement in exclusive breastfeeding for mothers is needed.

The effectiveness of moringa leaf jelly on mother's prolactin level and baby's outcome

The failure of exclusive breastfeeding and the increased use of milk formulas is one of the results of a shortage of breast milk production. Moringa leaf contains phytosterol to increase milk production. Fortification of moringa leaf with jelly will increase the nutritional value of moringa leaf so that the prolactin increases and the production and quality of breast milk get better for babies. This study aimed to determine the effect of moringa leaf jelly on increasing milk production (prolactin, breast milk volume), and the outcome for the baby. Quasi-experimental research using pre-postest with control group design. The study respondents were taken with a purposive sampling technique of 58 people. Outcome indicators for babies are seen from the baby’s weight, the baby's urination frequency, the baby's defecation, and the baby's sleep duration. There was a significant effect on the increase in prolactin score by 23.3%, breast milk volume by 47%, and outcome babies by 3.3% in respondents given moringa leaf jelly. Meanwhile, respondents who were not given Moringa leaf jelly had a risk of decreasing prolactin levels 10.5 times, breast milk supply was 3.8 times lower and the outcomes for babies were 15 than those given Moringa leaf jelly. The moringa leaf jelly significantly effects increasing milk production and outcomes for babies compared to standard interventions.

MOTIVASI INTRINSIK PEMBERIAN ASI EKSLUSIF PADA IBU YANG BEKERJA DI DESA TEJA TIMUR KECAMATAN PAMEKASAN KABUPATEN PAMEKASAN

Introduction: Exclusive breastfeeding is the best first and main food for babies aged 0-6 months in meeting the nutritional needs and growth and development of babies. One of the factors in the failure of exclusive breastfeeding is the influence of socio-culture where the mother's activities or work outside the home causes the mother to be unable to share her time between giving exclusive breastfeeding and breastfeeding her baby. The purpose of this study was to determine the intrinsic motivation of exclusive breastfeeding for working mothers. Methods: The design used in this study used descriptive, non-probability type total sampling techniques with a population of 15 working mothers who had babies aged 0-6 months. Data was taken by using a questionnaire. The results of data analysis are presented in the form of tables and narratives. Results: Research shows that most of the 60% or 9 respondents are categorized as high and none of 0% or 0 respondents is categorized as low.Conclusion: Based on the Results of the study, it can be concluded that most mothers work in East Teja Village have high motivation in providing breast milk.

Hubungan Pengetahuan, Pekerjaan, dan Dukungan Keluarga Terhadap Kegagalan ASI Ekslusif Di UPTD Puskesmas Pengaringan Kabupaten Oku

Breast milk is the best food for babies. It cannot be replaced with other foods and no food can replace breast milk. The converage of breast feeding babies in OKU Regency in 2018 was 60,7%. in pengaringan primary health care center area in 2021 it was recorded that out of 168 babies there wewe 146 babies who failed to have exclusive breastfeeding (86,9%). the objective of the of implementing exclusive breastfeeding in the UPTD area of pengaringan primary health care center, semidang Aji district, OKU Regency in 2021. this study was quantitative with a cross-sectional design. The population of the study was all mothers who had babies aged more than 6 months, who visited the UPTD Primary health care center of pengaringan, semindang aji sitrict, OKU Regency in february 2022. the sampel of the study was 30 a quistionnaire. The data were analyzed by means of chi -square test formula. The results of with the failure of exclusive breastfeeding with the value of variable of knowledge (p-0.004) and family support (p-0,013). there was no significant relationship between work and exclusive breastfeeding failure with p-value of 0.402. it is expected that the primary health care center be able to increase health counseling related to exclusive breastg=feeding and put up more health information such as posters about exclusive breastfeeding.

The Relationship of Family Support With Mother's Motivation in Exclusive Breast Milk in 1-6 Months Old Babies During Pandemic Covid 19 in Sidotopo Wetan Surabaya

Mother's motivation is very decisive in exclusive breastfeeding for 6 months. A mother who has good motivation will continue to try to breastfeed her baby. The purpose of this study was to analyze the relationship between family support and mother's motivation in exclusive breastfeeding for infants aged 1-6 months in Sidotopo Wetan Village, Surabaya. Analytical research design with a cross sectional approach with a research sample of 80 nursing mothers respondents in Sidotopo Wetan Surabaya Village were selected using quota sampling. The instrument used is a questionnaire on family support and mother's motivation. Data analysis using Spearman Rho test. The results showed that family support for breastfeeding mothers in Sidotopo Wetan Surabaya, resulted in 51 people (63.8%) being categorized as low, while the motivation of mothers in breastfeeding in Sidotopo Wetan showed that 55 people (68.8%) had moderate motivation. It can be concluded that there is a relationship between family support and mother's motivation in exclusive breastfeeding for infants aged 1-6 months during the pandemic in Sidotopo Wetan Village, Surabaya. (p = 0.001) Support from other people or those closest to them plays a very important role in the success or failure of exclusive breastfeeding. With high family support, it affects the mother's motivation in exclusive breastfeeding for infants aged 1-6 months. With the implication of health workers to provide education that support from the family is very important in exclusive breastfeeding

Edukasi Pemanfaatan Daun Kelor untuk Meningkatkan Produksi ASI di Desa Talang Bukit

Babies and toddlers healthy is one of the determinants of the health development index in Indonesia. Indonesia is one of the causes of infant mortality in nutritional factors. This cause of death can be prevented by breastfeeding. Exclusive breastfeeding for up to 6 months can reduce infant morbidity and mortality from diarrhea until 2 years old and breastfeeding for 2 years of an infant's life is a key of intervention to reduce morbidity and mortality. Failure of exclusive breastfeeding is partly due to the perception of insufficient breast milk. Insufficient breast milk production can also be caused by nutritional and hormonal factors. In Indonesia, there are many plants that are believed to increase breast milk production, including katuk leaves, Moringa leaves and papaya leaves. The lack of knowledge of mothers about the utilization of local plants that can increase breast milk production makes mothers increasingly reluctant to provide exclusive breastfeeding. The purpose of this education is to increase mothers knowledge. Education was carried out in Talang Bukit Village on February 7, 2022 which was carried out in person and online through whatsApp groups in yasinan groups and women's organizations in Talang Bukit Village. The activity began with a pretest, then the implementation of education for ± 50 minutes through lectures, discussions and questions and answers delivered using ppt. After the material persentation, a posttest was conducted again with the same questions as the prestest. The results obtained were an increase in the mean knowledge of 2.87. This means that the implementation of this education is proven to change the knowledge of WUS about the use of moringa leaves to increase breast milk production towards a better direction.

Studi Kualitatif: Kegagalan Pemberian Air Susu Ibu (ASI) Eksklusif di Puskesmas Sidomulyo Kota Bengkulu

Breastmilk is the best natural food for babies, but the phenomenon that occurs in society today is that exclusive breastfeeding is still low. Low levels of exclusive breastfeeding can be detrimental to babies, mothers, families and the nation, including the risk of bad health. Efforts are needed from mothers of toddlers and support from outside to achieve the success of exclusive breastfeeding. The aim of this research is to explore in depth the causes of failure to provide exclusive breastfeeding at the Sidomulyo Community Health Center, Bengkulu City. This research is qualitative research with a phenomenological approach. Data collection obtained through in-depth interviews. The main study was 6 mothers who failed to breastfeed exclusively. Supporting informants consisted of 6 husbands/families, 1 head of the Community Health Center, 1 health worker, 1 KIA officer and 2 posyandu cadres at the Sidomulyo Community Health Center, Bengkulu City. The instrument used was an open question questionnaire. This research identifies the reasons why mothers do not give exclusive breast milk, namely breast milk that is not flowing smoothly, so the mother takes her own initiative to give formula milk to her baby. Even though support from husband/family and health workers has been provided, the failure of exclusive breastfeeding is still not resolved. So, from the results of this research, it is hoped that mothers can face all obstacles while providing exclusive breastfeeding, accompanied by support from their husband/family and health workers in providing advice, direction, opinions or explaining the appropriate actions to be taken by the mother.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KETIDAKBERHASILAN PEMBERIAN ASI EKSKLUSIF DI KECAMATAN BAITUSSALAM KABUPATEN ACEH BESAR TAHUN 2023

Based on WHO (World Health Organization) data in 2021, it is reported that the global exclusive breastfeeding coverage is around 44% of infants aged 0-6 months worldwide who are exclusively breastfed during the 2015-2021 period. This has not yet reached the target for exclusive breastfeeding coverage in the world, which is 50%. Low exclusive breastfeeding will have an impact on the quality and livability of the next generation. The purpose of the study was to determine the factors associated with the failure of exclusive breastfeeding in Baitussalam District, Aceh Besar Regency in 2023. Research Methods This type of research is an analytical survey research using a Cross Sectional approach, Cluster random sampling technique with a sample size of 66 people. The research instrument was a questionnaire. Data analysis using univariate and bivariate analysis with the SPSS statistical program. The results of statistical tests with the Chi-square test showed a p-value of 0.020 <0.05, so there was a mother's age on the failure of exclusive breastfeeding in Baitussalam District, Aceh Besar Regency in 2023. The statistical test results with the Chi-square test showed a p-value of 0.052 <0.05, so there was a relationship between maternal knowledge of breastfeeding techniques on the failure of exclusive breastfeeding in Baitussalam District, Aceh Besar Regency in 2023. The statistical test results with the Chi-square test showed a p-value of 0.032 <0.05, so there was a relationship between maternal employment and the failure of exclusive breastfeeding in Baitussalam District, Aceh Besar Regency in 2023. The statistical test results with the Chi-square test showed a p-value of 0.031 <0.05, so there was a relationship between breastfeeding experience and the failure of exclusive breastfeeding in Baitussalam District, Aceh Besar Regency in 2023. The statistical test results with the Chi-square test showed a p-value of 0.069 <0.05, so there was no relationship between the support of health workers on the failure of exclusive breastfeeding in Baitussalam District, Aceh Besar Regency in 2023. The statistical test results with the Chi-square test showed a p-value of 0.050 <0.05, so there was a relationship between family support for the failure of exclusive breastfeeding in Baitussalam District, Aceh Besar Regency in 2023. Conclusion There is a relationship between maternal age, maternal knowledge of breastfeeding techniques, maternal employment, breastfeeding experience, family support on the failure of exclusive breastfeeding. There is no relationship between the support of health workers and the failure of exclusive breastfeeding.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEGAGALAN PEMBERIAN ASI EKSKLUSIF PADA BAYI DI WILAYAH KERJA PUSKESMAS DARUL IMARAH KABUPATEN ACEH BESAR TAHUN 2023

The low coverage of exclusive breastfeeding success in infants of 61.1% is caused by various factors such as factors of public knowledge and attitudes towards health, culture and community beliefs such as peucicap, breast milk, education, family support and maternal employment. The purpose of the study was to determine the factors associated with the failure of exclusive breastfeeding in infants aged 0-6 months in the Working Area of the Darul Imarah Health Center, Aceh Besar Regency in 2023. This research method is analytic with a Cross Sectional approach with a Random Sampling technique with a sample size of 83 people. This research was conducted on June 8 to 15, 2023 with univariate and bivariate analysis with the Chi square test. The results showed that of the 83 respondents most did not provide exclusive breastfeeding as many as 48 respondents (57.8%), had poor knowledge as many as 33 respondents (39.8%) with a p value of 0.001, there were no breast milk expressing as many as 48 respondents (57.8%) with a p value of 0.002, there were peucicap as many as 48 respondents (57.8%) with a p value of 0.001, did not support as many as 44 respondents (53%) with a p value of 0.007. Conclusions and suggestions there is a relationship between knowledge, breast milk expressing, peucicap and family support with the failure of exclusive breastfeeding. It is hoped that respondents will increase their knowledge and motivation by exploring information about exclusive breastfeeding from various sources such as health workers and books, so that mothers can provide exclusive breastfeeding.

The Effectiveness of Kenikir Extract (Cosmos Caudatus) To Increase The Hormone Prolactin In Puerperal Mothers

Failure of exclusive breastfeeding still occurs due to insufficient milk production. Kenikir or Cosmos Caudatus has active compounds that may increase breast milk, but there has been no further research on kenikir in breast milk production. Analyzing the effectiveness of kenikir extract in increasing prolactin hormone levels in puerperal mothers. This type of research is a true experiment with pretest posttest control group design. The independent variable is nikir extract. The dependent variable is the hormone prolactin. The sample of 40 postpartum mothers was divided into 20 mothers in the control group and 20 mothers in the intervention group. The analysis used the Paired T Test and Wilcoxon to determine the differences before and after the intervention in each group. Then Mann Whitney's analysis was carried out on differences between groups. Administration of 300 mg of kenikir extract for 14 days can increase the hormone prolactin with an average of 44.70 ng / ml p value 0.0001. Giving kenikir extract is effective in increasing the hormone prolactin in postpartum mothers.

Anxiety Level of Post-Sectio Caesarea With Breast Milk Production

Introduction: Breastfeeding is one of the most effective ways to provide nutrition and keep babies healthy. Exclusive breastfeeding is also able to reduce infant morbidity and mortality, but currently, exclusive breastfeeding has reached the presentation stage. Milk production that is not sufficient for the baby's needs will cause the failure of exclusive breastfeeding. The psychological preparation of a mother before breastfeeding is an important factor that influences the success of breastfeeding. Mothers anxiety, stress, excessive worry, and frustration play a very important role in the success of exclusive breastfeeding. Constant anxiety, a lack of self-confidence, depression, and various other forms of emotional stress can prevent a mother from breastfeeding her baby. Objective: This study aims to determine the relationship between the anxiety level of post-sectio caesarea mothers with breast milk production at the Ciamis General Hospital. Method: The research method is quantitative with a cross-sectional research design. The sampling technique was accidental sampling, namely of post-SC mothers at the Ciamis General Hospital, namely as many as 27 people. The research instrument was a questionnaire sheet. Data analysis used univariate and bivariate analysis with the chi-square statistical test. Result: The result showed the anxiety level of post-section caesarea mothers, most of the categories of moderate anxiety were found, namely 14 people (51.9%). Nearly half of the post-SC mother's milk production was in the lower category, namely 12 people (44.4%). The statistical test results showed a p value of 0.024 (p 0.05). Conclusion: There is a relationship between the anxiety level of post section caesarea mothers and milk production in Ciamis General Hospital. These results prove that anxiety is one of the factors that can affect the breast milk production of breastfeeding mothers.

INFLUENCE OF KNOWLEDGE LEVEL OF MOTHERS WHO HAVE BABIES AGED 6-11 MONTHS IN GROWTH SPURT ON THE FEEDING OF EARLY COMPLEMENTARY FOOD IN THE WORKING AREA OF WARUNGGUNUNG PUSKESMAS LEBAK DISTRICT 2022

Background:Breast Milk is a perfect nutrient intended for babies with complete ingredients for baby intake and has antibodies against disease prevention. Even though breastfeeding has many benefits, it turns out that the achievements of exclusive breastfeeding are still lacking. Failure to give exclusive breastfeeding is influenced by many factors, one of which is knowledge. The knowledge possessed by the mother will greatly influence the success and failure of exclusive breastfeeding. Many mothers do not know that one day the baby will experience a phase of accelerated growth from normal conditions which is called a growth spurt. At this time a mother will be worried and think that her breast milk is lacking, so she finally gives formula milk or early solids so that her baby is calm. Writing purpose:The effect of the level of knowledge of a mother who has a baby aged 6-11 months regarding growth spurt on the provision of early complementary food (MPASI) at the Warunggunung Health Center, Lebak Regency, is known in 2022. Research methods:Research method analytic observational case control design. The study sample consisted of 74 mothers with babies aged 6-11 months who were divided into a case group (mothers with babies who were given early solids) and a control group (mothers with babies who were not given early solids) with a ratio of 1:1. Sampling technique with purposive sampling. The instrument used is a questionnaire. Bivariate analysis via Chi-Square test. Research result:In the case group (babies who were given early solids) the majority or as many as 87.5% of mothers had a low level of knowledge, while in the control group (babies who were not given early solids) the majority or 78.6% of mothers had a good level of knowledge. Mothers with a good level of knowledge, only 21.4% of mothers gave Early Solids to their babies and 78.6% of mothers did not give Early Solids. Whereas in mothers with a low level of knowledge, as many as 87.5% gave Early Solids and only 12.5% ​​did not give Early Solids to their babies. There is an influence on the level of knowledge of mothers with babies aged 6-11 months about growth spurts on early complementary feeding (p value = 0.000).

PENGARUH EDUKASI MENYUSUI TERHADAP PENGETAHUAN DAN SELF EFFICACY PRIMIGRAVIDA

There are still many mothers who have not been able to provide breast milk to their babies for various reasons that cause the failure of exclusive breastfeeding. The prior study show that knowledge and self-efficacy were factors that cause failure of mothers to breastfeed. This study aims to examine the effect of breastfeeding education on primigravid knowledge and self-efficacy. This research is a quantitative study using a quasi-experimental design with a pre and post with a control group approach. The research was conducted in June - August 2022, in three Public Health Center at Denpasar City. The sampling technique used purposive sampling with a sample size of 66 respondents. The results showed that there was a significant difference between knowledge and self-efficacy before and after treatment with p-value 0.05. Likewise, there is a significant difference between knowledge and self-efficacy before and after in the 2 groups. This shows that breastfeeding education has an effect on increasing knowledge and self-efficacy of primigravidas. Knowledge must be built comprehensively since pregnancy so mother is ready to breastfeed. In addition, knowledge is also related to the formation of self-efficacy. More intensive efforts are needed from health facilities and health workers in providing breastfeeding education.Keywords: Breastfeeding Education, Knowledge and Self Efficacy

Association between maternal obesity and exclusive breastfeeding practice in Yogyakarta 2019

Obesity, especially in pregnant women, could cause many health problems regarding both the individual and the baby related to the tendency not to exclusively breastfeed in the future. This study aim to know the association between maternal obesity and exclusive breastfeeding (EBF) practice. This study was an observational analytic (non-experiment) with a historical cohort design, carried out between November 2018-June 2019. The population was all first trimester pregnant women between March 2016-December 2017 who had first antenatal care in Tegalrejo and Mantrijeron Primary Health Care. The sample used was 130 respondents divided into two groups, 68 as exposed and 62 as non-exposed group. Sampling technique used was multistage random sampling. This study analyzed six variables, which were maternal obesity, age, education, occupations, knowledge, and attitude. Data collected using form and questionnaire. Chi-square test and logistic regression were used in data analysis. There was an association between maternal obesity and EBF practice. After controlling the attitude variable, maternal obesity had significance (p=0,002) toward EBF practice. The failure of EBF was higher 1,74 times in obese mother (RR=1,74).