Breastfeeding Knowledge Research Articles

MAHASISWA SEBAGAI PENUNJANG KEBERHASILAN PEMBERIAN ASI

Current counseling in health services does not involve other families, so mothers often do not receive support. Family support plays an important role in the success of breastfeeding. Counseling provided to mothers and families will increase knowledge and support for successful breastfeeding of their babies. Counseling can be done by a breastfeeding counselor at a health service. The performance of breastfeeding counselors is not optimal due to lack of work motivation caused by lack of financial support, lack of supervision, excessive workload due to the absence of special assignments as counselors. Students who are prospective health workers have good potential if guided to become counselors. Fun Home Counseling is a counseling activity that involves mothers and all families in the house to increase knowledge and support so that coverage of breastfeeding can be increased and will prevent stunting in Makassar City. To determine the effect of counseling on breastfeeding practices in Makassar City. This research is a pre-experimental research in the form of a post test group design. The population is all pregnant women in the Paccerakkang and Sudiang Raya Community Health Center working areas. The samples were mothers in the third trimester of pregnancy, permanent residents in the research area and participating in all counseling activities. The number of respondents in both groups was 16 people, but those who followed until the baby was 1 month old were 11 people in the counseling group and 14 people in the counseling group. The effect of counseling on breastfeeding practices using the Chi Square Test. There are no differences in employment, maternal nutritional status, number of parities, place of delivery, delivery process, Early Breastfeeding Initiation ((MD), breastfeeding assistance, postnatal intake, and intake at 14 days of age but different in breastfeeding at 1 months in counseling and counseling groups.

Knowledge, attitude, and practice of exclusive breastfeeding among mothers of childbearing age.

The American Academy of Pediatrics and the World Health Organization recommend exclusive breastfeeding (EBF) for up to 6 months. Despite the importance of breast milk, EBF is far less prevalent in Nigeria than is recommended for developing countries. Worse still, the odds of EBF practice are very low in rural communities. Hence, the aim of this study was to assess the knowledge, attitude, and practice of EBF as well as identify the factors associated with EBF practice among mothers of childbearing age in Chamo town, Jigawa State, Nigeria. The study is a cross-sectional design using a questionnaire to assess the required information. The methodology involved the use of simple random sampling to select mothers of reproductive age from Chamo town, which is a rural community located in Jigawa State, Nigeria. A semi-structured questionnaire was used to assess the mother's knowledge, attitude, and practices regarding EBF. Simple and multiple logistic regression analyses were performed to determine the factors associated with the practice of EBF. A total of 400 mothers between the ages of 18 and 41 took part in the study. More than half of the participants (57.8%) were between the ages of 26 and 33 and had a primary level of education (30.5%). Only 26.8% of the respondents practice EBF. Those with a tertiary education (AOR = 10.00, p < 0.001), civil servants (AOR = 12.51, p < 0.001), those aware of EBF (AOR = 3.65, p = 0.002), those with correct EBF knowledge (AOR = 4.61, p < 0.001), those with a positive attitude toward EBF demand (AOR = 0.51, p = 0.050), and those who received encouragement from their community (AOR = 9.87, p < 0.001) were more likely to practice EBF. The findings of the study revealed that the majority of the respondents' knowledge, attitude, and practice of EBF were minimal. This shows the need to step up efforts to educate mothers about the advantages of EBF for both their own health and that of their children while they are in the hospital recovering from childbirth.

Assessment of knowledge and practices of exclusive breastfeeding among rural women during the COVID-19 pandemic in Egypt: a cross sectional study

BackgroundWorldwide exclusive breastfeeding is still recommended as a successful strategy even during the COVID -19 pandemic to lower infant morbidity and mortality. This study aimed to assess the knowledge and practices of exclusive breastfeeding among rural women during the COVID-19 pandemic.MethodsA descriptive cross-sectional study was conducted at EL-Morabeen Family Medicine Center in rural Damietta, Egypt among 178 lactating women who were chosen by using the purposive sampling technique. A developed structured questionnaire consisting of four parts was used to gather data from March to May 2022. Univariate analysis for descriptive data and bivariate analysis through the chi-square test were performed.ResultsThe current study revealed that 73% of the studied rural women did not receive any breastfeeding counseling during antenatal visits and 61.2% of them believed that coronavirus was transmitted through breastmilk. Only 15.2% of them breastfed their infant exclusively for 6 months, 88.2% of mothers delayed breastfeeding initiation after delivery and 48.3% administered the prelacteal feeds. A total of 98.3% of rural women had never made skin-to-skin contact, and 79.2% of them had not been vaccinated against COVID-19. Additionally, a statistically significant association between good knowledge and practice with highly educated women aged 26–30 years, with a monthly income of 4000–6000 L.E was found. Furthermore, only 26.4% and 26.1% of rural women had good knowledge and practice scores respectively.ConclusionSuboptimal breastfeeding practices, such as delayed onset of breastfeeding, low percentages of exclusivity, early weaning, prelacteal feeding administration, and lack of skin-to-skin contact during the COVID -19 pandemic were prevalent among the studied rural mothers. Breastfeeding counseling for all pregnant women and implementation of evidence-based practices in the health care system, such as the early initiation of breastfeeding and skin-to-skin contact, are recommended.

Knowledge and Practices of Breastfeeding among Mothers in Mechinagar

Although breastfeeding is a universal practice, it varies across social, economic, cultural, and educational variables in society. In this context, this paper explores knowledge and practices of breastfeeding among the mothers (N=132) in two culturally different groups, namely hill-origin and Tarai-origin, who live in Mechinagar, a village of the eastern Tarai of Nepal. This study was carried out based on mixed methods in which data were collected through Individual Survey (IS), Key Informant Interview (KII), and Focus Group Discussion (FGD). The findings of the study show that the knowledge of and behavior of breastfeeding among mothers are influenced and shaped by socio-demographic, cultural, and health-related factors, such as – caste and ethnic backgrounds, occupation, age, the birth interval between children, education, social belief, cultural values, etc. Consequently, the mother is not a homogeneous group, but rather a more diverse group that demands the concept of social heterogeneity for a better understanding of breastfeeding knowledge and behaviors in a diverse society. It will help to develop appropriate maternal educational programs to improve breastfeeding practices in society.

Hubungan Sikap dan Pengetahuan Ibu Menyusui dengan Pemberian ASI Eksklusif pada Bayi 0-6 Bulan di Desa Gunung Paribuan Kab.Deli Serdang Tahun 2023

Breast milk is the best food for babies which contains white blood cells, proteins and immune substances that are suitable for babies. Breast milk is very suitable for meeting the baby's needs in all respects, namely carbohydrates in the form of lactose, polyunsaturated fatty acids, lactalbumin protein which is easily digested, contains lots of vitamins and minerals, a calcium phosphate ratio of 2:1 which is an ideal condition for calcium absorption, and contains anti-infective substances. This research aims to determine the relationship between attitudes and knowledge of breastfeeding mothers and exclusive breastfeeding for babies 0-6 months in Gunung Paribuan Village, Deli Serdang Regency in 2023. This type of research is research using an analytical survey with a cross method approach. sectional. The population is all mothers who have babies 0-6 months in Gunung Paribuan Village, Deli Serdang Regency, totaling 61 people. The number of samples used was 61 people obtained using the total sampling technique. The data analysis technique uses chi square. The results obtained in this study were that from 61 respondents, there was a relationship between the attitude of breastfeeding mothers and exclusive breastfeeding for babies 0-6 months old, showing that the p value = 0.012 &lt; 0.05. There is a relationship between Mother's Breastfeeding Knowledge and Exclusive Breastfeeding for Babies 0-6 Months, showing that the p value = 0.002 &lt; 0.05. It is recommended for Health Workers to increase education regarding Exclusive Breastfeeding.

Effectiveness of a breastfeeding promotion intervention model based on Society ecosystems Theory for maternal women: a study protocol of randomized controlled trial

BackgroundBreastfeeding is recognized internationally as the most scientific and effective way to feed infants and young children. According to the World Health Organization in 2022, the exclusive breastfeeding rate within 6 months is 34.1% in China, which is still far from the goal of “more than 60% exclusive breastfeeding rate of infants within 6 months” by 2030 required by China’s State Council. It is necessary to promote breastfeeding and provide maternal breastfeeding guidance to increase exclusive breastfeeding. Factors influencing breastfeeding can be explained by the society ecosystems theory, distributed in macro, mezzo and micro systems. The interventions focused on breastfeeding promotion are mainly carried out in the health systems and services, home and family environment, community environment, work environment, policy environment or a combination of these facilities. But there is sparse research on integrating resources in the macro, mezzo and micro systems of maternal breastfeeding processes to promote breastfeeding behavior. A randomized controlled trial will test the effect of a breastfeeding promotion intervention model based on the society ecosystems theory versus usual prenatal and postnatal care on maternal and infant health and the exclusive breastfeeding rate at 6 months.Methods/designThe study is a single-blind, parallel design, randomized controlled trial with an intervention group (n = 109) and a control group (n = 109) that compares the effect of a breastfeeding promotion intervention model based on the society ecosystems theory with usual prenatal and postnatal care. The intervention covers macro- (policy, culture), mezzo- (family-hospital-community) and micro- (biological, psychological and social) systems of the maternal breastfeeding process. Infant feeding patterns, neonatal morbidity and physical and mental health of antenatal and postpartum women will be collected at baseline (28 to 35 weeks of gestation), 1-, 4-, and 6-month postpartum.DiscussionThis is a multifaceted, multifactorial, and multi-environmental breastfeeding promotion strategy to help mothers and their families learn breastfeeding knowledge and skills. The study provides a new modality for adding breastfeeding interventions to prenatal and postnatal care for healthcare providers in the hospital and the community.Trial registration: Chinese Clinical Trial Registry at www.chictr.org.cn, ChiCTR2300075795.

Assessment of the Feeding Practices in Infants and Young Children and its Association with Nutritional Status in Urban Areas

Background: Poor nutrition at an early age leads to malnutrition, which in turn leads to an increase in risks of repeated infections, which is responsible for the poor health of children. The nutritional status of a child is directly proportional to their feeding practices, which are dependent on the knowledge and practices followed by the mother. This study assesses the level of knowledge and practices among mothers on feeding practices for their infants and young children and its association with nutritional status.&#x0D; Methods and Materials: A cross-sectional study was conducted in the households of urban slums in the field practice area of the Urban Health Training Centre of a private medical college. A questionnaire consisting of sociodemographic data, knowledge of breastfeeding, knowledge of complementary feeding, and actual practices of feeding the children from 0 –2 years was used for data collection using Google Forms, followed by anthropometric measurements of the children with the help of WHO standardized growth charts to assess their nutritional status.&#x0D; Results: Out of 112 participants, 37.5% of the mothers were less than 25 years old. The mean age of the babies was found to be 11 + 6.49 months. 53.57% of mothers had good knowledge, and 72.32% of mothers followed correct feeding practices.&#x0D; Conclusion: There is a significant association of good knowledge among mothers with babies who did not show wasting. There is no association between knowledge and feeding practices being followed.

Breast is best? A small-scale study exploring knowledge, attitudes, and training amongst community pharmacists about breastfeeding

Abstract Introduction The United Kingdom (UK) has one of the lowest breastfeeding rates in Europe, with the last Infant Feeding Survey showing a reduction from 81% of mothers initiating breastfeeding to 0.5% still breastfeeding at 12 months.1 It provides multiple health benefits for mothers and infants, and promoting breastfeeding is an important public health strategy, impacting the future health of the population. Community pharmacists are accessible and trusted healthcare professionals, giving expert advice on medication use and public health. Previous research has found a lack of knowledge and training on medicines use during lactation and breastfeeding-related conditions, often leading to unnecessary cessation of breastfeeding.2 Aim To explore breastfeeding knowledge, attitudes, and training amongst community pharmacists. Methods Following ethical approval from Kingston University and a pilot study, a paper questionnaire comprising 24 mixed-style questions was distributed to community pharmacists in the London boroughs of Ealing and Brent. The Raosoft online calculator was used to calculate the sample size of 110 pharmacists at 95% confidence interval. Semi-structured interviews were conducted using a validated interview guide. Analyses were performed using SPSS software alongside thematic analysis for interview responses. Results Response rate was 75% (n=82/110) and 9 pharmacists participated in the interviews. 47.6% (n=39/82) pharmacists rated their current breastfeeding knowledge as neither poor nor good or lower. Only 11% (n=9/82) pharmacists stated the duration of breastfeeding should be greater than 2 years. 27.2% (n=12/44) pharmacists felt slightly or not confident providing over-the-counter medicines to breastfeeding patients compared to 61.4% (n=27/44) when making recommendations for breastfeeding-related conditions such as mastitis or nipple thrush. Thematic analysis highlighted the need for further research into medication use safety during lactation as pharmacists lacked confidence to make recommendations based on Summary of Product Characteristics (SPC). 50% (n=41/82) pharmacists stated their knowledge was obtained from personal experience. 100% (n=82/82) of participants agreed that more education and training must be provided, and thematic analysis showed pharmacists would prefer a spiralled approach starting at university level, through foundation year training and post-registration. Discussion/Conclusion The majority of pharmacists showed somewhat or high confidence advising patients about over-the-counter medication safety during lactation, but this was reversed when confronted with breastfeeding-related conditions, in contrast to findings from Byerley2 where the majority of pharmacists were not confident about medicines advice. Pharmacists have a positive attitude towards breastfeeding with all desiring further training. Changes to pharmacy education and training are needed to develop pharmacists’ understanding on breastfeeding generally and medicines safety with the need for robust evidence from clinical trials to improve pharmacist’s confidence to advise appropriately,3 or at least to educate pharmacists about specialised resources such as the Drug and Lactation Database or Breastfeeding Network. Study strengths included providing information about an area with limited literature and a reasonable response rate. Limitations included a small sample size in a small geographical area. Only community pharmacists were surveyed but with evolving roles, it would benefit surveying primary care pharmacists.

The Relationship of Knowledge and Socio Culture of Mothers to Exclusive Breast Feeding in Aid Community Health Center Lebaho Ulaq Village

The best food for a baby's growth is breast milk.. Problems in breastfeeding are socio-cultural factors and knowledge. Transverse Sectional Research. 30 mothers with The age range of the sample's children was from 6-24 months utilizing the method of total sampling. The independent variables are tingkat kesadaran sosiokultural. Variabel yang terikat adalah exclusive breastfeeding. It used knowledge and socio-cultural questionnaire. The Kolmogorov Smirnov test on the variable knowledge of exclusive breastfeeding obtained a ρvalue of 0.001 &lt;0.05 (ρ&lt;α). Meanwhile, the Fisher's Exact test on socio-cultural variables on exclusive breastfeeding obtained a ρvalue of 0.000 &lt;0.05 (ρ&lt;α). When mother's knowledge’s high, motivated to give exclusive breastfeeding. The mother's social culture and degree of knowledge regarding exclusive breastfeeding are related.

Validation of a Questionnaire on Knowledge and Barriers of Breast Milk Expression among Mothers of Premature Infants

This study aimed to develop and validate a Malay language questionnaire to assess mothers' knowledge in providing breast milk for premature infants, and barriers to breast milk expression while the infants are in the Neonatal Intensive Care Unit (NICU). Two tertiary hospitals in Kelantan, Malaysia participated in this cross-sectional study. Relevant items of knowledge and barriers were identified through a literature search, clinical observations, and expert opinion. Ten breastfeeding experts validated the content of the knowledge and barriers to breast milk expression questionnaire.The effectiveness of the questionnaires was tested for face validity among ten mothers, followed by reliability tests comprising 50 mothers who gave birth prematurely. The 20 knowledge items and 16 barrier items have an Item-level Content Validity Index (I-CVI) of 0.99, indicating good relevance of the knowledge and barrier items. The knowledge and barrier questionnaires had Item-level Face Validity Indexes (I-FVIs) of 1.00 and 0.99, respectively, suggesting clear and comprehensible items. The questionnaires obtained a Cronbach alpha score of 0.726 for knowledge and 0.736 for barriers, showing that they are reliable tools for assessing knowledge and breast milk expression barriers. The validity and reliability of the newly developed Malay version of the questionnaire have been established for evaluating breastfeeding knowledge and barriers to expressing breast milk among mothers with premature infants.

The effect of low-fidelity simulation training on breastfeeding knowledge, practice, and self-efficacy among young lactating mothers in Tanzania: A quasi-experimental study.

Exclusive breastfeeding (EBF) is of paramount importance for the survival, growth, and development of neonates. Lack of EBF puts mothers and their babies at high risk of many complications. Mothers may end up having breast engorgement, cracked nipple, mastitis, breast pain, and backache. Babies may acquire postnatal HIV transmission, reduce weight, stunting, poor cognitive and motor development, and increase the risk of diarrhea disease and respiratory infection. Breastfeeding training has been provided immediately after a women's birth. However, young mothers are still staggering with breastfeeding. We aim to assess the effect of low-fidelity simulation training on breastfeeding knowledge, practice, and self-efficacy among young lactating mothers and we will also assess the impact of simulation on infants' weight in Tanzania. The study will be a health facility-based quasi-experimental design. The study will have four phases: baseline survey, intervention, immediate assessment, and two-month end-line follow-up. The assessment will focus on participants' breastfeeding knowledge, practice, and self-efficacy. Furthermore, infant weight will also be assessed during baseline and end-line. A total of 261 young lactating mothers who have first baby with their infants aged 0 to 2 months will be included, whereby 87 young lactating mothers will be in an interventional group and 174 will be in the control group. The intervention will have four packages: 1) group lecture education and interactive on the importance of breastfeeding 2) videos, 3) pictures, and 4) simulation in the umbrella LVPS using the wearable Lactation Simulation Model (LSM) and newborn manikins (Global Health Media and Laerdal baby). At the end of the study, all groups will be given education brochures which will be in the Swahili language for easy understanding. Data will be analyzed using SPSS version 23. An independent T-test and repeated measures ANOVA will be used in this study to compare the difference between the mean of the 2 groups. This study aims to generate evidence of the effect of simulation on improving breastfeeding knowledge, practice, and self-efficacy. We expect the study findings to inform the stakeholders and policymakers on formulating breastfeeding education and simulation training that will improve women's breastfeeding knowledge, practice, and self-efficacy and improve infant health.

Exclusive Breastfeeding Support to Increase Exclusive Breastfeeding at Muhammadiyah Gresik Hospital

The first 1000 days of life is a critical period, exclusive breastfeeding and infant stimulation are important. The purpose of the study was to analyze the effectiveness of Communication, Information and Education (CIE) on: (1) the mother's knowledge about exclusive breastfeeding, (2) breast care, (3) how to breastfeed correctly, (4) mother's attitude in exclusive breastfeeding. The research design was quasi experimental with pre-post test group intervention. The research time was 8 months, from August 2022 to March 2023. The dependent variable was the provision of CIE by Aisyiyah cadres and the independent variables were 1) mother's knowledge about exclusive breastfeeding, (2) breast care, (3) the correct way of breastfeeding, and (4) mother's attitude. The sample was quota sampling, totaling 100 subjects. The data collection technique used a pre questionnaire given directly during the first or second post partum day and a post questionnaire given after 6 months through visits and MCH books. Data analysis found that mothers' knowledge about breast milk and breastfeeding before and after CIE showed an average value increased from 56.68 to 90.12. The mean value of breast care skills before and after the CIE was 41.24 and 88.48. The mean value of breastfeeding skills before and after the CIE was 43.64 and 88.46. The mean scores of maternal attitudes before and after the CIE were 63.61 and 90.27. Breastfeeding success rate was 91%. The effectiveness of CIE using the Wilcoxon analysis test, shows; there is effectiveness of CIE on knowledge of breast milk and breastfeeding (p&lt;0.05), the value of negative ranks (decrease) is 0. The value of positive ranks (increase) is 50.50. Likewise, the effectiveness of CIE on breast care skills, the effectiveness of CIE on correct breastfeeding skills, and the effectiveness of CIE on maternal attitudes showed the same value (p&lt;0.05), the value of negative ranks (decrease) was 0. The value of positive ranks (increase) was 50.50. The value of ties (equal) is 0.

Online ethnography of breastfeeding discussions in social networking sites for Hong Kong mothers.

With the growth of social networking, parents are increasingly sharing their experiences and opinions or seeking help with childcare through online platforms. This study explored breastfeeding-related topics that Hong Kong mothers raise on social networking sites and how other mothers respond; and how these sites could be a facilitator or barrier to breastfeeding. An online ethnographic approach was used to collect breastfeeding-related discussions (posts and responses) among mothers from three sources: two closed moderated Facebook groups with more than 1000 members, and one open unmoderated forum (Baby Kingdom) (26 December 2021-26 May 2022). Posts not related to breastfeeding (e.g., about formula feeding only) were excluded. Data were collected by a nonparticipatory approach to avoid disrupting the dynamics of the groups. In total, 131 original posts and their 802 responses were collected, of which the common topics discussed were breastfeeding technique, breastfeeding-related health issues, breastfeeding mothers returning to work, and COVID-19 vaccination/infection during breastfeeding. The responses to the queries on breastfeeding technique and health issues in the closed groups were mostly about sharing breastfeeding knowledge and health information to provide timely emotional support and practical solutions. Although similar responses were observed in the open forum, sharing experiences in using formula milk were frequently observed in the responses to posts related to breastfeeding. Social networking sites could be facilitators and barriers to breastfeeding. The potential for infant formula promotion in open forums requires further monitoring and evaluation. Moderation and support from trained professionals or peers could be important.

The effect of family empowerment through education and mentoring on increasing knowledge of exclusive breastfeeding

Providing appropriate education to breastfeeding mothers and their families is essential to ensure a high level of breastfeeding implementation. The purpose of this study was to analyze the effect of education and mentoring on increasing knowledge about exclusive breastfeeding. This study employed a quasi-experimental design with two groups, one before and one after testing. The research was conducted in one village during March and April 2023, using purposive sampling techniques. Data were collected through questionnaires. Family empowerment interventions in the form of education and mentoring were administered twice with one-week intervals. Data analysis was performed using an independent t-test with p-value &lt; 0,05. The study revealed significant differences in respondents' knowledge after they received educational interventions and guidance. The results showed a p-value of 0.006, which is less than 0.05, indicating a significant difference in respondents' knowledge before and after the intervention. Education and instruction had a positive impact on respondents' knowledge of exclusive breastfeeding. Both the intervention and control groups showed efficacy. Notably, the intervention group displayed a highly significant increase, as evidenced by the significant difference values. In conclusion, family empowerment through education and assistance has a positive effect on increasing knowledge about exclusive breastfeeding. Enhancing family knowledge, skills, and social support can lead to improved optimal breastfeeding practices, enhanced infant health, and reduced infant mortality.

Translation and validation of the Chinese version of the comprehensive breastfeeding knowledge scale (CBKS)

BackgroundThe level of breastfeeding knowledge of nursing students may influence their ability to support breastfeeding families. However, to date, it has not been possible to measure this accurately due to the lack of existence of a validated tool in Chinese. ObjectivesTo translate the Comprehensive Breastfeeding Knowledge Scale (CBKS) into Chinese, and then evaluate its psychometric properties among Chinese undergraduate nursing students in order to inform and evaluate a nursing breastfeeding education programme. MethodsThe Brislin translation model was followed, and a three-phase process (translation, back-translation and cultural adaptation) was used to sinicize the CBKS and evaluate its content validity. Construct validity was evaluated with exploratory factor analysis (EFA), and the reliability of internal consistency of the Chinese version of the CBKS was tested by calculating Cronbach's alpha coefficient and the half reliability coefficient. SettingsTwo nursing schools in Beijing and Nanjing, China. ParticipantsFour hundred and thirty-nine undergraduate nursing students (257 from Beijing and 182 from Nanjing). ResultsFive experts rated the content validity of the Chinese version of the CBKS as excellent. EFA showed that the Chinese version of the CBKS had three subscales and 23 items. Cronbach's alpha coefficient of the Chinese version of the CBKS and the half reliability coefficient were 0.70 and 0.73, respectively. Students who had completed an obstetrics or paediatric nursing course had significantly higher total scores and mean scores for most items compared with those who had not taken a course. Most of the indictors of EFA met the standards of construct validity, and some were very close to the cut-off. ConclusionOverall, the 23-item Chinese version of the CBKS is an acceptable tool to measure the level of breastfeeding knowledge among undergraduate nursing students. This scale can be used to inform the design and evaluation of breastfeeding education materials for nursing students or other health profession students.

Breast feeding practices after normal vaginal and caesarean delivery in Gujarat, India.

Breast feeding is the mainspring of child survival, nutrition, development and maternal health. Early initiation of breastfeeding is an extremely important factor associated with the maintenance of long-term breastfeeding practice. Breastfeeding practices can be influenced by a variety of variables such as parity, mode of delivery; body mass index (BMI), breast or nipple abnormalities and behavioural factors are equally as important. The present study was conducted to analyze Breast Feeding Practices after Normal Delivery and Caesarean Delivery at a Tertiary Care Hospital. This cross sectional study was conducted at tertiary care hospital, by Convenient non-random sampling method, which included two groups; Group A: 100 mothers who delivered vaginally Group B: 100 mothers who gave birth through caesarean section (n=100 each). Participants were asked to complete standardized questionnaire consists of information on socio demographic and breast feeding practice. All anthropometric measurements were taken. A semi-structured questionnaire was used to collect data on maternal socio demographic characteristics, breastfeeding knowledge, practices along with source of information regarding breastfeeding and maternal experience. The study results shows that initiation of breastfeeding is most common in normal vaginal delivery (70%) among total 100 subjects of vaginal delivery category and also common in subjects with planned C-section (49%) of 100 subject"s caesarean delivery category. Association between the modes of delivery and initiation of breastfeeding within an hour was statistically significant (p<0.01). The present study indicates that C-sections are linked to higher breastfeeding challenges, greater resource usage, and shorter nursing duration.

Knowledge, attitudes, and practices of exclusive breastfeeding among mothers in Garowe, Puntland, Somalia

Background: Exclusive breastfeeding is a cornerstone of infant health and development, reducing mortality and improving long-term outcomes. In Garowe, Puntland, Somalia, where sociocultural norms and limited resources intersect, understanding mothers’ knowledge, attitudes, and practices toward exclusive breastfeeding is imperative. Methods: This cross-sectional study investigated these aspects to inform tailored interventions that promote positive breastfeeding practices. Using a multistage cluster sampling technique, 366 mothers who have given birth within the past two years were interviewed using a structured questionnaire. The research analyzed demographic characteristics, breastfeeding knowledge, attitudes, and practices. The data was analyzed using SPSS version 22. Results: Preliminary results revealed positive attitudes towards breastfeeding, with mothers recognizing its significance for infant nutrition and emotional bonding. However, challenges persist, including concerns about disease transmission and societal perceptions. Sociocultural dynamics play a pivotal role, and family support is an important factor in mothers’ decisions. This study contributes to understanding exclusive breastfeeding practices in Garowe and provides insights for future interventions. Conclusions: Recommendations include tailored education, involving family and community members, and addressing misconceptions. The study underscores the importance of context-specific strategies to promote exclusive breastfeeding, ultimately improving the region’s maternal and child health outcomes.

Pengaruh Pendidikan Kesehatan Melalui Video Animasi Terhadap Pengetahuan ASI Eksklusif Pada Ibu Primigravida

Introduction: Based on research by the Indonesian Pediatrician Association (IDAI) the number of mothers who have breastfed their children in Indonesia is already high, namely 90% but those who provide exclusively for 6 months are still low at 20%. Breastfeeding is recommended for up to two years. From the preliminary study that the researchers conducted, the knowledge of primigravida mothers in the Carita Health Center area was still lacking. The percentage of exclusive breastfeeding for babies 0-6 months in the Carita Health Center area was still low at 65%. Methods: This method uses an experimental method, a pre-experimental design in the form one group pre-test-post-test design. The sample in this study were primigravida mothers in the working area of the Carita Public Health Center, Pandeglang Regency, totaling 46 people. The sampling technique used in this research is total sampling. The research instrument used a questionnaire. Bivariate analysis using paired t-test. Results: Primigravida mothers' knowledge about exclusive breastfeeding before being given intervention in the Carita Health Center area most of them had less knowledge namely as many as 24 respondents (52,2%). After being given the intervention, most of them had sufficient knowledge namely as many as 26 respondents (56,5%). The results of the paired t-test showed that before and after giving health education through animated video media, the p-value was 0,000 (&lt;0,05). Discussion: There is an effect of health education through animated videos on knowledge of exclusive breastfeeding in primigravida mothers in the Carita Health Center area.

Faktor Determinan Pemberian ASI Ekslusif Di Puskesmas Andongsari

Exclusive breastfeeding is giving breast milk without other additional food and drinks to babies aged 0-6 months. Coverage of babies receiving exclusive breast milk in 2021 in Indonesia is 56.9%. At the Andongsari Jember Community Health Center in 2021 the coverage of exclusive breastfeeding was 9.2%. This coverage has decreased compared to 2020, amounting to 48.9%. The aim of this research is to determine the determinant factors for exclusive breastfeeding at the Andongsari Community Health Center. The research design used is descriptive. The population used by mothers breastfeeding babies aged 6-24 months was 100 people, the sample was 80 people. The technique used was simple random sampling with a questionnaire measuring instrument. The research results showed that knowledge was good 83.8%, fair 11.2%, less 5%, favorable attitude 55% unfavorable 45%, positive perception 50%, negative 50%, family income below UMK 82.5%, above UMK 17.5%, moderate husband support 68.8% high 31.2%, and the role of health workers supports 68.8%, does not support 31.2%. Almost all mothers have good knowledge about exclusive breastfeeding, most have a favorable attitude, half have positive perceptions, almost all have family incomes below the UMK, most have moderate husband support and most of the health workers' roles are supportive. It is recommended that breastfeeding mothers be able to increase and apply their knowledge in exclusive breastfeeding.

Cross-cultural adaptation of the Survey on Breastfeeding Knowledge (ECoLa)

A timely and updated support from the health care team in the initiation and maintenance of breastfeeding is essential. It has been documented that some health care providers lack the skills to offer adequate guidance to nursing mothers, but there are no local surveys on their knowledge based on standardized instruments. Adapting a validated questionnaire would allow to investigate and compare these data with those of other countries, and support the implementation of necessary educational strategies. Our objective was to obtain an Argentine version of the Survey on Breastfeeding Knowledge (Encuesta de Conocimientos en Lactancia, ECoLa) through a cross-cultural adaptation process with linguists, breastfeeding experts, physicians, and nurses. Adequacy, equivalence, and comprehension were verified in the discourses of experts and authors and cognitive interviews. A version of the ECoLa equivalent to the original version was obtained, which was semantically and culturally adapted to Argentine health care providers.