Low Rates Of Exclusive Breastfeeding Research Articles

Family support is the strongest predictor that influences mother’s self-efficacy level on complementary feedings practices among toddlers in Tengger tribe

PurposeThe low rate of exclusive breastfeeding and the early introduction of complementary feeding are among the causes of nutritional problems in children. The national coverage of exclusive breastfeeding in 2019 was 67.7%, surpassing the target of the 2019 Strategic Plan, which was 50%. However, there are still several practices of early and inappropriate complementary feeding (32.3%) that can be contributing factors to malnutrition problems in children. The purpose of this study was to determine the factors that influence mother’s self-efficacy levels regarding complementary feeding practices among toddlers in the Tengger tribe.Design/methodology/approachThe study conducted was an observational study with a cross-sectional design. It focused on mothers with children aged 6–24 months in Wonokitri village, East Java. Data was collected using a structured questionnaire and information from the local health center. The analysis involved univariate and bivariate analysis using the chi-square test.FindingsMost mothers were aged 20–34 years (78.9%), had a good level of knowledge (61.4%), the last education level of fathers and mothers was high school (47.4%; 54.4%), parents work as farmers (86.0%; 61.4%), Hinduism (98.2%), family income is less than the minimum wage (78.9%), and mothers receive good family support (73.7%). Most toddlers were boys (56.1%), aged 13–24 months (68.4%), and the second child (66.7%). Family support was the only factor that was significantly related to a mother’s self-efficacy in complementary breastfeeding practices (p-value = 0.042).Research limitations/implicationsIt is hoped that more families and health workers will support mothers in giving food to their babies based on the guidelines.Originality/valueThis paper collects evidence from indigenous people of the Tengger tribe.

SOCIO-CULTURAL DETERMINANTS OF EXCLUSIVE BREASTFEEDING AND INFANT FEEDING PRACTICES IN NIGER

Background
 Niger has one of the lowest exclusive breastfeeding (EBF) rates in the world. Prelacteal feeding practices may contribute to low EBF rates, but research on the barriers related to EBF in Niger is limited.
 Objective
 The purpose of this study was to identify socio-cultural determinants for, and barriers to, EBF during an infant’s first 6 months through maternal perspectives in Niamey, the capital of Niger.
 Methods
 Participants were mothers with children aged 0 to 24 months in Niamey, Niger. Participants completed an interview including a 20-item questionnaire on socio-demographics, breastfeeding support and knowledge, a short food security survey, and a 24-hour diet recall. Infant anthropometric data (height, weight, upper arm circumference) was collected from patient records.
 Results
 All participants (n=31) breastfed and a majority of the mothers were planning to breastfeed until the child reached 18 months old. No mother among the participants practiced EBF for the recommended 6 months because of the common practice of prelacteal feeding, where solid or liquid foods were introduced before 6 months of age. Most participants stated that they were instructed on how to feed their child by a close relative such as their mother or sister, while health professionals rarely gave such instructions.
 Conclusions
 Exclusive breastfeeding is not a common practice among mothers in Niamey. Even though many breastfeed their infant for a relatively long duration, the participants disclosed that they often feed their infants solid and liquid foods before they reach the recommended age for complementary feeding, and sometimes within 48 hours after birth. Study results may inform the development of breastfeeding education components in clinics where mothers attend pre and postnatal consultations.

Assessment of the Baby-Friendly Hospital Initiative showed suboptimal knowledge and a low exclusive breastfeeding rate in Ogun State, Nigeria.

Implementing the Baby-Friendly Hospital Initiative (BFHI) programme has been fraught with challenges globally. The study aimed to assess the implementation of the BFHI and breastfeeding practices in healthcare facilities in Ogun State, Nigeria. It was a questionnaire-based cross-sectional study carried out between August and October 2019 among 100 healthcare workers and 110 mothers from health facilities in Ijebu-Ode Local Government Area of Ogun State, Nigeria. Nearly two-thirds (61.0%) of the healthcare workers were community health workers while the others were nurses. Less than a quarter (23.8%) of the healthcare workers had ever attended breastfeeding educational programmes since they started working. About half of the healthcare workers had good knowledge, attitude and practice of BFHI. Nurses had a significantly better practice of BFHI than community health workers. Understaffing was a major limitation to the implementation of BFHI. The mothers had an exclusive breastfeeding rate of 47%. The knowledge, attitude, and practice of BFHI were suboptimal and the exclusive breastfeeding rate among the mothers was low. There is a need to improve staff strength, training and re-training of staff, as well as regular monitoring and evaluation of healthcare facilities on the implementation of BFHI.

PERSPECTIVES OF TRADITIONAL MARKET WOMEN ON EXCLUSIVE BREASTFEEDING IN THE WORKING AREA OF DELI TUA HEALTH CENTER WORK AREA YEAR 2023

Abstract
 One of the fundamental steps toward a healthy and productive life is breastfeeding, which is in line with the Sustainable Development Goals (SDGs) or Sustainable Development Goals 2030 (Bennett et al., 2020). Low rates of exclusive breastfeeding lead to various infant health problems. The North Sumatra Provincial Government has recorded 299 cases of infant mortality until July 2021. Records from the Ministry of Health of the Republic of Indonesia, as many as 31.36% of 37.94% of children are sick, because they do not receive exclusive breastfeeding. The prevalence of stunting in Indonesia is currently at 27.67%. The low coverage of exclusive breastfeeding is influenced by various obstacles to optimal breastfeeding, one of the biggest obstacles is working women, especially those who work in the informal sector. The purpose of this study was to determine "The perspective of women informal workers in exclusive breastfeeding in the working area of the Deli Tua Health Center. This research is a qualitative study with a descriptive phenomenological approach. The participants in this study were mothers of traditional market traders as many as 7 participants who were obtained using nonprobality sampling technique with purposive sampling type. The instrument used in this research is an interview guide. In collecting data, this study used the in-depth interview method to collect data. The location of this research is Deli Tua Tax in the working area of the Deli Tua Health Center. The results of the research conducted obtained the results of a description of the factors that influence the perspective of traditional market trader mothers in exclusive breastfeeding, namely knowledge, work, husband support and socio-culture.

Evaluating an Association Between Prenatal Smoking Behavior and Exclusive Breastfeeding: A Population-Based Study

Background: Prenatal smoking is consistently associated with adverse breastfeeding outcomes. We aimed to evaluate the association of smoking cessation or continuation during pregnancy with exclusive breastfeeding in a representative sample of the general Canadian population. Methods: We used the pooled sample of 9860 females with pregnancy experience of last under-five child from the Canadian Community Health Surveys 2015-2018 public use microdata file. We categorized self-reported prenatal smoking status as continuing, quitting, or no smoking. We evaluated the association between exclusive breastfeeding for 6 months or more with prenatal smoking status using multivariable logistic regression, adjusted for socio-demographic variables. Results: With the pooled prevalence of 33.2% (95% CI 31.7, 34.8), 34.4% (95% CI 32.8, 36.1) of non-smokers, 25.7% (95% CI 20.2, 32.2) of those who quit and 15.7% (95% CI 10.8, 22.2) of those who continued smoking reported exclusive breastfeeding for 6 months or more. Continuing smoking had lower odds of exclusive breastfeeding (aOR .47; 95% CI 0.30,0.75) but quitting smoking had no difference (aOR .78;95% CI 0.56,1.08) when compared to non-smokers. Conclusion: Continuing smoking during pregnancy was associated with lower rates of exclusive breastfeeding of infants for 6 months or more. Smoking cessation interventions during prenatal visits may improve exclusive breastfeeding rates.

Breastfeeding following bariatric surgery among obese women with and without diabetes mellitus.

Information on exclusive breastfeeding (BF) and BF initiation following bariatric surgery (BS) among obese women with diabetes mellitus (DM) and without DM (non-DM) is limited. Retrospective cohort study. Obesity was defined by BMI (kg/m2) as grade 1 (30-34.9), grade 2 (35-39.9) or grade 3 (≥40). The 65 women in the DM group (40 women with gestational, 19 with Type 2 and 6 with Type 1) was similar to 84 with no-DM in BS type: Roux-en-Y (51 vs 55%), sleeve gastrectomy (32 vs 35%), laparoscopic gastric banding (17 vs 7%) and gastro-duodenal anastomosis (0 vs 4%). Women with DM were older (35 vs 33y), of advanced age (54 vs 27%), with higher prevalence of grade 3 obesity (66 vs 46%), chronic hypertension (31 vs 10%), delivery of late-preterm infants (23 vs 10%) and neonatal hypoglycemia (25 vs 12%). Although infant feeding intention was similar: BF (66 vs 79%), partial BF (9 vs 7%) or formula (25 vs 14%), at discharge women with DM had lower exclusive BF (29 vs 41%) and BF initiation rates (68 vs 76%) than those with no-DM. Women with grade 3 obesity (52% were DM) differed from those with grades 1-2 (34% were DM) in exclusive BF (27 vs 52%), and BF initiation rates (66 vs 86%). After BS, women with DM, especially those with grade 3 obesity, had higher rates of chronic hypertension and preeclampsia and lower rates of exclusive BF and BF initiation than those who had DM but had less severe obesity.

Examining the Role of Women, Infant, and Children in Black Women Breastfeeding Duration and Exclusivity: A Systematic Review.

Background: African American women continue to experience low rates of breastfeeding initiation as well as low rates of exclusive breastfeeding for 6 months. Research has indicated that there are several social determinants that impact breastfeeding rates, but there is a dearth of literature that allows African American women to give voice to their experiences. In addition, research has shown women, infant, and children (WIC) participants to have lower breastfeeding rates than non-WIC eligible women. Research Aim/Question: The aim of this systematic review was to examine the relationship between WIC program participation and breastfeeding initiation and duration among non-Hispanic African American/Black women. Methods: The approach for this review used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Four online databases, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane Library, MEDLINE, and SCOPUS, were used to search for peer-reviewed articles and grey literature. Results: Two hundred eighteen articles were retrieved through the database search and underwent initial screening, yielding 59 potential eligible articles. Full-text articles were further reviewed and 11 met the inclusion criteria and were included in this systematic review. Conclusions: Included studies show mixed results regarding the association between WIC participation and breastfeeding initiation, but there is a general negative association between WIC participation and breastfeeding duration, especially among Black women.

Analysis on the current situation of twin breastfeeding and its influencing factors.

Studies have found that exclusive breastfeeding can not only promote the growth and development of infants, but also increase the emotional communication between mothers and infants, and reduce the incidence of maternal breast diseases. To analysis the current situation and influencing factors of breastfeeding twins. A total of 420 twin mothers delivered in our hospital from January 2019 to December 2022 were selected to investigate the situation of breastfeeding within 6 months after delivery. An electronic questionnaire was conducted, and clinical information were collected. Univariate analysis and multivariate logistic regression analysis were applied to analyze the factors influencing exclusive breastfeeding. The rate of exclusive breastfeeding was 21.90%; in the exclusive breastfeeding group, the age <35 years old, bachelor degree or above, rural areas, no nipple depression or flat, no breast distension, no postpartum depression, adequate breast milk, participation in health education during pregnancy, husband support for breastfeeding, no infant feeding difficulties, infant diarrhea, lactose intolerance and return to milk were 96.74%, 53.26%, 65.22%, 80.43%, 76.09%, 80.43%, 73.91%, 63.04%, 69.57%, 71.74%, 65.22%, 70.65%, and 66.30%, respectively. It was significantly higher than that in the non-exclusive breastfeeding group (P < .05). The score of Edinburgh Postpartum Depression Scale (EPDS) was (8.08 ± 1.03) in the exclusive breastfeeding group, which was significantly lower than that in the non-exclusive breastfeeding group (P < .001), while the score of Perceived Social Support Scale (PSSS) was (67.32 ± 9.92), which was significantly higher than that in the non-exclusive breastfeeding one(P < .001). Logistic regression analysis showed that age, education level, nipple depression or flat, breast tenderness, postpartum depression, breast milk volume, health education training during pregnancy, husband support for breastfeeding, PSSS score, infant diarrhea, lactose intolerance, and delectation were the influencing factors of exclusive breastfeeding (P < .001). Our findings suggest that various factors were associated with a low rate of exclusive breastfeeding in twin births, such as age, educational level, and social support. Corresponding measures should be formulated for intervention to promote exclusive breastfeeding.

Exclusive Breastfeeding at Discharge in Regional New South Wales, Australia: The Role of Antenatal Care (2011-2020).

Increasing the number of infants exclusively breastfeeding on discharge from the hospital after birth is a key goal of breastfeeding policy in New South Wales (NSW), Australia. Despite consistent efforts, exclusive breastfeeding on discharge rates have declined over the past decade. Using pooled data from the New South Wales Perinatal Data Collection from 2011 to 2020, we examined the association between antenatal care (ANC) and exclusive breastfeeding at discharge from birth admission outcomes for mother-baby dyads in Southern New South Wales Local Health District (SNSWLHD). Our study confirmed that exclusive breastfeeding rates in SNSWLHD have declined over the past decade, providing local evidence to support action. Late entry to ANC and a failure to attend the recommended number of ANC visits were important predictors of a lower rate of exclusive breastfeeding on discharge. Improving accessibility to ANC visits for rural and regional mothers has potential to positively impact breastfeeding rates in SNSWLHD. We suggest that wider implementation of caseload midwifery models may have a positive impact on breastfeeding outcomes in the region for all mother-baby dyads, but particularly for Aboriginal mothers and infants, younger mothers and mothers experiencing disadvantage.

Breastfeeding Practices and Associated Factors among Immigrant Muslim Arab Women Living in a Metropolitan Area of the Southwest of United States.

Muslim Arab immigrants are a fast-growing, under-studied, and underserved minority population in the United States. Little is known about breastfeeding practices in this population. The objective of this study was to describe infant feeding practices and factors associated with these practices among immigrant Muslim Arab women. A nonexperimental-one group, cross-sectional, descriptive, prospective design was used to identify infant feeding practices among immigrant Muslim Arab women. A convenience sample of one hundred sixteen immigrant Muslim Arab women with at least one child five years or younger was recruited from a large metropolitan area in the Southwestern region. Participants completed the social ecological model of health promotion self-reported questionnaire. Descriptive statistics were performed to identify infant feeding practices and logistic regression was used to identify factors associated with these practices. Immigrant Muslim Arab mothers demonstrate high breastfeeding initiation rates (99.2%) and lengthy breastfeeding duration (M = 11.86, SD = 8.04), but low rates of exclusive breastfeeding at six months (21.6%). The most frequent reasons for early termination of breastfeeding were perceived insufficient milk (44.4%), child was still hungry after breastfeeding (37.5%), and the belief that the child was old enough to stop breastfeeding (32.9%). Development of educational interventions are needed to improve breastfeeding exclusivity and raise women's awareness of the importance of exclusive breastfeeding. Healthcare providers should help women gain confidence in their ability to produce enough milk to successfully continue breastfeeding.

How and Where the Birth Delivery Taking Place Matter towards the Success of Exclusive Breastfeeding

Background: Breast milk is the best nutrition for babies. The coverage of exclusive breastfeeding in Indonesia in 2017 was still low. However, there are many factors that contribute to low rates of exclusive breastfeeding including socio-cultural factors, factors related to the health system, market, environment, and knowledge. Recent studies have shown that there was a relationship between the place and type of delivery with exclusive breastfeeding. Objectives: This study aimed to analyze the correlation between the place and type of delivery with the success of exclusive breastfeeding practice in Indonesia among mothers of infants 0-6 months.Methods: This study was a secondary data analysis using data from the results of the 2017 Indonesia Demographic and Health Survey (IDHS), conducted in 34 provinces in Indonesia with a total sample of 1810 infants aged 0-6 months. The dependent variable was the exclusive breastfeeding. Independent variables were mother’s age, mother’s level of education, parity, place of delivery, and type of delivery. Data collection was carried out for all variables by interviewing using a reproductive woman questionnaire. Data were analyzed using chi square test.Results: The results showed that 48.2% of mothers gave exclusive breastfeeding. The results of the bivariate analysis showed that the variables of place of delivery (p-value=0.045), type of delivery (p-value&lt;0.001), and mother’s age (p-value=0.048) were related to the practice of exclusive breastfeeding.Conclusions: The conclusion of this study was the factors that affecting exclusive breastfeeding in were place of delivery, type of delivery, and mother’s age.Keywords: exclusive breastfeeding, place of delivery, type of delivery, early life nutrition

Dukungan Suami, Orang Tua, dan Mertua dalam Pemberian ASI Ekslusif di Kota Tasikmalaya

Low breastfeeding is a problem that must be faced together because it can affect children's lives in the future. The lack of exclusive breastfeeding can interfere with child growth and development. Based on several studies in Indonesia, one of the factors that influence the low rate of exclusive breastfeeding is the lack of family support. Exclusive breastfeeding in West Java province in 2018 reached 57.97%. This number is still below the national target (65.16%). Based on the information from the Tasikmalaya City Health Office, the coverage of exclusive breastfeeding in Tasikmalaya City in 2018 reached 69.00%, but has not reached the target. The purpose of this study was to determine the support of husbands, parents, and in-laws in exclusive breastfeeding. This study used a qualitative method of focus group discussions (FGD). This method presented a direct relationship between the researcher and the person providing the information, making it possible to gain insight into the attitudes, motivations and behavior of the target towards the support and barriers to exclusive breastfeeding. There were four informants in this study. The results of this study indicated that the factors that support the success of exclusive breastfeeding in this study were the wishes of the baby's own mother, support from her husband, the baby's grandmother, and health workers who assisted in childbirth.

Impact of Donor Human Milk in an Urban NICU Population.

The American Academy of Pediatrics recommends the use of donor human milk in infants when mother's own milk is not available. Our objective was to analyze whether the use of donor human milk in preterm, very-low-birth-weight (VLBW, &lt;1500 g) infants affected the rates of necrotizing enterocolitis, duration of parenteral nutrition (PN), growth, culture-positive sepsis, length of hospital stay, and mortality in an urban NICU population with low exclusive breast-feeding rates. A retrospective cohort study was conducted comparing two 2-year epochs of VLBW neonates before and after the introduction of donor breast milk in our neonatal intensive care unit (NICU). With the introduction of donor human milk, there was a significant reduction in the rate of necrotizing enterocolitis (NEC) (5% vs. 13%; p = 0.04) and less severe NEC as defined by Stage III based on the Modified Bell Staging Criteria (10% to 3%; p = 0.04). In the donor milk era, there was earlier initiation of enteral feeding (2.69 days vs. 3.84; p = 0.006) and a more rapid return to birthweight (9.5 days. 10.9 days; p = 0.006). In this study, a change in practice to the use of donor breast milk in a population with low rates of human milk provision was associated with earlier initiation of enteral feeding, faster return to birth weight, and a reduced incidence of NEC.

Disease activity at conception predicts lupus flare up to two years after birth: A multicentre long term follow-up study

ObjectiveTo assess predicting factors that might influence systemic lupus erythematosus (SLE) disease activity in women in an extended follow-up period of two years after giving birth with clinical assessments every three months. MethodsThe study was design as an international retrospective study, enrolling 119 women with a first birth and with a two years follow-up. ResultsJoint involvement was present in 80% of patients, acute cutaneous in 64%, haematological in 54%, renal in 41% and 75% of patients were positive for anti-dsDNA. The mean SLE disease activity index 2000 (SLEDAI-2K) at diagnosis was 13.5±6.8 and at first birth was 2.8±4.4.At follow-up, 51.3% of patients had at least one flare after a mean time after birth of 9±6.3 months (mean flare per patient 0.94±1.1). The most frequent flare manifestations were joint involvement (48%), renal (33%), cutaneous (28%) and haematologic (20%).Patients with remission of disease (SLEDAI-2K=0; no clinical or laboratory manifestations of SLE) at conception had significantly lower rates of flares (18/49–37% vs. 43/70–61%; p=0.008).Patients who experienced a flare during pregnancy (17 patients) had higher rates of flares during follow-up (76% vs. 47%; p=0.019), lower time for first flare (4.4±2.3 months vs. 10.3±6.5; p<0.001), lower rate of remission of disease at conception (12% vs. 46%; p<0.001), lower rates of SLEDAI-2K at conception (5.9±5.6 vs. 2.3±4; p<0.001) and lower rates of exclusive breastfeeding (24% vs. 57%: p=0.009). Results were confirmed after performing multivariate analysis. ConclusionRemission at conception can influence SLE disease positively, even at long-term. Planned pregnancy counseling is fundamental when managing SLE patients.

Causes of bloody stools in neonates: a case series report.

BackgroundBloody stools in a neonate may stand for a spectrum of conditions ranging from benign to life-threatening. It is critical to detect the cases that have significant underlying pathology, especially those which require urgent surgical intervention. Previous studies always focused on one particular disease related to bloody stools in neonates, or the study only involved a small number of cases. This study aimed to investigate the common causes of bloody stools in neonates.MethodsThis retrospective cohort study included the neonates admitted to our institution due to “bloody stools” over a 5-year period. We compared the differences among patients’ characteristics, feeding choice, underlying diseases, and operation rate between preterm and term neonates.ResultsA total of 300 patients were included, accounting for 1.1% of the total neonatal admissions. The overall rate of exclusive breastfeeding was 28.0%. The most common underlying causes for bloody stools were: cow’s milk protein allergy (CMPA, 53.3%), swallowed blood syndrome (10.0%), viral enteritis (9.7%), necrotizing enterocolitis (NEC) > stage II (8.3%), non-specific enteritis (7.3%), and anal fissure (5.0%). The median [interquartile range (IQR)] onset age for bloody stools for all infants was 12 [3–22] days after birth. Preterm neonates had a lower rate of exclusive breastfeeding (P=0.844), higher incidence of NEC > stage II (P=0.014), later bloody stools onset age (P<0.001), and longer length of hospital stay than term neonates (P<0.001). For neonates with NEC, those with bottle-fed had an earlier onset age for bloody stools than those with breast-fed (P=0.027). Only 1.7% (n=5) required surgery (2 stage III NEC, 1 post-NEC stricture, and 2 volvuli). Survival at hospital discharge was 100%.ConclusionsBloody stools in neonates is generally a benign, self-limiting disorder, not related to surgical conditions. The overall operation rate among neonates with bloody stools was only 1.7%. CMPA and NEC were the most common underlying non-surgical and surgical diseases, respectively, for neonates with bloody stools. Feeding choice is related to bloody stools in neonates, policies and strategies to support breastfeeding should be strengthened in the future.

Exclusive breastfeeding in African American women: A concept analysis.

To report an analysis of the concept of exclusive breastfeeding (EBF) in African American women. EBF is the gold standard for infant nutrition from birth until 6 months. The rate of EBF in United States is low-26%, with African American women having the lowest rates. The low rates of EBF in this population are strongly attributed to bias, racism and generational trauma. Therefore, clarifying the concept of EBF with respect to these factors is important for promoting EBF rates of this population. Concept analysis. Search was conducted in four databases (CINAHL, PubMed, PsycINFO and Scopus) for articles published between 2001 and 2021. A total of 30 articles (20 quantitative, seven qualitative and three mixed methods) clarified the concept. Relevant literature emanated from diverse disciplines examining historical and present maternal and infant health. Concept analysis using Rodger's evolutionary method. An operational definition of the concept of EBF in African American women was developed from the identified antecedents (modifiable and non-modifiable), defining attributes and consequences of the concept. Access to breastfeeding resources, maternal (prenatal intention to breastfeed, smoking status, attitude towards breastfeeding), infant (skin-to-skin care, successful latching and weight) and contextual factors (socioeconomic, occupational and cultural) predict EBF. The primary attributes of EBF were physiological, physical, psychological and relational. Consequences of EBF were positive health outcomes for, and increased bonding between, mother and infant. This concept analysis is the first identifying modifiable and non-modifiable antecedents of EBF. The analysis provides an operational definition for EBF in African American women which is useful to promote understanding of breastfeeding. This new concept examines the historic societal trauma associated with wet nursing and reframes breastfeeding as a positive maternal and infant health behaviour.

Edukasi Kesehatan Menggunakan Media Video terhadap Pengetahuan dan Sikap Pemberian ASI Eksklusif pada Ibu Hamil Trimester III di Palangka Raya

A low rate of exclusive breastfeeding is a threat to child development. According to the Ministry of Health 2018, exclusive breastfeeding in Indonesia in 2017 was 35.7%, while in Palangka Raya, it was 14.9%. One of the factors causing a low rate of exclusive breastfeeding is the mother�s poor knowledge and attitude. They were determining the effectiveness of the health education using video to improve the knowledge and attitude on exclusive breastfeeding among pregnant women in the 3rd trimester III in the working area of Pahandut Public Health Center, Palangka Raya. The research type was quasi-experiment with a control group design pre-test-post test. The research population and sample were 69 pregnant women in the 3rd trimester in the working area of Pahandut Public Health Center, Palangka Raya, sampled using a simple random sampling technique. The video development used the Thiagarajan theory, which has been validated by a multimedia expert, learning expert, and midwifery expert. The data collection used a questionnaire. The data analysis used General Linear Model (GLM). The research result showed improvement before and after treatment using video with a difference of 14 points in knowledge and 16 in attitude. There was significant improvement in knowledge using video (F=275.727; sig=0.00; partial eta=0.80) and attitude (F=370.015; sig=0.00; partial eta=0.84). Video improves knowledge and attitude on exclusive breastfeeding.

THE IMPLEMENTATION OF TRI CORE BREASTFEEDING MODELS ON MOTHER’S SATISFACTION IN BREASTFEEDING

&#x0D; &#x0D; &#x0D; &#x0D; The low rates of exclusive breastfeeding have effected the growth and the development of children. Some efforts to improve the achievement of exclusive breastfeeding have been conducted, like an education about breastfeeding, facilitating early breastfeeding initiation and providing motivation to mothers. These elements contain a form of health promotion care model called the Tri Core Breastfeeding Models. The purpose of this study is to determine the effect of Tri Core Breastfeeding Models on breastfeeding mothers' satisfaction. This research was conducted in the working area of the Sidomulyo Health Center in Pekanbaru City in August 2019 to April 2020. This research is Pre-experimental Design. The population in this study was all third trimester pregnant women. The sample of 20 pregnant women was taken by consecutive sampling technique with 10 pregnant women in the intervention and 10 pregnant women for control. The Maternal Breastfeeding Evaluation Scale (MBFES) questionnaire was used to collect the data. The Mann Whitney Test with a significance level of 95% was used to analyze the data. The results showed that the average satisfaction of breastfeeding mothers in the intervention group was 134.80 (SD: 3.190) and the control group 119.10 (SD: 14.317), and it is found that there is a difference in breastfeeding satisfaction among mothers in the intervention group and the control group (p = 0.019). Finally, it is recommended that Tri Core Breastfeeding Models can be applied in providing midwifery care in the to support the success of exclusive breastfeeding&#x0D; &#x0D; &#x0D; &#x0D;

Identifying Workplace Lactation Room Design Gaps

Exclusive breastfeeding among employed mothers in Malaysia remains low despite numerous health benefits to mothers and children. Inadequate provision of a lactation room at the workplace contributed to the low rate of exclusive breastfeeding among working mothers. The objective of this paper is to identify the design gaps in the lactation room at the workplace in Selangor. The results suggest that adopting the first step of the user-centred design (UCD) method enables the identification of design gaps in the lactation room: location, room size, allocation of table and chair, milk storage, sink, and additional storage facilities. Keywords: breastfeeding, working mothers, lactation room, user-centred design eISSN: 2398-4287 © 2022. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians/Africans/Arabians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning &amp; Surveying, Universiti Teknologi MARA, Malaysia. DOI: https://doi.org/10.21834/ebpj.v7i19.3126

Health Education Using Mobilephone Application To Prevent Breastfeeding Problems

Background: Low exclusive breastfeeding rate in Indonesia is influenced by several factors. Exclusive breastfeeding rate in Indonesia is 65.16%. Breastfeeding problems affected exclusive breastfeeding duration among Indonesian breastfeeding women. Health education is needed to prevent and manage breastfeeding problems. This study aimed to analyze the effect of providing education using a mobile phone to improve mother’s knowledge about breastfeeding problems prevention.&#x0D; Methods: This study used a true experiment with control group pretest and posttest design. The sampling techniques used in this study was simple random sampling, consisted of 54 respondents which divided into intervention group and control group. This study was conducted in Banyumas District, Central Java province, Indonesia. The population in this study was breastfeeding mothers. The demographic characteristic questionnaire and the Breastfeeding Experience Scale (BES) were used to collect the data. All data were normally distributed and analyzed using paired t-test and independent t-test.&#x0D; Results: There was a significant difference between pretest and posttest scores in the intervention group (t=0.03, p&lt;0.05) and no significant difference between in the control group (t=0.161, p&gt;0.05). Mean of post-test scores in intervention and control group were 28.18 and 30.19, respectively. There was a difference of post-test scores between the intervention and control groups (t=0.000, p&lt;0.05).&#x0D; Conclusion: The results of this study revealed that a mobilephone application has been proven effective in reducing the breastfeeding problems. We recommend develop the application to address more complex breastfeeding problems.