Successful Breastfeeding Research Articles

Breastfeeding Empowerment Programme (BEP) on Knowledge, Self Confidence and Practice among Primiparous Mothers

Background: Implementing a Breastfeeding Empowerment Program targeting three key domains in first-time mothers has proven advantageous for both the mother and the infant. Engaging in breastfeeding contributes to maternal and child health well-being while fostering economic development by reducing child mortality rates and boosting cognitive development in children. Methodology: A quasi-experimental design following a post-test-only control group approach, employing a quantitative evaluative method, was utilised for this study. Information was gathered from 40 first-time mothers through purposive sampling, using a structured knowledge questionnaire, a modified self confidence scale, and a structured practice checklist to evaluate breastfeeding proficiency. The collected data underwent analysis and interpretation using descriptive and inferential statistical methods. Results: The results indicated a high level of effectiveness in the breastfeeding empowerment program for first-time mothers. The research suggests the importance of implementing awareness initiatives targeted at primiparous mothers to encourage successful exclusive breastfeeding for their newborns. Conclusion: The study confirms the positive impact of the Breastfeeding Empowerment Programme (BEP) on primiparous mothers' breastfeeding knowledge and practices. There is a critical need for widespread awareness about exclusive breastfeeding, starting from antenatal visits, to improve outcomes for first-time mothers.

‘Breastfeeding exclusivity, difficulties, and support in the first days after hospital discharge: A correlational study’

ObjectiveGlobal breastfeeding rates are not optimal, and the early postpartum period represents a critical time for breastfeeding initiation. The Baby-Friendly Hospital Initiative endeavours to provide mothers with evidence-based breastfeeding support in birth hospitals. This study examined factors associated with breastfeeding exclusivity and breastfeeding difficulties in the first days after being discharged from Baby-Friendly designated hospital. The adequacy of breastfeeding support and maternal preferences for optimal support were also reported. Study designA non-experimental correlational study was conducted between May 2021 and October 2022. A total of n = 80 breastfeeding mothers completed a semi-structured questionnaire within two weeks of discharge from Baby-Friendly hospital in Finland. The questionnaire included demographic and obstetric background information and six questions on breastfeeding exclusivity, breastfeeding difficulties, and breastfeeding support. Descriptive statistical analysis and multivariate binary logistic regression analysis were performed. ResultsThe mean age of the mothers was 30.6 years (SD 5.4), and half of the mothers were primiparas (49 %). Most mothers gave birth vaginally (85 %) to a full-term infant (84 %). Most (85 %) had made some prenatal plans for breastfeeding, and the median planned duration of breastfeeding was 12 months. Half of the infants (53 %) received supplemental milk while in the hospital. Most mothers (81 %) were exclusively breastfeeding after hospital discharge. Mothers whose infants received supplemental milk in the hospital had an increased odds of non-exclusive breastfeeding (aOR 16.5 [CI 95 % 1.7–156.7], p 0.015). Approximately one-third of the mothers (39 %) experienced breastfeeding difficulties. Primiparous mothers had increased odds of experiencing breastfeeding difficulties (aOR 3.41 [CI 95 % 1.2–9.8], p 0.023). Mothers who received adequate postnatal breastfeeding support in birth hospital had decreased odds of experiencing breastfeeding difficulties (aOR 0.16 [CI 95 % 0.03–0.8], p 0.026). Mothers were mainly satisfied with breastfeeding support, although timelier access to support was preferred after hospital discharge. ConclusionAdequate in-hospital postnatal breastfeeding support, including avoidance of non-medical supplementation, contributes to successful breastfeeding after hospital discharge in terms of more exclusive breastfeeding and fewer breastfeeding difficulties. Primiparous mothers need emphasized support to mitigate breastfeeding difficulties. Timelier access to breastfeeding support after discharge is needed.

Survey On Father’s : Knowledge About Breastfeeding

Exclusive breastfeeding means the baby receives only breast milk and no other liquids, solids, or even water, except oral rehydration solutions or drops/syrups of vitamins, minerals, or medicines. The success of exclusive breastfeeding for 6 months cannot be separated from the support and role of family, such as parents, in-laws, and especially the support of the husband as the closest person. Good knowledge is needed to succeed in breastfeeding, but fathers' knowledge of the importance of breastfeeding is still shallow, many fathers / prospective fathers do not understand the importance of breastfeeding and its benefits for babies and mothers. Father/partner is one of the most significant factors for breastfeeding success. Fathers/partners influence the decision to breastfeed children and their support influences the experience and duration of breastfeeding. The purpose of this study was to find out how fathers know about breastfeeding. The type of research used is qualitative. The population in this study was prospective fathers of III trimester pregnant women (32-40 weeks) as many as 84 people with non-probability sampling techniques with purposive sampling methods. The instrument used is a questionnaire in the form of a checklist sheet that has been tested for validity. The results obtained by most respondents or 51 (60.7%) respondents are less knowledgeable about breastfeeding, both about the benefits of exclusive breastfeeding for the growth and development of babies, how to provide breast milk, food to increase milk production, and complicating the breastfeeding process. Lack of knowledge of husbands challenging breastfeeding because adequate emphasis has not been given to the promotion of breastfeeding. They need a platform managed by health professionals who can help them and allow them to absorb information and apply it and feel confident and competent as an engaged parent.

Laid-back breastfeeding: knowledge, attitudes and practices of midwives and student midwives in Ireland.

Despite concerted efforts by policy developers, health professionals and lay groups, breastfeeding rates in Ireland remain one of the lowest in world, with 63.6% of mothers initiating breastfeeding at birth, dropping to 37.6% of mothers breastfeeding exclusively on hospital discharge. Nipple trauma and difficulties with baby latching are major contributors to the introduction of formula and discontinuation of breastfeeding. Research shows laid-back breastfeeding (LBBF) significantly reduces breast problems such as sore and cracked nipples, engorgement, and mastitis as well as facilitating a better latch. Although the benefits of LBBF are well documented, this position does not seem to be routinely suggested to mothers as an option when establishing breastfeeding. This study aims to determine midwives' and student midwives' knowledge, attitudes, and practices of using laid-back breastfeeding in Ireland. A cross-sectional descriptive survey distributed to midwives and student midwives in three maternity hospitals in Ireland and two online midwifery groups based in the Republic of Ireland, during June, July, and August 2021. Two hundred and fifty-three valid responses were received from nine maternity units. Most participants (81.4%) were aware of laid-back breastfeeding. However, only 6.8% of respondents cited it as the position they most frequently use. Over one-third (38.34%) had never used this position with mothers. Those more likely to suggest LBBF had personal experience of it, were lactation consultants or working towards qualification, or had participated in specific education about LBBF. Barriers included lack of education, confidence, time, and experience. Further issues related to work culture, a tendency to continue using more familiar positions and concerns about mothers' anatomy and mothers' unfamiliarity with LBBF. Although there was a high level of awareness of laid-back breastfeeding among midwives and student midwives, there are challenges preventing its use in practice. Education specifically related to using LBBF in practice is required to overcome the barriers identified. A greater understanding of mothers' and babies' intrinsic feeding capacities may give midwives more confidence to recommend this method as a first choice, potentially leading to more successful breastfeeding establishment and maintenance.

Association between co-sleeping in the first year of life and preschoolers´ sleep patterns

This study aimed to investigate the association between co-sleeping practiced during the first year of life and preschoolers' sleep patterns. A cross-sectional study including toddlers was designed to analyze their sleep patterns. The Brief Infant Sleep Questionnaire, validated in Spanish, was used to measure sleep quality. A latent class analysis was performed to identify qualitative subgroups in the sample and explore the effects of co-sleeping. The sleep patterns of 276 children were analyzed. A total of 181 (65%) parents reported having practiced co-sleeping with their children. The latent class analysis identified a two-class solution with two different sleep patterns. One of them showed a worse quality sleep pattern, which had a significant association with having practiced co-sleeping during the first year of life, and with the fact that they were still sleeping in the parents' room, among other characteristics related to co-sleeping and parental concerns. Breastfeeding also showed association with a worse quality sleep pattern. Conclusion: Based on the present findings, co-sleeping during the first year of life appears to be associated with poor sleep patterns in young preschoolers.What is Known:• Co-sleeping shows benefits for infants and parents, mainly facilitating successful breastfeeding.• Literature on the effect of co-sleeping in lately sleep quality in children and their parents is very limited.What is New:• Co-sleeping practiced during the first year of life could be associated with a worse sleep pattern measured with BISQ-E tool.• A balance between the correct practice of co-sleeping and the achievement of a healthy sleep routine in preschool should probably be part of parents' health education.

The association between cesarean birth and breastfeeding initiation in Odisha, India: A mother fixed effects analysis.

Cesarean births are becoming more common in India, with health implications for both mothers and infants. Between 2005 and 2015, the proportion of cesarean births to total births in India roughly doubled, from 9% to 17%. We analyze Annual Health Survey data from the state of Odisha in eastern India. These population-level, longitudinal data on births between 2007 and 2011 allows us to estimate the association between cesarean birth and breastfeeding outcomes using mother fixed effects. Mother fixed effects allow comparisons of siblings born to the same mother who experienced different types of births (vaginal and cesarean). This empirical strategy controls for many potential observable and unobservable confounders in the relationship. Ordinary Least Squares linear probability models without mother fixed effects find that babies born by cesarean in Odisha are about 14 percentage points (p<0.001) more likely to experience delayed initiation of breastfeeding (that is, not being breastfed in the first 24 hours) compared with babies born vaginally. After introducing mother fixed effects, we find that babies born by cesarean are 11 percentage points more likely to (p<0.001) experience delayed initiation of breastfeeding. Because breastfeeding success is important for protecting against infectious disease in this context, future research should investigate whether cesarean birth impacts other aspects of breastfeeding as well.

Effective breast feeding techniques and associated factors among lactating mothers: a community-based cross-sectional study in Dugda district, central Ethiopia

Background: Breastfeeding technique is defined as the positioning of the mother and baby, the baby's attachment to the breast, and suckling during nursing, all of which are crucial for successful breastfeeding. Appropriate and longer breastfeeding practices have numerous benefits for both mothers and babies. Moreover, ineffective breastfeeding techniques are a cause of death for thousands of newborns every year. In Ethiopia, the practice of effective breastfeeding techniques remained low. Therefore, this study aimed to assess the practice of effective breastfeeding techniques and associated factors among breastfeeding mother-infant pairs in Dugda district, Central Ethiopia, 2023. Methods: A community-based cross-sectional study was conducted from June 20 to August 20, 2023, in Dugda district on a total of 620 breastfeeding mother-infant pairs who were selected using a multistage sampling technique. Ethical clearance and approval were secured from the Ethical Review Board of Salale University with reference number SLU-IRB/53/23. The WHO's breastfeeding observational checklist and a face-to-face interview were used to collect the data. Bi-variable and multivariable binary logistic regression analyses were employed. An adjusted odds ratio coupled with a 95% CI was used to determine a significant association. Bi-variable and multivariable binary logistic regression analyses were employed. An adjusted odds ratio coupled with a 95% CI was used to determine a significant association. Results: The prevalence of effective breastfeeding techniques in this study was 43.4% (95% CI: 39.1%, 47.4%). Having antenatal care follow-up (AOR: 2.24; 95% CI: 1.21, 4.14), having prior information about breast feeding techniques (AOR: 5.78; 95% CI: 3.95, 8.46), being multipara (AOR: 2.21; 95% CI: 1.47, 3.33), and having educational levels of primary education (AOR: 2.42; 95% CI: 1.44, 4.06) and secondary education and above (AOR: 2.85; 95% CI: 1.73, 4.69) were significantly associated with effective breastfeeding techniques. Conclusion: The prevalence of effective breastfeeding techniques in the study area was relatively low. Therefore, empowering women in education, promoting utilisation of ANC follow-up and disseminating information about breastfeeding techniques could be the key implication for effective breastfeeding techniques. Special emphasis should be given to primipara mothers because they are new for nursing their infants.

PENGUATAN PERAN KELUARGA DALAM KEBERHASILAN ASI EKSKLUSIF MELALUI EDUKASI PIJAT OKSITOSIN

Exclusive breastfeeding coverage according to WHO (2020) is 44%, still less than the 2030 target of 50%. Indonesia’s exclusive breastfeeding in 2021 is 71.58%. Exclusive breastfeeding in the Riau Islands in 2020 reached 44.9%, and in Batam it was 58.1%. This coverage figure is still far from the national target of 80%. Low coverage of exclusive breastfeeding can affect a child's future growth and development. Insufficient milk production and slow release is one of the reasons why mothers do not give exclusive breast milk to their babies. Other factors that influence breast milk production include the mother's nutritional status, Early Breastfeeding Initiation (IMD), family support and the mother's own knowledge. One effort to increase breast milk production is with oxytocin massage. The aims of this activity are 1) Providing education about Exclusive Breastfeeding and how to stimulate breast milk production by doing Oxytocin Massage, 2) Demonstration of Oxytocin Massage for mothers and families to support the success of Exclusive Breastfeeding. This Community Service Activity (PKM) was carried out at PMB "A", in January 2023. The population of breastfeeding mothers was 6 people. PKM activities are carried out by providing education about exclusive breastfeeding and how to increase breast milk production using leaflets as well as an Oxytocin Massage demonstration. The results of the activity show an increase in the knowledge of breastfeeding mothers with the majority having good knowledge of 83.3%. This PKM activity is expected to be able to motivate breastfeeding mothers to implement breastfeeding until 2 years old.

Perspective: Supporting Maternal Efforts to Provide Optimal Infant Nutrition in the Post-Partum Setting

Supporting optimal newborn nutrition and the positive maternal–infant relationship while encouraging safe sleep practices are essential components of maternal and newborn care in the hospital setting following birth. Breastfeeding is widely recognized as the best practice to support the nutritional needs and well-being of the infant, and recommendations have been developed by the WHO, the American Academy of Pediatrics (AAP), and the United States Centers for Disease Control to encourage and successfully support breastfeeding efforts before hospital discharge. The 10 Steps to Successful Breastfeeding, developed and promoted by the WHO, form the basis of the Baby-Friendly Hospital Initiative (BFHI) and have become the international framework for public health initiatives to promote breastfeeding. An evaluation of hospital performance implementing the 10 steps through the process of “Baby-Friendly Designation” (BFD) has been suggested by many breastfeeding advocates as the optimal pathway to attain the goals of the BFHI. However, the WHO has recognized that BFD may not be an appropriate goal in all settings, and indicated, as part of their updated 2018 guidance, that “facilities may make changes in their policies and procedures to obtain the designation, but these changes are not always sustainable, especially when there are no regular monitoring systems in place.” In addition, unintended associated issues regarding newborn safety and maternal dissatisfaction with some of the 10 steps have emerged. This perspective discusses the challenges faced by hospitals attempting to implement the BFHI 10 steps and suggests potential solutions to make progress in those efforts with or without BFD and also the efforts needed to support formula feedings when appropriate.

Pengetahuan tentang Manajemen Laktasi pada Ibu Menyusui Mendukung Keberhasilan ASI Eksklusif

Promoting breastfeeding is one of the objectives to be attained under the Sustainable Development Goals (SDGs) policy. Coverage of breastfeeding, both globally and regionally, still needs to meet standards, and one of the elements that can impact breastfeeding success is the extent of the mother's knowledge about lactation management. This study aimed to analyze the correlation between the level of knowledge about lactation management and exclusive breastfeeding in breastfeeding mothers. This study was designed as an observational analytic research utilizing a cross-sectional approach. The sample comprised 51 individuals, selected using random sampling technique that fulfilled the predetermined criteria for inclusion (breastfeeding mothers aged 6-12 months) and exclusion criteria (mothers with comorbidities). This study was conducted in the working area of the Tulungrejo Community Health Center in December 2023. To assess the mother's understanding of lactation management, a questionnaire was utilized as the research instrument. The chi-square test with the assistance of the SPSS 25 software was applied to analyze the data. The results indicated that 45.1% of mothers had sufficient knowledge, and 52.9% did not breastfeed exclusively. Statistical test results p value 0.000 &lt; 0.05 indicated a correlation between between the knowledge level of lactation management and exclusive breastfeeding. The expectation is for health workers and breastfeeding support groups to play a significant role in educating mothers about lactation management during pregnancy, which is carried out consistently so that mothers can provide breast milk exclusively to babies.

Factor analysis of exclusive breastfeeding to mothers who work as health personnel in Kupang, Indonesia

Introduction: Breast milk (breast milk) is rich in nutrients and nutrients that babies need from birth. Exclusive breast milk is breast milk given to babies for the first six months without additional fluids or other solid foods. Many factors influence the success of exclusive breastfeeding, including working mothers. Mothers who work as health workers have good scientific knowledge of the benefits of exclusive breastfeeding, but in practice, many people still experience failure. Objective: This study aims to analyze the factors of exclusive breastfeeding for mothers who work as health workers in Kupang. Method: The type of research used in this research is analytical observational, using a cross-sectional approach. The population in this study were all mothers with babies aged 6 – 36 months who worked in Health Facilities in the Kupang Regency area. The samples were taken using total sampling with a total of 61 mothers. Inclusion criteria are that the mother is in good health and willing to be a respondent. The independent variables in this research are attitude, family support, and distance from home to work. Data collection used a questionnaire with G-Form, with data analysis using chi-square and Mann-Whitney. Result: The study's results showed a significant relationship between the maternal attitude variable and family support for exclusive breastfeeding for mothers who work as health workers (p-value ≤ 0.05).In contrast, the distance variable was unrelated (p-value ≥ 0.05). Conclusion: Mothers who work as health workers need support from their families to strengthen their determination and provide exclusive breastfeeding, especially after the mother returns to work. Future researchers are expected to be able to examine other factors that influence exclusive breastfeeding behavior, such as culture, regulations, policies, and others.

ANALYSIS OF SOCIODEMOGRAPHIC FACTORS AND EXCLUSIVE BREASTFEEDING SUCCESS IN KARANGANYAR DISTRICT

Breastfeeding is a crucial program with a significant impact on the health and nutrition of toddlers. Additionally, it also offers benefits for mothers. In 2018, the rate of exclusive breastfeeding in Central Java Province was 65.57%, while Karanganyar District stood at 62.3%. Various factors influence exclusive breastfeeding, including interpersonal relationships, mother and baby characteristics, environmental factors, support systems, institutional elements, and socioeconomic and cultural conditions. This study aimed to assess sociodemographic factors' influence on exclusive breastfeeding's success. It employed an analytic, cross-sectional approach and utilized purposive sampling, involving 55 mothers with infants aged 0-6 months who visited the Health Center for child immunization. The research instrument used was a closed questionnaire, and data analysis was conducted using logistic regression analysis with the SPSS version 16.0 program. The findings revealed that three of five sociodemographic variables—parity, education level, and maternal employment status—significantly affected exclusive breastfeeding. Sociodemographic factors influence exclusive breastfeeding success by 52.1%, indicating that 48.9% of other factors beyond the variables studied also play a role. These research results can inform the development of health education programs for pregnant women in their third trimester, focusing on exclusive breastfeeding in preparation for the breastfeeding period.

Health Educations about Steps for early Breastfeeding on Successful Breastfeeding in Post-Partum Mothers in the Kampak Health Center Area, Trenggalek Regency

The ineffective implementation of health promotion programs is one of the factors influencing exclusive breastfeeding coverage. The behavior of giving exclusive breast milk will emerge after there is socialization about the importance of giving exclusive breast milk to pregnant and breastfeeding mothers. The aim of the research is to determine the effect of health education regarding early breastfeeding steps on the success of breastfeeding in post-partum mothers in the Kampak Community Health Center area, Trenggalek Regency. Research designs is quasi – experimental with a plan one group pretest-posttest. The research population was all post-partum mothers in the Kampak Trenggalek Community Health Center area, an average of 35 people per month. Using sampling technique accidental sampling with a sample of 31 people. Independent variable is health education regarding initial breastfeeding steps, dependent variable is breastfeeding success in post-partum mothers. Data was taken using an observation sheet instrument and analyzed using statistical tests Wilcoxon signed rank. The results of the research were obtained before health education was carried out regarding the steps for initial breastfeeding, all respondents were unsuccessful in breastfeeding, as many as 31 respondents (100%) while after health education was carried out regarding the steps for initial breastfeeding, the majority of respondents were successful in breastfeeding, as many as 22 respondents (71%) . There is an influence of health education about the steps for early breastfeeding on the success of breastfeeding in post-partum mothers in the Kampak Community Health Center area, Trenggalek Regency, where the results of statistical tests Wilcoxon signed ranks test obtained p value 0.000 &lt; 0.05. Health education can increase breastfeeding success, so that health education influences breastfeeding success. Providing health education about early breastfeeding will help post-partum mothers to breastfeed properly so that breastfeeding success will be achieved.

PERBEDAAN EFEKTIFITAS PIJAT LAKTASI DENGAN PERAWATAN PAYUDARA TERHADAP KEBERHASILAN MENYUSUI DI PMB KOTA PEKANBARU

International Guidelines, which are based on scientific data about the advantages of breast milk for infants, moms, families, and nations, advise exclusive breastfeeding for six months. The sensation of having inadequate or too little breast milk, breast swelling, flat or painful nipples, clogged breast milk ducts, and mastitis are issues that nursing moms often face. Breast care and lactation massage are two of the numerous strategies that may be used to boost breast milk supply. The purpose of this study is to ascertain how lactation massage and breast care vary in their ability to support successful breastfeeding in PMB Pekanbaru City. The study design used was two group independent approach design, and the research methodology was quasi experimental (quasi experimental). Mothers who had given birth within two hours and were nursing in the Pekanbaru Midwife Independent Practice Work Area made up the study population. The present study used the independent T test for analysis in order to ascertain the impact of lactation massage and breast care on postpartum moms' success in breastfeeding. The average amount of breast milk provided to moms who undergo lactation massage is 5.47 months, with a standard deviation of 0.837, according to the findings of statistical data processing using the Independent Samples Test. Breastfeeding moms give birth to their children for 4.6 months on average, with a standard deviation of 1,352. Breast milk is delivered to women who do breast care

Kelas Edukasi Menyusui Ibu Hamil (KEMIH): Its Correlation to The Improvement of Knowledge, Self-Efficacy, and Breast Milk Production of Post-Partum Mothers

There have been many educational programs or media used to introduce exclusive breastfeeding. However, the reality in the field shows that many people, especially mothers, still do not understand exclusive breastfeeding. Moreover, many mothers who have been educated continue to give formula milk because of misunderstandings, such as myths. For this reason, strengthening mothers’ self-efficacy needs to be carried out since it is one of the determining factors for the success of exclusive breastfeeding. Therefore, it is highly necessary to have a maternal assistance program that starts during pregnancy to strengthen the mother’s self-efficacy and continues to guide the mother after giving birth in exclusive breastfeeding. The objective of this study was to assess the effectiveness of Kelas Edukasi Menyusui Ibu Hamil (KEMIH) (English: The Breastfeeding Education Class for Pregnant Women) to increase knowledge, self-efficacy, and breast milk production of post-partum mothers. In this study, the researchers applied a quasi-experimental design. In addition, the employed approach was two groups with control. The number of samples was 61 respondents who met the pre-defined criteria (29 respondents in the intervention group and 31 respondents in the control group). The instruments in this study were modules, self-efficacy questionnaires, and electric breast pumps. The results showed that there were significant differences in the three variables, in which the obtained p-values were 0.000 (&lt; 0.05) for the increase in knowledge, 0.012 (&lt; 0.05) for the increase in mother’s self-efficacy, and 0.000 (&lt; 0.05) for the increase in breast milk production. This indicates that the KEMIH program is effective for increasing the knowledge, self-efficacy, and breast milk production of mothers. In addition to education programs, mothers need to have strong support from their families and health workers for the success of the breastfeeding process

Pengaruh Promosi Kesehatan Terhadap Keberhasilan ASI Eksklusif

Background: To achieve optimal use of exclusive breastfeeding, it is stated in the Government Regulation of the Republic of Indonesia number 33 of 2012 concerning exclusive breastfeeding that health workers and health service facility providers are obliged to provide information and education on exclusive breastfeeding to mothers and/or family members. of babies who are cared for from the pregnancy check up to the end of the exclusive breastfeeding period. Method: The research carried out was a Narrative Literature Review (NLR). Results: There were 10 selected scientific articles ranging from 2017 to 2023. To increase the success of exclusive breastfeeding, appropriate health promotion strategies are needed, such as creating special Standard Operating Procedures (SOPs) for the promotion of exclusive breastfeeding, the availability of media and educational tools such as posters, leaflets, and providing training for health workers to increase the knowledge of health workers, especially midwives, as close contacts in providing counseling during pregnancy, postpartum and newborns. Conclusion: Health promotion during pregnancy can increase the success of exclusive breastfeeding.

Faktor Yang Mempengaruhi Keberhasilan Pemberian Asi Eksklusif di Desa Nauli Kec. Sigumpar Kab.Toba

Efforts to increase the provision of breast milk (ASI) play a very big role in achieving infant mortality rates and reducing the prevalence of malnutrition in children under five. This research aims to determine the factors that influence the success of exclusive breastfeeding. This research design is descriptive analytical with a sample size of 26 respondents using a total sampling method. The results of this research were that the majority of respondents aged 26-30 years were 10 people (38.5%), the majority of respondents had secondary education as many as 19 people (73.1%), the majority of respondents were housewives as many as 20 people (76.9%), the majority of respondents had income &lt; 1,000,000 as many as 22 people (84.6%), and the majority of children are one child as many as 17 (65.4%). Data analysis using product moment. From the results of the product moment statistical test, it can be concluded that management factors in the birthing place that support breastfeeding and providing breastfeeding facilities in public places are factors that influence the success of exclusive breastfeeding. The relationship between management at the birth center that supports breastfeeding and exclusive breastfeeding obtained a value of r = 0.458, which means the relationship between the two variables has a sufficient relationship, and obtained a value of P = 0.019, meaning there is a significant influence. And for the relationship between providing breastfeeding facilities in public places and exclusive breastfeeding, the value obtained was r = 0.394, which means that the two variables have a sufficient relationship, and the value obtained was P = 0.047, which means there is a significant influence.

EFFECTIVENESS OF PEER COUNSELING EDUCATION USING THE HEALTH BELIEF MODEL APPROACH TO THE SUCCESS OF EXCLUSIVE BREASTFEEDING

Exclusive breastfeeding for babies aged 0-6 months is very beneficial both for the baby as immunity and for the mother to prevent breast cancer and other diseases. Existing data shows that there is still a low number of mothers who provide exclusive breastfeeding, around 48% of babies aged &lt; 6 months do not receive exclusive breastfeeding. Urgency of Research, low coverage of the success of exclusive breastfeeding both at the national level, 65%, provincial and at the research location; the majority of mothers lack knowledge in efforts to successfully provide exclusive breastfeeding; It is still felt that the methods and media used in exclusive breastfeeding education are very monotonous and require holistic and continuous education. Peer education takes the form of in-depth sharing with peers as informants so that mothers absorb information well. Peer education can increase BSE and mother's motivation in breastfeeding. This type of research is quasi-experimental with a pre-post non-control group approach. The aim of this research is to analyze the effectiveness of peer education using the health belief model approach on the success of exclusive breastfeeding. The location of this research is Cinta Damai Village, Percut Sei Tuan District, Deli Serdang Regency. The population of this study were all mothers who breastfed babies aged &lt;6 months, using a total sampling technique. Hypothesis testing in this research uses a different test (Independent Sample T-Test). The research results found that peer counseling using the health belief model approach was effective in increasing maternal knowledge, attitudes about the success of exclusive breastfeeding (p-value 0.00) and the achievement of exclusive breastfeeding.

Partners' experiences of breastfeeding: a qualitative evaluation of a breastfeeding support intervention in Sweden.

The World Health Organization states that women and their families need breastfeeding support from the healthcare system. However, knowledge about the most effective way to involve the partner in breastfeeding is lacking. A qualitative evaluation can provide insight and knowledge about the partner's experiences towards a breastfeeding support intervention and thus contribute to how forthcoming breastfeeding support policies are designed. The aim of this study was to explore partners' experiences regarding breastfeeding while participating in The Breastfeeding Study. An exploratory, longitudinal and qualitative design was used. This study was part of The Breastfeeding Study, which took place in Sweden. The intervention was performed in line with the Ten Steps to Successful Breastfeeding. Partners in the in the intervention group (IG) were part of a structured breastfeeding support programme. An individual breastfeeding plan was established in cooperation with the parents-to-be during pregnancy, and the plan was followed up at the child healthcare centre. A purposive sample was recruited from March to December 2021. Interviews and diary entries from IG (n = 8) and control group (CG) (n = 8) during pregnancy and 2 months after birth were analysed by content analysis, in accordance with the COREQ guidelines. Partners' experiences can be summarised under the main category of 'Striving to be part of the family and important that the family's everyday life was well-functioning'. IG partners experienced that both parents were involved and cooperated in the breastfeeding process and that guidance from healthcare professionals (HCPs) helped them to feel secure. CG partners experienced feeling excluded and not receiving support from HCPs. Both parents need to be targeted in breastfeeding support policies to meet the support needs. Midwives at antenatal care and child healthcare nurses at the child healthcare centre have important roles to play in providing structured breastfeeding support and a breastfeeding plan. Both IG and CG partners strived to become a part of the infant's life and to make family life work. Midwives should involve both parents in a reflective dialogue on how the partner can be involved, apart from just feeding the infant. Retrospectively registered in ACTRN12623000648628.

Enhancing maternal role achievement and breastfeeding success through health belief model intervention

Breastfeeding is a critical component of maternal and infant health. The study, conducted from April to June 2023, aimed to evaluate the impact of the mother's role achievement module on breastfeeding practices among postpartum mothers in Indonesia. Sixty participants were divided into intervention and control groups in a quasi-experimental setup. The intervention group showed remarkable improvements: a 25% increase in breastfeeding frequency, a 15% weight gain, a 30% enhancement in proper breastfeeding technique, a 20% improvement in breast care practices, and a 25% boost in nutritional intake compared to the control group. Conversely, the control group showed a reduced breastfeeding frequency by approximately 20%, a 10% decrease in weight, a 35% inadequacy in breastfeeding technique, varied breast care practices, and insufficient nutritional intake, showcasing the disparity between the groups. Statistical analyses, including Mann-Whitney and Chi-Square tests, confirmed these significant differences, emphasizing the module's substantial impact on breastfeeding success among postpartum mothers. In conclusion, tailored interventions based on the Health Belief Model play a pivotal role in enhancing maternal and infant health outcomes in Indonesia. This study recommends integrating similar approaches into healthcare policies to bolster breastfeeding practices among postpartum mothers, potentially improving overall maternal and infant health in the region.