Mother’s exclusive breastfeeding behavior: a cross sectional study in Pekanbaru, Indonesia
DOI:
https://doi.org/10.18203/2320-6012.ijrms20151530Keywords:
Mother’s behavior, EBF practice, Complementary feeding, Under five childrenAbstract
Background: Exclusive breastfeeding (EBF) which is practiced until six months of infant age is one of the most effective ways to reduce infant morbidity and mortality. Indonesian government concerns about mother’s EBF behavior. This study aimed to find the problems of mother’s behavior to give EBF which are influenced by characteristic, knowledge, attitude, and community support including health workers.
Methods: A cross sectional study was designed for six hundred and sixty mothers in four public health centers area in Pekanbaru, Indonesia, who have fewer than five years old children as respondents. The study was using questionnaires to collect the data.
Results: The average age of respondents was 30.3 years old, 18.9% of them were high educated mothers, 83.6% of them were housewive mothers, and 26.1% of them had high family income. Only 36.1% of the mothers gave EBF until six months while 64.5% of the mothers had limited knowledge, 57.4% of mothers had negative attitude, and 63.5% of mothers had not good behavior for breastfeeding. There were more non EBF housewives mothers than the EBF ones. The majority of the respondents assumed that their breastfeed was insufficient and felt that their babies were still hungry; therefore, they provided formula milk, which was 77.0% and banana, which was 61.6% while 35.8% of them gave 2 kinds of complementary feeding for their babies before six months. Mother’s age, education and family income correlated significantly to EBF practice. Information, values, and emotional support from community also identified as significant aspects for successful EBF practice (p<0.001).
Conclusions: Community support plays an important role in succeeding EBF practice for mothers.
References
United Nations. The Millennium Development Goals Report 2013. United Nations, New York. 2013.
Bay G, Miller T, Faijer DJ. Level & Trends in Child Mortality. 2014.
Murray CJL, Lopez AD. Global Burden of Disease and Injury Series the Global Burden of Disease. World Health Organization. 1996.
Unicef. UNICEF - Millennium Development Goals. Cited 2015 May 18. Available from: http://www.unicef.org/mdg/index_childmortality.htm.
Katepa-Bwalya M, Mukonka V, Kankasa C, Masaninga F, Babaniyi O, Siziya S. Infants and young children feeding practices and nutritional status in two districts of Zambia. Int Breastfeed J. 2015;10(1):1–8.
Pan American Health Organization. Guiding Prinsiples for Complementary. Washington, DC. 2001.
Arifeen S, Black RE, Antelman G, Baqui a, Caulfield L, Becker S. Exclusive breastfeeding reduces acute respiratory infection and diarrhea deaths among infants in Dhaka slums. Pediatrics. 2001;108(4):E67.
Kalanda BF, Verhoeff FH, Brabin BJ. Breast and complementary feeding practices in relation to morbidity and growth in Malawian infants. Eur J Clin Nutr. 2006;60(3):401–7.
Duijts L, Jaddoe VW V, Hofman A, Moll H a. Prolonged and exclusive breastfeeding reduces the risk of infectious diseases in infancy. Pediatrics. 2010;126(1):e18–25.
R. RM, Almeida V, Maria V, Marins R De, Valle J. Breastfeeding, socio-economic conditions and nutritional status of children younger than 12 months in Brazil. Ann Trop Paediatr Int Child Heal [Internet]. Routledge, part of the Taylor & Francis Group. 2015;19(3):257–62.
Jones G, Steketee RW, Black RE, Bhutta Z a., Morris SS. How many child deaths can we prevent this year? Lancet. 2003;362 (9377):65–71.
Bahl R, Frost C, Kirkwood BR, Edmond K, Martines J, Bhandari N, et al. Infant feeding patterns and risks of death and hospitalization in the first half of infancy: Multicentre cohort study. Bull World Health Organ. 2005;83(6):418–26.
Health Office of Riau. Health profile of Riau Province. Pekanbaru. Pekanbaru; 2012.
Ministry Health of Indonesia. Riset Kesehatan Dasar (Riskesdas) 2013. Jakarta; 2013.
Food and Agriculture Organization of the United Nations. Guidelines for assessing nutrition-related k nowledge, a ttitudes and p ractices manual. 2014.
Mekuria G, Edris M. Exclusive breastfeeding and associated factors among mothers in Debre Markos, Northwest Ethiopia: a cross-sectional study. Int Breastfeed J. [Internet]. 2015;10(1):1–7. Available from: http://www.internationalbreastfeedingjournal.com/content/10/1/1.
Hawkins SS, Griffiths LJ, Dezateux C, Law C. The Millennium Cohort Study Child Health G. Maternal employment and breast feeding initiation: findings from the Millennium Cohort Study. Paediatr Perinat Epidemiol. 2007;21(3):242–7.
Heck KE, Braveman P, Cubbin C, Chávez GF, Kiely JL. Socioeconomic Status and Breastfeeding Initiation Among California Mothers. Public Health Rep. 2006;121(1):51–9.
Stuebe A. The risks of not breastfeeding for mothers and infants. Rev Obstet Gynecol. 2009;2(4):222–31.
Dibley MJ, Senarath U, Agho KE. Infant and young child feeding indicators across nine East and Southeast Asian countries: an analysis of National Survey Data 2000-2005. Public Health Nutr. 2010;13(9):1296–303.
Ahluwalia IB, Morrow B, Hsia J. Why do women stop breastfeeding? Findings from the Pregnancy Risk Assessment and Monitoring System. Pediatrics. 2005;116(6):1408–12.
Li R, Fein SB, Chen J, Grummer-Strawn LM. Why mothers stop breastfeeding: mothers’ self-reported reasons for stopping during the first year. Pediatrics. 2008;122 Suppl (October 2008):S69–76.
Hector Debra, Lesley K KW. Factor affecting breastfeeding practice: applying a conceptual framework. NSW Public Health Bulletin [Internet]. 2005;52–5.
Oche MO, Umar a. S, Ahmed H. Knowledge and practice of exclusive breastfeeding in Kware, Nigeria. Afr Health Sci. 2011;11(3):518–23.
Kearney MH. Parenting Self- E fficacy and Perception. JOGNN-Journal Obstet Gynecol Neonatal Nurs. 2001;30(5):515–22.
Negayama K, Norimatsu H, Barratt M. Journal of Reproductive and Infant Japan – France – US comparison of infant weaning from mother’s viewpoint. 2012;(June 2015):37–41.
De Pee S, Moench Pfanner R BM. Insight into breastfeeding and complementary feeding practices: A case study from Indonesia. SCN News. 2003.
McFadden A, Toole G. Exploring women’s views of breastfeeding: a focus group study within an area with high levels of socio-economic deprivation. Matern Child Nutr. 2006;2(3):156–68.
Brown A, Raynor P, Lee M. Young mothers who choose to breast feed: The importance of being part of a supportive breast-feeding community. Midwifery. Elsevier; 2011;27(1):53–9.
Avery A, Zimmermann K, Underwood PW, Magnus JH. Confident commitment is a key factor for sustained breastfeeding. Birth. 2009;36(2):141–8.
Mcqueen KA, Dennis CL, Stremler R, Norman CD. A Pilot Randomized Controlled Trial of a Breastfeeding Self-Efficacy Intervention With Primiparous Mothers. JOGNN - J Obstet Gynecol Neonatal Nurs. 2011;40(1):35–46.
Reeves CC, Close FT, Simmons MC, Hollis AL. Social Support Indicators that Influence Breastfeeding Decisions in Mothers of North Florida. Fla Public Health Rev. 2006;3:1–7.
Baghianimoghadam M-H, Nadrian H, Rahaei Z. The Effects of Education on Formula and Bottle ¬ Feeding Behaviors of Nursing Mothers Based on PRECEDE Model. Iran J Pediatr. 2009;19(4):359–66.