Positive Perception and Early Initiation of Breastfeeding Leads to Success of Exclusive Breastfeeding
Breastfeeding rates in Indonesia are one of the lowest in the developed world. Even in 2013 shows some progress from the study report. The early initiation of breastfeeding in Indonesia has increase into 34,5% from only 29,3% in 2010 based on Indonesian Health Research in 2013. Women’s perception of positive perception during breastfeeding may influence maternal satisfaction and confidence but it remains understudied. We asked women about the early initiation of breastfeeding and their positive perceptions during breastfeeding and measured the effect on maternal confidence, commitment, and satisfaction to breastfeeding and the helps of healthcare provider on early initiation of breastfeeding. There have been lack of studies of breastfeeding in Indonesia, which have adopted a quantitative approach, and this study hopefully could be as an input factor in the decision to breastfeed. Whilst these studies have an important role to play, this paper draws on a study that adopts a quantitative methodology to descript an early initiation and positive perception leads to support the successful of breastfeeding.
A quantitative study of 46 breastfeeding mothers was undertaken and completed in 2014. Participants were recruited to the study via social media that follow the twitter account of @dokterlaktasi, the follower of blogpost of drmaharanibayu.wordpress.com and Facebook friends of Maharani Bayu through email. Their ages ranged from 28 to 33 years. Participants were answered some closed questions.
The data indicate that there are several factors affecting breastfeeding initiation. First, infant feeding decisions seem to be made prior to, or irrespective of, contact with health professionals. Secondly, the data suggest that health promotion campaigns in Indonesia have been influential in their ability to educate women about the benefits of breastfeeding. The perceptive perception on breastfeeding, gives a good result on mothers who succeed on giving an exclusive breastfeeding.
Full breastfeeding was reported by 84%, mixed feeding was reported 16% with no formula feeding only. With this number, 100% know about early initiation of breastfeeding even only 58% did it, and only 15% success in do early initiation of breastfeeding for minimal 1 hour after the baby’s birth. Woman who had cesarean delivery were more likely not to practice the early initiation of breastfeeding compare to those who had vaginal delivery, but they practicing the exclusive breastfeeding also till more than a year. Women who get successful in one hour full early initiation of breastfeeding have a confidence, a comfortable feeling for her and the baby for more than two-third percent. But the group women who did not experienced the early initiation of breastfeeding keeps practicing the exclusive breastfeeding because they have a good knowledge (81%) has a good historical of lactating education before they labor (11% from the gynecologist, 8% from the pediatrician, 30% from the lactation counselor, and 54% from the closed relatives that support the mother). Their positive perception on breastfeeding giving an positive impact on breastfeeding with or without early initiation on breastfeeding.
Mothers feel more capable and confident about breastfeeding when they get enough education and information about breastfeeding especially with the supportive by way of verbal encouragement and active involvement in breastfeeding activities especially from their closed relatives that giving a good support and the healthcare provider. Mothers with good knowledge in it motivated only by “what’s best for baby,” and provided positive feedback about breastfeeding, felt more confident in their ability to breastfeed. It is important that health care professionals appreciate the influence that positive perception and active support has upon the development of maternal confidence in breastfeeding, a known predictor for maintaining breastfeeding. Common support strategies could be communicated to both the partner and mother in the prenatal and postpartum periods. Health professionals can provide information, helps on early initiation on breastfeeding, and help the mothers in the healthcare provider while they still in post partum periods. Further research should address those functions that are perceived as most supportive by mothers and the baby friendly hospital is willing to perform.
World Health Organization, UNICEF: Baby-Friendly Hospital Initiative: Revised, Updated and Expanded for Integrated Care. Geneva: Health Organization and UNICEF; 2009.
World Health Organization, UNICEF: Global strategy for infant and young child feeding. Geneva: World Health Organization and UNICEF; 2003.
Cynthia A Mannion, Amy J Hobbs, Sheila W McDonald and Suzanne C Tough : Maternal perceptions of partner support during breastfeeding, International Breastfeeding Journal 2013, 8:4
Mohammad Khassawneh, Yousef Khader, Zouhair Amarin and Ahmad Alkafaje: Knowledge, attitude and practice of breastfeeding in the north of Jordan: a cross-sectional study, International Breastfeeding Journal 2006, 1:17