Relationship of Knowledge and Attitude among Midwives with the Implementation of Early Initiation of Breastfeeding in Badung Regency

Author(s):  
Luh Sudemi ◽  
K. Tresna Adhi ◽  
Dyah Pradnyaparamita Duarsa

Background and purpose: Infant Mortality Rate (IMR) in Bali and also in Indonesia is still high while the proportion of exclusive breastfeeding fully for six months is still very low. One effort to improve exclusive breastfeeding is the early initiation of breastfeeding (EIB) i.e. breastfeeding to infants shortly after birth. This study was conducted to determine the implementation of EIB by midwives and the factors that influence it.Methods: The study design was cross-sectional survey among 61 private practice midwives as respondents in Badung Regency. The respondents were all private practice midwives in three regencies purposively selected from six districts in Badung Regency. The data were collected through questionnaires filled out by midwives and analyzed by bivariate with chi-square test and multivariate using poisson regression method.Results: The IMD was implemented by 62.3% of the respondents. In the group of midwives having >4 patients per month significantly implemented the IMD more compared with those having ?4 patients per month i.e. 83.3% and 57.1% respectively (p=0.008). The implementation of IMD had a significant difference among midwives with higher knowledge i.e. 84.6% and 45.7% respectively (p=0.002), midwives having positive attitude were 79.1% vs. 22.2% (p=<0.001) and those having received supervision, namely 77.5% vs. 33.3% (p=0.001). Multivariate analysis showed that factors associated with implementation of IMD was knowledge with APR=1.5 (95%CI: 1.04-2.1) and attitude with APR=2.7 (95%CI: 1.1-6.3).Conclusion: Knowledge and attitude had a significant relationship to the implementation of IMD by midwives.

2015 ◽  
Vol 4 (3) ◽  
pp. 192 ◽  
Author(s):  
Dwi Fitria Ariyani ◽  
Lina Handayani

One of the causes of high Infant Mortality Rate is the low coverage of exclusive breastfeeding. One of the supporting factors to exclusive breastfeeding is implementation of Early Initiation of Breastfeeding (EIB). Mother’s knowledge and understanding about the EIB, as well as the role of birth attendants, especially midwives can be strongly support it’s the EIB. The purpose of this research was to determine the relationship between mother's knowledge, mother’s attitudes and midwife role with the implementation of Early Initiation of Breastfeeding (EIB). The research was an observational analytic research employed cross sectional design. The subjects were maternity mothers who inpatient at Pulang Pisau Hospital in Central Kalimantan Province, Indonesia. The results showed that there were significant relationships between mother's knowledge, attitudes and midwife role with the Implementation of Early Initiation of Breastfeeding (EIB). Attitude was the most influenced variable to the EIB.


2015 ◽  
Vol 4 (3) ◽  
pp. 192 ◽  
Author(s):  
Dwi Fitria Ariyani ◽  
Lina Handayani

One of the causes of high Infant Mortality Rate is the low coverage of exclusive breastfeeding. One of the supporting factors to exclusive breastfeeding is implementation of Early Initiation of Breastfeeding (EIB). Mother’s knowledge and understanding about the EIB, as well as the role of birth attendants, especially midwives can be strongly support it’s the EIB. The purpose of this research was to determine the relationship between mother's knowledge, mother’s attitudes and midwife role with the implementation of Early Initiation of Breastfeeding (EIB). The research was an observational analytic research employed cross sectional design. The subjects were maternity mothers who inpatient at Pulang Pisau Hospital in Central Kalimantan Province, Indonesia. The results showed that there were significant relationships between mother's knowledge, attitudes and midwife role with the Implementation of Early Initiation of Breastfeeding (EIB). Attitude was the most influenced variable to the EIB.


e-NERS ◽  
2013 ◽  
Vol 1 (1) ◽  
Author(s):  
Fransisca M.A. Wowiling ◽  
Benny Wantouw ◽  
Julia Rottie

Abstract: Early Initiation of Breastfeeding is the baby starts to suckle his own soon after birth, as long as the skin is left in contact with his mother, at least 1 hour after birth. How to initiate early breastfeeding baby was named after the breast crawl or crawl seek his own breast. This study aims to gain an overview of the relationship between knowledge and attitude of mothers VK (maternity) Prof Dr Irina D BLU. R.D. Kandou Manado. Design of this study used cross sectional method where the entire population is a normal post partum mothers in space VK (Maternity) Prof Dr Irina D BLU. R.D. Kandou Manado with a sample size of 30 responden. Data responde collected using questionnaires and observation sheets then the data presented preformance cross tabulation tables and chi square test with a significance level of 0.05. Based on the results of the study showed that of the chi square test results obtained ρ value ​> 0.05. It states that there is no correlation between knowledge and attitude with the implementation of early breastfeeding initiation (IMD) in mothers post partum in space VK (maternity) Prof. Dr Irina D BLU R.D. Kandou Manado. Keywords: Knowledge and Attitude Post Partum Mom, Implementation of Early Initiation of Breastfeeding (IMD).     Abstrak: Inisiasi Menyusu Dini adalah bayi mulai menyusu sendiri segera setelah lahir, asalkan dibiarkan kontak dengan kulit ibunya, setidaknya 1 jam setelah lahir. Cara bayi melakukan inisiasi menyusu dini ini dinamakan the breast crawl atau merangkak mencari payudara sendiri. Penelitian ini bertujuan memperoleh gambaran mengenai hubungan pengetahuan dan sikap ibu post partum dengan pelaksanaan inisiasi menyusu dini (IMD) di Ruang VK (bersalin) Irina D BLU RSUP Prof. R.D. Kandou Manado. Desain penelitian ini menggunakan metode cross sectional dimana populasinya adalah keseluruhan ibu post partum secara normal di Ruang VK (Bersalin) Irina D BLU RSUP Prof. R.D. Kandou Manado dengan besar sampel 30 responden.Data dikumpulkan dari responde dengan menggunakan lembar kuisioner dan observasi kemudian data disajikan dalm tabel tabulasi silang dan uji chi square dengan derajat kemaknaan 0,05. Berdasarkan hasil penelitian menunjukkan bahwa dari hasil uji chi square didapatkan nilai ρ > 0,05. Ini menyatakan bahwa tidak ada hubungan pengetahuan dan sikap dengan pelaksanaan inisiasi menyusu dini (IMD) pada ibu post partum di Ruang VK (bersalin) Irina D BLU RSUP Prof.Dr. R.D. Kandou Manado. Kata kunci: PengetahuandanSikapIbuPost Partum, Pelaksanaan Inisiasi Menyusu Dini (IMD).


2018 ◽  
Vol 5 (1) ◽  
pp. 41-48
Author(s):  
Mariati Mariati

Early initiation of breastfeeding is a process of letting the baby breastfeed their own immediately after birth so that it benefits both mother and baby, physically and psychologically. It can safe 22% of neonatal deaths, prevent hipotermi and enhance ties of affection. In the city of Bengkulu implementation of the early initiation of breastfeeding not yet have an impact on exclusive breastfeeding in 2009 (59.1%). The purpose of this study to know the implementation of early initiation of breastfeeding in private practice midwives in the city of Bengkulu.This study design with qualitative methods through an explorative approach to dig more deeply about the situation of implementation of the early initiation of breastfeeding on the midwives who in private practice in the city of Bengkulu. Informants of this study amounted to 12 persons elected by purpose sampling. Data were collected through in-depth interviews and direct observation analyzed by phase: transcripts, coding, and conclusions based on pre-determined category.The results showed all the informants were well versed in the early initiation of breastfeeding, but its implementation has not been done in the most especially when the patients feel tired or lack motivation and family do not support this implementation so that postponed and not taken immediately. Furthermore, this implementation did not result in exclusive breastfeeding because the patient feels there is no milk coming out so it is not important for mothers to keep breastfeeding. The attitude of midwives in the implementation of the early initiation of breastfeeding is quite good and supports the implementation of the early initiation of breastfeeding, especially with seeing the benefits. To improve the implementation of the early initiation of breastfeeding needs to be done counseling since pregnant women and prepare it so that mothers will understand its benefits and to continually feeding that can accelerate spending and prevent breast milk feeding other than breast milk during the month / exclusive


2021 ◽  
Vol 2 (1) ◽  
pp. 23-27
Author(s):  
Susilowati Susilowati ◽  
Damon Wicaksi

Introduction: Mothers who do not provide exclusive and customary breastfeeding to their babies are influenced by several factors such as insufficient breast milk so that the babies often fuss and cry. Exclusive breastfeeding constraints are also due to the provision of food and drinks to the baby before breastfeeding, such as honey and formula milk, and the distrust of mothers in breastfeeding the baby. Method: The research method used is observational analytic with cross sectional approach to see the effect of independent variables on the dependent variable. Result: The results of this study were 69 respondents who did Early Initiation of Breastfeeding (IMD), 23 respondents (33.3%) succeeded in giving exclusive breastfeeding, and 18 respondents (26.1%) were unable to provide exclusive breastfeeding. Mothers who did not perform IMD and were able to provide exclusive breastfeeding were 6 respondents (8.7%) and 22 respondents (31.9%) were unable to exclusively breastfeed. This shows that IMD can increase exclusive breastfeeding, while mothers who do not do IMD are at risk of not being able to provide exclusive breastfeeding. Conclusion: From the results of this study, it is necessary to increase health education about improving the quality of mothers in carrying out IMD and exclusive breastfeeding.


Author(s):  
Harish Chand ◽  
Mansi Chopra ◽  
Jyoti Sharma

<p class="abstract"><strong>Background:</strong> Considering the poor practices of optimal breastfeeding, a cross-sectional study with the objective to ascertain the disparity in knowledge, attitude and practice (KAP) pertaining to early initiation, exclusive and continued breastfeeding behaviours was conducted among the mothers of children below 3 years of age.</p><p class="abstract"><strong>Methods:</strong> 400 mothers of children ≤6 months from 52 villages of Rajasthan were included in the analysis for EBF. The data collection was analysed using statistical software SPSS version 23.0. All characteristics were summarized descriptively. Chi-square (χ2) test was performed to study the association between two categorical variables. Three points liket scale was administered to assess the attitude of mothers.  </p><p class="abstract"><strong>Results:</strong> 72.8 % mothers initiated early breastfeeding, 22.5% continued breastfeeding, and exclusively breastfeeding was practiced by none. 34.3% mothers had knowledge on early initiation of breastfeeding, 34.6% on exclusive breastfeeding and 65.5% had knowledge on continued breastfeeding. 73.8% mothers had positive attitude towards early initiation of breastfeeding, 13.5 % on exclusive breastfeeding and 79.5% had positive attitude towards continued breastfeeding up to 2 years.</p><p class="abstract"><strong>Conclusions:</strong> Though the attitude and knowledge on breastfeeding is good yet exclusive breastfeeding practice was observed very poor. These findings indicate that despite of having good knowledge and a positive attitude towards breastfeeding, there are certain myths and social determinants which hinder optimal breastfeeding. Identification of such barriers will be extremely useful, since counselling and behaviour change strategies will focus and address them, resulting in the practice of good behaviours.</p>


2020 ◽  
Vol 40 (3) ◽  
pp. 190-196
Author(s):  
Mia Ervina ◽  
Bunga Astria Paramashanti ◽  
Hamam Hadi ◽  
Nur Indah Rahmawati

Introduction: Exclusive breastfeeding plays an important role in preventing morbidity and mortality in infants and young children. However, exclusive breastfeeding coverage remains low, especially among working mothers. This study aimed to examine the relationship between early initiation of breastfeeding and prevalence of exclusive breastfeeding among working mothers in Bantul District, Yogyakarta Special Region, Indonesia. Methods: This study used a cross-sectional design. The population were all women in reproductive age who worked in middle and large companies. Samples included mothers whose infants were aged six to 12 months and were selected by probability proportional to size sampling technique. Main outcome was exclusive breastfeeding, while the independent variable was the early initiation of breastfeeding. Statistical analysis were descriptive statistics test, chi-square test, and multiple logistic regression at the level of significance of 0.05. Results: Exclusive breastfeeding coverage was around 22%, whilst the early initiation of breastfeeding coverage was 10%. Early initiation of breastfeeding was associated with exclusive breastfeeding practice (adjusted OR = 2.93; 95% CI: 1.04 - 8.28). Variables that were not significantly related to exclusive breastfeeding included being a first-time mother, maternal age, maternal educational level, breastfeeding counselling during antenatal visits, and delivery methods. Conclusions: Early initiation of breastfeeding is associated with higher prevalence of exclusive breastfeeding among working mothers. To increase exclusive breastfeeding coverage, particularly among employed women, it is highly recommended to enhance early initiation of breastfeeding program.


PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0260347
Author(s):  
Stephen Dajaan Dubik ◽  
Kingsley E. Amegah

Background There is suboptimal early initiation of breastfeeding (EIBF) with widespread prelacteal feeding in Ghana. However, studies exploring the determinants of EIBF and prelacteal feeding are limited in Ghana. The study was conducted to assess the prevalence and determinants of EIBF and prelacteal feeding in Northern Ghana. Methods This cross-sectional study was conducted among 508 mothers with infants aged 0–24 months in the Sagnarigu Municipality of Northern Ghana. The quantitative data were collected using a structured questionnaire adapted from Ghana’s demographic and health survey. Multivariate logistic regression was used to identify the independent determinants of EIBF and prelacteal feeding. Results The prevalence of EIBF and prelacteal feeding was 72% and 21%, respectively. The independent positive determinants of EIBF were partner support to breastfeed [adjusted Odds ratio (AOR): 1.86, 95% Confidence interval (CI): 1.09–3.17] and exposure to breastfeeding information during pregnancy (AOR = 1.63 (95% CI: 1.01–2.64). Lower odds of EIBF were observed among mothers from extended family (AOR = 0.62, 95% CI: 0.41–0.95). Regarding prelacteal feeding, negative determinants were having a normal weight baby (AOR: 0.50, 95% CI: 0.27–0.90), exposure to breastfeeding information during pregnancy (AOR: 0.54, 95% CI: 0.31–0.92), while experiencing delayed onset of lactation was a risk factor for prelacteal feeding practice (AOR: 2.35, 95% CI: 1.41–3.94). Conclusion In this study, EIBF was slightly higher than the 2030 global target on EIBF with widespread prelacteal feeding practice. Health programs aimed at improving EIBF should focus on the women partners, nutrition counselling, and support to mothers from the extended family. In the same vein, programs aimed at discouraging prelacteal feeding practice should also target women at risk, such as those with low birthweight babies and women experiencing delayed lactation onset.


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