Determinants of cessation of exclusive breastfeeding in the early postnatal period in Indonesia

Wawan Gunawan* -  Department of Nutrition, Faculty of Public Health, Universitas Indonesia, Indonesia., Indonesia
Ratu Ayu Dewi Sartika -  Department of Nutrition, Faculty of Public Health, Universitas Indonesia, Indonesia., Indonesia
Fadila Wirawan -  Department of Nutrition, Faculty of Public Health, Universitas Indonesia, Indonesia., Indonesia
Primasti Nuryandari Putri -  Department of Nutrition, Faculty of Public Health, Universitas Indonesia, Indonesia., Indonesia

Supp. File(s): Cover letter Perjanjian Hak Cipta Surat Pernyataan Etik Publikasi Ethical Approval

Breast milk is the main source of nutrients infants under six months of age need. The causes of low exclusive breastfeeding coverage vary from region to region. Lack of husband support is one of the factors for exclusive breastfeeding failure. This study aimed to determine the determinants of exclusive breastfeeding failure.The study was designed as a cross-sectional study conducted in Sawangan District, Depok City, in February 2023. Subjects were selected using the total sampling method, namely all mothers who have babies aged 0-6 months who conduct antenatal checks at puskesmas and private midwife clinics who are available to be interviewed and fill out a questionnaire as many as 224 people and analysed using the Chi-square test at 95% CI. Results, during antenatal care, the father's role in buying formula/instant porridge/bananas (p= 0,0000 and applying honey or mashed dates to the newborn (p= 0,000) were associated with failure of exclusive breastfeeding in the early postnatal period. Both variables had a 3,7 times higher risk of discontinuing exclusive breastfeeding in the early postnatal period. In conclusion, the determinants of exclusive breastfeeding failure in the early postnatal period were fathers who bought formula/instant porridge/bananas and applied honey or mashed dates to newborns. Socialization and education to fathers on the importance of father involvement in exclusive breastfeeding for mothers is needed.

Supplement Files

Keywords : cessation of exclusive breastfeeding, early postnatal period, father's involvement, weaning food

  1. Ajetunmobi, O. M., Whyte, B., Chalmers, J., Tappin, D. M., Wolfson, L., Fleming, M., MacDonald, A., Wood, R., & Stockton, D. L. (2015). Breastfeeding is associated with reduced childhood hospitalization: Evidence from a scottish birth cohort (1997-2009). Journal of Pediatrics, 166(3), 620-625.e4. https://doi.org/10.1016/j.jpeds.2014.11.013
  2. Akhter, H., Aziz, F., Ullah, F. R., Ahsan, M., & Islam, S. N. (2021). Immunoglobulins content in colostrum, transitional and mature milk of Bangladeshi mothers: Influence of parity and sociodemographic characteristics. Journal of Mother and Child, 24(3), 8–15. https://doi.org/10.34763/jmotherandchild.20202403.2032.d-20-00001
  3. Charantimath, U., Bellad, R., Majantashetti, N., Washio, Y., Derman, R., Kelly, P. J., Short, V., Chung, E., & Goudar, S. (2020). Facilitators and challenges to exclusive breastfeeding in Belagavi District, Karnataka, India. PLoS ONE, 15(5). https://doi.org/10.1371/journal.pone.0231755
  4. Chong, H. Y., Tan, L. T. H., Law, J. W. F., Hong, K. W., Ratnasingam, V., Ab Mutalib, N. S., Lee, L. H., & Letchumanan, V. (2022). Exploring the Potential of Human Milk and Formula Milk on Infants’ Gut and Health. In Nutrients (Vol. 14, Issue 17). MDPI. https://doi.org/10.3390/nu14173554
  5. Emmott, E. H., & Mace, R. (2015). Practical support from fathers and grandmothers is associated with lower levels of breastfeeding in the UK millennium cohort study. PLoS ONE, 10(7). https://doi.org/10.1371/journal.pone.0133547
  6. Fadjriah, R. N., Krisnasari, S., & Gugu, Y. (2021). Relationship between family social support and exclusive breastfeeding behavior at talise health center, indonesia. Open Access Macedonian Journal of Medical Sciences, 9, 312–316. https://doi.org/10.3889/oamjms.2021.5987
  7. Government of Indonesia. (2012). Peraturan Pemerintah Republik Indonesia Nomor 33 tahun 2012 Tentang Pemberian Air Susu Ibu Ekslusif.
  8. Hauck, Y. L., Bradfield, Z., & Kuliukas, L. (2021). Women’s experiences with breastfeeding in public: An integrative review. In Women and Birth (Vol. 34, Issue 3, pp. e217–e227). Elsevier B.V. https://doi.org/10.1016/j.wombi.2020.04.008
  9. Hooshfar, S., Khosrokhavar, R., Yazdanpanah, H., Eslamizad, S., Kobarfard, F., Nazari, F., Kokaraki, V., Kokkinakis, M., Goumenou, M., Tsitsimpikou, C., & Tsatsakis, A. (2020). Health risk assessment of aflatoxin M1 in infant formula milk in IR Iran. Food and Chemical Toxicology, 142. https://doi.org/10.1016/j.fct.2020.111455
  10. Huang, J., Zhang, Z., Wu, Y., Wang, Y., Wang, J., Zhou, L., Ni, Z., Hao, L., Yang, N., & Yang, X. (2018). Early feeding of larger volumes of formula milk is associated with greater body weight or overweight in later infancy. Nutrition Journal, 17(1). https://doi.org/10.1186/s12937-018-0322-5
  11. Ministry Of Health Republic Of Indonesia. (2019). Hasil utama Riskesdas 2018 (Main results of basic health 2018).
  12. Khasanah, N., & Sukmawati. (2019). Peran suami dan petugas kesehatan dalam meningkatkan produksi Asi pada ibu menyusui di kota madya Yogyakarta. BEMJ, 2(1).
  13. Li, J., Nguyen, T. T., Duan, Y., Mathisen, R., & Yang, Z. (2021). Advice to use infant formula and free samples are common in both urban and rural areas in China: A cross-sectional survey. Public Health Nutrition, 24(8), 1977–1988. https://doi.org/10.1017/S1368980020005364
  14. Mannion, C. A., Hobbs, A. J., McDonald, S. W., & Tough, S. C. (2013). Maternal perceptions of partner support during breastfeeding. International Breastfeeding Journal, 8:4. http://www.internationalbreastfeedingjournal.com/content/8/1/4
  15. Martin, C. R., Ling, P. R., & Blackburn, G. L. (2016). Review of infant feeding: Key features of breast milk and infant formula. In Nutrients (Vol. 8, Issue 5). MDPI AG. https://doi.org/10.3390/nu8050279
  16. Muniandy, N. D., & Yusof, F. I. N. M. (2021). Facilitators and Barriers to Breastfeeding Practices of Mothers in a Selected Urban Community in Malaysia. Jurnal Gizi Dan Pangan, 16(3), 179–188. https://doi.org/10.25182/jgp.2021.16.3.179-188
  17. Nguyen, T. T., Withers, M., Hajeebhoy, N., & Frongillo, E. A. (2016). Infant formula feeding at birth is common and inversely associated with subsequent breastfeeding behavior in Vietnam. Journal of Nutrition, 146(10), 2102–2108. https://doi.org/10.3945/jn.116.235077
  18. Ouyang, Y. Q., & Nasrin, L. (2021). Father’s knowledge, attitude and support to mother’s exclusive breastfeeding practices in bangladesh: A multi-group structural equations model analysis. Healthcare (Switzerland), 9(3). https://doi.org/10.3390/healthcare9030276
  19. Radzyminski, S., & Callister, L. C. (2016). Mother’s Beliefs, Attitudes, and Decision Making Related to Infant Feeding Choices. The Journal of Perinatal Education, 25(1), 18–28. https://doi.org/10.1891/1058-1243.25.1.18
  20. Retnangtyas, E., & Mardjengi, R. A. (2020). Knowledge of Supplementary Foods on Behavior in Infants 0-6 Months in Sigenti Village, Parigi Mautong Regency Central Sulawesi Province (Vol. 1, Issue 2). https://oahsj.org/index.php/oahsj
  21. Rosmiati, Muhdar, & Saputri, E. (2020). Tradisi Ibu Menyusui Dengan Pemberian Asi Eksklusif Di Lingkungan Pesisir Pada Wilayah Kerja Puskesmas Pomalaa Dengan Pendekatan Etnografi. Jurnal Endurance, 5(3), 487–495. https://doi.org/10.22216/jen.v5i3.5548
  22. Rothstein, J. D., Winch, P. J., Pachas, J., Cabrera, L. Z., Ochoa, M., Gilman, R. H., & Caulfield, L. E. (2021). Vulnerable families and costly formula: a qualitative exploration of infant formula purchasing among peri-urban Peruvian households. International Breastfeeding Journal, 16(1). https://doi.org/10.1186/s13006-021-00356-6
  23. Santacruz-Salas, E., Aranda-Reneo, I., Segura-Fragoso, A., Cobo-Cuenca, A. I., Laredo-Aguilera, J. A., & Carmona-Torres, J. M. (2020). Mothers’ expectations and factors influencing exclusive breastfeeding during the first 6 months. International Journal of Environmental Research and Public Health, 17(1). https://doi.org/10.3390/ijerph17010077
  24. Shahraki, R. H., Maharlouei, N., Pourhaghighi, A., student, M., Raeisi Shahraki, H., Zohoori, D., & Lankarani, K. B. (2016). Factors Affecting Exclusive Breastfeeding, Using Adaptive LASSO Regression. IJCBNM, 6(3), S43–S51.
  25. Sherriff, N., Hall, V., & Panton, C. (2014). Engaging and supporting fathers to promote breast feeding: A concept analysis. Midwifery, 30(6), 667–677. https://doi.org/10.1016/j.midw.2013.07.014
  26. Tulpule, C., Zheng, M., Campbell, K. J., & Bolton, K. A. (2022). Differences in infant feeding practices between Indian-born mothers and Australian-born mothers living in Australia: a cross-sectional study. BMC Public Health, 22(1). https://doi.org/10.1186/s12889-022-13228-3
  27. Tundia, M. N., Thakrar, D. V, & Vyas, B. L. (2018). Factors Affecting Exclusive Breastfeeding and Complementary Feeding Practices among the Mothers of Children between Age Group of 12 to 23 Months in Udaipur, Rajasthan.
  28. Wahyuni, S., Budi, N. G. M. A. A., Mulyo, G. P. E., Mulyati, S., & Fauzia, F. (2022). Predictors of Exclusive Breast Milk Failure Before Six Months: A Study on Exclusive Breastfeeding in the City of Bogor, West Java, Indonesia. Open Access Macedonian Journal of Medical Sciences, 10(B), 197–204. https://doi.org/10.3889/oamjms.2022.7987
  29. WHO, & UNICEF. (2018). Implementation Guidance Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: the revised Baby-Friendly Hospital Initiatif.

Open Access Copyright (c) 2024 Wawan Gunawan, Ratu Ayu Dewi Sartika, Fadila Wirawan, Primasti Nuryandari Putri
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AcTion: Aceh Nutrition Journal
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