Key Factors Influence the Expenditure of Breast Milk in Post-Sectio Cesareana Mothers at Regional Hospital Batam, Indonesia
DOI:
https://doi.org/10.61963/jpkt.v3i1.93Abstract
Aim and objective of this research is to establish the relating and contributory factors to the formation of breast milk among post-caesarean section (SC) mothers at Embung Fatimah Regional Hospital Batam City. Breastfeeding is known to offer lots of health benefits to the baby, and the mother as well; unfortunately, many post-SC mothers face difficulties in lactation. Sequential exploratory design was used: quantitative data was collected from 54 post-SC mothers, qualitative data from post-SC mothers, midwives and health staff. Some of the factors that were examined in the study included; frequency of feedings, breast care, rooming-in, maternal diet, birth weight, feeding techniques employed and the gestational period. Altogether, quantitative findings pointed towards the association of independent variables with smooth breast milk production as follows: regularly frequency of breastfeeding (p = 0. 000), proper care of the breasts (p = 0. 002), rooming in (p = 0. 002), adequate diet of the mothers (p = 0. 000), mothers’ gestational age /full term/b (p = 0. Other observable variables such as mode of feeding which includes the combined nursing care and birth weight do not significantly predict each other. Most dominant factors considered by the logistic regression analysis were maternal nutrition and the frequency of breastfeeding. The qualitative results that supported the significance of educating women on how to breast feed, proper care of the breast and the value of family support on breastfeeding results. There was also an indication that mothers who were closely monitored by midwives and other health care givers experienced less problems in their milk flow. These results emphasise the need to enhance the provisions of breastfeeding education, healthcare and nutrition; especially for post-SC mothers to ease successful breastfeeding and improve the health of both mother and child.
References
Agho, K. E., Dibley, M. J., Odiase, J. I., & Ogbonmwan, S. M. (2011). Determinants of exclusive breastfeeding in Nigeria. BMC Pregnancy and Childbirth, 11, 2. https://doi.org/10.1186/1471-2393-11-2
Allen, J., & Hector, D. (2005). Benefits of breastfeeding. New South Wales Public Health Bulletin, 16(3-4), 42-46. https://doi.org/10.1071/NB05011
Angriani, R., & ZL, ES. (2018). Relationship of breastfeeding frequency with smoothness. Breastfeeding Frequency Hub with the Smooth Production of Mother's Milk, 2(1), 299-304.
Anuhgera, D. E., Panjaitan, E. F., Pardede, D. W., Pardede, D. W., Ritonga, N. J., & Damayanti, D. (2019). Discharge of colostrum with the provision of breast care and endorphin massage in post cesarean section mothers. J Kespro Obstetric Researcher, 2(1), 34-40.
Bartick, M. C., Schwarz, E. B., Green, B. D., Jegier, B. J., Reinhold, A. G., & Colaizy, T. T. (2017). Suboptimal breastfeeding in the United States: Maternal and pediatric health outcomes and costs. Maternal & Child Nutrition, 13(1), e12366. https://doi.org/10.1111/mcn.12366
Bartick, M., & Reinhold, A. (2010). The burden of suboptimal breastfeeding in the United States: a pediatric cost analysis. Pediatrics, 125(5), e1048-e1056. https://doi.org/10.1542/peds.2009-1616
Beyer, M., Lenz, R., & Kuhn, K. A. (2006). Health information systems. IT - Information Technology, 48, 6-11.
Breastfeeding E., & Infant F. (2019). Exclusive breastfeeding for infant growth and development in Medan. Journal Name, 2(3), 104-109.
Britton, C., McCormick, F. M., Renfrew, M. J., Wade, A., & King, S. E. (2007). Support for breastfeeding mothers. Cochrane Database of Systematic Reviews, 1, CD001141. https://doi.org/10.1002/14651858.CD001141.pub3
Diati, O. C. A. (2015). Relationship of birth weight with the onset of lactation in postpartum mothers at Rs Pku Muhammadiyah I Yogyakarta. STIKes Aisyiyah Yogyakarta.
Edmond, K. M., Zandoh, C., Quigley, M. A., Amenga-Etego, S., Owusu-Agyei, S., & Kirkwood, B. R. (2006). Delayed breastfeeding initiation increases risk of neonatal mortality. Pediatrics, 117(3), e380-e386. https://doi.org/10.1542/peds.2005-1496
Eidelman, A. I., Schanler, R. J., Johnston, M., Landers, S., Noble, L., Szucs, K., ... & Lawrence, R. A. (2012). Breastfeeding and the use of human milk. Pediatrics, 129(3), e827-e841. https://doi.org/10.1542/peds.2011-3552
Enggar et al. (2022). The use of contraceptives and the frequency of breastfeeding in the working area Sangurara Puskesmas Palu. J Sound Health Researcher Forikes, 13, 234-238.
Grummer-Strawn, L. M., & Rollins, N. (2015). Summarising the health effects of breastfeeding. Acta Paediatrica, 104(S467), 1-2. https://doi.org/10.1111/apa.13136
Hanson, L. A., & Korotkova, M. (2002). The role of breastfeeding in prevention of neonatal infection. Seminars in Neonatology, 7(4), 275-281. https://doi.org/10.1053/siny.2002.0129
Horta, B. L., & Victora, C. G. (2013). Long-term effects of breastfeeding: a systematic review. World Health Organization. https://apps.who.int/iris/handle/10665/79198
Horta, B. L., Bahl, R., Martines, J. C., & Victora, C. G. (2007). Evidence on the long-term effects of breastfeeding: Systematic reviews and meta-analyses. World Health Organization. https://apps.who.int/iris/handle/10665/43623
Ip, S., Chung, M., Raman, G., Chew, P., Magula, N., DeVine, D., ... & Lau, J. (2007). Breastfeeding and maternal and infant health outcomes in developed countries. Evidence Report/Technology Assessment No. 153 (Prepared by Tufts-New England Medical Center Evidence-based Practice Center, under Contract No. 290-02-0022). AHRQ Publication No. 07-E007. Rockville, MD: Agency for Healthcare Research and Quality. https://www.ncbi.nlm.nih.gov/books/NBK38337/
Ip, S., Chung, M., Raman, G., Chew, P., Magula, N., DeVine, D., ... & Trikalinos, T. A. (2007). Breastfeeding and maternal and infant health outcomes in developed countries. Evidence Report/Technology Assessment No. 153 (Prepared by Tufts-New England Medical Center Evidence-based Practice Center, under Contract No. 290-02-0022). AHRQ Publication No. 07-E007. Rockville, MD: Agency for Healthcare Research and Quality. https://www.ncbi.nlm.nih.gov/books/NBK38337/
Jones, G., Steketee, R. W., Black, R. E., Bhutta, Z. A., & Morris, S. S. (2003). How many child deaths can we prevent this year? The Lancet, 362(9377), 65-71. https://doi.org/10.1016/S0140-6736(03)13811-1
Kramer, M. S., & Kakuma, R. (2012). Optimal duration of exclusive breastfeeding. Cochrane Database of Systematic Reviews, 8, CD003517. https://doi.org/10.1002/14651858.CD003517.pub2
Kustriyani, M., & Mariyati, M. (2021). Empowerment of health cadres to increase milk production in nursing mothers. Journal Cares About Masy, 2(4), 273-278.
Labbok, M. H. (2012). Global baby-friendly hospital initiative monitoring data: update and discussion. Breastfeeding Medicine, 7(4), 210-222. https://doi.org/10.1089/bfm.2012.0066
Lauer, J. A., Betrán, A. P., Barros, A. J. D., & de Onís, M. (2006). Deaths and years of life lost due to suboptimal breast-feeding among children in the developing world: a global ecological risk assessment. Public Health Nutrition, 9(6), 673-685. https://doi.org/10.1079/PHN2005891
Limbong, M., & Desriani, D. (2023). Primipara's knowledge of breastfeeding techniques. Jurnal Ilmiah Kesehatan Sandi Husada, 12(1), 91-96.
McFadden, A., Gavine, A., Renfrew, M. J., Wade, A., Buchanan, P., Taylor, J. L., ... & MacGillivray, S. (2017). Support for healthy breastfeeding mothers with healthy term babies. Cochrane Database of Systematic Reviews, 2, CD001141. https://doi.org/10.1002/14651858.CD001141.pub5
Mulazimah, M., Nurahmawati, D., Kholis, M. N., Noeraini, A. R., Junita, M. E., & Klau, A. S. (2023). Increased breast milk production of breastfeeding mothers through breast care at Puskesmas Perawatan Ngletih Kota Kediri. Contributions of Researchers and Service to the Masy, 3(2), 88-97.
PGRS guidelines. (Year). Guidelines PGRS (Hospital Nutrition Services). pp. 431-432.
Prakash, R., Nastiti, A. A., & Jihan, T. (2019). Analysis of factors related to the mother's behavior to increase breastmilk production. Indian Journal of Public Health Research & Development, 10(8), 2642-2647.
Radharisnavati, N. K., & Kundre, R. (2017). Nutritional relationship. E-Journal of Nursing, 5(1).
Renfrew, M. J., Pokhrel, S., Quigley, M., McCormick, F., Fox-Rushby, J., Dodds, R., ... & Williams, A. (2012). Preventing disease and saving resources: the potential contribution of increasing breastfeeding rates in the UK. UNICEF UK. https://www.unicef.org.uk/wp-content/uploads/sites/2/2012/11/Preventing_disease_saving_resources.pdf
Retno, M. S. (2017). Nursing relationships combine with breast milk production in puerperal mothers. Ilmiah Nursing, 3(2).
Rollins, N. C., Bhandari, N., Hajeebhoy, N., Horton, S., Lutter, C. K., Martines, J. C., ... & Victora, C. G. (2016). Why invest, and what it will take to improve breastfeeding practices? The Lancet, 387(10017), 491-504. https://doi.org/10.1016/S0140-6736(15)01044-2
Rollins, N. C., Nair, N., Horton, S., Krasevec, J., Frongillo, E. A., Lutter, C. K., ... & Black, R. E. (2016). Breastfeeding and child survival: a global perspective. Epidemiology Review, 38(1), 277-294. https://doi.org/10.1093/epirev/mxv016
Sabriana, R., Riyandani, R., Wahyuni, R., & Akib, A. (2022). Relationship of knowledge and attitudes of mothers about exclusive breastfeeding. Jurnal Ilmiah Kesehatan Sandi Husada, 11, 201-207.
Sankar, M. J., Sinha, B., Chowdhury, R., Bhandari, N., Taneja, S., Martines, J., ... & Bahl, R. (2015). Optimal breastfeeding practices and infant and child mortality: a systematic review and meta-analysis. Acta Paediatrica, 104(S467), 3-13. https://doi.org/10.1111/apa.13147
Santoso, H., Estuti, W., Anwar, M. C., Sulistiyono, P., & Rahayu, D. (2023). The incidence rate of exclusive breastfeeding failure in fishing communities during the Covid-19 pandemic. AcTion Aceh Nutr J, 8(1), 1.
Sari, D. P., & Rahayu, H. E. (2017). The effect of Speos method on breast milk production in post cesarean section mothers in Tidar General Hospital Magelang City. Urecol, 183-190.
Stuebe, A. M., & Schwarz, E. B. (2010). The risks and benefits of infant feeding practices for women and their children. Journal of Perinatology, 30(3), 155-162. https://doi.org/10.1038/jp.2009.107
Victora, C. G., Bahl, R., Barros, A. J. D., França, G. V. A., Horton, S., Krasevec, J., ... & Rollins, N. C. (2016). Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. The Lancet, 387(10017), 475-490. https://doi.org/10.1016/S0140-6736(15)01024-7
Victora, C. G., Horta, B. L., de Mola, C. L., Quevedo, L., Pinheiro, R. T., Gigante, D. P., ... & Barros, F. C. (2015). Association between breastfeeding and intelligence, educational attainment, and income at 30 years of age: a prospective birth cohort study from Brazil. The Lancet Global Health, 3(4), e199-e205. https://doi.org/10.1016/S2214-109X(15)70002-1
W., R., & Harwati, R. (2020). Relationship of education level with exclusive breastfeeding knowledge in pregnant women at Puskesmas Wonogiri II. Jurnal Obstetrics, 12(2), 186.
World Health Organization. (2016). WHO. Journal Name, (May), 31-48.
World Health Organization. (2020). Global breastfeeding scorecard, 2019. Global Newborn Mortality, (3), 1-4.
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