Inhibitor Factors of Early Initiation of Breastfeeding among Mothers in Rural District Bone, South Sulawesi, Indonesia

Abstract

Early initial breastfeeding is a new method of breastfeeding by letting babies find their mother's breast by themselves soon after delivery. Early initial breastfeeding at the first hour is believed to increase the success of exclusive breastfeeding. But the practice of this method in Indonesia is still low, even after having support by policy. This research is trying to find out the potential factor obstructed the implementation of early initial breastfeeding. Cross sectional study was done in local government clinic located in South Sulawesi during February to August 2008 which consists of 248 mothers and 5 informants by combining quantitative and qualitative method. Lacking of knowledge, education level and support from their family and midwife but mother's knowledge is the most influenced factor obstructed the implementation of early initial breastfeeding. Some specific factors also found in study mentioned that mothers are tired, shy, has lack of knowledge and midwife less professionalism skill, communication strategy, individual motivation, self confidence and no policy about this from local government clinic. The promotion of early initial breastfeeding need to be improved for midwives so that they can understand the benefits of early initial breastfeeding and implement this for every delivery.

Progress towards reducing sociodemographic disparities in breastfeeding outcomes in Indonesia: a trend analysis from 2002 to 2017

“…This study also found that women from Sumatra and Sulawesi had lower EIB rates in 2017 compared to other regions. Some local studies indicate that limited knowledge of EIB for both health workers and mothers, and the lack of local government guidelines to support EIB, cause suboptimal implementation of EIB in both regions [53,54].…”

Barriers and enablers to exclusive breastfeeding by mothers in Polokwane, South Africa

“…Another reason for the delayed initiation of breastfeeding in the current study was a lack of knowledge of how to initiate breastfeeding. Lack of breastfeeding counseling and midwife support has been previously identified as a cause for increased delay in the initiation of breastfeeding ( 39 , 40 ). These authors emphasize the importance of breastfeeding education during antenatal visits and support by midwives and birth attendants post-delivery to ensure early breastfeeding initiation.…”

Effectiveness of Using Information, Education, and Communication Flowchart Media in Implementation of Early Breastfeeding Initiation

“…18 The provision of midwife support to pregnant women was found to increase the success of EIB implementation by 17.5 times. 19 The first hour after birth is crucial for midwives to perform EIB. The implementation of EIB is successful if it is carried out as soon as possible after delivery, and the process lasts for 60 minutes or more.…”