Psychological and Sociocultural of Breastfeeding Mothers in Exclusive Breastfeeding
https://doi.org/10.33860/jbc.v6i4.3954
Keywords:
exclusive breastfeeding, breastfeeding mothers, psychology, socioculturalAbstract
Introduction: Breastfeeding mothers often face challenges, particularly psychological and sociocultural barriers. Globally, maternal mental health and sociocultural factors are major concerns in exclusive breastfeeding.. Objective: This study aimed to identify the psychological and sociocultural conditions of breastfeeding mothers in providing exclusive breastfeeding. Methods: A purposive sampling technique was used to select 144 breastfeeding mothers with infants aged 6–12 months. Data collection was conducted using a questionnaire in July–August 2024. Data were analyzed using univariate, bivariate, and multivariate statistical methods. Results: The results showed that exclusive breastfeeding was significantly influenced by maternal psychological conditions (p=0.044), attitudes towards breastfeeding myths and beliefs (p=0.028), cultural practices (p=0.001), and social practices (p=0.007). Multivariate analysis confirmed that maternal psychological conditions, attitudes towards breastfeeding myths and beliefs, and cultural practices collectively influenced exclusive breastfeeding. Good cultural practices were identified as a key factor in successful exclusive breastfeeding Conclusion: A comprehensive approach is needed to promote positive cultural practices through family-based education. Additionally, active involvement of husbands and families is crucial in providing optimal support to ensure mothers are in a stable psychological and sociocultural condition, enabling them to successfully practice exclusive breastfeeding.
Downloads
References
Agrina, A., Afandi, D., Suyanto, S., Erika, E., Dewi, Y. I., Helina, S., … Safira, N. (2022). Analysis of Supporting Factors Associated with Exclusive Breastfeeding Practice in the Urban Setting during the COVID-19 Pandemic. Children, 9(7), 1074. https://doi.org/10.3390/children9071074
Agustina, A., Hamisah, I., & Mutia, Y. (2020). Hubungan promosi susu formula, produksi ASI dan psikologis ibu dengan pemberian ASI Eksklusif. Jurnal SAGO Gizi dan Kesehatan, 1(2), 159. https://doi.org/10.30867/gikes.v1i2.409
Asare, B. Y.-A., Preko, J. V., Baafi, D., & Dwumfour-Asare, B. (2018). Breastfeeding practices and determinants of exclusive breastfeeding in a cross-sectional study at a child welfare clinic in Tema Manhean, Ghana. International Breastfeeding Journal, 13(1), 12. https://doi.org/10.1186/s13006-018-0156-y
Asemahagn, M. A. (2016). Determinants of exclusive breastfeeding practices among mothers in azezo district, northwest Ethiopia. International Breastfeeding Journal, 11(1), 22. https://doi.org/10.1186/s13006-016-0081-x
Association of Women’s Health, Obstetric and Neonatal Nurses. (2021). Breastfeeding and the Use of Human Milk. Journal of Obstetric, Gynecologic & Neonatal Nursing, 50(5), e1–e5. https://doi.org/10.1016/j.jogn.2021.06.006
Behzadifar, M., Saki, M., Behzadifar, M., Mardani, M., Yari, F., Ebrahimzadeh, F., … Bragazzi, N. L. (2019). Prevalence of exclusive breastfeeding practice in the first six months of life and its determinants in Iran: A systematic review and meta-analysis. BMC Pediatrics, 19(1), 384. https://doi.org/10.1186/s12887-019-1776-0
Boquien, C.-Y. (2018). Human Milk: An Ideal Food for Nutrition of Preterm Newborn. Frontiers in Pediatrics, 6, 295. https://doi.org/10.3389/fped.2018.00295
De Roza, J. G., Fong, M. K., Ang, B. L., Sadon, R. B., Koh, E. Y. L., & Teo, S. S. H. (2019). Exclusive breastfeeding, breastfeeding self-efficacy and perception of milk supply among mothers in Singapore: A longitudinal study. Midwifery, 79, 102532. https://doi.org/10.1016/j.midw.2019.102532
Debnath, F., Mondal, N., Deb, A. K., Chakraborty, D., Chakraborty, S., & Dutta, S. (2021). Determinants of optimum exclusive breastfeeding duration in rural India: A mixed method approach using cohort and content analysis design. International Breastfeeding Journal, 16(1), 13. https://doi.org/10.1186/s13006-021-00359-3
Eufrasia Prinata, P., Putriatri Krimasusini, S., & Dionesia, O. (2021). Hubungan Sosial Budaya terhadap keberhasilan Pemberian ASI Ekslusif Di Wilayah Kerja Puskesmas Waembeleng, Manggarai, NTT. Jurnal Kesehatan Saelmakers PERDANA, 4(1), 85–92. https://doi.org/10.32524/jksp.v4i1.37
Hamade, H., Chaaya, M., Saliba, M., Chaaban, R., & Osman, H. (2013). Determinants of exclusive breastfeeding in an urban population of primiparas in Lebanon: A cross-sectional study. BMC Public Health, 13(1), 702. https://doi.org/10.1186/1471-2458-13-702
Harismayanti, Febriyona, R., & Tuna, M. (2019). Pengaruh Konsumsi Jantung Pisang Terhadap Peningkatan Produksi Pada Ibu Masa Nifas. PROSIDING SEMINAR NASIONAL 2018 “ Peran Dan Tanggung Jawab Tenaga Kesehatan Dalam Mendukung Program Kesehatan Nasional,” 225–234. Universitas Muhammadiyah Jember. https://doi.org/10.32528/psn.v0i0.1750
Hernández-Cordero, S., Lozada-Tequeanes, A. L., Fernández-Gaxiola, A. C., Shamah-Levy, T., Sachse, M., Veliz, P., & Cosío-Barroso, I. (2020). Barriers and facilitators to breastfeeding during the immediate and one month postpartum periods, among Mexican women: A mixed methods approach. International Breastfeeding Journal, 15(1), 87. https://doi.org/10.1186/s13006-020-00327-3
Jalal, M., Dolatian, M., Mahmoodi, Z., & Aliyari, R. (2017). The relationship between psychological factors and maternal social support to breastfeeding process. Electronic Physician, 9(1), 3561–3569. https://doi.org/10.19082/3561
Kusuma, N. I., & Khofiyah, N. (2022). Practical support for breastfeeding mothers in achieving exclusive breastfeeding: A scoping review. Jurnal Kedokteran Dan Kesehatan Indonesia, 13(3), 308–320. https://doi.org/10.20885/JKKI.Vol13.Iss3art11
Kusuma, N. I., & Sukmasary, F. (2023). Mental Health of Breastfeeding Mothers during COVID-19 Pandemic. Women, Midwives and Midwifery, 3(2), 41–56. https://doi.org/10.36749/wmm.3.2.41-56.2023
Lim, A., Budiapsari, P. I., & Suryantha, I. G. N. (2023). Hubungan antara Dukungan Keluarga, Faktor Psikologis, Status Ekonomi dan Pengetahuan Tentang Perawatan Bayi dengan Kesuksesan Pemberian Air Susu Ibu Eksklusif di Area Puskesmas I Denpasar Timur. 3(1), 10–18. https://doi.org/ttps://doi.org/10.22225/amj.3.1.2023.10%20-%2018
Maharlouei, N., Pourhaghighi, A., Zohoori, D., & Lankarani, K. B. (2018). Factors Affecting Exclusive Breastfeeding, Using Adaptive LASSO Regression. 6(3), 260–271.
Martin, C., Ling, P.-R., & Blackburn, G. (2016). Review of Infant Feeding: Key Features of Breast Milk and Infant Formula. Nutrients, 8(5), 279. https://doi.org/10.3390/nu8050279
Mufdlilah, M., Ernawati, D., & Ambarwati, D. M. (2022). Effectiveness of husband and care provider support of exclusive breast feeding in nursing mothers: A Systematic Literature Review. Brunei International Medical Journal, 18(1), 24–31. https://bimjonline.org
Mufdlilah, M., Kusuma, N. I., & Suryaningsih, E. K. (2023). Mother’s Experience with COVID-19 in Breastfeeding: A Phenomenological Study. SAGE Open Nursing, 9, 237796082311723. https://doi.org/10.1177/23779608231172360
Nagel, E. M., Howland, M. A., Pando, C., Stang, J., Mason, S. M., Fields, D. A., & Demerath, E. W. (2022). Maternal Psychological Distress and Lactation and Breastfeeding Outcomes: A Narrative Review. Clinical Therapeutics, 44(2), 215–227. https://doi.org/10.1016/j.clinthera.2021.11.007
Nidaa, I., & Krianto, T. (2022). Scoping Review: Faktor Sosial Budaya Terkait Pemberian Asi Eksklusif Di Indonesia. JURNAL LITBANG KOTA PEKALONGAN, 20(1). https://doi.org/10.54911/litbang.v20i1.190
Noprianti, I., Wati, D. A., Nurhayati, A., & Abdullah, A. (2023). Hubungan Pantang Makan (Food Tabu) Dan Pendidikan Ibu Dengan Keberhasilan Pemberian ASI Esklusif Di Wilayah Kerja UPT Puskesmas Rawat Inap Bumidaya Kabupaten Lampung Selatan Tahun 2022. Jurnal Gizi Aisyah, 6(2), 121–131. https://doi.org/10.30604/jnf.v6i2.1403
Nsiah-Asamoah, C., Doku, D. T., & Agblorti, S. (2020). Mothers’ and Grandmothers’ misconceptions and socio-cultural factors as barriers to exclusive breastfeeding: A qualitative study involving Health Workers in two rural districts of Ghana. PLOS ONE, 15(9), e0239278. https://doi.org/10.1371/journal.pone.0239278
Nurhaqqi, S. S., & Damayanti, R. (2024). Analisis Sosial Budaya Dengan Pemberian Asi Eksklusif. Jurnal Kesehatan Tambusai, 5(2), 4483–4489. https://doi.org/10.31004/jkt.v5i2.29448
Oktaviyana, C., Pratama, U., Igbal, M., Fitriya, I. R., Adha, M. N., & Nelly, Z. N. (2022). Determinan Kegagalan Pemberian Asi Eksklusif Pada Ibu Menyusui Di Wilayah Puskesmas Banda Raya Kota Banda Aceh. Care : Jurnal Ilmiah Ilmu Kesehatan, 10(3), 438–449. https://doi.org/10.33366/jc.v10i3.3839
Patabendige, M., Athulathmudali, S. R., & Chandrasinghe, S. K. (2020). Mental Health Problems during Pregnancy and the Postpartum Period: A Multicenter Knowledge Assessment Survey among Healthcare Providers. Journal of Pregnancy, 2020, 1–7. https://doi.org/10.1155/2020/4926702
Rahadian, A. S., & Astuti, Y. (2023). The Socio-cultural Context of Barriers to Exclusive Breastfeeding Practices among Mothers in Karanganyar District Central Java Province. Jurnal Promkes, 11(1SI), 52–62. https://doi.org/10.20473/jpk.V11.I1SI.2023.52-62
Ritthimon, W., Thongprachum, A., & Wungrath, ๋j. (2023). A Qualitative Exploration of Exclusive Breastfeeding Practices Among Karen Ethnicity Mothers in Northern Thailand Remote Rural Areas. Kesmas: Jurnal Kesehatan Masyarakat Nasional, 18(3), 152. https://doi.org/10.21109/kesmas.v18i3.6662
Rondon, M. B. (2020). Perinatal mental health around the world: Priorities for research and service development in South America. BJPsych International, 17(4), 85–87. https://doi.org/10.1192/bji.2020.9
Septiana, C., & Glover, P. (2019). Perinatal depression: Prevalence , outcomes and screening tools—A review of the literature. 2(2), 94–103.
Setyaningsih, F. T. E., & Farapti, F. (2019). Hubungan Kepercayaan dan Tradisi Keluarga pada Ibu Menyusui dengan Pemberian ASI Eksklusif di Kelurahan Sidotopo, Semampir, Jawa Timur. Jurnal Biometrika dan Kependudukan, 7(2), 160. https://doi.org/10.20473/jbk.v7i2.2018.160-167
Shiraishi, M., Matsuzaki, M., Kurihara, S., Iwamoto, M., & Shimada, M. (2020). Post-breastfeeding stress response and breastfeeding self-efficacy as modifiable predictors of exclusive breastfeeding at 3 months postpartum: A prospective cohort study. BMC Pregnancy and Childbirth, 20(1), 730. https://doi.org/10.1186/s12884-020-03431-8
Subratha, H. F. A., Putra, I. W. G. A. E., & Duarsa, D. P. (2016). Faktor-faktor yang Berhubungan dengan Pemberian ASI Ekslusif pada Ibu Beraktivitas dalam Rumah di Kabupaten Tabanan. Public Health and Preventive Medicine Archive, 4(2), 142–147. https://doi.org/10.15562/phpma.v4i2.72
Wahyuni, S., Madeni, B., & Hasritawati, H. (2022). Studi Kualitatif: Faktor Yang Mempengaruhi Kegagalan Pemberian Asi Eksklusif Pada Bayi Usia 0-6 Bulan Di Wilayah Kerja Puskesmas Bebesen. Femina: Jurnal Ilmiah Kebidanan, 2(1), 83. https://doi.org/10.30867/fjk.v2i1.856
Waqas, A., Koukab, A., Meraj, H., Dua, T., Chowdhary, N., Fatima, B., & Rahman, A. (2022). Screening programs for common maternal mental health disorders among perinatal women: Report of the systematic review of evidence. BMC Psychiatry, 22(1), 54. https://doi.org/10.1186/s12888-022-03694-9
WHO. (2024a). Joint statement by UNICEF Executive Director and WHO Director-General on the occasion of World Breastfeeding Week. Retrieved February 23, 2024, from https://www.who.int/news/item/01-08-2023-joint-statement-by-unicef-executive-director-catherine-russell-and-who-director-general-dr-tedros-adhanom-ghebreyesus-on-the-occasion-of-world-breastfeeding-week
WHO. (2024b). Maternal mental health. Retrieved February 15, 2024, from https://www.who.int/teams/mental-health-and-substance-use/promotion-prevention/maternal-mental-health
World Health Organization. (2021). Breastfeeding. Retrieved February 8, 2022, from https://www.who.int/westernpacific/health-topics/breastfeeding
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Nur Intan Kusuma, Rini Kristiyanti, Leila Nisya Ayuanda

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with Jurnal Bidan Cerdas agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC BY-SA 4.0) that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
This work is licensed under a Creative Commons Attribution-Share Alike 4.0 International License
You are free to:
- Share, copy and redistribute the material in any medium or format
- Adapt, remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.