Factors associated with exclusive breastfeeding success among breastfeeding mothers in Ogan Komering Ulu Regency, Indonesia: A cross-sectional study
https://doi.org/10.52235/lp.v7i2.689
Keywords:
breast feeding, health knowledge, primary health careAbstract
Background: Exclusive breastfeeding is an essential intervention for improving infant health, growth, and development. Despite its well-established benefits, the coverage of exclusive breastfeeding in several regions of Indonesia remains below target, including in the working area of Puskesmas Peninjauan, Ogan Komering Ulu Regency. The success of exclusive breastfeeding is influenced by multiple maternal and environmental factors, including maternal knowledge, family support, parity, and pregnancy interval.
Objective: This study aimed to analyze the factors associated with the success of exclusive breastfeeding among breastfeeding mothers in the working area of Puskesmas Peninjauan, Ogan Komering Ulu Regency.
Methods: This study employed an analytical quantitative design with a cross-sectional approach. The study was conducted from June to July 2025 and involved all mothers with infants aged 7–12 months in the working area of Puskesmas Peninjauan, with a total of 61 respondents selected using total sampling. Data were collected using a checklist form and structured questionnaires covering maternal knowledge, family support, parity, pregnancy interval, and exclusive breastfeeding success. Data were analyzed using univariate and bivariate analyses with the Chi-square test at a 95% significance level (α = 0.05).
Results: Most respondents were aged 21–30 years (52.5%), had completed senior high school (37.7%), and were homemakers (88.5%). A total of 91.8% of mothers successfully practiced exclusive breastfeeding. Bivariate analysis showed that family support was significantly associated with exclusive breastfeeding success (p = 0.002), whereas maternal knowledge (p = 0.353), parity (p = 0.215), and pregnancy interval (p = 0.052) were not significantly associated.
Conclusion: Family support was the most influential factor associated with the success of exclusive breastfeeding. Strengthening the involvement of husbands and family members in breastfeeding education and lactation support should be integrated into maternal and child health services to improve exclusive breastfeeding outcomes.
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References
Alonso-Díaz, C., Utrera-Torres, I., de Alba-Romero, C., Flores-Antón, B., Lora-Pablos, D., & Pallás-Alonso, C. R. (2021). Breastfeeding support in Spanish neonatal intensive care units and the Baby-Friendly Hospital Initiative. Journal of Human Lactation, 32(4), 613–626. https://doi.org/10.1177/0890334416658246
Altobelli, E., Angeletti, P. M., Verrotti, A., & Petrocelli, R. (2020). The impact of human milk on necrotizing enterocolitis: A systematic review and meta-analysis. Nutrients, 12(5), 1322. https://doi.org/10.3390/nu12051322
Aulia, S. (2025). Knowledge of exclusive breastfeeding among primigravida mothers: A descriptive study. Indonesian Journal of Health Services, 2(3), 96-104. https://doi.org/10.63202/ijhs.v2i3.109
Bagga, N., Kurian, S., Mohamed, A., Reddy, P., & Chirla, D. K. (2020). A quality initiative to improve mother’s own milk feeding in preterm neonates. Breastfeeding Medicine, 15(10), 616–621. https://doi.org/10.1089/bfm.2020.0033
Bauer, S. H., Abele, H., & Graf, J. (2024). Challenges and choices in breastfeeding healthy, sick and preterm babies: Review. Healthcare, 12(23), 2418. https://doi.org/10.3390/healthcare12232418
Cabrera-Lafuente, M., Alonso-Díaz, C., Pumarega, M. T. M., Díaz-Almirón, M., Haiek, L. N., Maastrup, R., & Pallás-Alonso, C. (2022). Breastfeeding practices in neonatal wards in Spain: Neo-BFHI international survey. Anales de Pediatría, 96(4), 300–308. https://doi.org/10.1016/j.anpede.2021.04.010
Chen, L., Shang, Y., Tian, X., Huang, Y., Sun, Y., Fu, C., Bai, J., & Liu, Y. (2025). The struggles of breastfeeding mothers of preterm infants: A qualitative study. BMC Pregnancy and Childbirth, 25, 472. https://doi.org/10.1186/s12884-025-07597-x
Desmawati, E., & Putri, N. A. M. (2025). The Effect of Health Education Using Leaflet Media on Mother’s Knowledge About Exclusive Breastfeeding: A Quasi-Experimental Study. Lentera Perawat, 6(2), 234–241. https://doi.org/10.52235/lp.v6i2.464
Ding, L., Chen, Y., Zhang, W., Song, J., Yao, X., Wan, Y., & Huang, R. (2023). Effect of family integrated care on breastfeeding of preterm infants: A scoping review. Nursing Open, 10(9), 5950–5960. https://doi.org/10.1002/nop2.1888
Deswani, D., Mulyanti, Y., Djuwitaningsih, S., Syafdewiyani, S., & Siti, E. (2025). Enhancing the role of health cadres in stunting prevention in the Munjul region through elderly support for breastfeeding: A participatory action research. Journal of Community Nursing and Primary Care, 2(2), 43-48. https://doi.org/10.63202/jcnpc.v2i2.81
Dong, D., Ru, X., Huang, X., Sang, T., Li, S., Wang, Y., & Feng, Q. (2022). A prospective cohort study on lactation status and breastfeeding challenges in mothers giving birth to preterm infants. International Breastfeeding Journal, 17, 6. https://doi.org/10.1186/s13006-021-00447-4
Fachmawati, R., Harlan, J., Mutika, W. T., & Rochmawati. (2023). Hubungan Pengetahuan dan Paritas Ibu dengan Pemberian ASI Eksklusif di Posyandu Cempaka Gunung Putri Bogor. Jurnal Kesehatan Masyarakat, 11(2), 45–53.
Fitriana, E., & Hermawan, M. (2023). Hubungan Dukungan Keluarga dan Paritas dengan Keberhasilan Pemberian ASI Eksklusif Ibu Pekerja di Yogyakarta. Jurnal Kebidanan, 12(1), 57–63.
Fok, D., Chang, H. F., Meng, L. Y., & Ng, Y. P. M. (2022). The effect of a 20-hour Baby-Friendly Hospital Initiative training program on nurses’ breastfeeding knowledge, attitudes and confidence, in a tertiary hospital in Singapore. American Journal of Perinatology, 39(4), 379–386. https://doi.org/10.1055/s-0040-1716489
Guo, W., Zhang, H., Wang, L., Huang, F., Ma, D., Zgambo, M., Chen, S., Wu, Y., Bu, Y., & Shimpuku, Y. (2025). Factors influencing the provision of human milk feeding support for preterm infants in neonatal intensive care units in China: A qualitative study of neonatal nurses’ perspectives. International Breastfeeding Journal, 20, 82. https://doi.org/10.1186/s13006-025-00778-6
Jonsdottir, R. B., Jonsdottir, H., Orlygsdottir, B., & Flacking, R. (2021). A shorter breastfeeding duration in late preterm infants than term infants during the first year. Acta Paediatrica, 110(4), 1209–1217. https://doi.org/10.1111/apa.15596
Karacan, K., Scholten, N., Schwab, I., Ohnhäuser, T., Dresbach, T., & Neo-MILK. (2025). Exploring risk factors associated with early mother’s own milk feeding cessation in very low birth weight infants. Maternal & Child Nutrition, 21, e70057. https://doi.org/10.1111/mcn.70057
Komariah, E., & Azizah, A. N. (2023). Dukungan Keluarga dalam Pemberian ASI Eksklusif dengan Kejadian Stunting Balita Umur 24–59 Bulan di Wilayah Kerja Puskesmas Sumbang II. Jurnal Kesehatan Masyarakat dan Lingkungan Hidup, 8(1), 15–21.
Lapidaire, W., Lucas, A., Clayden, J. D., Clark, C., & Fewtrell, M. S. (2022). Human milk feeding and cognitive outcome in preterm infants: The role of infection and NEC reduction. Pediatric Research, 91(5), 1207–1214. https://doi.org/10.1038/s41390-021-01367-z
Lestari, D. (2023). Faktor-Faktor yang Berhubungan dengan Meningkatnya ASI Eksklusif di Wilayah Kerja Puskesmas Sungailiat. Jurnal Ilmu Kesehatan, 5(2), 88–97.
Liswarni. (2023). Hubungan Paritas dengan Pemberian ASI Eksklusif di Puskesmas Koba Kabupaten Bangka Tengah. Jurnal Kebidanan, 9(1), 22–29.
Maulidza, F., Ridwan, M., & Saputri, N. (2022). Hubungan Faktor Sosial Budaya dan Pengetahuan Ibu terhadap Pemberian ASI Eksklusif pada Bayi 7–12 Bulan di Puskesmas Sukajaya, Kecamatan Sukajaya, Kota Sabang Tahun 2021. Jurnal Kesehatan Masyarakat, 10(3), 112–121.
Mongelli, F., Calandrino, A., Vinci, F., Traggiai, C., Rebora, D., Maggiora, E., & Ramenghi, L. A. (2025). Three years of human milk banking: Assessing the impact on lactation rates at discharge in VLBW preterm infants in an Italian reference NICU. Nutrients, 17(9), 1440. https://doi.org/10.3390/nu17091440
Mörelius, E., Sahlén Helmer, C., Hellgren, M., & Alehagen, S. (2021). Supporting premature infants’ oral feeding in the NICU—A qualitative study of nurses’ perspectives. Children, 9(1), 16. https://doi.org/10.3390/children9010016
Oktarida, Y. (2025). The relationship between maternal knowledge and family support on exclusive breastfeeding: A cross-sectional study. Lentera Perawat, 6(3), 436–442. https://doi.org/10.52235/lp.v6i3.501
Olfah, R., Okvitasari, Y., & Wulandartika, D. (2022). Faktor-Faktor yang Berhubungan dengan Pemberian ASI Eksklusif pada Bayi di Wilayah Kerja Puskesmas Beruntung Raya Banjarmasin. Jurnal Ilmu Kesehatan, 1(1), 14–23.
Puspita, M., Handayani, R., Azteria, V., & Vionalita, G. (2021). Hubungan Faktor Karakteristik Ibu terhadap Pemberian ASI Eksklusif pada Bayi Usia 6–12 Bulan di Puskesmas Tanah Tinggi Tangerang. Jurnal Ilmu Kesehatan Masyarakat, 14(2), 78–87.
Putri, M. D. Y., & Zahra, T. (2025). Relationship Between Exclusive Breastfeeding and Infant Motor Development : A Scoping Review. Lentera Perawat, 6(2), 380–386. https://doi.org/10.52235/lp.v6i2.480
Raudah. (2024). Faktor yang Berhubungan dengan Pemberian ASI Eksklusif pada Bayi Usia 6–12 Bulan di Wilayah Kerja UPT Puskesmas. Jurnal Kesehatan, 8(1), 33–41.
Rosa, E. F., Aisyah, A., Dina Oktavia, & Rustiati, N. (2025). Combination of Breast Care and Acupressure Interventions to Increase Milk Production and Breast Care in Breastfeeding Mothers. Lentera Perawat, 6(1), 82–91. https://doi.org/10.52235/lp.v6i1.410
Sintani, R. D., Nasution, A. S., & Prastia, T. N. (2023). Hubungan Pengetahuan Ibu dan Breastfeeding Father dengan Keberhasilan ASI Eksklusif di Desa Sukamaju Kecamatan Cibungbulang Tahun 2022. Jurnal Promotor, 6(4), 410–416. https://doi.org/10.32832/pro
Song, J. T., Kinshella, M. W., Kawaza, K., & Goldfarb, D. M. (2023). Neonatal intensive care unit interventions to improve breastfeeding rates at discharge among preterm and low birth weight infants: A systematic review and meta-analysis. Breastfeeding Medicine, 18(2), 97–106. https://doi.org/10.1089/bfm.2022.0151
von Seehausen, M. P., Oliveira, M. I. C., Leal, M. D. C., Domingues, R. M. S. M., & Boccolini, C. S. (2023). Baby-Friendly Hospital Initiative and exclusive breastfeeding during hospital stay. Revista de Saúde Pública, 57, 28. https://doi.org/10.11606/s1518-8787.2023057004283
Walsh, A., Pieterse, P., Mishra, N., Chirwa, E., Chikalipo, M., Msowoya, C., Keating, C., & Matthews, A. (2023). Improving breastfeeding support through the implementation of the Baby-Friendly Hospital and Community Initiatives: A scoping review. International Breastfeeding Journal, 18, 22. https://doi.org/10.1186/s13006-023-00556-2
Wang, Y., Zhao, T., Zhang, Y., Li, S., & Cong, X. (2021). Positive effects of kangaroo mother care on long-term breastfeeding rates, growth, and neurodevelopment in preterm infants. Breastfeeding Medicine, 16(4), 282–291. https://doi.org/10.1089/bfm.2020.0358
Wang, Z., Liu, Q., Min, L., & Mao, X. (2021). The effectiveness of the laid-back position on lactation-related nipple problems and comfort: A meta-analysis. BMC Pregnancy and Childbirth, 21, 248. https://doi.org/10.1186/s12884-021-03714-8
Wilda, I., Akademi Kebidanan Negeri, S., & Nifas, I. (2025). Hubungan Paritas dengan Keterampilan Menyusui pada Ibu Nifas. Jurnal Kebidanan, 5(1), 11–19.
Wihyawari, H., Gurning, M., & Mannopposem, I. A. (2025). Relationship of mother’s knowledge about exclusive breastfeeding: A literature review. Indonesian Journal of Health Services, 2(1), 11-20. https://doi.org/10.63202/ijhs.v2i1.60
World Health Organization. (2023). Infant and young child feeding. WHO. https://www.who.int/news-room/fact-sheets/detail/infant-and-young-child-feeding
Zelharsandy, V. T., Soleha, M., & Sepiwiryanti, W. (2026). The effect of giving shallot compress (Allium Ascalonicum l.) on breast swelling in postpartum mothers: A pre-experimental study. Lentera Perawat, 7(1), 74–80. https://doi.org/10.52235/lp.v7i1.666
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