Evidence map›Paper›PMID 38902920›Full record

ArticleClinical and experimental pediatrics2024

Parental support and exclusive breastfeeding at 3 months in West Java, Indonesia: a mixed-methods approach.

Ratu Ayu Dewi Sartika, Fadila Wirawan, Wawan Gunawan, Primasti Nuryandari Putri, Nurul Husna Mohd Shukri

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Article in Clinical and experimental pediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

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0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Ratu Ayu Dewi SartikaDepartment of Public Health Nutrition, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia.
Fadila WirawanDepartment of Public Health Nutrition, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia.
Wawan GunawanDepartment of Public Health Nutrition, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia.
Primasti Nuryandari PutriDepartment of Public Health Nutrition, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia.
Nurul Husna Mohd ShukriDepartment of Nutrition, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Malaysia.

Funding

Universitas Indonesia KB-446/UN2.RST/HKP.05.00/2023
6 · The paper itself

Abstract

backgroundThe exclusive breastfeeding (EBF) rate in Indonesia is lower than expected. Among the key factors affecting breastfeeding practices, paternal support has been suggested. PURPOSE: To explore the role of paternal support in EBF failure among 3-month-old infants.

methodsThis sequential mixed-methods study, part of an ongoing cohort study in West Java in early 2022, included 225 infants. The parents of 3-month-old infants were interviewed. Paternal support was assessed using a 15-point validated questionnaire for a total score of 15-60 points. Multivariate binary regression was used to determine adjusted odds ratios (aORs). The qualitative exploration was based on in-depth interviews (IDIs) and forum group discussions (FGDs) following the quantitative survey.

resultsOf the 225 infants, 52.2% were no longer EBF. High paternal support (greater than the mean score) of breastfeeding was determined in 52.9% of cases (mean± standard deviation, 38.7±6.7 for the overall population vs. 37.5±6.3 and 40.2±6.8 for infants who were and were not EBF at 3 months of age, respectively). Low paternal support was associated with an increased EBF failure rate (aOR, 2.84; 95% confidence interval [CI], 1.46-5.54). Other variables that remained as predictors in the final model were a low birth rate (aOR, 7.35; 95% CI, 1.73-31.20), negative maternal attitude (aOR, 3.31; 95% CI, 1.63-6.75), lower self-efficacy (aOR, 4.82; 95% CI, 2.43-9.57), and lower maternal education level (aOR, 2.87; 95% CI, 1.03- 8.03). The IDIs and FGD observed the importance of the father's support of the mother and EBF. The qualitative exploration revealed a lack of knowledge about EBF as a parental support barrier.

conclusionPaternal support is important for EBF. Paternal involvement in EBF planning encouraged themother to continue. Plans that include fathers in breastfeeding education may help increase paternal support.

Indexed as

Breast feedingFathersSocial support

Identifiers

PMID38902920
PMCPMC11222911

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