Personalized Postpartum Interventions and Their Impact on Working Mothers
Abstract
Exclusive breastfeeding is a critical determinant in maintaining infant health and nutritional status. However, its coverage remains low, particularly among postpartum working mothers. Limited maternal knowledge, lack of family especially spousal support, and low maternal satisfaction are reported key factors contributing to suboptimal breastfeeding practices. This quasi-experimental study employed a non-equivalent control group pre-test and post-test design. It was conducted from January to October 2024 in the working area of the Darussalam Primary Health Center in Medan, Indonesia. A total of 140 postpartum working mothers were purposively selected and divided into two groups: intervention (n=70) and control (n=70). The intervention group received PBE through a pocketbook, educational videos, and personalized counseling provided by trained midwives. They were followed up at day 7, month 1, month 3 and month 6 post-intervention. Data were analyzed using paired t-test, independent t-test, and repeated measure ANOVA. The exclusive breastfeeding adequacy score significantly increased in the intervention group (p=0.000; p<0.05), indicating meaningful differences across measurement periods. Between-group analysis showed a significant difference (F=11.040; p=0.002; p<0.05). Overall improvements were also significant in maternal knowledge (F=37.238; p= <0.001), maternal satisfaction (F=31.932; p=<0.001), and spousal support (F=26.083; p=<0.001). Personalized breastfeeding edu-cation effectively enhances exclusive breastfeeding adequacy, maternal knowledge and satisfaction, and as well as, and spousal support among postpartum working mothers. Primary health centers and Medan City Health Office are encouraged to integrate personalized breastfeeding education into antenatal and post-natal care programs, involve husbands as active companions, and provide adequate facilities as well as training for breastfeeding-supportive healthcare providers.
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References
1. de Onis M. World Health Organization Child Growth Standards. In: The Biology of the First 1,000 Days. 2017: 17–32. https://www.taylorfrancis.com/chapters/oa-edit/10.1201/9781315152950-2/world-health-organization-child-growth-standards-mercedes-de-onis
2. Balqis IA, Saptanto A, Ramaningrum G, Novitasari A. Effectiveness of Leaflet-based Educational Media on Mothers’ Knowledge of Exclusive Breastfeeding at Kedungmundu Public Health Center, Semarang City. Prima Kesmas: Prosiding Seminar Kesehatan Masyarakat. 2023;1:168–172. https://doi.org/10.26714/pskm.v1iOktober.251
3. Banowo AS, Asha LF. Ketidakberhasilan Pemberian ASI Eksklusif pada Ibu yang Mempunyai Bayi. 1st ed. Purbalingga: Eureka Media Aksara; 2024: 1–26. https://repository.penerbiteureka.com/publications/584840/ketidakberhasilan-pemberian-asi-eksklusif-pada-ibu-yang-mempunyai-bayi
4. Siregar CT, Chahaya I, Nasution SZ. Empowerment of Housewives’ Groups in Fulfilling Family Nutrition Through the Formation of Quality, Creative, and Independent Families in Biru-Biru District. ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat. 2022;7(2):491–502. https://doi.org/10.32734/abdimastalenta.v7i2.7292
5. WHO. Exclusive Breastfeeding for Optimal Growth, Development and Health of Infants. World Health Organization; 2023. https://www.who.int/tools/elena/interventions/exclusive-breastfeeding
6. Kemenkes RI. Profil Kesehatan Indonesia Tahun 2023. Jakarta: Kementerian Kesehatan Republik Indonesia; 2023. https://kemkes.go.id/id/profil-kesehatan-indonesia-2023
7. Lehan AV, Utami TA, Ningsih PW. Factors Associated with Stunting Among Children Under Five Years of Age. Jurnal Keperawatan Silampari. 2023;6(2):961–972. https://doi.org/10.31539/jks.v6i2.4856
8. Winarti G, Nasution SZ, Siregar FLS. The Effectiveness of Family Centered Maternity Care–based Education on Family Support and Self-efficacy in Postpartum Mothers for Breastfeeding. Journal of Telenursing (JOTING). 2024;6(1):1–23. https://doi.org/10.31539/joting.v6i1.9797
9. Aprilina, Lestari D, Ocktariyana. Maternal Assistance in Efforts to Increase Breast Milk Production in the Talang Ratu Public Health Center Area, Palembang. Jurnal Kreativitas Pengabdian Kepada Masyarakat. 2024;7(6): 2602–2612. https://doi.org/10.33024/jkpm.v7i6.14837
10. Nasution SS, Karota E, Pramita R. The Effectiveness of Moringa Leaf Consumption Interventions in Increasing Breast Milk Production and Postpartum Maternal Health Status During the COVID-19 Pandemic in Medan Johor Sub-district. AIP Conference Proceedings. 2023. https://doi.org/10.1063/5.0136266
11. Dewi RR, Ardian J, Lastyana W. Association Between Family Support and Exclusive Breastfeeding Among Infants Aged 0–6 Months. Nutriology: Jurnal Pangan, Gizi, Kesehatan. 2023;4(22):39–44. https://doi.org/10.30812/nutriology.v4i2.3251
12. Wulandari SR, Winarsih W. Relationship Between Husband Support and Exclusive Breastfeeding Practice. OBSERVASI: Jurnal Publikasi Ilmu Psikologi. 2024;2(4):193–202. https://doi.org/10.61132/observasi.v2i4.714
13. Rachma AN, Rachman L, Amalia Y. The Influence of Knowledge and Husband's Support on The Indicator of Psychological Disorders in Postpartum Mother in The Working Areas of The Mulyorejo and Kedungkandang Health Centers in Malang City. Jurnal Kedokteran Komunitas. 2023;11 (2):1–9. https://jim.unisma.ac.id/index.php/jkkfk/article/view/22651/16952
14. Anwar L, Nasution SZ, Siregar CT, Sitepu NF. Training and Assistance for Housewives’ Groups to Create Smart, Healthy, and Active Families in Maintaining Children’s Health. ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat. 2022;7(1):454–467. https://doi.org/10.32734/abdimastalenta.v7i1.7258
15. Khati SA, Lubis DS. Association of Knowledge, Husband Support, and Employment Status with Exclusive Breastfeeding Among Mothers of Infants Aged <6 Months. Jurnal Kesehatan Tambusai. 2024;4(1):48–57. https://journal.universitaspahlawan.ac.id/index.php/jkt/article/view/12227
16. Rukmini, Fatmawati E, Trisnanto Y, Fitrianti Y. Stategi Intervensi Program dan Pemanfaatan Potensi Lokal dalam Upaya Peningkatan Cakupan ASI Eksklusif di Kabupaten Balangan. Media Penelitian dan Pengembangan Kesehatan. 2020;30(3): 211–224. https://doi.org/10.22435/mpk.v30i3.2743
17. Partiwi N, Nur AP. Effect of Breastfeeding Technique Education on Nipple Trauma Among Postpartum Mothers. Jurnal Berita Kesehatan. 2023;16(1):52–59. https://doi.org/10.58294/jbk.v16i1.122
18. Rahmayanti R, Adha D, Wahyuni SF. Effect of Online Education Based on Family Centered Maternity Care on Postpartum Mothers’ Self-efficacy in Exclusive Breastfeeding. Jurnal Kesehatan Mercusuar. 2021;4(1):92–100. https://doi.org/10.36984/jkm.v4i1.202
19. Saputri UA, Pangestuti DR, Rahfiludin MZ. Maternal Nutrition Knowledge and Parenting Patterns as Risk Factors for Stunting Among Children Aged 6–24 Months in Agricultural Areas. Media Kesehatan Masyarakat Indonesia. 2021;20 (6):433–442. https://doi.org/10.14710/mkmi.20.6.433-442
20. UNICEF/WHO. Guidelines and Tools for Monitoring Baby-Friendly Hospitals: Questionnaire for Breastfeeding Mothers. Geneva: World Health Organization; 2020.
21. Sugiyono. Metode Penelitian Kuantitatif, Kualitatif, dan R&D. 2nd ed. Bandung: Alfabeta; 2021. https://digi-lib.stekom.ac.id/assets/dokumen/ebook/feb_35efe6a47227d6031a75569c2f3f39d44fe2db43_1652079047.pdf
22. Herman A, Mustafa, Saida, Chalifa WO. Relationship Between Maternal Knowledge and Attitudes Toward Exclusive Breastfeeding. Professional Health Journal. 2021;2(2):84–89. https://doi.org/10.54832/phj.v2i2.103
23. Vidayanti V, Wahyuningsih M. Effectiveness of Lactation Counseling on Self-Efficacy and Breastfeeding Ability Among Post-Cesarean Mothers. Jurnal Keperawatan Respati Yogyakarta. 2017;4(2):154–162. https://doi.org/10.35842/jkry.v4i2.115
24. Wati YA, Ruspita R. Effectiveness of Lactation Massage on Breast Milk Production Among Postpartum Mothers. Journal of Midwifery and Nursing Studies. 2025;7(1):11–21. https://doi.org/10.57170/jmns.v7i1.157
25. Puspitasari ID, Saadah N, Sumaningsih R, Rahayu TP. The Effect of Exclusive Breastfeeding Counseling on Self-Efficacy Among Nursing Mothers: A Pre-Experimental Study. International Journal of Advanced Health Science and Technology. 2024;4(3):172–177. https://doi.org/10.35882/ijahst.v4i3.352
26. Prihanti GS, Wilyani D, Hasna A, Aisy AR, Kurniawan BP, Panca W, et al. Effectiveness of Breastfeeding Counseling Training to Improve Knowledge, Attitudes, and Skills of Breastfeeding Support Groups. Jurnal Promosi Kesehatan Indonesia. 2025;20(1): 44–55. https://doi.org/10.14710/jpki.20.1.44-54
27. Laksono AD, Wulandari RD, Ibad M, Kusrini I. The Effects of Mothers’ Education on Achieving Exclusive Breastfeeding in Indonesia. BMC Public Health. 2021;21:14. https://doi.org/10.1186/s12889-020-10018-7
28. Septiasary H, Denny HM, Setyaningsih Y. Factors Associated with Hypertension Among Communities and Workers: A Literature Review. Media Publikasi Promosi Kesehatan Indonesia (MPPKI). 2024;7(4): 822–830. https://doi.org/10.56338/mppki.v7i4.4811
29. Meyda R, Wijayanti LA. Association Between Maternal Self-efficacy and Exclusive Breastfeeding Practice. SOCIAL Jurnal Inovasi Pendidikan IPS. 2025;5(1): 152–160. https://doi.org/10.51878/social.v5i1.4691
30. Shanmugam J, Kumar M, Naveen P. Maternal Experiences During Pregnancy, Delivery, and Breastfeeding Practices: A Community-Based Analytical Cross-Sectional Study. Indian Journal of Community Medicine. 2024;49(3):532–538. https://doi.org/10.4103/ijcm.ijcm_636_22
31. Prabandari AASM, Krishnandita M, Yunanda SA, Wijaya MI. The Importance of Husband Support in Exclusive Breastfeeding: A Cross Sectional Study. Bali Medical and Wellness Journal. 2024;1(1):45–55. https://bmw-journal.com/index.php/bmwj/article/view/10
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