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Occupational factors associated with exclusive breastfeeding among working mothers in Manado
Diana Doda

Last modified: 2018-08-14

Abstract


Occupational factors associated with exclusive breastfeeding among working mothers in Manado

Diana V Doda1,2*, Herlina I S Wungouw1, Nancy Malonda2, Grace Kandow2, Billy J Kepel1 Damayanti Pangemanan1, Joice Engka1, Pemsi M Wowor1

1 Faculty of Medicine, Sam Ratulangi University, Manado 95115, Indonesia

2 Faculty of Public Health,  Sam Ratulangi University, Manado 95115, Indonesia

*Corresponding Author: Diana V Doda. E-mail:vanda.doda@gmail.com, Phone:+62 82325061666

Introduction: Exclusive breastfeeding is one of the six WHO's Global nutrition targets to increase maternal and childhood nutrition. Studies found that mothers’ occupation associated with breastfeeding, therefore it is necessary to study the factors in the workplace that were potentially related to exclusive breastfeeding.  This study aims to identify the occupational factors associated with 6-months exclusive breastfeeding among working mothers.

Method: This cross-sectional study of 6-months exclusive breastfeeding was conducted among working mothers who have 6 to 12 months old baby. Participants were recruited from 4 Primary Healthcare Centers, that were cluster randomly selected in Manado. This study utilized self-reported questionnaires comprise of a demographic questionnaire, 6 months exclusive breastfeeding, and occupational factors questionnaire.

Result: There were 104 working mothers participated in this study. There were 92% working mothers breastfeed their baby but only 37.5% exclusively breastfeed their baby until 6 months old. The bivariate analysis revealed that exclusive breastfeeding practice was associated with younger mother’s age (p=0.014), high Psychosocial load (p=0.001), high workload (p=0.001), and older infant’s age when the mother returns to work (p=0.003), postnatal care (p=0.000). Multivariate analysis shows that the high total score of workload and older infant’s age when the mother returns to work were significantly associated with exclusive breastfeeding.

Conclusion: Occupational factors need to be considered when developing a breastfeeding program to increase the prevalence of exclusive breastfeeding practice of working mothers.

Acknowledgements: This research was funding by Kemenristek Dikti. The authors would like to thank for the support of Primary Healthcare Centers, LPPM Unsrat and the research assistants who participated in this research.

Keywords: Exclusive Breastfeeding, occupational factor, psychosocial