Contribution of Emotional, and Physical Support of Fathers in Exclusive Breastfeeding
Abstract
Exclusive breastfeeding coverage in Bogor Regency remains low, affecting infant growth and development during the first six months of life. Paternal support, as a key determinant, has been insufficiently explored. This study assessed the types of support fathers provide to breastfeeding mothers. Exclusive breastfeeding is a critical effort to support the optimal growth and development of infants during the first 6 months of life. Nevertheless, exclusive breastfeeding coverage continues to be insufficient in certain regions, including Bogor Regency. This study aimed to analyze the relationship between paternal support and the success of exclusive breastfeeding. The study employed a quantitative design with a cross-sectional approach, involving 221 parent pairs selected through purposive sampling. Data were collected using a structured questionnaire that assessed various forms of paternal support, including physical, emotional, and educational assistance. The data were analyzed using chi-square tests to determine the statistical associations. The results revealed that instrumental support—such as helping to change diapers and holding the baby—was not significantly associated with exclusive breastfeeding practices (p > 0.05). Conversely, paternal support in the form of accompanying mothers during consultations with health workers demonstrated a significant association with exclusive breastfeeding success (p = 0.023 < 0.05) This study confirms the critical role of educative and emotional support from fathers in promoting exclusive breastfeeding success. The findings highlight the strategic role of fathers in promoting exclusive breastfeeding and support the development of family-based interventions to increase its coverage.
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References
Afeworki, R., Smits, J., Tolboom, J., & van der Ven, A. (2015). Positive effect of large birth intervals on early childhood hemoglobin levels in Africa is limited to girls: cross-sectional DHS study. PLoS ONE, 10(6), 1–14. https://doi.org/10.1371/journal.pone.0131897
Abekah-Nkrumah, G., Antwi, M. Y., Nkrumah, J., & Gbagbo, F. Y. (2020). Examining working mothers’ experience of exclusive breastfeeding in Ghana. International Breastfeeding Journal, 15(1), 1–10. https://doi.org/10.1186/s13006-020-00300-0
Agrawal, J., Chakole, S., & Sachdev, C. (2022). The Role of Fathers in Promoting Exclusive Breastfeeding. Cureus, 14(10). https://doi.org/10.7759/cureus.30363
Ahmadinezhad, G. S., Karimi, F. Z., Abdollahi, M., & NaviPour, E. (2024). Association between postpartum depression and breastfeeding self-efficacy in mothers: a systematic review and meta-analysis. BMC Pregnancy and Childbirth, 24(1), 1–11. https://doi.org/10.1186/s12884-024-06465-4
Ayton, J., Pearson, S., Graham, A., Kitsos, G., & Hansen, E. (2024). Mothers’ and fathers’ experiences of breastfeeding and returning to paid work after birth: A mixed-method study. Maternal and Child Nutrition, May, 1–10. https://doi.org/10.1111/mcn.13761
Baldwin, S., Bick, D., & Spiro, A. (2021). Translating fathers’ support for breastfeeding into practice. Primary Health Care Research and Development, 22(3). https://doi.org/10.1017/S1463423621000682
Demontigny, F., Gervais, C., Larivière-Bastien, D., & St-Arneault, K. (2018). The role of fathers during breastfeeding. Midwifery, 58, 6-12. https://doi.org/10.1016/j.midw.2017.12.001
Dogan, J., Hargons, C., & Stevens-Watkins, D. (2023). “Don’t Feel Like You Have to Do This All on Your Own”: Exploring Perceived Partner Support of Breastfeeding Among Black Women in Kentucky. Journal of Human Lactation, 39(1), 134–145. https://doi.org/10.1177/08903344221138101
Eksadela, M., Syukri, M., & Fitri, A. (2021). Dukungan Keluarga dan Petugas Kesehatan Berhubungan dengan Pemberian ASI Eksklusif. Jurnal Bidan Cerdas, 3(3), 119–128. https://doi.org/10.33860/jbc.v3i3.468
Fang, Y., Luo, J., Boele, M., Windhorst, D., van Grieken, A., & Raat, H. (2024). Parent, child, and situational factors associated with parenting stress: a systematic review. European Child and Adolescent Psychiatry, 33(6), 1687–1705. https://doi.org/10.1007/s00787-022-02027-1
Fletcher, R., Regan, C., May, C., White, S., & St George, J. (2023). Equipping fathers to support distressed mothers: What do mothers want fathers to know and do? Health Promotion Journal of Australia, 34(4), 683–690. https://doi.org/10.1002/hpja.758
Gebremariam, K. T., Wynter, K., Zheng, M., Rawstorn, J. C., Denney-Wilson, E., & Laws, R. (2024). Breastfeeding – a survey of fathers’ support needs and preferred sources of information. International Breastfeeding Journal , 19(1), 1–7. https://doi.org/10.1186/s13006-024-00654-9
Giannì, M. L., Lanzani, M., Consales, A., Bestetti, G., Colombo, L., Bettinelli, M. E., Plevani, L., Morniroli, D., Sorrentino, G., Bezze, E., Zanotta, L., Sannino, P., Cavallaro, G., Villamor, E., Marchisio, P., & Mosca, F. (2020). Exploring the Emotional Breastfeeding Experience of First-Time Mothers: Implications for Healthcare Support. Frontiers in Pediatrics, 8(May), 1–7. https://doi.org/10.3389/fped.2020.00199
Islami, M. J., Broidy, L., Baird, K., Rahman, M., & Zobair, K. M. (2021). Early exclusive breastfeeding cessation and postpartum depression: Assessing the mediating and moderating role of maternal stress and social support. PLoS ONE, 16(5 May), 1–19. https://doi.org/10.1371/journal.pone.0251419
Krikitrat, P., Park, C. G., McCreary, L. L., Koenig, M. D., Abboud, S., Sansiriphun, N., & Patil, C. L. (2022). Relationships between Thai fathers’ self-efficacy to support breastfeeding and exclusive breastfeeding duration. Midwifery, 106, 103261. https://doi.org/10.1016/j.midw.2022.103261
Krikitrat, P., Sansiriphun, N., Deeluea, J., Sonted, S., Chaiwipassatorn, W., & Bressington, D. (2023). Factors Affecting Thai Fathers’ Self-Efficacy to Support Exclusive Breastfeeding. Nursing Reports, 13(4), 1511–1523. https://doi.org/10.3390/nursrep13040127
Marchetti, D., Fontanesi, L., Mazza, C., Di Giandomenico, S., Roma, P., & Verrocchio, M. C. (2020). Parenting-related exhaustion during the italian COVID-19 lockdown. Journal of Pediatric Psychology, 45(10), 1114–1123. https://doi.org/10.1093/jpepsy/jsaa093
Mercan, Y., & Selcuk, K. T. (2021). Association between postpartum depression level, social support level and breastfeeding attitude and breastfeeding self-efficacy in early postpartum women. PLoS ONE, 16(4 April 2021), 1–12. https://doi.org/10.1371/journal.pone.0249538
Mukembo, A. (2021). “Perceived Father’s Roles in Promotion of Breastfeeding at Household Level: Case Study of Fathers in Amuru District Northern Uganda.” Biomedical Journal of Scientific & Technical Research, 37(1), 29005–29009. https://doi.org/10.26717/bjstr.2021.37.005931
Ng, R. W. L., Shorey, S., & He, H. G. (2019). Integrative review of the factors that influence fathers’ involvement in the breastfeeding of their infants. Journal of Obstetric, Gynecologic & Neonatal Nursing, 48(1), 16-26. https://doi.org/10.1016/j.jogn.2018.10.005
Ogbo, F. A., Akombi, B. J., Ahmed, K. Y., Rwabilimbo, A. G., Ogbo, A. O., Uwaibi, N. E., Ezeh, O. K., & Agho, K. E. (2020). Breastfeeding in the community—how can partners/fathers help? A systematic review. International Journal of Environmental Research and Public Health, 17(2). https://doi.org/10.3390/ijerph17020413
Ouyang, Y. Q., & Nasrin, L. (2021). Father’s knowledge, attitude and support to mother’s exclusive breastfeeding practices in bangladesh: A multi-group structural equations model analysis. Healthcare (Switzerland), 9(3), 1–23. https://doi.org/10.3390/healthcare9030276
Pakilaran, G., Rasni, H., Rosyidi Muhammad Nur, K., & Wijaya, D. (2022). Family Support on Exclusive Breastfeeding in Babies Aged 0-6 Months in Indonesia: Literature Review. Nursing and Health Sciences Journal (NHSJ), 2(2), 104–107. https://doi.org/10.53713/nhs.v2i2.53
Panahi, F., Khorasan, N., & Rahimizadeh, M. (2020). Men’s education on planning and encouraging breastfeeding improves the mothers’ performance and exclusive breastfeeding: a randomized controlled trial. 1–16. https://doi.org/10.21203/rs.3.rs-96629/v1
Panahi, F., Rashidi Fakari, F., Nazarpour, S., Lotfi, R., Rahimizadeh, M., Nasiri, M., & Simbar, M. (2022). Educating fathers to improve exclusive breastfeeding practices: a randomized controlled trial. BMC Health Services Research, 22(1), 1–12. https://doi.org/10.1186/s12913-022-07966-8
Pereira, T. L. B., Rajendran, P. D., Nantsupawat, A., & Shorey, S. (2024). Fathers’ breastfeeding knowledge, attitudes, and involvement in the Asian context: A mixed-studies review. Midwifery, 103956. https://doi.org/10.1016/j.midw.2024.103956
Putri, N. A. H., Isnaen, A., Subratha, H. F. A., & Khoiroh, N. (2023). Peran Ayah Sebagai Breastfeeding Father Dalam Pemberian Asi Eksklusif Pada Bayi: a Literature Review. Jurnal Sipakalebbi, 7(1), 1–9. https://doi.org/10.24252/sipakallebbi.v7i1.38745
Qin, M., Chang, G., Zhou, X., Wang, L., Liang, Y., Xu, Y., Liu, S., Cai, S., & Dai, M. (2024). Fathers’ needs of breastfeeding support: Perspective of health nurses. Midwifery, 132(February), 103959. https://doi.org/10.1016/j.midw.2024.103959
Riaz, A., Bhamani, S., Ahmed, S., Umrani, F., Jakhro, S., Qureshi, A. K., & Ali, S. A. (2022). Barriers and facilitators to exclusive breastfeeding in rural Pakistan: a qualitative exploratory study. International Breastfeeding Journal, 17(1), 1–8. https://doi.org/10.1186/s13006-022-00495-4
Sharma, S., Chowdhury, R., Taneja, S., Mazumder, S., Bhatia, K., Ghosh, R., Karantha, S. C., Dhabhai, N., Chellani, H., Bahl, R., & Bhandari, N. (2023). Breastfeeding practices based on the gestational age and weight at birth in the first six months of life in a population-based cohort of infants from North India. Frontiers in Pediatrics, 11(June), 1–8. https://doi.org/10.3389/fped.2023.1127885
Sinaga, E. W., Mahyunidar, M., & Gultom, R. T. (2023). The Role of The Family in The Success of Exclusive Breastfeeding. Contagion: Scientific Periodical Journal of Public Health and Coastal Health, 5(2), 322–334. https://doi.org/10.30829/contagion.v5i2.14818
Swanson, V., & Hannula, L. (2022). Parenting stress in the early years – a survey of the impact of breastfeeding and social support for women in Finland and the UK. BMC Pregnancy and Childbirth, 22(1), 1–13. https://doi.org/10.1186/s12884-022-05010-5
Tobback, E., Behaeghel, K., Hanoulle, I., Delesie, L., Loccufier, A., Van Holsbeeck, A., & Mariman, A. (2017). Comparison of subjective sleep and fatigue in breast-and bottle-feeding mothers. Midwifery, 47, 22-27. https://doi.org/10.1016/j.midw.2017.01.009
UNICEF. (2023). Infant and young child feeding. Https://Data.Unicef.Org/Topic/Nutrition/Breastfeeding/.
Vulpen, M. van, Heideveld-Gerritsen, M., Dillen, J. van, Maatman, S. O., Ockhuijsen, H., & Hoogen, A. van den. (2021). First-time fathers’ experiences and needs during childbirth: A systematic review. Midwifery, 94(November 2020), 102921. https://doi.org/10.1016/j.midw.2020.102921
Wallenborn, J. T., Levine, G. A., dos Santos, A. C., Grisi, S., Brentani, A., & Fink, G. (2021). Breastfeeding, physical growth, and cognitive development. Pediatrics, 147(5). https://doi.org/10.1542/peds.2020-008029
World Health Organization. (2024). Mothers need more breastfeeding support during critical newborn period. Https://Www.Who.Int/Indonesia/News/Detail/01-08-2024-Mothers-Need-More-Breastfeeding-Support-during-Critical-Newborn-Period.
Yanti, E. S., & Damayanti, A. D. (2021). Father’s Role on the Exclusive Breastfeeding. Journal Of Maternal & Child Health, 1(1), 15–20. https://doi.org/10.36749/wmm.1.1.15-20.2021
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