Mamat, Rohani
(2015)
Knowledge, perception and experiences of primipara mothers on early breast feeding initiation in Universiti Kebangsaan Malaysia Medical Center.
Masters thesis, Universiti Sains Malaysia.
Abstract
World Health Organization (WHO) and the United Nations Children's Fund
(UNICEF) recommend that all infants should be exclusively early breastfed
immediately within one hour post-delivery. The decision and practices to early
breastfeeding initiation (BFI) are influenced by many contributing factors. It is well
recognized that poor knowledge and practice of early breastfeeding is pronounced
among mothers. This research was conducted to assess the predictive factors of
knowledge, perceptions, practices and experiences of primipara mothers as well as its
related factors towards early BFI in University Kebangsaan Malaysia Medical Centre
(UKMMC). A cross-sectional descriptive study was conducted with two hundred
and fifteen primiparas (n=215) in postnatal wards, UKMMC. Purposive sampling
was used to recruit the sample. Data was collected using a self-administered
questionnaires adapted from the Newborn Feeding Ability (NFA) and Breastfeeding
Initiation Practices (BIP) after gaining ethics approval from USM and UKMMC.
The questionnaires included socio-demographic data, knowledge, perceptions,
practices and experiences of mothers towards early BFI. The results showed that
half of the respondents (46.5%) had higher knowledge of early initiation of
breastfeeding, however the majority of respondents (52.1%) revealed gaining
insufficient support from the midwives to assist them in initiating early
breastfeeding. There was a significant association between higher education and
level of knowledge on early BFI (p=0.001). Additionally, there is a significant
association between higher income and level of perceptions of early BFI (p=0. 015).
It can be concluded that the mothers are still lacking in knowledge of early BFI while
intentions regarding breastfeeding their infants is poor. Hence, the BFI training
program for both mothers and midwives is needed. This study suggests that
systematic assessment of knowledge and practice of ten steps successful
breastfeeding among midwives in UKMMC should be established to evaluate their
competency in supporting mothers to breastfeed infants.
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