Role of Social Support in Breastfeeding for Adolescent Mothers

Abstract

Breastfeeding plays an important role in a baby’s life and is especially important for babies with a low birth weight (LBW), which is the highest cause of death in neonates. In 2012, the number of adolescent mothers with a higher risk of delivering LBW babies increased as reported by BKKBN. This study aimed to identify factors affecting adolescent mothers’ breastfeeding behaviors in Sidotopo, Surabaya, Indonesia through an observational, descriptive, and qualitative approach with a cross-sectional design. Seven subjects were selected through a purposive sampling method and interviewed in-depth regarding social support and action situations they faced during breastfeeding. The results showed that social support tended to be positive but low; this led the mothers to give up on breastfeeding when they encountered obstacles that were relatively hard for them to overcome, even though the action situations would have been surmountable if the mothers had received adequate information and been highly motivated to breastfeed. In conclusion, social support from the
people closest to adolescent mothers is needed to help them overcome difficult action situations related to breastfeeding.



Keywords: Adolescent Mother, Behavior, Breastfeeding, Mothers Younger Than Age 20, Social Support.

References
[1] Alimoeso, Sudibyo. 2013. “Remaja Dan Kontrasepsi.” http://www.bkkbn.go.id/ ViewArtikel.aspx?ArtikelID=93.


[2] Bappenas. 2012. “Kerangka Kebijakan: Gerakan Sadar Gizi Dalam Rangka Seribu Hari Pertama Kehidupan (1000 HPK).” Jakarta. http://kgm.bappenas.go.id/document/ datadokumen/40_DataDokumen.pdf.


[3] BKKBN. 2013. “Profil Hasil Pendataan Keluarga Tahun 2012.” Jakarta.


[4] Brown, Amy, Peter Raynor, and Michelle Lee. 2011. “Young Mothers Who Choose to Breast Feed : The Importance of Being Part of a Supportive Breast-Feeding Community.” Midwifery 27 (1). Elsevier: 53–59. doi:10.1016/j.midw.2009.09.004.


[5] Butte, Nancy F, Mardia G Lopez-Alarcon, and Cutberto Garza. 2002. NUTRIENT ADEQUACY OF EXCLUSIVE FOR THE TERM INFANT DURING THE FIRST SIX MONTHS OF LIFE. Geneva: WHO. http://whqlibdoc.who.int/publications/9241562110.pdf.


[6] Dykes, Fiona, Victoria Hall Moran, Sue Burt, and Janet Edwards. 2003. “Human Lactation.” Journal of Human Lactation 19 (4): 391–401. doi:10.1177/0890334403257562.


[7] Fikawati, S, and A Syafiq. 2010. “Kajian Implementasi Dan Kebijakan Air Susu Ibu Eksklusif Dan Inisiasi Menyusu Dini Di Indonesia.” Makara 14 (1): 17–24.


[8] Hartanto, Wendy, and Terence H Hull. 2009. “Fertility Estimates of Indonesia for Provinces Adjusting Under-Recording of Women in 2002-3 and 2007 IDHS.” Jakarta. http://indonesia.unfpa.org/application/assets/publications/Provincial_ fertility_Adjusted.pdf.


[9] Heany, C A, and B A Israel. 2008. “Social Network and Social Support.” In Health Behavior and Health Education: Theory, Research, and Practice, edited by K Glanz, B K Rimer, and F M Lewis, 4th ed. San Fransisco, CA: Jossey Bass.


[10] Moran, Victoria Hall, Janet Edwards, Fiona Dykes, and Soo Downe. 2007. “A Systematic Review of the Nature of Support for Breast- Feeding Adolescent Mothers.” Midwifery 23: 157–71. doi:10.1016/j.midw.2006.06.005.


[11] Notoatmodjo, S. 2003. Pendidikan Dan Perilaku Kesehatan. Bandung: Rineka Cipta.


[12] Pobocik, R S, J C Benavente, A C Schwab, N Boudreau, C H Morris, and M S Houston. 2000. “Effect of a Breastfeeding Education and Support Program on Breastfeeding Initiation and Duration in a Culturally Diverse Group of Adolescents.” Journal of Nutrition Education 32 (3): 139–45. http://www.sciencedirect.com/ science/article/pii/S0022318298703206#.


[13] Roesli, Utami. 2007. Panduan Inisiasi Menyusu Dini Plus ASI Eksklusif. Jakarta: Pustaka Bunda.


[14] Shenoi, Arvind, S Indu Nair, and VSV Prasad. 2010. “Management of Feeding in Low Birth Weight Infants.” In Evidence Based Clinical Practice Guidelines, edited by O N Bhakoo, Praveen Kumar, Naveen Jain, Rhishikesh Thakre, Srinivas Murki, and S Venkataseshan, 31–47. Delhi: National Neonatology Forum. http://aimaonline.
org/iap-neochap-2013/uploads/acd-corner/nnf_guidelines-2011.pdf.


[15] Volpe, Eileen M, and Mary Bear. 2000. “Enhancing Breastfeeding Initiation in Adolescent Mothers Through the Breastfeeding Educated and Supported Teen (BEST) Club.” Journal of Human Lactation 16 (3): 196–200. doi:10.1177/089033440001600303.


[16] WHO. 2009. Infant and Young Child Feeding: Model Chapter for Textbooks for Medical Students and Allied Health Professionals. Geneva: WHO. http:// whqlibdoc.who.int/publications/2009/9789241597494_eng.pdf.