Exclusive Breastfeeding as a Shield: Its Impact on Illness Incidence Among Infants Aged 6–12 Months at Kendalsari Health Center, Malang

Main Article Content

Dhea Ayu Safitri
Swito Prastiwi
Ika Yudianti

Abstract

Background: Illness is a state in which the body physically, mentally, and socially experiences weakness, disability, and discomfort. Newborn babies are more susceptible to disease because the antibodies in their bodies are not yet fully formed. Breast milk is the first intake to help the formation of the immune system because breast milk contains antibodies and other protective substances.


Purpose: To determine the relationship between exclusive breastfeeding and the incidence of illness in infants aged 6-12 months at Kendalsari Health Center, Malang City.


Methods: This study used a case control design with a retrospective approach. The sampling technique used purposive sampling. The sample in this study consisted of a case group (sick babies) as many as 35 mothers & babies in the Kendalsari Community Health Center MTBS Clinic and a control group (healthy babies) as many as 35 mothers & babies in Jatimulyo Village in March-April 2024.


Results: The results of the Chi-square test value of exclusive breastfeeding with the incidence of illness obtained a significant p-value of 0.001 (<0.05).


Conclusion: Exclusive breastfeeding has a significant effect on the incidence of illness in infants aged 6-12 months. Thus, it is expected that mothers can provide exclusive breastfeeding for infants aged 0-6 months. Future research can examine other factors (maternal condition, maternal psychology, and environment) that can affect exclusive breastfeeding and the incidence of illness.

Article Details

How to Cite
Safitri, D. A., Prastiwi, S., & Yudianti, I. . (2025). Exclusive Breastfeeding as a Shield: Its Impact on Illness Incidence Among Infants Aged 6–12 Months at Kendalsari Health Center, Malang. Women, Midwives and Midwifery, 5(2), 112-126. https://doi.org/10.36749/wmm.5.2.112-126.2025
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References

Amaral, Sales, Carvalho, Cruz, Azevedo, & Júnior, F. (2015). Factors that influence the interruption of exclusive breastfeeding in nursing mothers. Revista Gaúcha de Enfermagem / EENFUFRGS, 36, 127–134. 36(1), 127–134. https://doi.org/10.1590/1983-1447.2015.esp.56676

Atyeo, & Alter. (2021). The multifaceted roles of breast milk antibodies. Cell Host and Microbe, 184(6), 1486–1499. https://doi.org/10.1016/j.cell.2021.02.031

Boakye-Yiadom, Aladago, Beweleyir, Mohammed, Salifu, & Asaarik. (2018). Assessing the knowledge, attitude and practice of menstrual hygiene management among junior high schools adolescent females in the Yendi Municipality in the northern region of Ghana. European Scientific Journal, 14(1), 13.

Desai, Mbuya, Chigumira, Chasekwa, Humphrey, Moulton, & Pelto. (2019). Traditional oral remedies and perceived breast milk insufficiency are major barriers to exclusive breastfeeding in rural Zimbabwe. Journal of Nutrition, 144(7), 1113–1119. https://doi.org/10.3945/jn.113.188714

Dewey, K.G., Cohen, R.J., Brown, K.H. & Rivera, L. L. (2001). Effects of exclusive breastfeeding for four versus six months on maternal nutritional status and infant motor development: results of two randomized trials in Honduras. J Nutr, 131, 262–267.

Elyas, Mekasha, Admasie, & Assefa. (2017). Exclusive Breastfeeding Practice and Associated Factors among Mothers Attending Private Pediatric and Child Clinics, Addis Ababa, Ethiopia: A Cross-Sectional Study. International Journal of Pediatrics, 1–9. https://doi.org/10.1155/2017/8546192

Hadi, Fatimatasari, Irwanti, Kusuma, Alfiana, & Ischaq. (2021). Exclusive breastfeeding protects young children from stunting in a low?income population: A study from eastern indonesia. Nutrients, 13(12).

Hendaus, M. A., Alhammadi, A. H., Khan, S., Osman, S., & Hamad, A. (2018). Breastfeeding rates and barriers: a report from the State of Qatar. International Journal of Women’s Health, Volume 10, 467–475. https://doi.org/10.2147/IJWH.S161003

Hulsbosch, L. P., Nyklí?ek, I., Boekhorst, M. G., Potharst, E. S., & Pop, V. J. (2023). Breastfeeding continuation is associated with trait mindfulness but not with trajectories of postpartum depressive symptoms. Midwifery, 124. https://doi.org/10.1016/j.midw.2023.103770

Hunegnaw, M. T., Gezie, L. D., & Teferra, A. S. (2017). Exclusive breastfeeding and associated factors among mothers in Gozamin district, northwest Ethiopia: a community based cross-sectional study. International Breastfeeding Journal, 12(30). https://doi.org/10.1186/s13006-017-0121-1

Janmohamed, A., Sohani, N., Lassi, Z. S., & Bhutta, Z. A. (2020). The effects of community home visit and peer group nutrition intervention delivery platforms on nutrition outcomes in low and middle-income countries: A systematic review and meta-analysis. Nutrients, 12(2). https://doi.org/10.3390/nu12020440

Melo, L. C. de O., Bonelli, M. C. P., Lima, R. V. A., Gomes-Sponholz, F. A., & Monteiro, J. C. D. S. (2021). Anxiety and its influence on maternal breastfeeding self-efficacy. Revista Latino-Americana de Enfermagem, 29, e3485. https://doi.org/10.1590/1518-8345.5104.3485

Mohamed, Ochola, & Owino. (2018). Comparison of knowledge, attitudes and practices on exclusive breastfeeding between primiparous and multiparous mothers attending Wajir District hospital, Wajir County, Kenya: A cross-sectional analytical study. International Breastfeeding Journal, 13(1). https://doi.org/10.1186/s13006-018-0151-3

Nobari, H., Fashi, M., Eskandari, A., Villafaina, S., Murillo-Garcia, Á., Pérez-Gómez, J., & Nilsson, S. (2021). Adolescents and Children: A Systematic Review. Int. J. Environ. Res. Public Health, 18, 4563.

Penugonda, Rajan, Lionel, Kompithra, Jeyaseelan, & Mathew. (2022). Impact of exclusive breast feeding until six months of age on common illnesses: A prospective observational study. Journal of Family Medicine and Primary Care, 11(4), 1482–1488. https://doi.org/10.4103/jfmpc.jfmpc_1423_21

Purnamasari, & Mufdlilah. (2018). Factors associated with failure of exclusive breastfeeding practice. Journal of Health Technology Assessment in Midwifery, 1(1), 17–22. https://doi.org/10.31101/jhtam.443

Putri, C., & Puspowati. (2019). The Effect of Counseling Using Booklet Media on Knowledge and Attitudes of Pregnant Women About Exclusive Breastfeeding in the Assisted Areas of the Baki Health Center, Sukoharjo Regency. In (Doctoral dissertation, Muhammadiyah University of Surakarta).

Ratnasari, D., Astria, B., Mph, P., & Scd, H. H. (2017). Family support and exclusive breastfeeding among Yogyakarta mothers in employment. June. https://doi.org/10.6133/apjcn.062017.s8

Sara, E. I. M., Alhanof, A. M., Sharifa, A. O., & Sara, M. J. (2023). Knowledge of high school female students about breast self-examination. Educational Research and Reviews, 18(2), 17–22. https://doi.org/10.5897/err2020.4306

Sari. (2016). Lack of exclusive breastfeeding among working mothers in Indonesia. Kesmas: National Public Health Journal, 11(2), 61–68. https://doi.org/10.21109/kesmas.v11i2.767

Sulasmi, Mufdlilah, & Rosyida. (2021). Sulasmi, S., Mufdlilah, M., & Rosyida, L. (2021). Factors affecting the failure of exclusive breastfeeding practice: a scoping review. Journal of Health Technology Assessment in Midwifery, 4(2), 117–129. https://doi.org/10.31101/JHTAM.2093

Tewabe, Mandesh, Gualu, Alem, Mekuria, & Zeleke. (2016). Exclusive breastfeeding practice and associated factors among mothers in Motta town, East Gojjam zone, Amhara Regional State, Ethiopia, 2015: A cross-sectional study. International Breastfeeding Journal, 12(1), 12. https://doi.org/10.1186/s13006-017-0103-3