References

Acar Z, Şahin N Development of a mobile application-based breastfeeding program and evaluation of its effectiveness. J Pediatr Nurs. 2024; 74:51-60 https://doi.org/10.1016/j.pedn.2023.11.011

Agustina R, Prabandari YS, Sudargo T Hambatan pemberian ASI ekslusif pada ibu bekerja: teori ekologi sosial. Jurnal Gizi Klinik Indonesia. 2020; 17:(2) https://doi.org/10.22146/ijcn.50155

Alnasser Y, Almasoud N, Aljohni D Impact of attitude and knowledge on intention to breastfeed: can mHealth based education influence decision to breastfeed exclusively?. Ann Med Surgery. 2018; 35:6-12

Asiodu IV, Waters CM, Dailey DE, Lee KA, Lyndon A Breastfeeding and use of social media among first-time African American mothers. J Obstet Gynecol Neonat Nurs. 2015; 44:(2)268-278 https://doi.org/10.1111/1552-6909.12552

Basrowi RW, Sulistomo AB, Adi NP, Vandenplas Y Benefits of a dedicated breastfeeding facility and support program for exclusive breastfeeding among workers in Indonesia. Pediatr Gastroenterol Hepatol Nutr. 2015; 18:(2)94-99 https://doi.org/10.5223/pghn.2015.18.2.94

Central Government Indonesia. Law (UU) number 13 of 2003. 2003. https//tinyurl.com/5n6fmu4u (accessed 17 May 2024)

Central Statistics Agency. Provinsi Sulawesi Utara Dalam Angka BPSS. 2018. https//tinyurl.com/54vbk9je (accessed 10 May 2024)

Danso J Examining the practice of exclusive breastfeeding among professional working mothers in Kumasi Metropolis of Ghana. Int J Nurs (N Y). 2014; 1:(1)11-24

DeNicola N, Grossman D, Marko K Telehealth interventions to improve obstetric and gynecologic health outcomes: a systematic review. Obstet Gynecol. 2020; 135:(2)371-382 https://doi.org/10.1097/AOG.0000000000003646

Doan TTD, Binns C, Pham NM Improving breastfeeding by empowering mothers in Vietnam: a randomised controlled trial of a mobile app. Int J Environ Res Public Health. 2020; 17:(15)

Frazer C, Hussey LC, Whitworth BS, Paleo N The role of childbirth professionals. Int Childbirth Educ Ass. 2016; 31:(3)

Harari N, Rosenthal MS, Bozzi V Feasibility and acceptability of a text message intervention used as an adjunct tool by WIC breastfeeding peer counsellors: the LATCH pilot. Matern Child Nutr. 2018; 14:(1) https://doi.org/10.1111/mcn.12488

Khariena Akbar T, Mayasari D, Berawi KN, Anggraini DI Literature study: breastfeeding challenges for working mothers in Indonesia. Jurnal Medika Malahayati. 2022; 6:(4)

Lupton D Self-tracking, health and medicine. Health Sociol Rev. 2017; 26:(1) https://doi.org/10.1080/14461242.2016.1228149

Meedya S, Fernandez R, Fahy K Effect of educational and support interventions on long-term breastfeeding rates in primiparous women: a systematic review and meta-analysis. JBI Database Syst Rev Implement Reports. 2017; 15:(9)2307-2332 https://doi.org/10.11124/JBISRIR-2016-002955

Meedya S, Win K, Yeatman H Developing and testing a mobile application for breastfeeding support: the Milky Way application. Women Birth. 2021; 34:(2)e196-e203 https://doi.org/10.1016/j.wombi.2020.02.006

Ministry of Health. Minister of Health regulation number 15 of 2013 concerning procedures for providing special facilities for breastfeeding and/or expressing breast milk. 2013. https//tinyurl.com/mr2bh2zt (accessed 17 May 2024)

Hasil Utama Riskesdas 2018.Jakarta: Ministry of Health; 2018

Pasambo Y, Tamunu EN, Runtulalo F, Sarimin DS, Desyani J Exclusive breastfeeding support methods for pregnant and breastfeeding mothers using technology. Open Access Maced J Med Sci. 2022; 10:(G)154-159

Rahayu AB Hubungan Tingkat Pendidikan Ibu dengan Komitmen Pemberian ASI Eksklusif.Ponorogo: Universitas Muhammadiyah Ponorogo; 2015

Rokom. Ibu Bekerja Bukan Alasan Menghentikan Pemberian ASI Eksklusif. 2011. https//tinyurl.com/2jdjm6mj (accessed 1 November 2023)

Rosa EF Konseling Menyusui Berbasis Android terhadap Keberhasilan Asi Eksklusif di Masa Pandemi Covid-19. Jurnal Keperawatan Silampari. 2022; 5:(2)659-668 https://doi.org/10.31539/jks.v5i2.3145

Rumsfeld JS, Brooks SC, Aufderheide TP Use of mobile devices, social media, and crowdsourcing as digital strategies to improve emergency cardiovascular care: a scientific statement from the American Heart Association. Circulation. 2016; 134:(8)e87-e108

Saputra AMA, Rizal AA, Kharisma LPI, Burhan MI, Purnawati NW TEKNOLOGI INFORMASI: Peranan TI dalam berbagai bidang.PT: Sonpedia Publishing Indonesia; 2023

Saraswati RS, Kartini A, Agushybana F Pengaruh Aplikasi Android Aneminfo terhadap Pengetahuan dan Sikap Remaja Putri terkait Anemia Defisiensi Besi. Jurnal Promosi Kesehatan Indonesia. 2020; 15:(2)65-69

Sarimin DS, Pasambo Y, Desyani NLJ Trialling an expressed breast milk management video for pregnant women in Indonesia. Br J Midwifery. 2023; 31:(8) https://doi.org/10.12968/bjom.2023.31.8.454

Schnitman G, Wang T, Kundu S, Turkdogan S, Gotlieb R, How J, Gotlieb W The role of digital patient education in maternal health: a systematic review. Patient Educ Couns. 2022; 105:(3)586-593 https://doi.org/10.1016/j.pec.2021.06.019

Seddighi A, Bostani Khalesi Z, Majidi S The effect of mobile-based training on maternal breastfeeding self-efficacy: a randomized clinical trial. Afr Health Sci. 2022; 22:(3)648-655 https://doi.org/10.4314/ahs.v22i3.69

Seyyedi N, Rahmatnezhad L, Mesgarzadeh M, Khalkhali H, Seyyedi N, Rahimi B Effectiveness of a smartphone-based educational intervention to improve breastfeeding. Int Breastfeed J. 2021; 16:(1) https://doi.org/10.1186/s13006-021-00417-w

Skouteris H, Bailey C, Nagle C, Hauck Y, Bruce L, Morris H Interventions designed to promote exclusive breastfeeding in high-income countries: a systematic review update. Breastfeed Med. 2017; 12:(10)604-614 https://doi.org/10.1089/bfm.2017.0065

Sondaal SFV, Browne JL, Amoakoh-Coleman M Assessing the effect of mHealth interventions in improving maternal and neonatal care in low- and middle-income countries: a systematic review. PLoS One. 2016; 11:(5) https://doi.org/10.1371/journal.pone.0154664

Surtania S, Anggorowati A, Juniarto AZ Media Edukasi Berbasis Aplikasi terhadap Kemampuan Ibu Menyusui. Journal of Telenursing. 2023; 5:(1)1189-1197 https://doi.org/10.31539/joting.v5i1.5655

Te Ku Nor TFN, Wee BS, Nor K, Wee BS Impact of a mobile health intervention to support exclusive breastfeeding: a scoping review. Malay J Med Health Sci. 2023; 19:(2)310-320 https://doi.org/10.47836/mjmhs.19.2.43

Tilahun B, Gashu KD, Mekonnen ZA, Endehabtu BF, Angaw DA Mapping the role of digital health technologies in prevention and control of COVID-19 pandemic: review of the literature. yearbook of medical informatics. 2021; 30:(1)26-37 https://doi.org/10.1055/s-0041-1726505

Tim Percepatan Penurunan Stunting Provinsi Sulawesi Utara. Laopran Pentelenggaraan Percepatan Penurunan Stunting: Provinsi Sulawesi Utara Semester II Tahun 2023. 2024. https//tinyurl.com/y55usakr (accessed 17 May 2024)

Vilar-Compte M, Hernández-Cordero S, Ancira-Moreno M Breastfeeding at the workplace: a systematic review of interventions to improve workplace environments to facilitate breastfeeding among working women. Int J Equity Health. 2021; 20:(1) https://doi.org/10.1186/s12939-021-01432-3

Wulansari NMD Didiklah Anak Sesuai Zamannya.Reading, UK: VisiMedia; 2017

Yeşildere Sağlam H, Özerdoğan N, Mizrak Şahin B, Gürsoy E Workplace breastfeeding support for working women: a scale development study. Eur J Obstet Gynecol Reprod Biol X. 2023; 20:(Dec) https://doi.org/10.1016/j.eurox.2023.100239

Digital mentoring on expressing breast milk for working mothers

02 June 2024
Volume 32 · Issue 6

Abstract

Background/Aims

Working mothers may find it difficult to maintain exclusive breastfeeding; this challenge can be addressed through expressing breast milk. However, barriers to expressing breast milk include perceived insufficient milk supply and a lack of knowledge on pumping, storing and giving breast milk to babies. This study's aim was to identify the effectiveness of expressed breast milk assistance, through the ASIPku mobile application, among working mothers in North Sulawesi, Indonesia.

Methods

This quasi-experimental study involved 100 participants (intervention: n=50, control: n=50), selected using cluster randomised trials. Questionnaires were used to assess exclusive breastfeeding and use of the app in the intervention group. Chi-squared tests were used for data analysis.

Results

Assistance using mobile applications had a significant effect on exclusive breastfeeding among working mothers in North Sulawesi (P<0.001).

Conclusions

Digital mentoring was effective in improving the rate of exclusive breastfeeding. By providing information on expressing breast milk, these apps can be used to support women and make exclusive breastfeeding more accessible to working mothers.

Expressing breast milk is an alternative to direct breastfeeding that can allow mothers greater flexibility in when and where babies are fed, while maintaining exclusive breastfeeding. When mothers return to work, expressing breast milk can allow for continued exclusive breastfeeding, at a time when it can be difficult to breastfeed directly (Rokom, 2011; Danso, 2014).

In Indonesia, mothers are allowed 3 months maternity leave, after which it is expected that they will return to work (Central Government Indonesia, 2003). While there are national standards (Ministry of Health, 2013) that support breastfeeding mothers and exclusive breastfeeding, few workplaces have policies that strictly enforce these standards. Additionally, the number of working women, and therefore the number of working mothers, may be increasing. In Manado, a city in Indonesia, data from the Central Statistics Agency (2018) show that the number of women in the workplace is increasing; the city had 11 260 working women in 2017 and 12 343 in 2018. This increase in the number of working women may impact exclusive breastfeeding.

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