Factors Associated with the Delay of Early Initiation of Breastfeeding in Hospitals: A Scoping Review

Dian Laras Suminar, Adang Bachtiar, Nana Mulyana

Abstract


Background: Early Initiation of Breastfeeding (EIB) is a crucial practice that supports newborn health and the success of exclusive breastfeeding. Despite its known benefits, the implementation of EIB faces several challenges, particularly in hospital settings. Objective: This scoping review aims to identify and map the factors that delay EIB in hospitals, providing insight into the barriers that hinder its effective practice. Method: A comprehensive search was conducted across four databases—Google Scholar, Semantic Scholar, Elsevier, and PubMed—using terms related to EIB obstacles. Results: Initially, 1,276 articles were identified, and after applying the PRISMA method for screening, 14 articles were included in final analysis. The review highlights several obstacles to EIB, including cognitive factors like mothers’ lack of knowledge and experience, operational challenges such as high workloads and limited resources among health staff, and postpartum factors, particularly discomfort following cesarean sections. These issues were found to be consistent across various settings. Conclusions: To address these barriers, the review emphasizes the need for improved education for mothers and healthcare providers, stronger hospital policies supporting EIB, and better resource availability, such as counseling materials. Implementing these strategies is vital for optimizing EIB practices and achieving better health outcomes for mothers and newborns while supporting global breastfeeding initiatives.

Keywords: Delay, early initiation of breastfeeding (EIB), Hospital

Full Text:

PDF

References


WHO and Unicef. Indicators for assessing infant and young child feeding practices: definitions and measurement methods. ELSEVIER [Internet]. 2021; Available from: https://apps.who.int/iris/bitstream/handle/10665/340706/9789240018389%0Aeng.pdf?sequence=1

Victora CG, Bahl R, Barros AJ et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet. 2016;

UNICEF & WHO. Global breastfeeding scorecard, 2019: increasing commitment to breastfeeding through funding and improved policies and programmes. Glob Breastfeed Collect. 2019;(3):1–4.

Smith ER, Hurt L, Chowdhury R et al. Delayed breastfeeding initiation and infant survival: A systematic review and meta-analysis. PLoS One. 2017;

NEOVITA Study Group. Timing of initiation, patterns of breastfeeding, and infant survival: prospective analysis of pooled data from three randomised trials. Lancet Glob Heal. 2016;

UNICEF. UNICEF, WHO. CAPTURE THE MOVEMENT Early initiation of breastfeeding:The best start for every newborn. 2018. 44 p.

Permatasari TAE, Syafruddin A. Early initiation of breastfeeding related to exclusive breastfeeding and breastfeeding duration in rural and urban areas in Subang, West Java, Indonesia. J Heal Res [Internet]. 2016;30(5):337–45. Available from: http://www.jhealthres.org

Centers for Disease Control and Prevention. Hospital Actions Affect Breastfeeding [Internet]. 2015. Available from: https://archive.cdc.gov/www_cdc_gov/vitalsigns/breastfeeding2015/index.html

Peters MDJ, Marnie C, Tricco AC et al. Updated methodological guidance for the conduct of scoping reviews. JBI Evid Synth. 2020;

Alrasheedi AT. Factors associated with early initiation of breastfeeding in central Saudi Arabia: a hospital-based survey. Int Breastfeed J. 2023;18(1):1–11.

Martínez‐vázquez S, Hernández‐martínez A, Rodríguez‐almagro J, Peinado‐molina RA, Martínez‐galiano JM. Determinants and Factors Associated with the Maintenance of Exclusive Breastfeeding after Hospital Discharge after Birth. Healthc. 2022;10(4):1–13.

Johar N, Mohamad N, Saddki N et al. Factors Associated with Early Breastfeeding Initiation among Women Who Underwent Cesarean Delivery at Tertiary Hospitals in Kelantan, Malaysia. Korean J Fam Med. 2021;

Gurung R, Sunny AK, Paudel P et al. Predictors for timely initiation of breastfeeding after birth in the hospitals of Nepal- a prospective observational study. Int Breastfeed J. 2021;

Margaret Rukindo, Mathias Tumwebaze EMM. First Hour Initiation of Breast Feeding & Associated Factors, among Mothers at Post Natal Ward in Fort Portal Referral Hospital, Uganda. Open J Epidemiol. 2021;

Acharya S, Khanal C, Dahal AS, Maharjan M, Bhandari B. The determinants of early initiation of breastfeeding practice among mothers attending a tertiary hospital, Kathmandu. J Nepal Paediatr Soc. 2019;39(3):168–73.

Stany D, Smitha M V., John J, Mohanty PK. Impact of a quality improvement program: Early initiation of breastfeeding after cesarean section in a tertiary care hospital, in Eastern India. Med J Armed Forces India. 2023;79(3):309–15.

Kinshella MLW, Salimu S, Vidler M, Banda M, Molyneux EM, Dube Q, et al. Beyond early initiation: A qualitative study on the challenges of hospital-based postpartum breastfeeding support. PLOS Glob Public Heal. 2022;2(11):e0001266.

Joyce, Caroline M., Sherry Shu-Yeu Hou, Binh T. T. Ta, Duong Hoang Vu, Roger Mathisen, Ilona Vincent, Vinh Nguyen Duc and AN. The Association between a Novel Baby-Friendly Hospital Program and Equitable Support for Breastfeeding in Vietnam. nternational J Environ Res Public Heal [Internet]. 2021;18. Available from: https://doi.org/10.3390/ijerph18136706

Mary JJF, Sindhuri R, Kumaran AA DA. Early initiation of breastfeeding and factors associated with its delay among mothers at discharge from a single hospital. Clin Exp Pediatr. 2022;

Lojander J, Axelin A NVH. Breastfeeding exclusivity, difficulties, and support in the first days after hospital discharge: A correlational study. Eur J Obs Gynecol Reprod Biol. 2024;

Nguefack, FNgwanou DmG et al. Reasons for Delayed Breastfeeding Initiation among Newly Delivered Women in Two First-Category Hospitals in Yaoundé, Cameroon. Open J Pediatr. 2020;

Noviandari BG, Mahayanti A, Hardjanti M. Hubungan Tingkat Pengetahuan Tenaga Kesehatan Dengan Pelaksanaan Inisiasi Menyusui Dini. J keperawatan i care. 2023;4(2).

Kinshella MW, Salimu S VM et al. Beyond early initiation: A qualitative study on the challenges of hospital-based postpartum breastfeeding support. PLOS Glob Public Heal. 2022;

Alrasheedi AT. Factors associated with early initiation of breastfeeding in central Saudi Arabia: a hospital-based survey. Int Breastfeed J. 2023;

Direktorat Gizi Masyarakat, Direktorat Jenderal Kesehatan Masyarakat KK. Hasil Psg 2017. Buku saku pemantauan status gizi tahun 2017. 2017.

Presiden Republik Indonesia. PERATURAN PEMERINTAH REPUBLIK INDONESIA NOMOR 33 TAHUN 2012 TENTANG PEMBERIAN AIR SUSU IBU EKSKLUSIF. Indonesia; 2012.




DOI: https://doi.org/10.52643/marsi.v8i4.5007

Refbacks

  • There are currently no refbacks.


Copyright (c) 2024 Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI)

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Web Analytics View My Stats