Early Breastfeeding Initiation And Exclusive Breastfeeding Impact On Growth Of Baby From One To Six Months Of Age

Lisa Pangemanan, Benedictus Triagung Ruddy Prabantoro, Susan Susan


Early breastfeeding initiation is provision of mother’s breast milk to infant within one hour of birth. It is used to promote breastfeeding. Breastfeeding has many health benefit for infant because of its important nutritional contribution. Studies in developing countries has found that frequent breastfeeding is associated with greater linear growth. However, rate of exclusive breastfeeding is still low in many countries, among others, Indonesia (<40%). The low rate of exclusive breastfeeding may contribute to high malnutrition rate in children. This study aims to analyze early breastfeeding initiation and exclusive breastfeeding impact on growth of baby 1-6 months old. This is a prospective cohort study. No randomization was done. Body weight (BW), body length (BL) and head circumference (HC) were monitored and assessed monthly. Feeding options were asked monthly. Two groups available in this study were babies with early breastfeeding initiation continued with exclusive breastfeeding and babies without early breastfeeding initiation continued with exclusive breastfeeding. Sixty-seven samples were analyzed. No significant difference was found between babies who received early initiation of breastfeeding continued with exclusive breastfeeding in the 1st month in terms of BW (p=0.689), BL (p=0.810) and HC (p=0.820), 2nd month BW (p=0.644), BL (p=0.636) and HC (p=0.483), 3rd month BW (p=0.377), BL (p=0.973) and HC (p=0.580), 4th month BW (p=0.899), BL (p=0.269) and HC (p=0.534), 5th month BW (p=0.825), BL (p=0.264) and HC (p=0.454), 6th month BW (p=0.131), BL (p=0.914) and babies who did not receive that. The only significant different was found in terms of HC (p=0.036)between those group at 6th month observation. Early breastfeeding initiation continued with exclusive breastfeeding showed similar result with the other group in terms of BW, BL and HC for baby 1-6 months old except the HC in the sixth month

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Early breastfeeding initiation; Exclusive breastfeeding; Growth

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Ananta Y, Gandaputra E, Waiman E, Partiwi IGN, Marzuki NS, Yohmi E, et al. Exclusive breastfeeding rate and factors associated with infant feeding practices in Indonesia. Paediatrica Indonesiana. 2016; 56(1):24-31.

Berhanu M, Zemene W, Mekonnen M. Breastfeeding to infants within the first 6 months in Gondar Town, Northwest Ethiopia, 2014. Advances in nursing. 2015.Article ID 142319,7 pages. http://dx.doi.org/10.1155/2015/142319.

CDC. CDC releases 2018 breastfeeding report card.2018; https://www.cdc.gov/media/releases/2018/p0820-breastfeeding-report-card.html#:~:text=Highlights%20from%20the%202018%20Breastfeeding%20Report%20Card%20show%3A&text=Almost%20half%20(46.9%20percent)%20were,provide%20worksite%20lactation%20support%20programs.Accessed Sept 1st 2020.

Debes AK, Kohli A, Walker N, Edmon K, Mullany LC. Time to initiation of breastfeeding and neonatal mortality and morbidity: a systematic review. BMC Public Health. 2013;13(3):S19.

Donma MM and Donma O. The influence of feeding patterns on head circumference among Turkish infants during the first 6 months of life. Brain&Dev.1997;19:393-7.

Ferreira HdS, Junior AFSX, de Assuncao ML, dos Santos EA, Horta BL. Effect of breastfeeding on head circumference of children from impoverished communities. Breastfeeding Med. 2013;8(3):294-301. DOI 10.1089/bfm.2012.0105

Giugliani ERJ. Growth in exclusively breastfed infants. J de Pediatria. 2019;95(1):79-84.

Jaldin MdGM, Pinheiro FS., dos Santos AM, Muniz NC, Brito LMO. Head circumference growth of exclusively breastfed infants during the first six months of life. Rev Paul Pediatr. 2011;29(4):509-14.

Insight. Impact of early initiation of exclusice breastfeeding on newborn deaths.2010;https://www.tensteps.org/pdf/impact-of-early-initiation.pdf. Accessed: April 10th 2019.

Kementerian Kesehatan RI. Situasi dan analisis ASI eksklusif. 2014;pusdatin.kemkes.go.id. Accessed: April 9th 2019.

Khan J, Vesel L, Bahl R, Martines JC. Timing of breastfeeding initiation and exclusivity of breastfeeding during the first month of life: effects on neonatal mortality and morbidity-a systematic review and meta-analysis. Matern Child Health J. 2015;19(3):468-79.

Kuchenbecker J, Jordan I, Reinbott A, Herrmann J, Jeremias T, Kennedy G, et al.Exclusive breastfeeding and its effect on growth of Malawian infants: result from a cross-sectional study. Paediatr Int Child Helath. 2015; 35(1):14-23

Malekzadeh J, Synaii S, Koor BE, Falsafian G, Nakhaie M. Growth indices of exclusively breastfed until 6 months age and formula-fed infants in Southwest Iran. Int J Prev Med.2019;10:207.DOI10.4103/ijpvm.IJPVM_36_18:10.4103/ijpvm.IJPVM_36_18

Muldiasman, Kusharisupeni, Laksminingsih E, Besral. Can early initiation of breastfeeding prevent stunting in 6-59 months old children? J of Health Resrch. 2018; 32(5):334-41.DOI10.1108/JHR-08-2018-038.

Roesli U. Inisiasi Menyusu Dini plus ASI eksklusif. Jakarta: Pustaka Bunda.2008;. page 1-70

WHO. Early initiation of breastfeeding to promote exclusive breastfeeding.2019;https://www.who.int/elena/titles/early_breastfeeding/en/. Accessed: April 9th 2019.

WHO. Continued breastfeeding for healthy growth and development of children.2019;https://www.who.int/elena/titles/continued_breastfeeding/en/. Accessed: September 1st 2020

DOI: https://doi.org/10.33508/jwm.v6i2.2786