Accepted for/Published in: Asian/Pacific Island Nursing Journal
Date Submitted: Mar 30, 2025
Date Accepted: Apr 30, 2026
“Effect of a Cultural-Based Intervention Model on Infant Weight and Maternal Perception of Breastfeeding Adequacy Following Caesarean Section: A Quasi-Experimental Study”
ABSTRACT
Background:
The breastfeeding coverage rate in several regions of Indonesia remains below the national average, including in Banten and West Java. The rate of breastfeeding coverage is influenced by the mother's condition after childbirth, particularly among those who undergo cesarean sections (CS). Support from partners, family, and close friends significantly impacts the continuation of exclusive breastfeeding.
Objective:
This study aims to identify the effectiveness of a culture-based intervention model and its effect on the perception of breast milk adequacy and the newborn weight of post-CS mothers.
Methods:
This quasi-experimental study involved 116 respondents who were divided into control and intervention groups. Pre- and post-intervention measurements used the Perception of Adequacy of Breast Milk Provision tool, previously validated (0.976), and the Perceived Insufficient Milk (PIM) tool. These tools accurately assess mothers' perceptions regarding breast milk adequacy. Additionally, data collectors observed breast milk production using a standardized observation sheet. An inter-rater reliability test using the Kappa test showed a result of >0.05, indicating no significant differences in perception between researchers and enumerators. Calibrated baby scales were used, and statistical analysis was conducted using a paired t-test.
Results:
The study revealed a significant difference in the perception of breast milk adequacy and newborn weight changes in the intervention group compared to the control group after the intervention. The intervention increased the odds of perceiving breastfeeding as highly sufficient by 2.53 times, after controlling for myths and family support.
Conclusions:
This model could serve as an alternative intervention for healthcare personnel, particularly nurses, in supporting postpartum mothers who have undergone cesarean sections. Clinical Trial: -
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