Effect of a Culturally Based Intervention Model on Infant Weight and Maternal Perceptions of Breastfeeding Adequacy Following Caesarean Section: Quasi-Experimental Study.

Background: The breastfeeding coverage rate (that is, the number of mothers reached by breastfeeding programs) in several regions in Indonesia, including Banten and West Java, is still below the actual rate of breastfeeding nationwide. The breastfeeding coverage rate is influenced by mothers' condition after childbirth, particularly among mothers who have had a caesarean section. Support from partners, family, and close friends also has a large influence on the continuation of exclusive breastfeeding. Objective: This study aims to identify the effectiveness of a culturally based intervention and its effect on mothers' perceptions of breast milk adequacy and the weight of newborns after caesarean section. Methods: This study used a quasi-experimental design involving 116 respondents who were grouped into control and intervention groups. Pre- and postintervention measurements were taken using the Perceived Insufficient Milk scale (r=0.976) and calibrated baby weight scales. Paired t tests were used for the analysis. Results: There was a significant increase in perception of breast milk adequacy and newborn weight in the intervention group compared to the control group. The intervention also increased the odds of perceiving breastfeeding as "very sufficient" by 2.53 times (odds ratio 2.53, 95% CI 1.36-4.73) after controlling for culturally held myths regarding breast milk insufficiency and family support. Conclusions: This model could be applied as an alternative intervention by health care personnel, especially nurses, to support postpartum mothers who have undergone a cesarean section.