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All Journal Jurnal Penelitian Pendidikan IPA (JPPIPA) Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Indonesian Journal of Global Health research Journal of Health Research Science Journal of Applied Nursing and Health International Journal of Health and Pharmaceutical (IJHP)
Herawati, Ita
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Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Dentistry Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Physics Public Health Veterinary

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Cesarean Delivery and Early Breastfeeding Outcomes: A Cross-Sectional Study of EIBF and Early Postpartum Difficulties Herawati, Ita; Hermanto, Budi; Andika, Agnes; Jumsinah, Jumsinah; Widiyanti, Lia; Tika, Ocha Gries; Marlita, Yanti
Journal of Applied Nursing and Health Vol. 8 No. 1 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i1.487

Abstract

Background: Cesarean section (CS) rates continue to increase globally, particularly in low- and middle-income countries (LMICs) such as Indonesia. While CS is often medically indicated, it may interfere with early initiation of breastfeeding (EIBF) and early postpartum lactation. However, evidence examining both EIBF and early breastfeeding difficulties within Indonesian LMIC settings remains limited. Methods: This cross-sectional study followed STROBE guidelines and was conducted among 150 postpartum mothers within the first 10 days after delivery. Participants were recruited using consecutive sampling. Eligibility criteria included mothers aged ≥18 years, live singleton birth, and clinical stability. Data were collected using a structured Breastfeeding Initiation and Early Lactation Difficulty Questionnaire adapted from validated instruments (Cronbach’s α = 0.82). Chi-square tests were used to assess associations, with assumptions verified (expected cell count ≥5). Odds ratios (ORs) with 95% confidence intervals (CIs) were calculated to estimate effect size. Results: CS was significantly associated with failure to perform EIBF (OR = 214.79; 95% CI: 27.90–1653.65; p < 0.001). Mothers undergoing CS were also more likely to experience breastfeeding difficulties during the first 10 days postpartum (OR = 17.26; 95% CI: 6.24–47.74; p < 0.001). Conclusion: CS delivery is strongly associated with delayed EIBF and increased early breastfeeding difficulties. Structured post-cesarean lactation support integrated into surgical recovery protocols is recommended, particularly in LMIC settings.
Co-Authors Andika, Agnes Badriah, Dewi Laelatul Budi Hermanto, Budi Cunayah Dwi Nastiti Iswarawanti Esty Febriani Hidayani, Heni Hutahayan, Masniar Ika WAHYUNI Ikrar Faderiani Septi Jannah, Mifatkhul Jumsinah, Jumsinah Lia Idealistiana Marlita, Yanti Merren, Ritha Murtiani, Farida Neneng Hasanah Nurhaeni Nursaleha, Ervina P Sembiring, Engelin Purba, Elvrida Triana BR Putri Allawiyana, Dita Putri, Yessika Rusnah Silaen, Eva Nova Lestarida Siti Nurjannah Sugiarti Sulastri, Nyai Sutihat, Ihat Tattoo, Sulastri Tika, Ocha Gries Tohatta, Nova Marlen Urianty, Yeti Widiantari, Aninda Dinar Widiyanti, Lia Yeni Nuraeni, Yeni Yulianti, Anisa