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Journal : Science Midwifery

The Challenges of Early Initiation of Breastfeeding in Post Sectio Caesarea Patients Anita; Lia Lajuna; Nurlaili Ramli
Science Midwifery Vol 10 No 4 (2022): October: Science Midwifery
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v10i4.722

Abstract

The implementation of initiation of breastfeeding has physiological benefits to help the contraction of the mother's uterus and provide benefits for the survival of the baby. Success and failure in the implementation of initiation of breastfeeding is influenced by many challenges. This systematic review aims to analyze the challenges of implementing Early Breastfeeding Initiation (IMD) in post-SC patients. This study is a systematic review using online databases, namely Scholar, ScienceDirect, ProQuest, and EBSCO. The keywords used are Early Initiation of Breastfeeding, Post Sectio Caesarea, Patients.. The selection process used the PRISMA protocol so that 15 articles were obtained that met the inclusion criteria. The findings of the review indicated that there are still challenges to early initiation of breastfeeding, such as the development of dedicated health workers, lack of training for early initiation of breastfeeding after implementing SC, discomfort, little support from health workers, and delayed breastfeeding provided by influencers Practice room and advice on infant formula and infant formula from health workers.
The influence of psychological factors on breast milk production among breastfeeding mother Lajuna, Lia; Sriyanti, Cut
Science Midwifery Vol 13 No 2 (2025): June: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i2.1934

Abstract

Breast milk production is a physiological process strongly influenced by maternal psychological conditions such as stress, anxiety, emotional exhaustion, and sleep quality. Psychological disturbances have been shown to interfere with hormonal reflexes essential for lactation—particularly oxytocin and prolactin—thereby affecting both the smoothness and volume of milk production. This study employs a systematic review method to analyze scientific articles published between 2013 and 2024 in both Indonesian and English, focusing on the psychological factors affecting breastfeeding. Articles were sourced from Google Scholar and PubMed, screened using defined inclusion criteria, and analyzed descriptively. The findings indicate that most studies report a significant negative correlation between stress, anxiety, and breast milk production, especially during the early postpartum period. However, some studies report inconsistent results, likely due to moderating factors such as social support, prior breastfeeding experience, employment status, and maternal coping mechanisms. In addition, sleep quality, breastfeeding behavior, and physical comfort also contribute to breastfeeding success. These results highlight the need for a holistic approach in maternal health services, including psychosocial interventions, behavioral education, and support from family and workplaces, to address psychological barriers that hinder successful breastfeeding.