Dewi Asmaul Husna
Universitas Bhakti Asih Tangerang

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The Relationship of Infant Attachment to the Incidence of Nipple Fissure in Breastfeeding: A Systematic Review Dewi Asmaul Husna
International Journal Of Health Science Vol. 5 No. 1 (2025): : International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v5i1.4823

Abstract

This study emphasizes that breast milk is the most optimal source of nutrition for infants during the first six months of life, and the success of exclusive breastfeeding is influenced by several key factors, one of which is the proper attachment of the baby’s mouth during feeding. Correct attachment is crucial to ensure effective milk transfer and comfort for both mother and baby, while also preventing potential issues such as nipple abrasions or blisters that often arise from improper latching. To investigate this issue, the research was conducted using a systematic review method by identifying and analyzing relevant literature. The article search was carried out through several major databases, including Google Scholar, PubMed, and ScienceDirect, with keywords focusing on the relationship between attachment and nipple fissures, as well as attachment and cracked nipples. The initial search yielded 5,350 articles published between 2020 and 2024; however, after applying the inclusion criteria, only 15 articles were deemed relevant to the research objective. A further critical appraisal process was then conducted, resulting in 11 high-quality articles being included in the final analysis. The findings from these studies consistently highlight that poor attachment of the baby’s mouth is significantly associated with the occurrence of nipple injuries among breastfeeding mothers. Consequently, ensuring proper latching techniques can reduce the risk of nipple trauma, support maternal comfort, and improve the overall success of exclusive breastfeeding practices, which are vital for infant growth and maternal health.
The Influence of Exclusive Breastfeeding Education Based on Beauty and Wellness Approach with Booklet Media Approach on Breastfeeding Self-Efficacy of Lactating Mothers Dewi Asmaul Husna; Eka Setyowati; Hartini Hartini
Indonesian Journal of Global Health Research Vol. 8 No. 3 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i3.1451

Abstract

Mother's milk (ASI) was a primary nutritional source that played an important role in infant growth and development as well as stunting prevention. The success of exclusive breastfeeding needed to be supported early through Early Breastfeeding Initiation (IMD) and comprehensive education provided to mothers from pregnancy until immediately after delivery. This research aimed to analyze the influence of exclusive breastfeeding education based on Beauty and Wellness Approach on breastfeeding self-efficacy in lactating mothers. The design used was quasi-experimental with pretest posttest with control group design The sampling technique used was non-probability sampling with purposive sampling method, so that a sample number of 32 respondents was obtained which was divided into intervention and control groups. The intervention group received exclusive breastfeeding education based on Beauty and Wellness through booklet media, while the control group received standard education according to routine services. Self-efficacy was measured using the Breastfeeding Self-Efficacy Scale. The Shapiro Wilk test showed that data were not normally distributed, so analysis used the Wilcoxon test for pre-post comparison and Mann-Whitney test for inter-group comparison. Results showed significant increases in self-efficacy in both groups, with greater increases in the intervention group (p = 0.003) compared to control (p = 0.041), and meaningful differences in score differences between groups (p = 0.032). Education based on Beauty and Wellness was proven to be more effective in increasing breastfeeding self-efficacy and had potential to support the success of exclusive breastfeeding.