Background: Exclusive breastfeeding during the first six months of life is recognized as the optimal infant feeding practice and is strongly recommended by the World Health Organization. However, exclusive breastfeeding coverage remains below national and global targets, including in Indonesia, partly due to limited maternal knowledge, misconceptions, and insufficient education during pregnancy at the primary health care level. Objective: This study aimed to assess the effect of exclusive breastfeeding education on improving pregnant women’s knowledge at Puskesmas Lubuk Begalung, Padang, Indonesia. Method: A pre-experimental one-group pretest–posttest design was conducted among pregnant women attending antenatal care. Participants were recruited using convenience sampling. The intervention consisted of structured education and workshop sessions on exclusive breastfeeding. Knowledge was measured before and after the intervention using a validated questionnaire and analyzed using descriptive statistics and the Wilcoxon signed-rank test. Result: Thirty-two respondents completed the study. The mean knowledge score increased from 58.45 before the intervention to 91.03 after the intervention. Statistical analysis showed a significant improvement in knowledge following the education and workshop intervention (p < 0.05). Conclusion: Exclusive breastfeeding education significantly improved pregnant women’s knowledge. Integrating structured education and interactive workshops into routine antenatal care is recommended in primary health care settings locally.
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