Improving the Success of Exclusive Breastfeeding in Working Mothers Through Education and Assistance in Integrated Health Post-Hospital Lactation Management

Abstract

Breastfeeding is a natural process for every mother after giving birth, but many factors can influence it, such as culture/customs, family/social support, and the knowledge and skills of health workers, including midwives, who can influence the success of breastfeeding initiation and duration. Exclusive breastfeeding is an important intervention in improving infant health, but its coverage is still not optimal, especially among working mothers. Time constraints, lack of knowledge about lactation management, and minimal environmental support are the main factors that contribute to the failure of exclusive breastfeeding. This community service activity aims to improve the success of exclusive breastfeeding in working mothers through education and assistance with lactation management based on integrated health service posts (Posyandu). The methods used include counseling, training in breastfeeding techniques and expressed breast milk, simulations, and assistance by cadres through home visits and digital media. The target group of the activity is 30 working mothers with babies aged 0–6 months and 10 Posyandu cadres. Evaluation is carried out through pre- and post-tests, skills observations, and monitoring of breastfeeding practices. Results showed significant improvements in knowledge (from 56% to 85% in the good category), skills (from 40% to 80% in correct technique), and exclusive breastfeeding practices (from 50% to 73%). This program was effective as a community-based intervention model. Recommendations include strengthening breastfeeding-friendly workplace policies and continuing support for cadres.