Differences in Knowledge of Exclusive Breastfeeding Among Postpartum Working Mothers Who Received and Did Not Receive Education in the Working Area of Darussalam Public Health Center, Medan City, North Sumatra, Indonesia
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working mothers,
exclusive breastfeeding,
knowledge
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Abstract
The coverage of exclusive breastfeeding in Indonesia remains suboptimal, particularly among postpartum working mothers who face time constraints and limited knowledge. Personalized Breastfeeding Education (PBE) has emerged as a potential strategy to enhance understanding and improve exclusive breastfeeding practices. This study aimed to determine the difference in knowledge levels regarding exclusive breastfeeding between postpartum working mothers who received and did not receive breastfeeding education in the working area of Darussalam Public Health Center, Medan City. A quasi-experimental study with a non-equivalent control group pre-test–post-test design was conducted involving 140 postpartum working mothers, divided into an intervention group (n=70) and a control group (n=70). The intervention consisted of individual counseling, educational videos, diary books, and interactive discussions conducted over six months. Knowledge was assessed using a structured questionnaire and analyzed with independent t-tests and paired t-tests, with a significance level of p<0.05. There was a significant difference in knowledge scores between the intervention and control groups at the first week, third month, and sixth month (p=0.001). Furthermore, a significant increase in knowledge scores was observed within the intervention group before and after receiving the education (p=0.001). Personalized breastfeeding education was proven effective in increasing postpartum working mothers’ knowledge about exclusive breastfeeding. Multimodal and context-based interventions should be integrated into maternal health services to support the success of exclusive breastfeeding practices.
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