The Impact of Science-Based Education on Colostrum Provision Behavior Among Postpartum Mothers: A Case Study in Aceh Province, Indonesia
DOI:
10.29303/jppipa.v11i5.10998Published:
2025-05-31Issue:
Vol. 11 No. 5 (2025): MayKeywords:
Action, Attitude, Colostrum, Knowledge, Science-based educationResearch Articles
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Abstract
Maternal and toddler health issues are one of the main indicators of a nation's health; one way to reduce infant mortality is to provide the best food, namely breast milk (ASI), especially colostrum. Colostrum is the first milk from a yellowish liquid produced several days after birth. This study aimed to determine the effect of science education for postpartum mothers on providing colostrum to infants in the obstetrics room of Tgk. Chik Ditiro Regional Hospital, Aceh Pidie Regency. The methodology of this study is quantitative research with an analytical research design and a cross-sectional approach. The sample of this study was 30 mothers who gave birth in the obstetrics room. The research instrument used was a questionnaire/direct interview with respondents. Data were analyzed univariately and bivariate using the chi-square test. The study's results showed a relationship between knowledge, attitudes, practices, or actions and maternal behavior in terms of providing colostrum. Science education for postpartum mothers is very important to improve mothers' understanding of the importance of colostrum for babies. Based on several previous studies, it was found that science education in the form of counseling can significantly increase the knowledge and tendency of mothers to provide colostrum to their babies after birth. The study highlights the value of targeted science-based education in maternal health literacy, supporting science education integration into community health practices
References
Aceh, D. K. (n.d.). Bayi Baru Lahir Mendapatkan IMD dan Pemberian ASI Ekslusif. PROFILKes
Addisu, D., Melkie, A., Bezie, M., & Gedefaw, G. (2020). Determinants of Colostrum Avoidance among Postpartum Mothers in North West Ethiopia. Journal of Midwifery and Reproductive Health, 8(4), 2504–2511. https://doi.org/10.22038/jmrh.2020.42382.1485
Adhisivam, B., Vishnu Bhat, B., Poorna, R., Thulasingam, M., Pournami, F., & Joy, R. (2017). Postnatal counseling on exclusive breastfeeding using video–experience from a tertiary care teaching hospital, south India. Journal of Maternal-Fetal and Neonatal Medicine, 30(7), 834–838. https://doi.org/10.1080/14767058.2016.1188379
Armugham, I., Bhaumik, A., Smitha, P. M., Gundluru, A., Alex, V., Abdullah, B. F., & Thirunavukarasu, U. K. (2022). Assess 3 I’s (Instruction, Initiation, Improvement) as a Road Map to Breastfeeding Success among Postnatal Mothers at NMCH, Nellore, A.P, India. Malaysian Journal of Medicine and Health Sciences, 18, 157–161. https://www.scopus.com/inward/record.uri?eid=2-s2.0-85124626897&partnerID=40&md5=de448508e3066cad2b1ad0a6a0dea537
Asaro, T. B., Gutema, B. T., & Weldehawaryat, H. N. (2023). Colostrum avoidance practice and associated factors among mothers of infants less than six months in Chencha District: cross-sectional study. BMC Nutrition, 9(1). https://doi.org/10.1186/s40795-023-00674-4
Aslam, M. Z., Johnson, J., Baig, M., & Musaddique, A. (2024). Factors Influencing Colostrum Avoidance in Developing Countries: Insights from a Literature Review. Journal of Asian Midwives, 11(2), 81–97. https://doi.org/10.71071/JAM/v11i2.1.17
Ayele, W. M., Tegegne, T. B., & Mekonen, A. M. (2025). A community-based father education intervention on breastfeeding practice in Ethiopia: a quasi-experimental study. BMC Pediatrics, 25(1). https://doi.org/10.1186/s12887-024-05372-z
Devita, Ulandari, & Karlina. (2020). Analisis pemberian kolostrum pada bayi baru lahir berdasarkan pengetahuan dan sikap ibu nifas. Jurnal ’Aisyiyah Medika, 5(2), 276–286.
Ergenekon-Ozelci, P., Elmaci, N., Ertem, M., & Saka, G. (2006). Breastfeeding beliefs and practices among migrant mothers in slums of Diyarbakir, Turkey, 2001. European Journal of Public Health, 16(2), 143–148. https://doi.org/10.1093/eurpub/cki170
Ertem, M. (2011). Infant feeding beliefs and practices in islamic societies: Focusing on rural Turkey. In Infant Feeding Practices: A Cross-Cultural Perspective (pp. 289–301). Springer New York. https://doi.org/10.1007/978-1-4419-6873-9_18
Faisal, U. A., Rubab, A., & Tahseen, S. A. (2016). The attitude and knowledge of mothers regarding use of colostrum in newborn feeding. Medical Forum Monthly, 27(10), 19–21. https://www.scopus.com/inward/record.uri?eid=2-s2.0-85011884938&partnerID=40&md5=e93dadfff04d3e38f0ee2e5b8afada65
Gslassie, M., Azene, Z. N., Mulunesh, A., & Alamneh, T. S. (2021). Delayed breast feeding initiation increases the odds of colostrum avoidance among mothers in Northwest Ethiopia: a community-based cross-sectional study. Archives of Public Health, 79(1). https://doi.org/10.1186/s13690-021-00571-x
Garg, R., Deepti, S., Padda, A., & Singh, T. (2010). Breastfeeding knowledge and practices among rural women of Punjab, India: A community-based study. Breastfeeding Medicine, 5(6), 303–307. https://doi.org/10.1089/bfm.2010.0005
Goudarzi, Z., Askari, M., Seyed-Fatemi, N., Asgari, P., & Mehran, A. (2016). The effect of educational program on stress, anxiety and depression of the mothers of neonates having colostomy. Journal of Maternal-Fetal and Neonatal Medicine, 29(23), 3902–3905. https://doi.org/10.3109/14767058.2016.1152242
Haji, G., Agero, G., Eshete, A., Hasan, A., & Hiko, A. (2024). Colostrum feeding practice and associated factors among mothers who come for postnatal care to Asella referral and teaching hospital, Arsi Zone, South-East Ethiopia. Frontiers in Medicine, 11. https://doi.org/10.3389/fmed.2024.1487179
Harakeh, S., Almatrafi, M., Bukhari, R., Alamri, T., Barnawi, S., Joshi, S., Muhayawi, M. A., Basunbu, G., Alazraqi, M., Al-Khalidy, A., Shaala, L., Alshehri, A., AlAmri, S., & Aljaouni, S. (2020). Colostrum knowledge among Saudi mothers in Jeddah, Saudi Arabia. Journal of the Pakistan Medical Association, 70(12), 2221–2225. https://doi.org/10.47391/JPMA.1251
Idris, F. P., & Palutturi, S. (2019). The relationship between mother’s knowledge, attitudes and beliefs to exclusive breastfeeding in Jeneponto District. International Journal of Innovation, Creativity and Change, 8(5), 47–62. https://www.scopus.com/inward/record.uri?eid=2-s2.0-85076047970&partnerID=40&md5=783f6c5a7ca53ccdd907d38da98e4d32
Jawaid, H., Sheraz, M., Arif, K. A., Hasan, Z. U., & Akhter, H. (2022). Barriers in use of colostrum, Breast milk, and supplemental feed: assessing maternal Knowledge & practices. Journal of University Medical and Dental College, 13(1), 346–350. https://doi.org/10.37723/jumdc.v13i1.657
Kato, I., Horike, K., Kawada, K., Htun, Y., Nishida, T., Nakamura, S., Koyano, K., Konishi, Y., & Kusaka, T. (2022). The Trajectory of Expressed Colostrum Volume in the First 48 Hours Postpartum: An Observational Study. Breastfeeding Medicine, 17(1), 52–58. https://doi.org/10.1089/bfm.2020.0366
Kebede, N., Alemu, G., & Cherie, N. (2023). Colostrum feeding practice and its associated factors among postnatal mothers who attend at health facility, Ethiopia. Journal of Neonatal Nursing, 29(6), 875–880. https://doi.org/10.1016/j.jnn.2023.03.006
KemenkesRI. (2019). Profil kesehatan Indonesia.
Khandelwal, & Kurpad. (2019). A Vision for Nutrition Research in Asia. Food and Nutrition Bulletin, 40(2), 133–142.
Khosidah. (2018). Faktor-faktor yang mempengaruhi pemberian kolostrum pada bayi baru lahir di Puskesmas Baturaden Kabupaten Banyumas. Jurnal Ilmu Keperawatan Dan Kebidanan, 9(1), 75.
Lu, H., Li, H., Ma, S., Xia, L., & Christensson, K. (2011). Perceived family perceptions of breastfeeding and Chinese new mothers’ breastfeeding behaviors. Sexual and Reproductive Healthcare, 2(4), 143–147. https://doi.org/10.1016/j.srhc.2011.08.002
Marni. (2023). Analysis of Factors Influencing Colostrum Administration by Mothers to Newborns in the Working Area of the East Amanuban Public Health Center South Central Timor District. Media Publikasi Promosi Kesehatan Indonesia, 6(4), 640–646. https://doi.org/10.56338/mppki.v6i4.3320
Mose, A., Dheresa, M., Mengistie, B., Wassihun, B., & Abebe, H. (2021). Colostrum avoidance practice and associated factors among mothers of children aged less than six months in Bure District, Amhara Region, North West, Ethiopia: A community-based cross-sectional study. PLoS ONE, 16(1 January). https://doi.org/10.1371/journal.pone.0245233
O’Sullivan, T. A., Cooke, J., McCafferty, C., & Giglia, R. (2019). Online video instruction on hand expression of colostrum in pregnancy is an effective educational tool. Nutrients, 11(4). https://doi.org/10.3390/nu11040883
Permatasari, T. A. E., Widjajanti, W., Sunarto, A., & Ramadhan, A. I. (2020). Factors related to the granting of colostrum in newborn baby with caesarean section in hospital government at Banten, Indonesia. Food Science and Technology (United States), 8(3), 61–72. https://doi.org/10.13189/fst.2020.080303
Pritasari. (2019). Berikan ASI untuk Tumbuh Kembang Optimal. Kominfo.
Riskesdas. (2018). Laporan Nasional RISKESDAS 2018. Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan (LPB).
Rogers, N. L., Abdi, J., Moore, D., Nd’Iangui, S., Smith, L. J., Carlson, A. J., & Carlson, D. (2011). Colostrum avoidance, prelacteal feeding and late breast-feeding initiation in rural Northern Ethiopia. Public Health Nutrition, 14(11), 2029–2036. https://doi.org/10.1017/S1368980011000073
Sahdi, H., Prabaharan, R., Cheah, W. L., Rasit, A. H., Kader, M. A. B. A. S. A., Bujang, M. A., & Abdullah, N. A. B. (2024). Development and validation of the Newborn Clubfoot Screening Checklist to improve the detection of postnatal congenital talipes equinovarus among newborns by non-orthopaedic-trained healthcare workers in Sarawak General Hospital: A cross-sectional prospec. Malaysian Family Physician, 19. https://doi.org/10.51866/oa.697
Septiani, & Umami, L. (2020). Faktor-faktor yang Memengaruhi Pemberian Kolostrum pada Bayi di Bpm Nurhayati, S.Sit Kecamatan Peusangan Kabupaten Bireuen. Journal Of Healthcare Technology And Medicine, 6(1), 430–440.
Sisay, B. M., Endale, S. Z., & Senbeta, F. W. (2025). Colostrum avoidance and associated factors among postnatal mothers in health facilities in Addis Ababa, Ethiopia: a mixed method study. BMC Public Health, 25(1). https://doi.org/10.1186/s12889-025-21351-0
Statistik, B. P. (2022). Persentase bayi usia kurang dari 6 bulan yang mendapatkan ASI ekslusif menurut provinsi. www.bps.go.id.
Sulaimah. (2019). Analisi kaktor yang Berhubungan dengan Pemberian Kolostrum pada Bayi Baru Lahir. Jurnal Kebidanan Malahayati, 5(2).
Turyati, & Nurbaeti, S. (2018). Faktor-faktor yang Mempengaruhi Status Gizi Anak Balita di Desa Loyang Wilayah Kerja Puskesmas Cikedung Kabupaten Indramayu Tahun 2018. Jurnal Kesehatan Masyarakat, 3(3), 111–119.
Ummah, F., Rosida, L., & Putri, A. K. (2023). Breastfeeding Education: A Scoping Review. Malaysian Journal of Medicine and Health Sciences, 18(2), 293–302. https://doi.org/10.47836/mjmhs.19.2.41
Wiryo, H., & Hakimi, M. (2005). Implementation of health education, based on ethnographic study, to increase the colostrum and decrease early solid food feeding. Health Education and Behavior, 32(1), 102–112. https://doi.org/10.1177/1090198104269514
Yeshambel Wassie, A., Atnafu Gebeyehu, N., & Abebe Gelaw, K. (2020). Knowledge, Attitude, and Associated Factors towards Colostrum Feeding among Antenatal Care Attendant Mothers in Gununo Health Centre, Wolaita Zone, Ethiopia 2019: Cross-Sectional Study. International Journal of Pediatrics (United Kingdom), 2020. https://doi.org/10.1155/2020/3453502
Yimer, N. B., & Liben, M. L. (2018). Effects of home delivery on colostrum avoidance practices in North Wollo zone, an urban setting, Ethiopia: A cross sectional study. Journal of Health, Population and Nutrition, 37(1). https://doi.org/10.1186/s41043-018-0134-4
Author Biographies
Idawati, STIKes Medika Nurul Islam, Indonesia
Yuliana, STIKes Medika Nurul Islam, Indonesia
Meliani Sukmadewi Harahap, Poltekkes Kemenkes Aceh, Indonesia
Nurlaely, STIKes Payung Negeri Aceh Darussalam, Indonesia
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