Effectiveness of pregnant women's class on the success of exclusive breastfeeding
Abstract
Introduction: Exclusive breastfeeding (EBF) during the first six months of life plays a crucial role in infant survival, growth, and development. However, the global rates of EBF remain below the recommended targets. Pregnant women's classes are designed to provide education, support, and skills necessary for successful breastfeeding practices. This study aimed to analyze the effectiveness of pregnant women's classes on the success rate of exclusive breastfeeding.
Methods: A quasi-experimental design with a posttest-only control group was employed. The study involved 120 pregnant women in their third trimester, selected through purposive sampling from two community health centers. The intervention group (n=60) participated in a structured pregnant women's class, while the control group (n=60) received standard antenatal care without additional courses. Data on breastfeeding practices were collected three months postpartum using structured interviews and analyzed using the Chi-square test and logistic regression.
Results: The study found a significantly higher rate of exclusive breastfeeding in the intervention group (78.3%) compared to the control group (53.3%) (p<0.01). Attendance in the pregnant women's class was associated with a 2.9 times higher likelihood of practicing exclusive breastfeeding (OR=2.9; 95% CI: 1.5–5.6). Key factors contributing to success included increased maternal knowledge, self-efficacy, and support from health educators during antenatal.
Conclusions: Participation in pregnant women's classes effectively increases the success rate of exclusive breastfeeding. Integrating structured breastfeeding education into routine antenatal care is recommended to improve maternal practices and promote better infant health outcomes.
Downloads
References
Ali, S. A., & Adiaksa, B. W. (2023). Faktor Yang Berhubungan dengan Pemberian Asi Eksklusif Pada Bayi. Jurnal Ilmiah Kesehatan Sandi Husada, 12(1), 255–261. https://doi.org/10.35816/jiskh.v12i1.1040
Atchan, M., Graham, K., Hartney, N., Martis, R., Kearney, L., Davey, K., Daellenbach, R., Hall, H., & Sweet, L. (2023). Either ‘a blessing in disguise’ or ‘I couldn’t get help,’: Australian and Aotearoa NZ women’s early infant feeding experiences during COVID-19. Women and Birth, 36(3), e305–e313. https://doi.org/10.1016/j.wombi.2022.11.003
Ayu Rahmadani, R., Setiawati, A., Aris, I., Lontaan, A., & Prasetyowati, P. (2025). Effectiveness of nutrition education on stunting prevention behavior in mothers under five. Jurnal Edukasi Ilmiah Kesehatan, 3(1), 01–08. https://doi.org/10.61099/junedik.v3i1.68
Boppana, S. B., van Boven, M., Britt, W. J., Gantt, S., Griffiths, P. D., Grosse, S. D., Hyde, T. B., Lanzieri, T. M., Mussi-Pinhata, M. M., Pallas, S. E., Pinninti, S. G., Rawlinson, W. D., Ross, S. A., Vossen, A. C. T. M., & Fowler, K. B. (2023). Vaccine value profile for cytomegalovirus. Vaccine, 41, S53–S75. https://doi.org/10.1016/j.vaccine.2023.06.020
Couto, C., Prata, A. P., Souto, S. P., Machado, J., & Viana, C. R. (2025). Nurse and midwife interventions to protect, promote and support breastfeeding: An umbrella review. Midwifery, 144, 104337. https://doi.org/10.1016/j.midw.2025.104337
Dabb, C., Dryer, R., Brunton, R. J., Yap, K., & Roach, V. J. (2023). Paternal pregnancy-related anxiety: Systematic review of men’s concerns and experiences during their partners’ pregnancies. Journal of Affective Disorders, 323, 640–658. https://doi.org/10.1016/j.jad.2022.11.092
Haq, Z. U., Naeem, A., Zaeem, D., Sohail, M., & Pervaiz, N. ul A. (2024). Development of a Digital Platform to Promote Mother and Child Health in Underserved Areas of a Lower-Middle-Income Country: Mixed Methods Formative Study. JMIRx Med, 5, e48213–e48213. https://doi.org/10.2196/48213
Hulsbosch, L. P., NyklÃÄek, I., Boekhorst, M. G., Potharst, E. S., & Pop, V. J. (2023). Breastfeeding continuation is associated with trait mindfulness but not with trajectories of postpartum depressive symptoms. Midwifery, 124, 103770. https://doi.org/10.1016/j.midw.2023.103770
Jalil, H., Chong, M.-C., Jalaludin, M. Y., Wong, L. P., & Hmwe, N. T. T. (2024). Knowledge, attitude, and practice among mothers toward breastfeeding and complementary feeding in community health setting, Malaysia. Heliyon, 10(21), e39746. https://doi.org/10.1016/j.heliyon.2024.e39746
Kehinde, J., O’Donnell, C., & Grealish, A. (2023). The effectiveness of prenatal breastfeeding education on breastfeeding uptake postpartum: A systematic review. Midwifery, 118, 103579. https://doi.org/10.1016/j.midw.2022.103579
Lontaan, A., Anggeraeni, A., Settawati, A., Mulyanti, M., & Hartaty, H. (2023). Determinants of Malnutrition Status Events in Toddlers. Jurnal Edukasi Ilmiah Kesehatan, 1(1), 24–30. https://doi.org/10.61099/junedik.v1i1.8
Mahmud, Y. (2020). Studi Pemanfaatan Antenatal Care Pada Ibu hamil di Puskesmas Aeng-Towa. Jurnal Ilmiah Kesehatan Sandi Husada, 11(1), 505–511. https://doi.org/10.35816/jiskh.v11i1.337
Ngai, F.-W., & Lam, W. (2023). Couple-based interpersonal psychotherapy for first-time parents: A process evaluation. Journal of Pediatric Nursing, 72, e193–e200. https://doi.org/10.1016/j.pedn.2023.06.028
Nurhayati, E., Hapsari, E. D., Rosyidah, R., & Helmyati, S. (2023). Educational models of infant and young child feeding among prenatal and postnatal women during the COVID-19 pandemic (January 2020–January 2023): A scoping review. Nutrition, 115, 112150. https://doi.org/10.1016/j.nut.2023.112150
Ouyang, Y.-Q., Guo, J., Zhou, J., Zhouchen, Y., Huang, C., Huang, Y., Wang, R., & Redding, S. R. (2024). Theoretical approaches in the development of interventions to promote breastfeeding: A scoping review. Midwifery, 132, 103988. https://doi.org/10.1016/j.midw.2024.103988
Qi, W., Huang, S., Zhao, J., Cui, X., Wei, Z., Cui, G., Guo, Q., & Hu, J. (2025). The preventive effect of psychological and psychosocial interventions on postpartum depression: An overview of systematic reviews. Journal of Psychiatric Research, 182, 21–33. https://doi.org/10.1016/j.jpsychires.2024.11.050
Rakha, A., Jabbar, A., Rasheed, H., Tul-Muntaha, S., Munir, A., Fatima, A., Anwar, R., Sohail, M., & Aadil, R. M. (2025). Nutrition crisis management after floods: A multisectoral perspective. International Journal of Disaster Risk Reduction, 116, 105141. https://doi.org/10.1016/j.ijdrr.2024.105141

Copyright (c) 2025 Indrawati Aris Tyarini, Yoga Tri Wijayanti, Asridawati Akib, Nofita Tudang Rombeallo, Sitti Zakiyyah Putri

This work is licensed under a Creative Commons Attribution 4.0 International License.