INFLUENCE OF FATHER SUPPORT FOR EARLY BREASTFEEDING INITIATION AMONG CESAREAN MOTHERS IN LOWER-MIDDLE-INCOME COUNTRIES : A LITERATURE REVIEW
DOI:
https://doi.org/10.31004/jkt.v6i4.51401Keywords:
paternal support, LMIC, cesarean section, early breastfeeding initiation, breastfeeding fatherAbstract
Di negara berpendapatan menengah ke bawah (LMIC), keberhasilan inisiasi menyusu dini (IMD) pada ibu pasca-sectio masih rendah; dukungan ayah jarang diposisikan sebagai komponen layanan, padahal dapat menutup keterbatasan akibat anestesi, nyeri, dan pemisahan ibu–bayi. Tinjauan pustaka ini menelusuri basis data PubMed, Scopus, ScienceDirect, Google Scholar, serta Garuda dan SINTA (Juni–Juli 2025), inklusi studi eksperimental/kuasi-eksperimental di LMIC yang melibatkan ibu pasca-sectio dan melaporkan IMD/eksklusivitas/durasi menyusui; uji mutu RCT menggunakan kriteria JBI; sintesis naratif dilakukan karena heterogenitas desain, populasi, dan bentuk intervensi. Sepuluh studi dari Indonesia, Vietnam, Iran, Turki, Brasil, Tiongkok, dan Nigeria menunjukkan intervensi berfokus ayah hingga kelas antenatal, booklet, modul multimedia, kunjungan rumah, dan konseling postpartum secara konsisten meningkatkan IMD dan ASI eksklusif. Contoh: di Vietnam, IMD meningkat 39,6%→81,2%; di Iran, ASI eksklusif 6 bulan 94% vs 76%; di Tiongkok, pendidikan ayah meningkatkan IMD. Efek paling nyata pada konteks sectio melalui dukungan emosional/logistik, fasilitasi skin‑to‑skin, dan penguatan efikasi diri ibu; pengetahuan serta sikap ayah turut membaik. Keterbatasan umum meliputi blinding yang jarang, pelaporan attrition tidak lengkap, dan luaran >6 bulan yang minim. Dukungan ayah merupakan determinan penting keberhasilan IMD pada ibu pasca-sectio di LMIC. Program yang terstruktur, berulang, dan sensitif budaya perlu diintegrasikan ke protokol antenatal–postnatal, disertai RCT yang spesifik sectio dan memasukkan ukuran psikososial untuk mengoptimalkan dampak.References
Betrán, A. P., Ye, J., Moller, A.-B., Zhang, J., Gülmezoglu, A. M., & Torloni, M. R. (2016). The increasing trend in caesarean section rates: Global, regional and national estimates: 1990–2014. PLOS ONE, 11(2), e0148343. https://doi.org/10.1371/journal.pone.0148343
Bich, T. H., & Cuong, N. V. (2017). Fathers' involvement and breastfeeding practices: A quasi-experimental study in Vietnam. Health Promotion International, 32(1), 114–123. https://doi.org/10.1093/heapro/dav062
Bich, T. H., Long, T. K., & Partners, D. T. (2016). Community-based father education intervention on breastfeeding practices in Vietnam. Asia Pacific Journal of Clinical Nutrition, 25(1), 158–163. https://doi.org/10.6133/apjcn.2016.25.1.21
Debes, A. K., Kohli, A., Walker, N., Edmond, K., & Mullany, L. C. (2013). Time to initiation of breastfeeding and neonatal mortality and morbidity: A systematic review. BMC Public Health, 13, S19. https://doi.org/10.1186/1471-2458-13-S3-S19
Dennis, C.-L. (2002). Breastfeeding initiation and duration: A 1990s literature review. Journal of Obstetric, Gynecologic & Neonatal Nursing, 31(1), 12–32. https://doi.org/10.1111/j.1552-6909.2002.tb00019.x
Gayatri, M., & Dasvarma, G. (2022). Father's role in early initiation and exclusive breastfeeding in Indonesia: A qualitative study. International Breastfeeding Journal, 17(1), 5. https://doi.org/10.1186/s13006-021-00434-5
Indrasari, N. D. (2022). Increasing exclusive breastfeeding in cesarean mothers through father involvement: A randomized controlled trial. Journal of Health Sciences, 10(2), 87–95.
Özlüses, E., & Çelebioğlu, A. (2014). Educating fathers to improve breastfeeding rates: A randomized controlled trial. Midwifery, 30(6), e64–e72. https://doi.org/10.1016/j.midw.2014.01.010
Raeisi, R., Heidari, Z., Ebadi, A., & Naghizadeh, M. M. (2014). The impact of fathers' participation in breastfeeding education on mothers' breastfeeding practice: A randomized clinical trial. Journal of Holistic Nursing and Midwifery, 24(2), 23–30.
Rempel, L. A., & Rempel, J. K. (2011). The breastfeeding team: The role of involved fathers in the breastfeeding family. Journal of Human Lactation, 27(2), 115–121. https://doi.org/10.1177/0890334410390045
Sahip, Y., & Turan, J. M. (2007). Education for expectant fathers in workplaces in Turkey. Journal of Biosocial Science, 39(6), 843–860. https://doi.org/10.1017/S0021932007002112
Sharma, I. K., Byrne, A., & Belizan, J. M. (2020). Cesarean section and early initiation of breastfeeding in low- and middle-income countries: A systematic review. International Journal of Gynecology & Obstetrics, 150(2), 153–163. https://doi.org/10.1002/ijgo.13127
Su, M., & Ouyang, Y. Q. (2016). Father's role in supporting breastfeeding: A quasi-experimental study in China. Nursing & Health Sciences, 18(1), 105–111. https://doi.org/10.1111/nhs.12231
Tadesse, H., Berhane, Y., & Ekström, E.-C. (2018). Role of fathers in supporting breastfeeding in low-income countries: A systematic review. Maternal & Child Nutrition, 14(4), e12618. https://doi.org/10.1111/mcn.12618
Tri Budiati, L., Nurulita, S. N., & Widyaningsih, Y. (2021). The effect of father support intervention in increasing breastfeeding practices among post-cesarean mothers. Journal of Reproductive Health, 12(3), 145–152. https://doi.org/10.22435/kespro.v12i3.4902.145-152
UNICEF. (2022). The state of the world's children 2021: On my mind – Promoting, protecting and caring for children's mental health. https://www.unicef.org/reports/state-worlds-children-2021
World Health Organization. (2001). The optimal duration of exclusive breastfeeding: A systematic review. https://apps.who.int/iris/handle/10665/67208
World Health Organization. (2009). Infant and young child feeding: Model chapter for textbooks for medical students and allied health professionals. https://www.who.int/publications/i/item/9789241597494
World Bank. (2024). World Bank Country and Lending Groups – World Development Indicators. https://datahelpdesk.worldbank.org/knowledgebase/articles/906519-world-bank-country-and-lending-groups
Downloads
Published
Issue
Section
License
Copyright (c) 2025 I Gede Shivananda Vidyana puja, Made Kurnia Widiastutti Giri, Ketut Indra Purnomo
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work’s authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal’s published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
