Evaluating the Nexus among Early Breastfeeding Initiation, Exclusive Breastfeeding Practices, and Neonatal Weight Gain

Pratiwi Syah Putri; Febri Yusnanda; WildaYunita; Nuriatus Sakdiah

Authors

Pratiwi Syah Putri Sekolah Tinggi Ilmu Kesehatan Flora
Febri Yusnanda sekolah tinggi ilmu kesehtan flora medan
WildaYunita sekolah tinggi ilmu kesehatan flora medan
Nuriatus Sakdiah seklah tinggi ilmu kesehatan mitra husad medan

Keywords:

Early Initiation of Breastfeeding, Baby Weight Gain, Newborn, Exclusive Breastfeeding

Abstract

Background: Early Initiation of Breastfeeding (EIB) involves placing a newborn in skin-to-skin contact with the mother immediately after birth to initiate breastfeeding within the first hour of life. This clinical procedure serves as a foundational pillar for neonatal survival, successful exclusive breastfeeding, and metabolic adaptation. Globally and nationally, ensuring steady early anthropometric growth remains a priority to eliminate neonatal vulnerability. Objectives: This study aimed to analyze the operational relationship between the implementation of Early Initiation of Breastfeeding and newborn weight gain trajectory in a clinical care setting. Methods: This research employed an analytical descriptive approach using a cross-sectional study design conducted at Sundari Hospital, Medan. The sample size consisted of 35 mother-infant pairs recruited using a total sampling technique. Data collection targeted EIB adherence profiles and post-birth weekly anthropometric shifts, which were evaluated through Chi-Square statistical validation and multivariate logistic adaptation models. Results: The univariate analysis showed that EIB was successfully established in 80.0% of deliveries, and 71.4% of neonates reached the optimal weight gain index ( ≥500 grams/week). The cross-tabulation matrix revealed that 85.7% of infants who underwent immediate EIB achieved optimal weight gain trajectories, compared to only 14.3% in the non-EIB cohort. The statistical evaluation confirmed a significant clinical relationship between EIB execution and optimal neonatal weight gain (p = 0.001, OR = 4.85). Conclusions: Immediate implementation of EIB after delivery significantly speeds up newborn weight recovery and minimizes postpartum weight loss. Healthcare institutions must enforce strict baby-friendly hospital initiatives to ensure EIB protocols are maintained across all delivery settings.

References

Akbari, M., & Shahbazi, S. (2019). Early Feeding Practices and Their Impact on Birth Weight and Infant Growth. International Journal of Pediatrics, 7(11), 883-889.

Dewi, R. K., & Nurul, F. (2020). Pemberian ASI Eksklusif pada Bayi: Tantangan dan Peluang di Indonesia. Jurnal Kesehatan Masyarakat, 14(3), 118-124.

Dewi, R. K., & Nurul, F. (2021). Pengaruh Pemberian ASI Eksklusif Terhadap Peningkatan Berat Badan Bayi Baru Lahir. Jurnal Kesehatan Anak, 12(4), 50-56.

Hidayati, D. (2017). "Faktor-faktor yang Mempengaruhi Berat Badan Bayi Baru Lahir". Jurnal Gizi dan Pangan, 12(3), 75-81.

Kementerian Kesehatan Republik Indonesia. (2020). Panduan Perawatan Bayi Baru Lahir dan Pemantauan Berat Badan. Jakarta: Kemenkes RI.

Kementerian Kesehatan Republik Indonesia. (2022). Profil Kesehatan Indonesia 2022. Kementerian Kesehatan Republik Indonesia.

Mardiana, T. (2020). Peran Nutrisi dan Pemberian ASI dalam Mendukung Pertumbuhan Bayi Baru Lahir. Jurnal Gizi dan Kesehatan, 14(2), 125-132.

Ministry of Health of the Republic of Indonesia. (2020). Pedoman Inisiasi Menyusui Dini.

Jakarta: Kementerian Kesehatan RI.Krousel-Wood, M. A., Islam, T., Webber, L. S., et al. (2011). Medication Adherence and Blood Pressure Control: A Review of the Evidence

Perinasia. (2018). "Hubungan Antara Inisiasi Menyusui Dini dengan Berat Badan Bayi Baru Lahir di RUMAH SAKIT SUNDARI". Jurnal Keperawatan Indonesia, 10(1), 23-30.Arifin, M. (2019).

Puspita, I. (2021). Manfaat Inisiasi Menyusui Dini bagi Bayi dan Ibu. Jurnal Ilmu Kesehatan, 22(1), 36-42.

Siahaan, T., & Nasution, R. (2019). "Pengaruh Inisiasi Menyusui Dini Terhadap Peningkatan Berat Badan Bayi Baru Lahir". Jurnal Kesehatan Masyarakat Indonesia, 15(2), 112-118.

UNICEF. (2018). Breastfeeding and Infant Feeding. UNICEF. Retrieved from https://www.unicef.org/nutrition/breastfeeding.

World Health Organization (WHO). (2020). Infant and Young Child Feeding. WHO.

World Health Organization (WHO). (2018). The Importance of Breastfeeding for Infant Growth and Development. Geneva: WHO.

Sinaga, E. S., Rasyid, I. A., Mubarok, M. R., Sudharma, N. I., & Nolia, H. (2023). Monitoring the consumption of supplementary food (PMT) in increasing the weight of toddlers with nutritional problems. ABDI MOESTOPO: Jurnal Pengabdian Pada Masyarakat, 6(1), 1–8. https://doi.org/10.32509/abdimoestopo.v6i01.2335

Sudarmiatin, Fitri, R., & Mala, I. K. (2025). Social entrepreneurship model for village tourism business with a triple helix collaborative approach. Indonesian Journal of Business Analytics, 5(5), 45–56. https://doi.org/10.55927/ijba.v5i5.15527

Krousel-Wood, M. A., Islam, T., Webber, L. S., et al. (2011). Medication adherence and blood pressure control: A review of the evidence. Journal of Clinical Hypertension, 13(4), 290–296.