ANALYSIS OF KNOWLEDGE AND ATTITUDE TO BREAST

MILK PUMPING IN BREASTFEEDING MOTHERS AT

OBSTETRICS AND GYNECOLOGY POLY OF RSUD
JOMBANG
Ugik Kurnia Wati Utari
Midwifery Study Program, Nursing Faculty
Institute of Health Sciences Strada Indonesia Kediri
Email: ugikkurniawati80@gmail.com

ABSTRACT
Breast Milk (ASI) is the most appropriate nutrition for babies. However, not all women have
the opportunity to directly breastfeed their babies. In breastfeeding, there are several obstacles found,
including the baby’s low ability to suck, the mothers’ lack of confidence that their breast milk can
meet the nutritional needs of their babies, and the parturition assistants always separating the baby
from the mother immediately after birth. These obstacles greatly interfere with the baby’s natural
suckling process. The core of the problems is that mothers do not fully understand how to breastfeed
properly including the technique and how to obtain breast milk, especially when they have to work.
Breast milk pumping is usually done when the mother is unable to breastfeed directly. The
benefits of breast milk pumping include feeding low birth weight infants, eliminating breast milk
congestion, maintaining the supply of breast milk when the mother is sick, eliminating breast milk
seepage and preparing breast milk stocks when the mother works (Ratih, 2009), Mothers’ knowledge
of breast milk pumping and storage is highly needed. Such information should have been learned
since the pregnancy by attending pregnant mother class program or ante-natal care, continued with
the parturition and postpartum care. By learning the knowledge, mothers are hoped to be able to take
appropriate attitude when mothers cannot breastfeed their babies directly. This research aimed to
analyze the knowledge and attitude to breast milk pumping in breastfeeding mothers at obstetrics and
gynecology poly of RSUD Jombang.
This research employed a quantitative design with a cross-sectional model. The sample used
in this research was 62 breastfeeding mothers at obstetrics and gynecology poly of RSUD Jombang
by looking at inclusion and exclusion criteria. The respondents were selected using a purposive
sampling technique. The independent variable was knowledge and attitude of breastfeeding mothers
while the dependent variable was the mothers’ willingness to pump breast milk. The analysis results
using the Spearman’s rho with the help of SPSS Version 22 showed that the mothers’ breastfeeding
knowledge had a significant relationship with their willingness to pump breast milk, identified by the
p-value of 0.032 (< α; 0,05 ). Meanwhile, in terms of attitude, the analysis results showed the p-value
of 0.00 (< α; 0,05), indicating a significant relationship between the mothers’ breastfeeding attitude
and their willingness to pump breast milk. In conclusion, the breastfeeding mothers at obstetrics and
gynecology poly of RSUD Jombang have sufficient knowledge of how to pump breast milk (the
technique) and have a good attitude or willingness to pump breast milk if they are not able to
breastfeed their babies directly. In the future, mothers are hoped to be able to improve their education
of breast milk pumping and storage so that exclusive breastfeeding remains optimal.
Keywords: breastfeeding mothers, knowledge, attitude, breast milk pumping