Work-related Influences on Knowledge and Practice of Exclusive Breastfeeding among Postnatal Mothers

Hasni Embong; Nur Hanim Natasha Mohd Rosdi; Norhasmah Mohd Zain; Rusnani Ab Latif

doi:10.21834/e-bpj.v10iSI35.7524

Authors

Hasni Embong School of Health Sciences, Universiti Sains Malaysia, Health Campus, 16150, Kubang Kerian, Kota Bharu, Kelantan. Malaysia
Nur Hanim Natasha Mohd Rosdi School of Health Sciences, Universiti Sains Malaysia, Health Campus, 16150, Kubang Kerian, Kota Bharu, Kelantan. Malaysia
Norhasmah Mohd Zain School of Health Sciences, Universiti Sains Malaysia, Health Campus, 16150, Kubang Kerian, Kota Bharu, Kelantan. Malaysia
Rusnani Ab Latif Faculty of Health Sciences, Universiti Teknologi MARA, Pulau Pinang Branch, Campus Bertam, 13200, Kepala Batas, Pulau Pinang. Malaysia

DOI:

https://doi.org/10.21834/e-bpj.v10iSI35.7524

Keywords:

Knowledge, Practice, Exclusive Breastfeeding, Postnatal mothers

Abstract

This study examines the knowledge and practices of exclusive breastfeeding (EBF) and their relationship with work-related factors among 152 working mothers at Hospital Pakar Universiti Sains Malaysia (HPUSM). Conducted in September 2023 using a self-administered questionnaire, findings showed 75.7% had excellent EBF knowledge and 59.9% had excellent practice. No significant associations were found between EBF practice and work hours, maternity leave, or the use of private rooms. However, refrigerator availability was significantly linked to better EBF practice. The study highlights the need for improved workplace support, including lactation facilities and education on milk handling, to enhance breastfeeding among working mothers.

References

Adamu, A., Isezuo, K. O., Ali, M., Abubakar, F. I., Jiya, F. B., Ango, U. M., Yunusa, E. U., & Bello, M. M. (2022). Prevalence and factors influencing exclusive breastfeeding practice among nursing mothers: A prospective study in North-Western Nigeria. Nigerian Journal of Basic and Clinical Sciences, 19(2), 139–144. https://doi.org/10.4103/njbcs.njbcs_23_22

Ahmad, R. S., Sulaiman, Z., & Nik Hussain, N. H. (2022). Working mothers’ breastfeeding experience: a phenomenology qualitative approach. BMC Pregnancy and Childbirth, 22(1), 85. https://doi.org/10.1186/s12884-021-04304-4

Alayon, S., Varela, V., Mukuria-Ashe, A., Alvey, J., Milner, E., Pedersen, S., & Yourkavitch, J. (2022). Exclusive breastfeeding: Measurement to match the global recommendation. Maternal & Child Nutrition, 18(4), e13409. https://doi.org/10.1111/mcn.13409

Al-Katufi, B. A., Al-Shikh, M. H., Al-Hamad, R.F., Al-Hajri, A. & Al-Hejji, A. (2020). Barriers in continuing exclusive breastfeeding among working mothers in primary health care in the Ministry of Health in Al-Ahsa region, Saudi Arabia. Journal of DFamily Medicine and Primary Care, 9(2):957–972. doi: 10.4103/jfmpc.jfmpc_844_19

Chhetri, S., Rao, A. P., & Guddattu, V. (2018). Factors affecting exclusive breastfeeding (EBF) among working mothers in Udupi taluk, Karnataka. Clinical Epidemiology and Global Health, 6(4), 216–219. https://doi.org/10.1016/j.cegh.2018.06.008

Edemba, P. W., Irimu, G., & Musoke, R. (2022). Knowledge, attitudes and practice of breastmilk expression and storage among working mothers with infants under six months of age in Kenya. International Breastfeeding Journal, 17, 33. https://doi.org/10.1186/s13006-022-00469-

Emmanuel, A. (2015). A literature review of the factors that influence breastfeeding: An application of the Health Belief Model. International Journal of Nursing, 2, 28. https://api.semanticscholar.org/CorpusID:58931286

Hashim, S., Ishak, A., & Muhammad, J. (2020). Unsuccessful Exclusive Breastfeeding and Associated Factors among the Healthcare Providers in East Coast, Malaysia. Korean Journal of Family Medicine, 41(6), 416–421. https://doi.org/10.4082/KJFM.19.0060

Ibrahim, I., & Abdul Hamid, S. B. (2019). Factors of breastfeeding discontinuation among working mothers in UiTM Selangor Puncak Alam Campus. Health Scope, 2, 419–424. http://healthscopefsk.com/

Ickes, S., Kinyua, J., Adams, J., Denno, D., Myhre, J., Ithondeka, A., Iannotti, L., Farquhar, C., Singa, B., Walson, J., & Nduati, R. (2021). Effect of Access to Workplace Supports for Breastfeeding Among Formally Employed Mothers in Kenya. Current Developments Nutrition, 5, 651. https://doi.org/10.1093/cdn/nzab045_033

Kayode, O. O., Oyedeji, A. S., & Alabi, Q. K. (2023). Factors affecting exclusive breastfeeding practices among working class women in Osun State, Nigeria. Journal of Public Health in Africa. https://doi.org/10.4081/jphia.2023.2191

Mekebo, G. G., Argawu, A. S., Likassa, H. T., Ayele, W., Wake, S. K., Bedada, D., Hailu, B., Senbeto, T., Bedane, K., Lulu, K., Daraje, S., Lemesa, R., Aga, G., Alemayehu, E., Kefale, B., Bechera, T., Tadesse, G., Galdassa, A., Olani, J., .. Diriba, G. (2022). Factors influencing exclusive breastfeeding practice among under-six months infants in Ethiopia. BMC Pregnancy and Childbirth, 22(1), Article 49. https://doi.org/10.1186/S12884-022-04955-X

Mwiza, T., Chanda, D. & Musenge, E. (2023). Determinants of breastfeeding practices among working mothers in Solwezi District of Zambia. Open Journal of Obstetrics and Gynecology, 13, 465-480. https://doi.org/10.4236/ojog.2023.133043

Mkono, N., Chirande, L., Moshiro, R. & Nooraini, M. (2024). Factors associated with exclusive breast

feeding among mothers in formal employment in Dar es Salaam, Tanzania: cross-sectional. BMJ;14: e091993. doi:10.1136/bmjopen-2024-091993

Muda, S. M., Mahamad Zanudin, N. Q. A. Z., & Mustapa Kamal Basha, M. A. (2022). Knowledge, Attitude and Practice of Exclusive Breastfeeding among Primipara at Baby Friendly Hospital (BFHI). Jurnal Islam Dan Masyarakat Kontemporari, 23(1), 104–115. https://doi.org/10.37231/jimk.2022.23.1.652

Nikanor V, Nghitanwa EM, Nakweenda M. (2024). Practices of lactating mothers regarding exclusive breastfeeding in Outapi district, Omusati region: a qualitative study. Afri Health Sci. 24(4). 431-437. https://dx.doi.org/10.4314/ahs.v24i4.53

Sabo, A., Abba, J., Usman, U. S., Saula, I.M., Alzoubi, M. M., Al Mugheed, K., Ahmad Alsenany, Mohammed F. A. S. (2023). Knowledge, attitude and practice of exclusive breastfeeding among mothers of childbearing age. Frontiers in Public Health. Vol 11, Doi: 10.3389/fpubh.2023.1277813

Shohaimi, N. M., Mazelan, M., Ramanathan, K., Meor Hazizi, M. S., Leong, Y. N., Cheong, X. B., Ambigapathy, S., & Cheong, A. T. (2022). Intention and practice on breastfeeding among pregnant mothers in Malaysia and factors associated with practice of exclusive breastfeeding: A cohort study. PLOS ONE, 17(1), e0262401. https://doi.org/10.1371/journal.pone.0262401

Sultana, M., Dhar, S., Hasan, T., Shill, L. C., Purba, N. H., Chowdhury, A. I., & Shuvo, S. D. (2022). Knowledge, attitudes, and predictors of exclusive breastfeeding practice among lactating mothers in Noakhali, Bangladesh. Heliyon, 8(10), e11069. https://doi.org/10.1016/j.heliyon.2022.e11069

Varghese, M., Sebastian, M., Shanid, M., Varghese, T., & D’Souza, R. P. (2024). Expressed Breastfeeding: Knowledge and Attitude of Postnatal Women. Journal of Health and Allied Sciences NU, 14(01), 106–110. https://doi.org/10.1055/s-0043-1766127

Wee, B. S., & Rosli, N. A. (2023). Knowledge, attitude and practice of breastfeeding among mothers with children below two years old in Terengganu. Asian Journal of Medicine and Biomedicine, 1(Special Issue), Article 659. https://doi.org/10.37231/ajmb.2023.1.S.659

World Health Organization. (2023). Exclusive breastfeeding for optimal growth, development and health of infants [Fact sheet]. Retrieved Nov 10, 2025, from https://www.who.int/tools/elena/interventions/exclusive-breastfeeding

World Health Organization (WHO), & United Nations Children’s Fund (UNICEF). (2022). How marketing of formula milk influences our decisions on infant feeding. World Health Organization. Retrieved May 28, 2025, from https://www.who.int/publications/i/item/9789240044609