Email this article Improvement of exclusive breastfeeding practices using the web-based mHealth application “Mama Bekping”
Abstract
Background: Exclusive breastfeeding (EBF) is the practice of giving only breast milk to infants aged 0–6 months without any additional food, except for vitamin supplements and medicines. The prevalence of exclusive breastfeeding among working mothers is significantly lower in urban areas due to inflexible work schedules, early return to work, short maternity leave, fatigue, and lack of support for expressing breast milk at the workplace. The web-based mHealth application “Mama Bekping” was proposed by researchers to provide educational features for working mothers regarding breast care, methods to increase milk supply, proper pumping techniques, and notifications to remind mothers to express breast milk.
Objectives: To determine whether the web-based mHealth application “Mama Bekping” can improve knowledge and adherence of working mothers in breast milk pumping.
Methods: This study used a quasi-experimental design with two group pretest–posttest. The sample consisted of 80 breastfeeding mother selected using purposive sampling, with a 1-month intervention. Parameters measured were maternal knowledge and adherence to breast milk pumping. Data normality was tested using the Shapiro–Wilk test, while the effect was analyzed using the dependent t-test.
Results: The average pumping frequency from week 1 to week 4 was consistent at 14 times per week. However, within 4 weeks, an increase was observed from 12–13 times to 15 times per week. The mean knowledge score before and after intervention showed a 20-point difference, with a minimum difference of 35 points and a maximum difference of 40 points. The dependent t-test revealed a p-value = 0.000 (p < α), indicating a significant effect.
Conclusions: The web-based mHealth application “Mama Bekping” effectively increases the knowledge and adherence of working mothers in breast milk pumping, thereby supporting the success of exclusive breastfeeding programs
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DOI: http://dx.doi.org/10.21927/jnki.2025.13(4).569-581
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