Breastfeeding Self-Efficacy, LATCH Scores in Relation to Self-Reported Milk Flow Among Primiparous Mothers: A Cross-Sectional Study
DOI:
https://doi.org/10.21070/midwiferia.v12i2.1887Keywords:
breastfeeding self-efficacy, latch scores, self-reported milk flow, primiparous mothers, exclusive breastfeedingAbstract
Introduction Milk flow difficulties remain a concern in breastfeeding practice. Preliminary interviews in November 2025 with the coordinating midwife and head of nutrition at Pujon Community Health Center identified milk flow difficulties as one of the breastfeeding concern in the health center’s service area. This study aimed to examine the associations of breastfeeding self-efficacy and LATCH scores with self-reported milk flow among primiparous mothers at Pujon Community Health Center.
Methods This cross-sectional study involved 35 primiparous mothers selected through purposive sampling at Pujon Community Health Center, Malang Regency, Indonesia. Data were collected using the Breastfeeding Self-Efficacy Scale–Short Form (BSES-SF), the LATCH assessment tool, and a self-reported milk flow questionnaire. Spearman’s rank correlation was calculated using original total scores.
Results Breastfeeding self-efficacy scores were positively associated with self-reported milk flow scores (Spearman’s ρ = 0.607; 95% CI: 0.291–0.822; p < 0.001). LATCH scores were also positively associated with self-reported milk flow scores (Spearman’s ρ = 0.636; 95% CI: 0.321–0.838; p < 0.001).
Conclusion These findings indicate positive associated between breastfeeding self-efficacy and LATCH scores and self-reported milk flow in the study population. Larger studies using more robust measurements are needed to confirm these associations.
References
[1] Y. Huang, Y. Liu, X.-Y. Yu, and T.-Y. Zeng, “The rates and factors of perceived
insufficient milk supply: A systematic review,” Maternal & Child Nutrition, vol.
18, no. 1, Art. no. e13255, 2022, doi: 10.1111/mcn.13255.
[2] R. O. H. W. L. Setiadewi, “An overview of breastfeeding problems during the first month,” Jurnal Medika Hutama, Apr. 2023.
[3] I. L. Tampunolon, “The Relationship Between Husband’s Support and Breast Care and Milk Flow Among Breastfeeding Mothers,” Indonesian Scientific Health Journal, vol. 9, 2024.
[4] East Java Provincial Health Office, 2024 Health Profile of East Java Province. East Java, Indonesia: East Java Provincial Health Office, 2024.
[5] R. Fidiawati, R. Sanjaya, S. Y. Veronica, H. Febriyanti, and U. Aisyah Pringsewu, “Factors associated with exclusive breastfeeding among primiparous mothers,” Ners Akademika, vol. 1, no. 1, pp. 23–28, 2022, doi: 10.35912/nersakademika.v1i1.1764.
[6] F. Maharani and E. Yuliaswati, “The Relationship Between Breastfeeding Self-Efficacy (BSEF) and Exclusive Breastfeeding,” Anestesi Journal, vol. 2, no. 4, pp. 234–242, Sep. 2024, doi: 10.59680/anestesi.v2i4.1407.
[7] World Health Organization, Regional Office for the Eastern Mediterranean, “Breastfeeding,” WHO EMRO Available: https://www.emro.who.int/nutrition/breastfeeding/.
[8] V. F. Silaban, V. Simamora, V. H. Tobing, V. T. Situmorang, W. Fadilla, and W. Ningsih, “The relationship between maternal breastfeeding self-efficacy and exclusive breastfeeding success among infants aged 0–6 months in the working area of Ngabang Community Health Center,” Jurnal Ners, 2024. Available: http://journal.universitaspahlawan.ac.id/index.php/ners
[9] K. D. Purnamasari, R. Suminar, A. Laksmidara, S. P. Maharanie, and A. N. H. Patimah, “The Effect of Lactation Counseling on Mothers’ Breastfeeding Ability with the LATCH Method Approach,” Jurnal Kebidanan Midwiferia, vol. 11, no. 2, 2025, doi: 10.21070/midwiferia.v11i2.1746
[10] A. Sandhi, C.-L. Dennis, and S.-Y. Kuo, “Psychometric assessment of the Breastfeeding Self-Efficacy Scale-Short Form: A confirmatory factor analysis of Indonesian mothers,” Clinical Nursing Research, vol. 31, no. 8, pp. 1520–1528, 2022, doi: 10.1177/10547738221112756
[11] D. Z. Hamidi, M. Mohzana, U. Muzakir, I. Mutmainnah, R. Ratnasari, R. M. Ilham, A. Suprapto, T. Suhartini, P. Irawan, and A. Putra, Basic Statistics: Askara Sas, 2024
[12] A. M. Puspitasari, “The relationship between early initiation of breastfeeding and breast milk flow among postpartum mothers in the working area of Patrang Community Health Center, Jember Regency,” undergraduate thesis, Study Program of Nursing Science, University of Jember, Jember, Indonesia, 2016.
[13] D. Jensen, S. Wallace, and P. Kelsay, “LATCH: A breastfeeding charting system and documentation tool,” Journal of Obstetric, Gynecologic, & Neonatal Nursing, vol. 23, no. 1, pp. 27–32, 1994, doi: 10.1111/j.1552-6909.1994.tb01847.x.
[14] E. Rahayu, H. F. Kurniawati, and H. F. Kurniawati, “The effectiveness of the LATCH score as a breastfeeding assessment tool: A scoping review,” Jurnal Kebidanan dan Keperawatan Aisyiyah, vol. 17, no. 2, pp. 324–337, Dec. 2021, doi: 10.31101/jkk.1953
[15] A. Bandura, Self-Efficacy: The Exercise of Control. New York, NY, USA: W. H. Freeman, 1997.
[16] E. Khusniyati, “The influence of breastfeeding self-efficacy (BSE) on milk production smoothness among postpartum mothers at PMB Teta Irayanti,” Innovative: Journal of Social Science Research, vol. 5, pp. 1682–1692, 2025.
[17] Nurjannah and Yuswita, “Factors Affecting the Smooth Flow of Breast Milk Among Breastfeeding Mothers in the Working Area of Peulimbang Community Health Center, Bireuen Regency, in 2024,” Journal of Healthcare Technology and Medicine, vol. 10, no. 2, pp. 360–372, Oct. 2024.
[18] A. Sandhi, G. T. Lee, R. Chipojola, M. H. Huda, and S. Y. Kuo, “The relationship between perceived milk supply and exclusive breastfeeding during the first six months postpartum: a cross-sectional study,” Int. Breastfeed. J., vol. 15, no. 1, Jul. 2020, doi: 10.1186/s13006-020-00310-y
[19] S. Sabrida, D. Susanti, M. Winanda, N. Yusuf, N. Ramadhan, N. Marissa, Y. Septivera, N. Ramli, S. S. Phonna, P. Ariani, C. Z. Razianti, N. Fajri, and A. Ardilla, Evidence-Based: A Comprehensive Guide to Breast Milk and Breastfeeding. Bandung, Indonesia: CV Media Sains Indonesia, 2023, ISBN 978-623-195-067-3.
[20] R. Yunita Asmin, “The Relationship Between Stress and Breast Care and Milk Flow Among Postpartum Mothers,” Jurnal Kesehatan Marendeng, vol. 9, no. 2, pp. 130–141, 2025, Available: http://e-jurnal.stikmar.ac.id/index.
[21] A. P. Bunda, “An overview of mothers’ knowledge regarding breastfeeding techniques in the service area of the Sadabuan Community Health Center, Padangsidimpuan City, 2024,” 2025, doi: 10.33867/JKA.743.
[22] Y. F. Setyoningsih, “The Relationship Between Parity Among Postpartum Mothers and Correct Breastfeeding Technique,” Jurnal Kesehatan Wira Buana, vol. 9, no. 5, 2021
[23] Nurhayati, N. Indriyani, and U. A. Hidayat, “The effectiveness of a combination of breast pump and breast care on milk flow among primiparous mothers,” Jurnal Asuhan Ibu & Anak, vol. 9, no. 1, pp. 1–8, Feb. 2024.
[24] S. Dinengsih, M. Agnestiani, and R. Kundaryanti, “The effect of Moringa leaf powder (Moringa oleifera) on breast milk production in post partum mothers,” Jurnal Kebidanan Midwiferia, vol. 9, no. 2, pp. 75–87, 2023
[25] H. Muthoharoh, S. Sholikha, Kustini, R. S. Dinuriyah, and H. M. El Fitri, “Effectiveness of the Lactation Buddy intervention based on WhatsApp Group on the success of exclusive breastfeeding,” Jurnal Kebidanan Midwiferia, vol. 11, no. 2, pp. 158–166, 2025, doi: 10.21070/midwiferia.v11i2.1751
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