The Effect of Galactagogue Education Using Video Media on The Knowledge, Attitudes and Behaviors of Postpartum Mothers
Main Article Content
Abstract
Background: According to the Basic Health Research (RISKESDAS) data, the exclusive breastfeeding rate in Indonesia in 2022 was 67.96%. Data from 2021 indicated that Jambi Province had a rate of exclusive breastfeeding below the national average. Providing counseling to breastfeeding mothers and offering additional support through the use of galactagogues aims to enhance knowledge, attitudes, and practices among postpartum mothers to support the process of milk production.
Purpose: To assess the impact of educational videos about galactagogues on the knowledge, attitudes, and behaviors of postpartum mothers.
Methods: A quasi-experimental design with a pretest-posttest control group was used. Sampling was conducted using probability sampling with a systematic sampling technique based on odd-even selection, with an average sample size of 16 postpartum mothers per group. The instruments used included questionnaires for knowledge, attitudes, and behaviors, and educational videos. Data analysis employed the Wilcoxon test, Mann-Whitney test, and MANCOVA.
Results: The study found significant p-values for the educational video media in pretest-posttest assessments: knowledge (p-value = 0.001), attitudes (p-value = 0.001), and behaviors (p-value = 0.002). Educational videos were found to be more effective than lecture-based media, with p-values of 0.000 for knowledge, 0.005 for attitudes, and no significant effect on behavior with a p-value of 0.137. The test MANCOVA showed that age, education, and occupation did not significantly affect changes in knowledge, attitudes, and behaviors.
Conclusion: There is a significant impact of providing galactagogue education through video media on the knowledge and attitudes of postpartum mothers. Although there were changes in behavior before and after the video intervention, no significant difference was found between the video and lecture media regarding behavior. It is recommended to use video media as an educational tool in classes for pregnant and postpartum mothers, because it is more interesting, efficient, and easily accessible to mothers.
Article Details

This work is licensed under a Creative Commons Attribution 4.0 International License.
Articles and files in this journal are licensed under a Creative Commons Attribution 4.0 International License.
References
Brown, Rance, & Bennett. (2016). Understanding the relationship between breastfeeding and postnatal depression: The role of pain and physical difficulties. Journal of Advanced Nursing, 1(273–282), 201672. https://doi.org/10.1111/jan.12832.
de Onis, M., Dewey, K. G., Borghi, E., Onyango, A. W., Blössner, M., Daelmans, B., Piwoz, E., & Branca, F. (2013). The World Health Organization’s global target for reducing childhood stunting by 2025: rationale and proposed actions. Maternal & Child Nutrition. 9(2), 6–26.
Ernawati, Kurniasari, Astuti, & Suyanto. (2023). Analysis Of Factors Influencing Exclusive Breast Feeding In Infants Aged 0-6 Months. Jurnal Keperawatan Terapan, 9(1).
Fitriana, Ningtyas, & Dewi. (2022). Providing mental healthcare for postpartum women in Indonesia: a qualitative phenomenological study. British Journal of Midwifery, 30(12), 692–699.
Ghammachi, N., Mihrshahi, S., & Ronto, R. (2022). Web-Based Experiential Nutrition Education Intervention “The Green Hub” to Promote Sustainable and Healthy Diets among Young Adults in Australia. Sustainability (Switzerland), 14(22). https://doi.org/10.3390/su142215207
Gyamfi, O’neill, Henderson, & Lucas. (2021). Black/African American Breastfeeding Experience: Cultural, Sociological, and Health Dimensions through an Equity Lens. Breastfeeding Medicine, 16(2), 103–111. https://doi.org/10.1089/bfm.2020.0312
Hendaus, M. A., Alhammadi, A. H., Khan, S., Osman, S., & Hamad, A. (2018). Breastfeeding rates and barriers: a report from the State of Qatar. International Journal of Women’s Health, Volume 10, 467–475. https://doi.org/10.2147/IJWH.S161003
Kassa, G. M., Arowojolu, A. O., Odukogbe, A. T. A., & Yalew, A. W. (2021). Adverse maternal outcomes of adolescent pregnancy in Northwest Ethiopia: A prospective cohort study. PLoS ONE, 16(9 September), 1–18. https://doi.org/10.1371/journal.pone.0257485
Legiati, Hidayanti, & Indrayani. (2020). Mother Toddler Class Improving Mother’s Knowledge and Skills in Stimulating Growth and Development. Journal of Prima Health, 13(2), 115. https://doi.org/10.32807/jkp.v13i2.240
Maonga, Mahande, Damian, & Msuya. (2016). Factors Affecting Exclusive Breastfeeding among Women in Muheza District Tanga Northeastern Tanzania: A Mixed Method Community Based Study. Maternal Child Health Journal, 20(1), 77–87. https://doi.org/10.1007/s10995-015-1805-z
Melo, L. C. de O., Bonelli, M. C. P., Lima, R. V. A., Gomes-Sponholz, F. A., & Monteiro, J. C. D. S. (2021). Anxiety and its influence on maternal breastfeeding self-efficacy. Revista Latino-Americana de Enfermagem, 29, e3485. https://doi.org/10.1590/1518-8345.5104.3485
Ricchi, A., La Corte, S., Molinazzi, M. T., Messina, M. P., Banchelli, F., & Neri, I. (2020). Study of childbirth education classes and evaluation of their effectiveness. Clinica Terapeutica, 171(1), E78–E86. https://doi.org/10.7417/CT.2020.2193
Rice, & Williams. (2021). Women’s postpartum experiences in Canada during the COVID-19 pandemic: A qualitative study. CMAJ Open, 9(2), E556–E562. https://doi.org/10.9778/cmajo.20210008
Sampe. (2020). Relationship between Exclusive Breastfeeding and Stunting in Toddlers. Jurnal Ilmiah Kesehatan Sandi Husada, 11(1), 11(1), 448–455. https://doi.org/10.35816/jiskh.v10i2.314
Schobinger, Vanetti, Ramelet, & Horsch. (2022). Social support needs of first-time parents in the early-postpartum period: A qualitative study. In Frontiers in Psychiatry (p. 13). https://doi.org/10.3389/fpsyt.2022.1043990
Setiawati, I., Prihartini, N., Sebayang, A. P., & Hulu, V. K. (2022). The Influence of Baby Massage on the Sleep Quality of Babies Aged 6-7 Months in Percut Village in 2021. Contagion: Scientific Periodical Journal of Public Health and Coastal Health, 4(2), 280. https://doi.org/10.30829/contagion.v4i2.15251
Simarmata, Marlina, Luhulima, Udjung, & Langi. (2024). Antenatal Care Counseling for Pregnant Women as an Effort to Prevent Stunting. Asian Journal of Community Services, 3(4), 385–392. https://doi.org/10.55927/ajcs.v3i4.8787
UNICEF/WHO/WORLD BANK. (2021). Levels and trends in child malnutrition UNICEF / WHO / World Bank Group Joint Child Malnutrition Estimates Key findings of the 2021 edition. World Health Organization, 1–32.
UNICEF, & WHO. (2023). Global Breastfeeding Scorecard 2023 Rates of Breastfeeding Increase Around The World Through Improved Protection and Support. https://www.unicef.org/media/150586/file/Global breastfeeding scorecard 2023.pdf
Vir. (2016). Improving women’s nutrition imperative for rapid reduction of childhood stunting in South Asia: Coupling of nutrition specific interventions with nutrition sensitive measures essential. Maternal and Child Nutrition, 12, 72–90. https://doi.org/10.1111/mcn.12255
Wemakor, A., Garti, H., Azongo, T., Garti, H., & Atosona, A. (2018). Young maternal age is a risk factor for child undernutrition in Tamale Metropolis, Ghana. BMC Research Notes, 11(1). https://doi.org/10.1186/s13104-018-3980-7
Wicaksono, Anantyo, Dewantiningrum, & Hariyana. (2020). The Effect of Breastfeeding Education Among Postpartum Mothers on Exclusive Breastfeeding Practice One Month After Delivery. Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal), 9(3), 263–268. https://doi.org/10.14710/DMJ.V9I3.27506
World Health Organization, (WHO). (2020). Global Breastfeeding Scorecard 2022 Protecting Breastfeeding Through Further Investments And Policy Actions. https://iris.who.int/bitstream/handle/10665/365140/WHO-HEP-NFS-22.6-eng.pdf?sequence=1
World Health Organization Regional Office for the Eastern Mediterranean. (2022). Exclusively breastfeed. http://www.emro.who.int/nutrition/breastfeeding/index.html
Yeboah, Forkuor, & Agyemang-Duah. (2019). Exclusive breastfeeding practices and associated factors among lactating mothers of infants aged 6–24 months in the Kumasi Metropolis, Ghana. BMC Research Notes, 12(1), 689. https://doi.org/10.1186/s13104-019-4723-0