Maternal Nutrient Intakes and Duration of Predominant Breastfeeding: A Cohort Study in Indonesia
Successful duration of predominant breastfeeding for 24 weeks is difficult to achieve in Indonesia. After 10 years
policy of breastfeeding was applied, the prevalence is still low. Almost all efforts have been done to intervene except the
aspect of maternal consumption during lactation. This study aimed at analyzing the association between lactating mother
nutrient intakes and duration of predominant breastfeeding. A prospective cohort (longitudinal) was conducted in five urban
areas in Indonesia. A total of 85 mother-infant pairs were followed since delivery until 24 weeks postpartum.
Anthropometric measurements (weight of mother and infant, length of infant) were taken of each subject every 4 weeks.
Data on maternal energy and macronutrient intake were collected monthly using 24 hour food recall method and
breastfeeding duration was monitored by phone call each week. 33 pairs successfully did 24 weeks of predominant
breastfeeding while the other (52 pairs) did not. There were no differences in all variables of socio-demographic
characteristic and maternal/infant nutritional status in both groups. Significant differences were found on maternal
consumption (energy and fat intakes). Mothers who successfully did 24 weeks of predominant breastfeeding consumed
energy and fat higher (2131.1 ± 508.5 kcal/day, 71.5 ± 24.9 g/day) than the other group (1830.8 ± 578.0 kcal/day, 54.2 ±
25.2 g/days). Energy and fat intakes of mothers during lactation positively related to the duration of predominant
breastfeeding. Mothers who consumed adequate energy and fat were more likely to be successful in providing 24 weeks of
Keywords - Nutrient intakes, Lactation mother, Predominant Breastfeeding