Kelas Edukasi Menyusui Ibu Hamil (KEMIH): Its Correlation to The Improvement of Knowledge, Self-Efficacy, and Breast Milk Production of Post-Partum Mothers

  • Jumrah Sudirman Universitas Megarezky
  • Halida Thamrin Universitas Muslim Indonesia
  • Sumarni Marwang Universitas Megarezky
  • Syamsyuriyana Sabar Universitas Megarezky
  • Rahayu Eryanti K Universitas Megarezky
  • Rosita Passe Universitas Megarezky
Keywords: Breast Milk, Educational Class, Self-Efficacy


There have been many educational programs or media used to introduce exclusive breastfeeding. However, the reality in the field shows that many people, especially mothers, still do not understand exclusive breastfeeding. Moreover, many mothers who have been educated continue to give formula milk because of misunderstandings, such as myths. For this reason, strengthening mothers’ self-efficacy needs to be carried out since it is one of the determining factors for the success of exclusive breastfeeding. Therefore, it is highly necessary to have a maternal assistance program that starts during pregnancy to strengthen the mother’s self-efficacy and continues to guide the mother after giving birth in exclusive breastfeeding. The objective of this study was to assess the effectiveness of Kelas Edukasi Menyusui Ibu Hamil (KEMIH) (English: The Breastfeeding Education Class for Pregnant Women) to increase knowledge, self-efficacy, and breast milk production of post-partum mothers. In this study, the researchers applied a quasi-experimental design. In addition, the employed approach was two groups with control. The number of samples was 61 respondents who met the pre-defined criteria (29 respondents in the intervention group and 31 respondents in the control group). The instruments in this study were modules, self-efficacy questionnaires, and electric breast pumps. The results showed that there were significant differences in the three variables, in which the obtained p-values were 0.000 (< 0.05) for the increase in knowledge, 0.012 (< 0.05) for the increase in mother’s self-efficacy, and 0.000 (< 0.05) for the increase in breast milk production. This indicates that the KEMIH program is effective for increasing the knowledge, self-efficacy, and breast milk production of mothers. In addition to education programs, mothers need to have strong support from their families and health workers for the success of the breastfeeding process


1. Ilyas I, Hadju V, Salam A, Abdullah HMT. Breastfeeding Education Package for Working Women to Increase Breastfeeding Self-Efficacy , and Breastfeeding Outcome in Tanjungpinang City. 2022;14(03).
2. Araban M, Karimian Z, Karimian Kakolaki Z, McQueen KA, Dennis CL. Randomized Controlled Trial of a Prenatal Breastfeeding Self-Efficacy Intervention in Primiparous Women in Iran. JOGNN - J Obstet Gynecol Neonatal Nurs [Internet]. 2018;47(2):173–83. Available from:
3. Anonim. Laporan Kinerja Kementerian Kesehatan 2021. Kementrian Kesehat RI. 2021;23.
4. Prasitwattanaseree P, Sinsucksai N, Prasopkittikun T, Viwatwongkasem C. Effectiveness of breastfeeding skills training and support program among first time mothers: A randomized control trial. Pacific Rim Int J Nurs Res. 2019;23(3):258–70.
5. Sarimin DS, Ponidjan TS, Wanda D. The Use of the Apron and Disaster Baby Carriers to Improve the Exclusive Breastfeeding Self-Efficacy of Mothers in Disaster-Affected Zones in Indonesia. Compr Child Adolesc Nurs [Internet]. 2021;44(3):166–73. Available from:
6. Glassman ME, McKearney K, Saslaw M, Sirota DR. Impact of breastfeeding self-efficacy and sociocultural factors on early breastfeeding in an urban, predominantly dominican community. Breastfeed Med. 2014;9(6):301–7.
7. Gerhardsson E. Self-efficacy in breastfeeding mothers of term and preterm born infants [Internet]. 2020. Available from: (Accessed: 27 January 2022)
8. Mizrak B, Ozerdogan N, Colak E. The Effect of Antenatal Education on Breastfeeding Self-Efficacy: Primiparous Women in Turkey. Int J Caring Sci [Internet]. 2017;10(1):503–10. Available from:
9. Prastyoningsih A, Rohmantika D, Pratiwi EN, Maharani A, Rohmah AN. The Effect of Education Breastfeeding to Breastfeeding Self Efficacy in Central Java Indonesia. PLACENTUM J Ilm Kesehat dan Apl. 2021;9(3):1.
10. Maleki A, Faghihzadeh E, Youseflu S. The Effect of Educational Intervention on Improvement of Breastfeeding Self-Efficacy: A Systematic Review and Meta-Analysis. Obstet Gynecol Int. 2021;2021.
11. Vincent A. The effect of breastfeeding self-efficacy on Breastfeeding Initiation, Exclusivity, and Duration. Walden Univ Sch Work. 2015;1–66.
12. Safitri VA, Pangestuti DR, Kartini A. Pengaruh Video Edukasi Terhadap Pengetahuan dan Sikap Ibu dalam Pemberian ASI Eksklusif di Puskesmas Bulu Lor 2021. Media Kesehat Masy Indones [Internet]. 2021;20(5):342–8. Available from:
13. Dwi Cahyantia F, Nimah L, Pradaniea R. The effect of buzz group modification method on exclusive breastfeeding against self efficacy in pregnant women: A quasi experiment. Medico-Legal Updat. 2020;20(3):446–51.
14. Omekara FU. Hand Expression With Lactation Support: Effect on Self-Efficacy and Breastfeeding Duration. Hand Expr With Lact Support Eff Self-Efficacy Breastfeed Durat [Internet]. 2018;1. Available from:
15. Sudirman J, Bachri N, Syafar M, Jusuf EC, Syamsuddin S, Mappaware NA, et al. Foot Hydrotherapy: Non-pharmacology Treatment for Reducing Anxiety in Third Trimester Pregnancy. Open Access Maced J Med Sci. 2022;10:320–3.
16. Gharaei T, Amiri-Farahani L, Haghani S, Hasanpoor-Azghady SB. The effect of breastfeeding education with grandmothers’ attendance on breastfeeding self-efficacy and infant feeding pattern in Iranian primiparous women: A quasi-experimental pilot study. Int Breastfeed J. 2020;15(1):1–10.
17. Davoudi-Kiakalayeh A, Mohammadi R, Pourfathollah AA, Siery Z, Davoudi-Kiakalayeh S. Alloimmunization in thalassemia patients: New insight for healthcare. Int J Prev Med. 2017;8:1–5.
18. Topuz Ş, DUMAN NB, Uysal GK, Öcalan D. Breastfeeding self-efficacy and related factors during early postpartum period. Universa Med. 2021;40(3):216–25.
19. Kamran A, Farahani A, Shrifirad G, Mirkarimi S. Effectiveness of breastfeeding education on the weight of child and self-efficacy of mothers - 2011. J Educ Health Promot. 2012;1(1):11.
How to Cite
Sudirman J, Thamrin H, Marwang S, Sabar S, Eryanti K R, Passe R. Kelas Edukasi Menyusui Ibu Hamil (KEMIH): Its Correlation to The Improvement of Knowledge, Self-Efficacy, and Breast Milk Production of Post-Partum Mothers. woh [Internet]. 2024Jan.24 [cited 2024Mar.4];:14-2. Available from: