HUBUNGAN PERSEPSI KECUKUPAN SUPLAI ASI DAN PRAKTIK PEMBERIAN ASI EKSKLUSIF: ASESMEN DENGAN THE HILL AND HUMENICK LACTATION SCALE DI DAERAH SUBURBAN
Published:
2026-07-01Downloads
Abstract
Mothers’ perception of breast milk supply adequacy is an important determinant of exclusive breastfeeding success. Negative perceptions of insufficient milk production may reduce maternal confidence and increase the likelihood of introducing complementary foods before six months. The Hill and Humenick Lactation Scale (HHLS) is a validated instrument that comprehensively measures mothers’ perceptions of breast milk supply adequacy. This study aimed to examine the association between perceived breast milk supply adequacy based on the HHLS and exclusive breastfeeding practices among breastfeeding mothers in suburban communities. A cross-sectional study was conducted at RBC Holis Clinic involving 75 breastfeeding mothers with infants aged 0–6 months selected through incidental sampling. Data were collected using a translated and validated HHLS questionnaire. The association between variables was analyzed using the chi-square test with a significance level of p < 0.05. Most respondents reported positive perceptions of breast milk supply adequacy. Statistical analysis revealed a significant association between perceived milk supply adequacy and exclusive breastfeeding practices (p < 0.05). Mothers with positive perceptions were more likely to exclusively breastfeed than those with negative perceptions. These findings indicate that maternal perception of breast milk supply is closely associated with exclusive breastfeeding. Strengthening perception-based education and lactation counseling may improve exclusive breastfeeding outcomes in suburban communities.
Keywords:
Exclusive breastfeeding Hill and Humenick Lactation Scale Perceived breast milkReferences
Alayon, S., Varela, V., Mukuria-Ashe, A., Alvey, J., Milner, E., Pedersen, S., et al. (2022). Exclusive breastfeeding: Measurement to match the global recommendation. Maternal & Child Nutrition, 18(4), e13409. DOI: https://doi.org/10.1111/mcn.13409
Couto, G. R., Dias, V., & Oliveira, I. J. (2020). Benefits of exclusive breastfeeding: An integrative review. Nursing Practice Today, 7(4). DOI: https://doi.org/10.18502/npt.v7i4.4034
Davanzo, R., & Baldassarre, M. E. (2024). Infant growth spurts in the context of perceived insufficient milk supply. Nutrients, 16(21), 3657. DOI: https://doi.org/10.3390/nu16213657
Dennis, C. L., McQueen, K., Dol, J., Brown, H., Beck, C., & Shorey, S. (2024). Psychometrics of the Breastfeeding Self-Efficacy Scale and short form: A systematic review. BMC Public Health, 24(1), 637. DOI: https://doi.org/10.1186/s12889-024-17805-6
De Roza, J. G., Fong, M. K., Ang, B. L., Sadon, R. B., Koh, E. Y. L., & Teo, S. S. H. (2019). Exclusive breastfeeding, breastfeeding self-efficacy and perception of milk supply among mothers in Singapore: A longitudinal study. Midwifery, 79, 102532. DOI: https://doi.org/10.1016/j.midw.2019.102532
Dinas Kesehatan Kabupaten Bandung. (2022). Profil kesehatan Kabupaten Bandung tahun 2021. Dinas Kesehatan Kabupaten Bandung.
Dinas Kesehatan Kabupaten Bandung. (2023). Profil kesehatan Kabupaten Bandung tahun 2022. Dinas Kesehatan Kabupaten Bandung.
Dinas Kesehatan Kabupaten Bandung. (2024). Profil kesehatan Kabupaten Bandung tahun 2023. Dinas Kesehatan Kabupaten Bandung.
Dinas Kesehatan Provinsi Jawa Barat. (2024). Profil kesehatan Provinsi Jawa Barat tahun 2023. Dinas Kesehatan Provinsi Jawa Barat.
Hill, P. D., & Humenick, S. S. (1996). Development of the H & H Lactation Scale. Nursing Research, 45(3), 136–140. DOI: https://doi.org/10.1097/00006199-199605000-00003
Huang, Y., Liu, Y., Yu, X. Y., & Zeng, T. Y. (2022). The rates and factors of perceived insufficient milk supply: A systematic review. Maternal & Child Nutrition, 18(1), e13255. DOI: https://doi.org/10.1111/mcn.13255
Jama, A., Gebreyesus, H., Wubayehu, T., Gebregyorgis, T., Teweldemedhin, M., Berhe, T., et al. (2020). Exclusive breastfeeding for the first six months of life and its associated factors among children aged 6–24 months in Burao District, Somaliland. International Breastfeeding Journal, 15(1), 5. DOI: https://doi.org/10.1186/s13006-020-0252-7
Kementerian Kesehatan Republik Indonesia. (2024). Profil kesehatan Indonesia tahun 2023. Kementerian Kesehatan Republik Indonesia.
Kim, J. H., Lee, S. W., Lee, J. E., Ha, E. K., Han, M. Y., & Lee, E. (2021). Breastmilk feeding during the first 4 to 6 months of age and childhood disease burden until 10 years of age. Nutrients, 13(8). DOI: https://doi.org/10.3390/nu13082825
Mantzorou, M., Papandreou, D., Vasios, G. K., Pavlidou, E., Antasouras, G., Psara, E., et al. (2022). Exclusive breastfeeding for at least four months is associated with a lower prevalence of overweight and obesity in mothers and their children after 2–5 years from delivery. Nutrients, 14(17). DOI: https://doi.org/10.3390/nu14173599
Punthmatharith, B., & Singh, J. (2005). A psychometric assessment of the H & H Lactation Scale in a sample of Thai mothers using a repeated measurement design. Nursing Research, 54(5), 313–323. DOI: https://doi.org/10.1097/00006199-200509000-00005
Sandhi, A., Lee, G. T., Chipojola, R., Huda, M. H., & Kuo, S. Y. (2020). The relationship between perceived milk supply and exclusive breastfeeding during the first six months postpartum: A cross-sectional study. International Breastfeeding Journal, 15(1), 65. DOI: https://doi.org/10.1186/s13006-020-00310-y
Tran, V., Reese Masterson, A., Frieson, T., Douglass, F., Perez-Escamilla, R., & O'Connor Duffany, K. (2023). Barriers and facilitators to exclusive breastfeeding among Black mothers: A qualitative study utilizing a modified Barrier Analysis approach. Maternal & Child Nutrition, 19(1), e13428. DOI: https://doi.org/10.1111/mcn.13428
Yakovlev, Y. Y. (2022). Perceived insufficient milk supply (PIMS) in lactating mothers. In H. S. Abduljabbar (Ed.), Multiple pregnancy: New insights. IntechOpen. DOI: https://doi.org/10.5772/intechopen.105782
License
Copyright (c) 2026 Maudy Lila Kartika, Nike Arta Puspitasari, Raissa Pramesti
This work is licensed under a Creative Commons Attribution 4.0 International License.
Downloads
How to Cite
