Decision-Making and Breastfeeding Support Primiparous Mothers with a History of Caesarean Section in Breastfeeding

The type of delivery affects the success of exclusive breastfeeding. Mothers of Post-caesarean section have the risk of not giving exclusive breastfeeding to their babies because they feel uncomfortable. The pain felt by the mother will cause the mother to be reluctant to breastfeed her baby. This study aims to explore in-depth decision-making and breastfeeding support for primiparous mothers with a history of Caesarean Section in breastfeeding. The research design used in this research is a generic exploratory qualitative study. In this study, twelve mothers with a Caesarean section history were involved as research informants, who were selected using a purposive sampling technique. This data collection was carried out in the working area of the Umbulharjo I Health Center in Yogyakarta City in March-June 2019 using a semi-structured interview. Research data were analyzed using thematic analysis using the approach from Creswell, J.W. The analysis results obtained two themes: decision-making and breastfeeding support. Husbands and parents are essential aspects in providing support for primiparous mothers. The mother's obstacles are low maternal autonomy, the mother's condition after Caesarean Section, the lack of milk production after Caesarean Section, and breast problems. Improving health promotion on breastfeeding for Post-caesarean section mothers and self-efficacy is expected to increase the scope of breastfeeding for Post-caesarean Section mothers.