Paper Title
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 predominant breastfeeding. Keywords - Nutrient intakes, Lactation mother, Predominant Breastfeeding