Effectiveness of the WhatsApp Application in Postpartum Mothers in Breastfeeding


  • Rr. Nindya Mayangsari STIKES Mutiara Mahakam Samarinda
  • Siti Noorbaya STIKES Mutiara Mahakam Samarinda
  • Ryzky Diah Anggraini STIKES Mutiara Mahakam Samarinda


The Whatsapp Application, Puerperal Women, Breastfeeding


Breastfeeding can reduce child mortality and have long-term benefits. However, the lack of exclusive breastfeeding contributes to the death of children under the age of five years old. The coverage of exclusive breastfeeding in Samarinda City is 60.87%, not meeting the target of the strategic plan of the ministry of health which is 80%. Research purpose: To determine the effectiveness of text messages on puerperal women to enhance breastfeeding knowledge, attitude and behavior. Research method: The research type was quasi experiment design using pretest and posttest on intervention and control groups. The research samples were 60 1-6 weeks postpartum women collected by consecutive sampling. The data was collected from a questionnaire, statistical data analysis using paired t-test, independent t-test, and MANOVA. Results: The research results of the control and intervention groups showed no difference in knowledge with a p-value of 0.097 while there was a difference in attitude with a p-value of 0.005 and there was a difference in behavior with a p-value of 0.000. Conclusion: the text message was effective, resulting in no difference in knowledge and differences in attitude and behavior in control and intervention grou


Abbass-Dick, J., Stern, SB, Nelson, LE, Watson, W. and Dennis, C.-L. (2015) “Coparenting Breastfeeding Support

and Exclusive Breastfeeding: A Randomized Controlled Trial,” PEDIATRICS, 135(1), p. 102–

doi: 10.1542/peds.2014-1416.

Ajzen, I. (2005) Attitude, Personality and Behavior. Second. England: Upen University Press.

Altamimi, E., Al Nsour, R., Al dalaen, D. and Almajali, N. (2017) “Knowledge, Attitude, and Practice of

Breastfeeding Among Working Mothers in South Jordan,” Workplace Health & Safety, 65(5) ,

matter. 210–218. doi: 10.1177/2165079916665395.

Amoakoh-Coleman, M., Borgstein, AB-J., Sondaal, SF, Grobbee, DE, Miltenburg, AS, Verwijs, M., Ansah, EK,

Browne, JL and Klipstein-Grobusch, K. (2016) “Effectiveness of mHealth Interventions Targeting

Health Care Workers to Improve Pregnancy Outcomes in Low- and Middle-Income Countries: A

Systematic Review.,” Journal of medical Internet research, 18(8), p. e226. doi: 10.2196/jmir.5533.

Andreas, NJ, Kampmann, B. and Mehring Le-Doare, K. (2015) “Human breast milk: A review on its composition

and bioactivity,” Early Human Development, p. 629–635. doi: 10.1016/j.earlhumdev.2015.08.013.

Asemahagn, MA (2016) “Determinants of exclusive breastfeeding practices among mothers in azezo district ,

northwest Ethiopia,” International Breastfeeding Journal. International Breastfeeding Journal, p.

–7. doi: 10.1186/s13006-016-0081-x.

Asiodu, IV, Waters, CM, Dailey, DE, Lee, KA and Lyndon, A. (2015) “Breastfeeding and Use of Social Media

Among First‐Time African American Mothers,” Journal of Obstetric, Gynecologic & Neonatal

Nursing, 44( 2), p. 268–278. doi: 10.1111/1552-6909.12552.

Badawy, SM and Kuhns, LM (2017) “Texting and Mobile Phone App Interventions for Improving Adherence to

Preventive Behavior in Adolescents: A Systematic Review.,” JMIR mHealth and uHealth. JMIR

mHealth and uHealth, 5(4), p. e50. doi: 10.2196/mhealth.6837.

Ballard, O. and Morrow, AL (2013) “Human Milk Composition. Nutrients and Bioactive Factors,” Pediatric Clinics

of North America, p. 49–74. doi: 10.1016/j. pcl.2012.10.002.

Bedell, P. (2008) Wireless Crash Course. United States of America: McGraw-Hill Professional.

Bertino, E., Varalda, A., Magnetti, F., Di Nicola, P., Cester, E., Occhi, L., Perathoner, C., Soldi, A. and Prandi, G.

(2012) “Is breastfeeding duration influenced by maternal attitude and knowledge? A longitudinal

study during the first year of life.,” The journal of maternal-fetal & neonatal medicine : the official

journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania

Perinatal Societies, the International Society of Perinatal Obstetricians, 25 Suppl 3(November

, p. 32–6. doi: 10.3109/14767058.2012.712341.

Bigelow, AE, Power, M., Gillis, DE, Maclellan-Peters, J., Alex, M. and McDonald, C. (2014) “Breastfeeding, Skin

to skin contact, and Mother Infant Interactions Over Infant FIRST Three Months, Infant Mental

Health Journal, 35(1), p. 51–62. doi: 10.1002/imhj.21424.

Bloom, BS (1965) Toxonomy of Educational Objectives. London. David McKay Company.

Bobak, I., Lowdermilk, DL, Jensen, MD, & Perry, S. . (2005) Textbook of Maternity Nursing. 4th ed. Edited by R.

and MAWPIA Komalasari. Jakarta: EGC.

Boccolini, CS (2015) “Factors Associated With Exclusive Breastfeeding in the First Six Months of Life in Brazil:

Systematic Review.” doi: https://doi.org/10.1590/S0034-8910.2015049005971.

Boccolini, CS, de Carvalho, ML and Couto de Oliveira, MI (2015) “Factors associated with exclusive breastfeeding

in the first six months of life in Brazil: A systematic review,” Revista de Saude Publica, 49. doi:

1590/S0034 -8910.2015049005971.

Bohner, G. and Dickel, N. (2011) “Attitudes and Attitude Change,” Annual Review of Psychology, 62, p. 391–417.

doi: 10.1146/annurev.psych.121208.131609.

Bowden, J. (2011) Health Promotion in Midwifery: Principles and Practice. second. Edited by E. Wahyuningsih.

Jakarta: EGC.

Bowen, DJ, Robbins, R., Bush, N., Meischke, H., Ludwig, A. and Wooldridge, J. (2011) “Effects of a web-based

intervention on women's breast health behaviors,” Translational Behavioral Medicine, 1(1), p.

–164. doi: 10.1007/s13142-016-0439-z.

BPS (2016) Indonesian Telecommunications Statistics 2015. 06320.1601. Edited by SI Statistics. Jakarta: Central Bureau of Statistics

Bramson, L., Lee, JW, Moore, E., Montgomery, S., Neish, C., Bahjri, K. and Melcher, CL (2010) “Effect of Early

Skin-to-Skin Mother—Infant Contact During the First 3 Hours Following Birth on Exclusive

Breastfeeding During the Maternity Hospital Stay,” Journal of Human Lactation. SAGE

Publications Sage CA: Los Angeles, CA, 26(2), p. 130–137. doi: 10.1177/0890334409355779.

Brown, J. E, J., Krinke, B., Lechtenberg, E & Murtaugh, M. (2013) Nutrition Trought the Life Cycle 5 th Edition.


Brown, J., Shipman, B. and Vetter, R. (2007) “SMS: The Short Message Service,” Computer, 40(12), p. 106–110.

doi: 10.1109/MC.2007.440.

Byrka, K. (2009) Attitude-behavior consistency: Campbell's paradigm in environmental and health domains.

Eindhoven: Technische Universiteit Eindhoven. doi: 10.6100/IR642840.

Charlick, SJ, Fielder, A., Pincombe, J. and McKellar, L. (2017) “'Determined to breastfeed': A case study of

exclusive breastfeeding using interpretative phenomenological analysis,” Women and Birth. doi:


Chertok, IRA, Luo, J., Culp, S. and Mullett, M. (2011) “Intent to Breastfeed: A Population-Based Perspective,”

Breastfeeding Medicine, 6(3), p. 125–129. doi: 10.1089/bfm.2010.0013.

Chib, A., Wilkin, H., Ling, LX, Hoefman, B. and Van Biejma, H. (2012) “You Have an Important Message!

Evaluating the Effectiveness of a Text Message HIV/AIDS Campaign in Northwest Uganda,”

Journal of Health Communication, 17(sup1), p. 146–157. doi: 10.1080/10810730.2011.649104.

Chilukuri, N., West, M., Henderson, JL, Lawson, S., Ehsanipoor, R., Costigan, K., Polk, S. and Bennett, W. (2015)

“Information and Communication Technology Use Among Low- Income Pregnant and Postpartum

Women by Race and Ethnicity: A Cross-Sectional Study,” Journal of Medical Internet Research,

(7), p. e163. doi: 10.2196/jmir.3916.

Cohn, AM, Hunter-Reel, D., Hagman, BT, & Mitchell, J. (2012) “NIH Public Access,” 35(12), p. 2209–2215. doi:


Cormick, G., Ciganda, A., Cafferata, ML, Ripple, MJ, Sosa-Estani, S., Buekens, P., Belizán, JM and Althabe, F.

(2015) “Text message interventions for follow up of infants born to mothers positive for Chagas

disease in Tucumán, Argentina: a feasibility study,” BMC Research Notes, 8(1), p. 508. doi:


Cox, KN, Giglia, RC, & Binns, CW (2015) “The Influence of Infant Feeding Attitudes on Breastfeeding Duration:

Evidence From A Cohort Study in Rural Western Australia,” International Breastfeeding Journal,

p. 1–9. doi: https://doi.org/10.1186/S13006-015-0048-3.

Crawley, H. (2014) Breastmilk and breastfeeding A simple guide. Edited by Wordworks. London, England: First

Steps Nutrition Trust.

Cunningham, F., Gant, N., Leveno, K., Gilstrap, L., Hauth, J. and Wenstrom, K. (2005) Williams Obstetrics. Vol.1.

Edited by H. Hartanto, J. Suyono, D. Yusna, A. Kosasih, J. Prawira, and R. Cendika. Jakarta:


Dang, S., Karanam, C. and Gomez-Marín, O. (2017) “Outcomes of a Mobile Phone Intervention for Heart Failure in

a Minority County Hospital Population,” Telemedicine and e-Health, p. tmj. 2016.0211. doi:


Danzhen You, Lucia Hug, Simon Ejdemyr, Jan Beise, PI, & W. (2015) “UNICEF WHO World Bank Group United

Nations,” Child Mortality, p. 74. Available at: www.childmortality.org.

Datta, SS, Ranganathan, P. and Sivakumar, KS (2014) “A study to assess the feasibility of text messaging service in

delivering maternal and child healthcare messages in a rural area of Tamil nadu, India,”

Australasian Medical Journal, 7( 4), p. 175–180. doi: 10.4066/AMJ.2014.1916.

Ministry of Religion (2005) Al-Qur'an. Al-Qur'an. Jakarta: Ministry of Religion.

Department of Health and Human Services (2011) Your Guide to breastfeeding. Washington DC: US Department of

Health and Human Services, Office on Women's Health.

MOH RI (2009) “Midwife Professional Standards Decree of the Minister of Health of the Republic of Indonesia

Number 369/MENKES/SKIII/2007,” in RI Ministry of Health. Jakarta, p. 45.

Samarinda City Health Office (2016) Samarinda City Health Profile. 2016 ed. Edited by Samarinda City Health

Office. Samarinda: Samarinda City Health Office.

Dobson, R., Whittaker, R., Bartley, H., Connor, A., Chen, R., Ross, M. and McCool, J. (2017) “Development of a

Culturally Tailored Text Message Maternal Health Program: TextMATCH .,” JMIR mHealth and

uHealth. JMIR mHealth and uHealth, 5(4), p. e49. doi: 10.2196/mhealth.7205.

Dresmann, F. (2014) “Breastfeeding knowledge among low-income first-time pregnant women in Turkey,”Workplace Health & Safety, 62(4), p. 143–148.

Eglash, A., Montgomery, A. and Wood, J. (2008) “Breastfeeding,” Disease-a-Month, 54(6), p. 343–411. doi:

1016/j. disamonth.2008.03.001.

Eidelman, A. and Schanier, R. (2012) “Breastfeeding and the Use of Human Milk,” Pediatrics, 129(3), p. 600–603.

doi: 10.1542/peds.2011-3552.

Field, A. (2005) Discovering Statistics Using SPSS, Ism Introducing Statistical Methods. London: SAGE

Publications. doi: 10.1016/j.landurbplan.2008.06.008.

Fjeldsoe, B. S, Marshall, A. L & Miller, YD (2009) “Behavior Change Interventions Delivered by Mobile

Telephone Short-Message Service,” American Journal of Preventive Medicine, 36(2), p. 165–173.

Free, C., Phillips, G., Galli, L., Watson, L., Felix, L., Edwards, P., Patel, V. and Haines, A. (2013) “The

Effectiveness of Mobile-Health Technology -Based Health Behavior Change or Disease

Management Interventions for Health Care Consumers: A Systematic Review,” PLoS Medicine,

(1). doi: 10.1371/journal.pmed.1001362.

Gallegos, D., Russell-Bennett, R., Previte, J. and Parkinson, J. (2014) “Can a text message a week improve

breastfeeding?,” BMC Pregnancy and Childbirth, 14(1), p. 374. doi: 10.1186/s12884-014-0374-2.

Gewa, C.a. and Chepkemboi, J. (2016) "Maternal knowledge, outcome expectancies and normative beliefs as

determinants of cessation of exclusive breastfeeding: a cross-sectional study in rural Kenya," BMC

Public Health. BMC Public Health, 16(1), p. 243. doi: 10.1186/s12889-016-2907-2.

Gorrie, TM, McKinney, ES (1998) Foundation of Maternal Newborn Nursing. 2nd ed. Philadelphia: WB Saunders


Grientns, H. (1999) Attitudes Toward Social Limits, Undersocialized Behavior, and Self-Presentation in Young

People. Belgium: Leuven University Press.

Guo, M. and Ahmad, S. (2014) Human Milk Biochemistry and Infant Formula Manufacturing Technology, Human

Milk Biochemistry and Infant Formula Manufacturing Technology. doi:


Gura, T. (2014) “Nature's first functional food,” Science, 345(6198), p. 747–749. doi:


Guthery, S & Cronin, M. (2002) Mobile Application Development With SMS And The SIM Toolkit. United States

of America: McGraw-Hill Professional.

Hajeebhoy, N., Nguyen, PH, Mannava, P., Nguyen, TT and Mai, LT (2014) “Suboptimal breastfeeding practices are

associated with infant illness in Vietnam.,” International breastfeeding journal, 9(1), p. 12. doi:


Hall AK, Cole-Lewis H, BJ (2015) “Mobile Text Messaging for Health: A Systematic Review of Reviews,” Annu

Rev Public Health, 36(20), p. 393–415. doi: 10.1146/annurev-publhealth-031914-122855.Mobile.

Hamade, H., Naja, F., Keyrouz, S., Hwalla, N., Karam, J., Al-Rustom, L. and Nasreddine, L. (2014) “Breastfeeding

Knowledge, Attitude, Perceived Behavior, and Intention among Female Undergraduate University

Students in the Middle East: The Case of Lebanon and Syria,” Food and Nutrition Bulletin, 35(2),

p. 179–190. doi: 10.1177/156482651403500204.

Haug, S., Meyer, C., Schorr, G., Bauer, S. and John, U. (2009) "Continuous individual support of smoking cessation

using text messaging: A pilot experimental study," Nicotine & Tobacco Research, 11 (8), p. 915–

doi: 10.1093/ntr/ntp084.

Hirst, Y., Skrobanski, H., Kerrison, RS, Kobayashi, LC, Counsell, N., Djedovic, N., Ruwende, J., Stewart, M. and

von Wagner, C. (2017) “Text-message Reminders in Colorectal Cancer Screening (TRICCS): a

randomized controlled trial,” British Journal of Cancer. Nature Publishing Group. doi:


Horner, GN, Agboola, S., Jethwani, K., Tan-McGrory, A. and Lopez, L. (2017) “Designing Patient-Centered Text

Messaging Interventions for Increasing Physical Activity Among Participants With Type 2

Diabetes: Qualitative Results From the Text to Move Intervention.,” JMIR mHealth and uHealth.

JMIR mHealth and uHealth, 5(4), p. e54. doi: 10.2196/mhealth.6666.

Hulley SB et al (2007) “Design Clinical Research Third,” in Lippincott Williams & Wilkins. Philadelphia.

IDAI (2013) Co-op, IDAI. Available at: http://www.idai.or.id/artikel/klinik/asi/rawat-kumpul (Accessed: 12

December 2017).

Ip, S., Chung, M., Raman, G., Chew, P., Magula, N., DeVine, D., Trikalinos, T. dan Lau, J. (2007) “Breastfeeding

and maternal and infant health outcomes in developed countries.,” (153), p. 1–186.

Jain, V. (2014) “3D Model of Attitude,” Journal of Advanced Research in Management and Social Sciences, 3(3), p.


Jiang, H., Li, M., Wen, LM, Hu, Q., Yang, D. and He, G. (2017) “Effect of Short Message Service on Infant

Feeding Practice Findings From a Community-Based Study in Shanghai , China,” 168(5), p. 471–

doi: 10.1001/jamapediatrics.2014.58.

Kang, N.-M., Song, Y. and Im, E.-O. (2005) “Korean university students' knowledge and attitudes toward

breastfeeding: a questionnaire survey,” International journal of nursing studies, 42(8), p. 863–870.

doi: 10.1016/j.ijnurstu.2005.01.003.

RI Ministry of Health (2015) "Indonesian Health Profile 2015," in Budijanto, D., Yudianto, Hardhana, B., and

Soenardi, TA (ed.). Jakarta: Ministry of Health of the Republic of Indonesia, p. 403.

(2013) "Situation and Analysis of EXCLUSIVE BREAST MILK." Ministry of Health of the

Republic of Indonesia, p. 8.

(2014) "Regulation of the Minister of Health of the Republic of Indonesia Number 15 of 2014."

(2016) Indonesia Health Profile 2015. Jakarta: Ministry of Health of the Republic of Indonesia.

Ministry of Law and Human Rights (2012) “Government Regulation of the Republic of Indonesia No. 33 of 2012

Concerning Exclusive Breastfeeding,” Ministry of Law and Human Rights, (33), p. 1–42.

Available at:



Labordere, A & Jonack, V. (2004) SMS and MMS Interworking in Mobile Networks. British: Artech House.

Lau, Y., Htun, TP, Lim, PI, Ho-Lim, SS and Klainin-Yobas, P. (2015) “Psychometric Properties of the Iowa Infant

Feeding Attitude Scale among a Multiethnic Population during Pregnancy,” Journal of human

lactation : official journal of International Lactation Consultant Association. doi:


Laudon, K & Laudon, JP (2007) Management Information System. India: Pearson Education.

Lee, SH, Nurmatov, UB, Nwaru, BI, Mukherjee, M., Grant, L. and Pagliari, C. (2016) “Effectiveness of mHealth

interventions for maternal, newborn and child health in low– and middle–income countries:

Systematic review and meta–analysis,” Journal of Global Health, 6(1), p. 10401. doi:


Lemaire, J. (2011) “Scaling Up Mobile Health - Elements Necessary for the Successful Scale Up of mHealth in

Developing Countries,” (December), p. 1–23.

Lessen, R. and Kavanagh, K. (2015) “Position of the academy of nutrition and dietetics: Promoting and supporting

breastfeeding,” Journal of the Academy of Nutrition and Dietetics, 115(3), p. 444–449. doi:


Levine, D. (2009) Using New Media to Promote Adolescent Sexual Health; Examples from the Field. New York:

ACT for Youth Center of Excellence.

Li, W., Han, LQ, Guo, YJ and Sun, J. (2016) “Using WeChat official accounts to improve malaria health literacy

among Chinese expatriates in Niger: an intervention study,” Malaria Journal, 15(1), p. . 567. doi:


Liliana, A. (2016) The Effect of Lactation Counseling on Mother's Knowledge, Ability and Success in

Breastfeeding. Yogyakarta: Thesis. Nursing Masters Study Program, Faculty of Medicine,

University of Gajah Mada.

Lothian, JA (2005) “The birth of a breastfeeding baby and mother.,” The Journal of perinatal education. Lamaze

International, 14(1), p. 42–5. doi: 10.1624/105812405X23667.

Lund, S., Hemed, M., Nielsen, BB, Said, A., Said, K., Makungu, MH and Rasch, V. (2012) “Mobile phones as a

health communication tool to improve skilled attendance at delivery in Zanzibar: A clusterrandomised controlled trial,” BJOG: An International Journal of Obstetrics and Gynecology,

(10), p. 1256–1264. doi: 10.1111/j.1471-0528.2012.03413.x.

Lund, S., Nielsen, BB, Hemed, M., Boas, IM, Said, A., Said, K., Makungu, MH and Rasch, V. (2014) “Mobile

phones improve antenatal care attendance in Zanzibar: a cluster randomized controlled trial.,”

BMC pregnancy and childbirth, 14, p. 29. doi: 10.1186/1471-2393-14-29.

Manterfield, R. (1999) Telecommunications Signaling. London: The Institution of Electrical Engineers.

Marcellus, M. (2017) “The International Code of Marketing of Breast-Milk Substitutes Frequently Asked

Questions,” Questions Update) World Health Organization. Available at:

http://apps.who.int/iris/bitstream/10665/254911/1/WHO-NMH-NHD-17.1-eng.pdf (Accessed: 5

April 2017).

Mbada, CE, Olowookere, AE, Faronbi, JO, Oyinlola-Aromolaran, FC, Faremi, FA, Ogundele, AO, Awotidebe, TO,

Ojo, AA and Augustine, OA (2013) “Knowledge, attitude and techniques of breastfeeding among Nigerians mothers from a semi-urban community,” BMC research notes, 6, p. 552. doi:


Mbuagbaw, L., Thabane, L., Ongolo-Zogo, P., Lester, RT, Mills, EJ, Smieja, M., Dolovich, L. and Kouanfack, C.

(2012) “The Cameroon Mobile Phone SMS (CAMPS ) trial: a randomized trial of text messaging

versus usual care for adherence to antiretroviral therapy.,” PLoS one. Public Library of Science,

(12), p. e46909. doi: 10.1371/journal.pone.0046909.

Mehran, L., Nazeri, P., Delshad, H., Mirmiran, P., Mehrabi, Y. and Azizi, F. (2016) “Does a text messaging

intervention improve knowledge , attitudes and practice regarding iodine deficiency and iodized

salt consumption?,” 15(12), p. 2320–2325. doi: 10.1017/S1368980012000869.

Mekuria, G., & Edris, M. (2015) “Exclusive Breastfeeding and Associated Factors Among Mothers in Debre

Markos, Northwest Ethiopia: A Cross Sectional Study,” International Breastfeeding Journal, 10(1),

p. 1. doi: https://doi.org/10.1186/S13006-014-0027-0.

Mogre, V., Dery, M., & Gaa, PK (2016) “Knowledge, Attitudes, and Determinants of Exclusive Breastfeeding

Practice Among Ghanaian Rural Lactating Mothers,” International Breastfeeding Journal, p. 1–8.

doi: https://doi.org/10.1186/S13006-016-0071-Z.

Moore, ER, Bergman, N., Anderson, GC and Medley, N. (2016) “Early skin-to-skin contact for mothers and their

healthy newborn infants,” in Moore, ER (ed.) Cochrane Database of Systematic Reviews .

Chichester, UK: John Wiley & Sons, Ltd. doi: 10.1002/14651858.CD003519.pub4.

la Mora, A., Russell, DW, Dungy, CI, Losch, M. and Dusdieker, L. (1999) “The Iowa Infant Feeding Attitude Scale:

analysis of reliability and validity,” J Appl Soc Psychol, 29, p. 2362–2380. doi: 10.1111/j.1559-


Mosdol, A., Lidal, IB, Straumann, GH and Vist, GE (2017) “Targeted mass media interventions promoting healthy

behaviors to reduce risk of non-communicable diseases in adults, ethnic minorities,” in Mosdøl, A.

(ed. ) Cochrane Database of Systematic Reviews. Chichester, UK: John Wiley & Sons, Ltd, p.

CD011683. doi: 10.1002/14651858.CD011683.pub2.

Murray, SS, McKinney, E. . (2007) Foundations of Maternal Newborn Nursing. 4th ed. Philippines: Elsevier.

Newbold, KB (2011) “Media and social media in public health messages: A systematic review,” McMaster Institute

of Environment and Health, (December), p. 1–74.

Nguyen, M.-T., Snow, G., Wheeler, H. and Owens, T. (2016) “Clinical Question: In post-partum first-time mothers,

what interventions are successful for helping women sustain exclusive breast feeding for one

month or more?,” The Journal of the Oklahoma State Medical Association, 109(11), p. 521–524.

Available at: http://www.ncbi.nlm.nih.gov/pubmed/28190895 (Accessed: 8 March 2017).

Notoadmojo S (2007) Public Health Science and Art. Jakarta: Rineka Cipta.

. (2014) Health behavioral science, Jakarta: Rineka Cipta. Jakarta: Rineka Cipta.

Nuzrina, R., Roshita, A. and Basuki, DN (2016) “Factors affecting breastfeeding intention and its continuation

among urban mothers in West Jakarta: a qualitative follow-up study using critical contact points

for breastfeeding,” Asia Pacific journal of clinical nutrition, 25(Suppl 1), p. S43–S51. doi:


Parsa P, Masaoumi Z, Parsa N., PB (2015) “Parents' Health Beliefs Influence Breastfeeding Patterns Among Iranian

Women,” Oman Medical Journal, 30(3), p. 187.

Polit DJ & Beck C (2004) “Nursing Research Principles and Methods,” Lippincott Williams & Wilkins. Available

at: hsmi.psu.ac.th/.../polit_beck_nursing_research-principles_and_methods_7e_2003.pdf.

Pwc (2014) “Emerging mHealth: paths for growth,” Pwc, (June), p. 44.

RCH (2017) “Clinical Guidelines (Nursing): Breastfeeding support and promotion,” The Royal Children's Hospital

Melbourne. Available at:


otion/ (Accessed: 25 April 2017).


Philadelphia: Open University Press.

Ryser, FG (2004) “Breastfeeding Attitudes, Intention, and Initiation in Low-Income Women: the Effect of the Best

Start Program,” Journal of Human Lactation, 20(3), p. 300–305. doi: 10.1177/0890334404266985.

Sastroasmoro, S., & I. (2010) Fundamentals of Clinical Research Methodology. 3rd ed. Jakarta: Sagung Seto.

Scotia, N. (2013) Breastfeeding Handbook Revised 2013. Philadelphia: Department of Health Promotion &


Setyonugroho, AW, Kropmans, T., Hayes, P., Dalen, J. Van and Kennedy, KM (2017) "True Communication Skills

Assessment in Interdepartmental OSCE Stations: Standard Setting Using The MAAS-Global and EduG .," Patient Education and Counseling. Elsevier Ireland Ltd. doi: 10.1016/j.pec.2017.07.003

Sharma, M. and Romas, JA (2012) “Introduction to Health Education, Health Promotion, and Theory,” Theoretical

Foundations of Health Education and Health Promotion, p. 2–34.

Sjostrom, K., Welander, S., Haines, H., Andersson, E. and Hildingsson, I. (2013) “Comparison of breastfeeding in

rural areas of Sweden and Australia – a cohort study,” Women and Birth, 26( 4), p. 229–234. doi:


Sloan, M., Hopewell, S., Coleman, T., Cooper, S. and Naughton, F. (2017) “Smoking Cessation Support by Text

Message During Pregnancy: A Qualitative Study of Views and Experiences of the MiQuit

Intervention,” Nicotine & Tobacco Research. Oxford University Press, 19(5), p. 572–577. doi:


Soka, S. and Wiludjaja, J. (2011) “The Expression of Prolactin and Oxytocin Genes in Lactating BALB / C Mice

Supplemented with Mature Sauropus androgynus Leaf Extracts,” Food Engineering, 9, p. 291–

Strandbygaard, U., Thomsen, SF and Backer, V. (2010) “A daily SMS reminder increases adherence to asthma

treatment: A three-month follow-up study,” Respiratory Medicine, 104(2), p. 166–171. doi:


Tewabe, T. (2016) “Timely initiation of breastfeeding and associated factors among mothers in Motta town, East

Gojjam zone, Amhara regional state, Ethiopia, 2015: a cross-sectional study,” BMC Pregnancy

and Childbirth. International Breastfeeding Journal, 16(1), p. 314. doi: 10.1186/s12884-016-1108-

Tewabe, T., Mandesh, A., Gualu, T., Alem, G., Mekuria, G. and Zeleke, H. (2017) “Exclusive breastfeeding practice

and associated factors among mothers in Motta town , East Gojjam zone , Amhara Regional State,

Ethiopia, 2015: a cross-sectional study.” International Breastfeeding Journal, p. 1–7. doi:


Tjahjo, N. and Winkinson, R. (2008) Initiation of early breastfeeding plus exclusive breastfeeding, Activity Module

Package. Edited by N. Tjahjo and R. Winkinson. Ministry of Health of the Republic of Indonesia.

Tomás-Almarcha, R., Oliver-Roig, A. and Richart-Martinez, M. (2016) “Reliability and Validity of the Reduced

Spanish Version of the Iowa Infant Feeding Attitude Scale,” Journal of Obstetric, Gynecologic &

Neonatal Nursing. Elsevier Inc, 45(5), p. e26–e40. doi: 10.1016/j.jogn.2016.08.001.

Traynor, P., Enk, W., La Porta, T. (2005) Exploiting Open Functionality in SMS Capable Cellular Network. USA:

Pennsylvania University.

Twells, LK, Midodzi, WK, Ludlow, V., Murphy-Goodridge, J., Burrage, L., Gill, N., Halfyard, B., Schiff, R. and

Newhook, LA (2014) “Assessing Infant Feeding Attitudes of Expectant Women in a Provincial

Population in Canada: Validation of the Iowa Infant Feeding Attitude Scale.,” Journal of Human

Lactation, p. 1–10. doi: 10.1177/0890334414559647.

US Department of Health and Human Services. Health Resources and Services Administration. (2014) “Using

Health Text Messages to Improve Consumer Health Knowledge, Behaviors, and Outcomes: An

Environmental Scan,” (May), p. 41.

Unar-Munguía, M., Torres-Mejía, G., Colchero, MA and González de Cosío, T. (2017) “Breastfeeding Mode and

Risk of Breast Cancer,” Journal of Human Lactation, p. 89033441668367. doi:


USDHHS (2011) “Your Guide to Breastfeeding.” The US Department of Health and Human Services, p. 48.

Utami, FS (2016) "Translation and Validation of the Iowa Infant Feeding Attitude Scale in Indonesia," Journal of

Midwifery and Nursing, 12(1), p. 103–108. Available at: http://opac.unisayogya.ac.id/2297/1/14-


Victoria, CG, Bahl, R., Barros, AJD, France, GVA, Horton, S., Krasevec, J., Richter, L. (2016) “Breastfeeding in

the 21st Century: Epidemiology, Mechanisms, and Lifelong Effect,” The Lacet, 387(10017), p.

–490. doi: https://doi.org/10.1016/S0140-6736(15)010247.

Vijayalakshmi, P., Susheela, T., & Mythili, D. (2015) “Knowledge, Attitudes, And Breast Feeding Practices of

Postnatal Mother: A Cross Sectional Survey,” International Journal of Health Sciences, 9(4), p.

–74. Available at: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=4682591.

Vykoukalova, Z. (2007) “Adolescent Mobile Communication: Transformation of Communication Patterns of

Generation SMS?,” Journal of Psychosocial on Cyberspace, 1(1), p. 1.

Wald, WB (1987) Advanced in Health Education and Promotion. London: Jay Press Inc.

WHO (1998) “Evidence for the Ten Steps to Successful Breastfeeding,” English, 23(3), p. 1–118. doi: 9241591544.

(2003) “Skills for Health,” WHO Information series on School Health, 9(416).

(2006) “Infant and young child feeding counselling: an integrated course,” in Who. Ganeva,

Switzerland, p. 1–265.

(2009) “Infant and young child feeding,” Fact sheet N°342.

(2011) “Breastfeeding,” World Health Organization. World Health Organization. Available at:


(Accessed: 30 March 2017).

(2012) Health education: theoretical concepts, effective strategies and core competencies. Eastern

Mediterranean: World.

(2014) “WHA Global Targets 2025: Breastfeeding Policy Brief,” World Health Organization, p. 8.

Available at: http://www.who.int/nutrition/topics/globaltargets_breastfeeding_policybrief.pdf.

(2016) “Exclusive breastfeeding,” World Health Organization. World Health Organization.

Available at: http://www.who.int/nutrition/topics/exclusive_breastfeeding/en/ (Accessed: 20

March 2017).

Willcox, JC, Campbell, KJ, McCarthy, EA, Wilkinson, SA, Lappas, M., Ball, K., Fjeldsoe, B., Griffiths, A.,

Whittaker, R., Maddison, R., Shub, A. , Pidd, D., Fraser, E., Moshonas, N. and Crawford, DA

(2015) “Testing the feasibility of a mobile technology intervention promoting healthy gestational

weight gain in pregnant women (txt4two) - study protocol for a randomized controlled trial .,”

Trials, 16, p. 209. doi: 10.1186/s13063-015-0730-1.

Wilumsen, J. (2013) “Breastfeeding Education for Increased Breastfeeding Duration,” WHO Department of

Nutrition for Health and Development. Available at:


World Health Organization (2011) “mHealth: New horizons for health through mobile technologies,” Observatory,

(June), p. 66–71. doi: 10.4258/hir.2012.18.3.231.

Yılmaz, E., Doğa Öcal, F., Vural Yılmaz, Z., Ceyhan, M., Kara, OF and Küçüközkan, T. (2017) “Early initiation

and exclusive breastfeeding: Factors influencing the attitudes of mothers who gave birth in a babyfriendly hospital.,” Turkish journal of obstetrics and gynecology. Turkish Society of Obstetrics and

Gynecology, 14(1), p. 1–9. doi: 10.4274/tjod.90018.

Zhang, Y. (2012) “Welcome to Health Information Science and Systems,” Health Information Science And System,

(1), p. 1.

Zhou, Q., Younger, KM and Kearney, JM (2010) “An exploration of the knowledge and attitudes towards

breastfeeding among a sample of Chinese mothers in Ireland,” BMC Public Health, 10(1), p. 722.

doi: 10.1186/1471-2458-10-722.




How to Cite

Rr. Nindya Mayangsari, Siti Noorbaya, & Ryzky Diah Anggraini. (2023). Effectiveness of the WhatsApp Application in Postpartum Mothers in Breastfeeding. Proceeding ADRI International Conference on Multidisciplinary Research, 1(1), 97–114. Retrieved from https://prosiding.p-adri.or.id/index.php/icadri/article/view/19