HYPNOBREASTFEEDING EDUCATION FOR HUSBANDS AS A FAMILY-CENTERED STRATEGY IN SUPPORTING EXCLUSIVE BREASTFEEDING: A REVIEW FROM MIDWIFERY SERVICES
DOI:
https://doi.org/10.5281/zenodo.23103131Keywords:
exclusive breastfeeding, family-centered midwifery care, hypnobreastfeeding, husband support, knowledge and attitudeAbstract
Exclusive breastfeeding is the single most cost-effective intervention for infant survival, growth, and long-term health, yet national coverage in Indonesia remains below the target set for maternal and child health programmes. Two determinants recur across the literature: the psychological condition of the mother during the postpartum period, which regulates the oxytocin-dependent milk ejection reflex, and the support provided by the husband as the closest person to the breastfeeding mother. Hypnobreastfeeding, a non-pharmacological relaxation method combining deep breathing, visualisation, and positive affirmation, addresses the first determinant, while father-inclusive education addresses the second. This descriptive literature review examines how these two lines of evidence intersect and asks what is known about positioning the husband, rather than the mother, as the direct recipient of hypnobreastfeeding education. Articles published between 2018 and 2026 were retrieved from PubMed, ScienceDirect, and Google Scholar and analysed thematically. The findings indicate that maternal anxiety, fatigue, and low self-confidence consistently inhibit milk ejection; that hypnobreastfeeding improves milk output, reduces anxiety, and increases breastfeeding motivation among postpartum mothers; and the interventions targeting fathers substantially increase the likelihood of exclusive breastfeeding at six months while improving paternal support behaviours. However, studies in which husbands themselves receive structured hypnobreastfeeding education, with knowledge and attitude measured as outcomes, remain very limited. The review concludes that husband-targeted hypnobreastfeeding education is a plausible, low-cost, and culturally acceptable model of complementary midwifery care for primary-level services, and recommends that it be developed, standardised, and evaluated empirically within midwifery practice, education, and policy.
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References
Abbass-Dick, J., Brown, H. K., Jackson, K. T., Rempel, L., & Dennis, C. L. (2019). Perinatal breastfeeding interventions including fathers/partners: A systematic review of the literature. Midwifery, 75, 41–50. https://doi.org/10.1016/j.midw.2019.04.001
Budiati, T., Adjie, S., Gunawijaya, J., & Setyowati, S. (2021). Fathers’ role in sustainability of exclusive breastfeeding practice in post-cesarean-section mothers. Journal of Public Health Research, 11(2 AR-2744).
Gaparini, A., Astutik, L. P., & Meyasa, L. (2024). Hypnobreastfeeding meningkatkan pengeluaran ASI pada ibu nifas. Jurnal Kebidanan Malakbi, 5(2), 114–121.
Gozali, W., & Pratiwi, P. I. (2025). Kelelahan pada awal postpartum terhadap motivasi ibu nifas dalam pemberian ASI. Jurnal Penelitian Perawat Profesional, 7(3), 887–894.
Hanum, S. M. F. (2021). Pengaruh teknik hypnobreastfeeding terhadap pengeluaran ASI pada ibu nifas. Jurnal Ilmiah Kebidanan Imelda, 7(1), 36–41.
Hergholi, M., Hosseinzadeh, M., Sahebihagh, M. H., Zahedi, H., & Dahouri, A. (2026). Supporting breastfeeding together: the role of fathers’ attitude and self-efficacy in enhancing mothers’ breastfeeding empowerment. Journal of Health, Population and Nutrition, 45(1), 86.
Hu, S., Weng, J., & Tu, M. (2026). Global Burden of Lower Respiratory Infections Attributable to Suboptimal Breastfeeding in Infants Under 6 Months: An Analysis of the Global Burden of Disease Study 1990–2021. Breastfeeding Medicine, 21(1), 66–76.
Indra, L., Ritonga, A. H., & Saputri, I. N. (2026). The role of husbands as a support system in the success of exclusive breastfeeding at Cerenti Primary Health Center, Kuantan Singingi Regency. Jurnal Kebidanan Galenical, 8(2), 1429–1438.
Izzah, L. N., Sa’adii, A., & Ningtyas, W. S. (2022). The correlation of anxiety in postpartum mothers during Covid-19 pandemic with breast milk expression. Placentum: Jurnal Ilmiah Kesehatan Dan Aplikasinya, 10(3), 245–250. https://doi.org/10.20961/placentum.v10i3.58642
Mahesh, P. K. B., Gunathunga, M. W., Arnold, S. M., Jayasinghe, C., Pathirana, S., Makarim, M. F., Manawadu, P. M., & Senanayake, S. J. (2018). Effectiveness of targeting fathers for breastfeeding promotion: Systematic review and meta-analysis. BMC Public Health, 18 AR-1140. https://doi.org/10.1186/s12889-018-6037-x
Muchsin, E. N. (2024). Dukungan suami pada pelaksanaan pemberian ASI eksklusif. Health Care: Jurnal Kesehatan, 13(1), 38–46.
Ngai, F. W., Lam, Y. Y. W., Lam, C. O. C., & Chan, P. S. (2026). Effect of father-involvement telephone support on breastfeeding: A multicentre randomised controlled trial. International Journal of Nursing Studies, 178, 105383.
Samiun, Z., Syafar, M., Citrakesumasari, C., Thamrin, Y., Moedjiono, A. I., Erika, K. A., Salam, A., & Mustary, M. (2026). Impact of paternal support interventions on exclusive breastfeeding and breastfeeding self-efficacy: a systematic review and meta-analysis. International Breastfeeding Journal, 21(1), 45.
Snyder, H. (2019). Literature review as a research methodology: An overview and guidelines. Journal of Business Research, 104, 333–339. https://doi.org/10.1016/j.jbusres.2019.07.039
Syaiful, Y., Fatmawati, L., & Hartutik, S. (2021). Hubungan dukungan suami pada ibu menyusui dengan keberhasilan pemberian ASI. Journal of Community Health, 12(2), 143–150.
Triswanti, Tanjung, S. E. Z., Irmawati, Yulia, E., Rahmatillah, D. T., & Rasikah, A. (2025). Peran hypnobreastfeeding dalam optimalisasi praktik ASI eksklusif pada ibu menyusui di Kelurahan Bojongkerta Kota Bogor tahun 2025. Jurnal Ilmu Kesehatan Umum, Psikologi, Keperawatan Dan Kebidanan, 3(3), 161–170.
Watna, I., Ambarika, R., & Peristiowati, Y. (2023). Effect of hypnobreastfeeding on fatigue and motivation to breastfeed in post partum mothers starting on day 3. Indonesian Journal of Medicine, 8(2), 150–156.
World Health Organization (2024). Mothers need more breastfeeding support during critical newborn period. WHO. https://www.who.int/indonesia/news/detail/01-08-2024-mothers-need-more-breastfeeding-support-during-critical-newborn-period
World Health Organization (2025). Global nutrition targets 2030: breastfeeding brief. WHO. https://www.who.int/publications/i/item/B09382
Yanhari, A., Kurniasari, Y., & Yugistyowati, A. (2023). The relationship between family support and success of exclusive breast milk in infants aged 6-12 months in the working area of Puskesmas Sewon II Yogyakarta. Journal of Global Nutrition, 3(2), 287–293.
Zahra, M. (2024). Asuhan kebidanan pada ibu menyusui dengan masalah produksi ASI di PMB Nelly Suryani wilayah kerja Puskesmas Kuok tahun 2024. Jurnal Ilmiah Ilmu Kesehatan, 2(4), 649–656.
