scholarly journals PENGARUH KONSELING LAKTASI TERHADAP PEMBERIAN ASI EKSKLUSIF DI WILAYAH KERJA PUSKESMAS MAPANE KABUPATEN POSO

Author(s):  
Nurfatimah Nurfatimah ◽  
Christina Entoh ◽  
Kadar Ramadhan

ABSTRAKCakupan ASI Eksklusif di Kabupaten Poso tahun 2017 masih rendah yaitu 51,7%, oleh karena itu dibutuhkan faktor pendukung untuk terlaksananya pemberian ASI Eksklusif. Konseling laktasi merupakan faktor yang dapat mendukung pelaksanaan ASI Eksklusif karena dapat meningkatkan pengetahuan dan sikap ibu hamil. Penelitian ini bertujuan mengetahui pengaruh konseling laktasi terhadap pengetahuan, sikap dan praktik pemberian ASI selama 6 bulan. Jenis penelitian yang digunakan adalah eksperimen semu. Populasi dalam penelitian ini adalah ibu hamil trimester III dengan usia kehamilan ≥32 minggu yang memeriksakan kehamilan di Puskesmas Mapane. Jumlah sampel dalam penelitian ini adalah 50 orang. Pengumpulan data dikumpulkan dengan melakukan wawancara dengan menggunakan kuesioner. Analisis data dilakukan dengan analisis regresi logistik. Penelitian ini diharapkan bisa meningkatkan capaian pemberian ASI eksklusif di wilayah Puskesmas penelitian. Hasil penelitian menunjukkan bahwa terdapat pengaruh konseling laktasi memberikan ASI eksklusif kepada anaknya selama 6 bulan (p=0,034), adanya pengaruh pengetahuan ibu hamil terhadap pemberian ASI eksklusif (p=0,010), adanya pengaruh sikap ibu hamil terhadap pemberian ASI eksklusif (p=0,003). Dari hasil nilai statistik wald didapatkan bahwa pengetahuan (wald=4,540; p=0,033) merupakan faktor yang paling berperan terhadap pemberian ASI eksklusif. Konseling laktasi yang intensif meningkatkan pengetahuan dan sikap ibu tentang pemberian ASI eksklusif.Kata-kata kunci: Konseling laktasi, ASI eksklusifABSTRACTExclusive breastfeeding coverage in Poso District in 2017 is still low at 51.7%, therefore supporting factors are needed to implement exclusive breastfeeding. Lactation counseling is a factor that can support the implementation of exclusive breastfeeding because it can increase the knowledge and attitudes of pregnant women. This study aims to determine the effect of lactation counseling on knowladge, attitudes, and practices of breastfeeding for 6 months. The type of research used is a quasi-experimental. The population in this study were third trimester pregnant women with gestational age ≥32 weeks who examined pregnancy at the Mapane Health Center. The number of samples in this study were 50 people. Data collection was collected by interviews using a questionnaire. Data analysis was carried out by survival analysis and logistic regression. This research is expected to improve the achievements of exclusive breastfeeding in the research center area. The results showed there was the effect of lactation counseling on giving exclusive breastfeedig to their childern for 6 months (p = 0,034), the influence of knowladge of pregnant woman of exclusive breastfeeding (p = 0.010), the influence of the attitude of pregnant womwn on exclusive breastfeeding it was found that knowladge (wald = 4,540, p = 0,033) was the most important factor in exclusive breastfeeding. Intensive lactation counseling increases the mother's knowledge and attitudes about exclusive breastfeeding.Keywords: lactation counseling, exclusive breastfeeding

Author(s):  
Restu Yuliani ◽  
Evawany Y Aritonang ◽  
Syarifah Syarifah

Health promotion is basically a process of communication and behavior change process through health education. Health promotion activities can achieve maximum results, if the methods and media health promotion is of great concern and must be adapted to the target.         The type of research was a quasi experimental (quasi experimental) with a pretest-posttest design, The population in this study, all pregnant women are entering the third trimester gestational age 37-39 weeks, in the region of 40 health centers Padangsidempuan Batunadua pregnant women. Samples numbered 40 pregnant women are 20 pregnant women group lecture and 20 pregnant women media group lecture with video media. The data were analyzed by using univariat and bivariat analysis with paired sample t-test pairs. The results showed that there are significant health promotion with a lecture and lecture with video media to change knowledge and attitudes of pregnant women on safe childbirth and health promotion methods most influential in improving knowledge, attitudes and actions of pregnant women in conducting safe childbirth in the work area Padangsidempuan Batunadua health centers is a lecture with video media. Need to improve knowledge and attitudes about safe childbirth so as to provide encouragement and support to pregnant women who give birth safely, health workers Batunadua Health Center suggested to use a lecture with video media in delivering health promotion to pregnant mothers because of a lecture with video media can portray a moving object together with natural sounds or sound accordingly.


2021 ◽  
Vol 16 (3) ◽  
pp. 348-355
Author(s):  
Oktaviani Oktaviani ◽  
Marselinus Hariteluna

Exclusive breastfeeding within the Palangka Raya municipality is far below target, on which 14,99% (2016) and 16,76% (2017), respectively. There were several primary health has the feeding bout, only cover 2,58%. Due to a lack of mothers’ knowledge, regarding beneficial and proper breastfeeding practices.  Todays technology presumably has the advantages as promotional media. The study was aimed to quantify the android-based application, so-called ASI-Mobile, towards mothers’ attitude and behavior, on exclusive breastfeeding within Jekan Raya district, Palangka Raya Municipality, Central Kalimantan.  The Research was conducted in March – October 2019, using a quasi-experimental design, and the sample was 60 pregnant women, in the third trimester period, over the Jekan Raya District areas. ASI-Mobile was subjected to 30 pregnant women, while others 30 mothers by counseling, the conventional promotion type. Purposive sampling was used, their socio-economic was collected, descriptive analysis was conducted. Bivariate analysis, Wilcoxon ranked test was used to analyzed the effect of the treatments. We’ve have found a significant link on ASI-Mobile application toward mothers’ attitudes (p-value 0.046) and behavior (p-value 0.018). We concluded that the ASI-Mobile, an android-base application, is more effective towards shifting mothers’ attitudes and behavior on exclusive breastfeeding within our study area. 


2018 ◽  
Vol 3 (1) ◽  
pp. 1
Author(s):  
Murwati Murwati ◽  
Emy Suryani ◽  
Intan Kurniawati

Anxiety is an unclear worried and widespread related to uncertain and helpless feelings. Anxiety before birth was questioning and wondering whether she could giving birth normally, how to push, whether something could happen during childbirth, and pain during labor. Anxiety in the third trimester of pregnant women can have an impact inhibiting the labor. Antenatal class is one form of counseling as an effort to overcome anxiety to face labour for third trimester pregnant mother. The aims of this study is to determine the relation of class participation of pregnant mother with the anxiety to face labour among third trimester pregnant woman. This was an observational analytic study with cross sectional design. The sample were the third trimester pregnant woman in Jogonalan II Klaten public health center area totalling 36 people using purposive sampling. The study instrument used was questionnaire of pregnant women's class participation and an anxiety rating scale (HARS) of the Hamilton Anxiety Rating Scale. Data analysis was performed using Spearman test. The results of this study shown that most of respondent age was 20-35 years which is 91.7%, high school education accounted for 52.8%, unemployed accounted for 69.4% and multigravida accounted for 63.9%. Antenatal class participation rate was 52.8% and mother who did not experience anxiety accouted for 63,9%. The result of statistical test obtained ρ = 0,001. There was an association between antenatal class participation with anxiety level in facing childbirth in third trimester pregnant women. Keywords: Antenatal class participation, anxiety of third trimester pregnant mother in facing childbirth 


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Wenping Ding ◽  
Jianmei Lu ◽  
Yan Zhou ◽  
Weizhong Wei ◽  
Zhihong Zhou ◽  
...  

Abstract Background Prenatal anxiety has been a significant public health issue globally, leading to adverse health outcomes for mothers and children. The study aimed to evaluate the sociodemographic characteristics, knowledge, attitudes, and practices (KAP), and anxiety level of pregnant women during the coronavirus disease 2019 (COVID-19) epidemic in Wuhan and investigate the influencing factors for prenatal anxiety in this specific context. Methods Pregnant subjects’ KAP towards COVID-19 and their sociodemographics and pregnancy information were collected using questionnaires. The Zung Self-Rating Anxiety Scale (SAS) was used to assess anxiety status. Factors associated with the level of prenatal anxiety were analyzed by Pearson’s chi-square test and multivariable logistic regression analyses. Results The prenatal anxiety prevalence in this population was 20.8%. The mean score of knowledge was 13.2 ± 1.1 on a 0 ~ 14 scale. The attitudes and practices data showed that 580/ 817 (71.0%) were very concerned about the news of COVID-19, 455/817 (55.7%) considered the official media to be the most reliable information source for COVID-19, and 681/817 (83.4%) were anxious about the possibility of being infected by COVID-19. However, only 83/817 (10.2%) worried about contracting COVID-19 infection through the ultrasound transducer during a routing morphology scan. About two-thirds 528/817 (64.6%) delayed or canceled the antenatal visits. Approximately half of them 410/817 (50.2%) used two kinds of personal protection equipments (PPEs) during hospital visits. Logistic regression analysis revealed that the influential factors for prenatal anxiety included previous children in the family, knowledge score, media trust, worry of contracting the COVID-19 infection and worry about getting infected with COVID-19 from the ultrasound probe antenatal care (ANC) schedule. Conclusion Prenatal anxiety was prevalent among pregnant women in Wuhan during the outbreak of COVID-19. The current findings identified factors associated with the level of prenatal anxiety that could be targeted for psychological care.


2021 ◽  
Vol 10 (1) ◽  
pp. 80-87
Author(s):  
Ari Indra Susanti ◽  
Aminarista Aminarista ◽  
Neneng Martini ◽  
Nur Rahmah ◽  
Sri Astuti

Background: Lactating mothers were successful in giving exclusive breastfeeding as much as 42% based on SDKI (Survei Demografi Kesehatan Indonesia) in 2012. This is depend on the support of husbands and families as well as health workers. Thus, the husband or family should remind and motivate mothers as well as monitor the breastfeeding activity every day for 6 months using breastfeeding calendar.Objectives: This study aimed to determine the increase in knowledge and attitudes of mothers in providing exclusive breastfeeding after the exclusive breastfeeding calendar training.Materials and Methods: The research design used a quasi-experimental one group pre-test post-test design. This research was conducted on mothers who had babies (age 0-12 months) in Pasawahan Village and Pasawahan Kidul Village, Pasawahan District, Purwakarta Regency in April to November 2018, with 96 respondents. The sampling technique was conducted by purposive sampling. Data were collected by giving questionnaires to respondents, before and after the breastfeeding calendar training were given. The Wilcoxon test was used for the analysis of the data in this study.Results: The results showed that there were differences in the knowledge of mothers before and after training on breastfeeding calendar (p <0,000) and there were differences in the attitudes of mothers before and after the training on breastfeeding calendar (p <0,000).Conclusions: There was an increase in knowledge and changes in the attitude of mothers towards exclusive breastfeeding after being given the breastfeeding Calendar training. Therefore, suggestions for health workers, especially midwives and nutrition workers, can use the breastfeeding calendar as an educational medium to increase husband and family support in exclusive breastfeeding.


2021 ◽  
Vol 16 (2) ◽  
pp. 96
Author(s):  
Betty Yosephin Simanjuntak ◽  
Anang Wahyudi

Stunting is one of nutritional problem in children which the manifestation started since preconception period. Sensitive intervention is a program outside the health sector that can accelerate the improvement of nutrition, especially stunting. The purpose of this study was to increase the knowledge and attitudes of the preconception period of women regarding the fi rst 1000 days of life in order to prevent stunting. This research was a quasi-experimental study with two intervention groups. The sample was registered women, consisted of 60 women who were given education on 1000 days of life using leafl et media and 60 women using pocket book. Education was carried out by offi cers at 6 Religious Aff airs Offi ce. Women knowledge in leafl et group showed no signifi cant diff erences before and after education, especially in topics of chronic energy defi ciency (p = 0.791), anemia (p = 0.503), early breastfeeding initiation (p = 0.581), exclusive breastfeeding (p = 0.832), complementary feeding (p = 1.000), and stunting in children (p = 0.327). Among pocket book group, the increament of knowledge was better compared to leafl et group, especially in the topic of anemia (p <0.001), early breastfeeding initiation (p = 0.002), exclusive breastfeeding (p = 0.021), and stunting in children (p = 0.05). Meanwhile, the increase in attitude for all educational materials using pocket books increased with p value <0.05. Conclusion of this study was the increase in knowledge and attitudes of preconception is better in the pocket book group.


2020 ◽  
Vol 8 (T2) ◽  
pp. 196-199
Author(s):  
Stang Stang ◽  
Debora Selin ◽  
Suriah Suriah ◽  
Sumarni Marwang ◽  
Hasanuddin Ishak

BACKGROUND: Each pregnancy and childbirth has complication risks. These complications are accompanying pathological incidences that might cause maternal mortality. AIM: This research aims to determine the effect of educational media development in increasing knowledge and attitudes about complications of pregnancy and childbirth in pregnant women. METHODS: This research method passed through several stages as follows: First stage consisted of the development of educational media (leaflets), and second stage consisted of development test with leaflet media using a quasi-experimental research design. The samples were Trimester I to Trimester III pregnant women who visited Sayang Rakyat Hospital Makassar, which consisted of 30 people as intervention group and 30 people as control group. The intervention group was provided leaflets while the control group was provided books on maternal and child health. Data analysis used Wilcoxon Signed Ranks Test and Mann–Whitney test. RESULTS: The results showed that there are differences in case of knowledge and attitudes of pregnant women regarding complications of pregnancy and childbirth before and after being provided with leaflet intervention with a value of p = 0.000. Likewise, there are differences in the case of knowledge and attitudes of pregnant women regarding pregnancy and childbirth complications between the intervention and control groups with p = 0.041 and 0.001, respectively. CONCLUSION: Educational media on knowledge and attitudes about complications of pregnancy and childbirth has a positive effect in pregnant women at Sayang Rakyat Hospital in Makassar.


2021 ◽  
Author(s):  
Wenqian Lu ◽  
Mingjuan Luo ◽  
Xiangnan Fang ◽  
Rong Zhang ◽  
Mengyang Tang ◽  
...  

Abstract Background: Gestational diabetes mellitus (GDM), one of the most common pregnancy complications, can lead to morbidity and mortality in both the mother and the infant. Metabolomics has provided new insights into the pathology of GDM and systemic analysis of GDM with metabolites is required for providing more clues for GDM diagnosis and mechanism research. This study aims to reveal metabolic differences between normal pregnant women and GDM patients in the second- and third-trimester stages and to confirm the clinical relevance of these new findings.Methods: Metabolites were quantitated with the serum samples of 200 healthy pregnant women and 200 GDM women in the second trimester, 199 normal controls, and 199 GDM patients in the third trimester. Both function and pathway analyses were applied to explore biological roles involved in the two sets of metabolites. Then the trimester stage-specific GDM metabolite biomarkers were identified by combining machine learning approaches, and the logistic regression models were constructed to evaluate predictive efficiency. Finally, the weighted gene co-expression network analysis method was used to further capture the associations between metabolite modules with biomarkers and clinical indices. Results: This study revealed that 57 differentially expressed metabolites (DEMs) were discovered in the second-trimester group, among which the most significant one was 3-methyl-2-oxovaleric acid. Similarly, 72 DEMs were found in the third-trimester group, and the most significant metabolites were ketoleucine and alpha-ketoisovaleric acid. These DEMs were mainly involved in the metabolism pathway of amino acids, fatty acids and bile acids. The logistic regression models for selected metabolite biomarkers achieved the area under the curve values of 0.807 and 0.81 for the second- and third-trimester groups. Furthermore, significant associations were found between DEMs/biomarkers and GDM-related indices. Conclusions: Metabolic differences between healthy pregnant women and GDM patients were found. Associations between biomarkers and clinical indices were also investigated, which may provide insights into pathology of GDM.


2019 ◽  
Vol 11 (2) ◽  
pp. 17-28
Author(s):  
Eka Ratna Sari ◽  
Lusi Andriani ◽  
PS. Kurniawati

Anemia in pregnancy is a condition of pregnant woman with hemoglobin (Hb) <11 gr% in the first and third trimesters while in the second trimester hemoglobin level <10,5 gr%. World Health Organization (WHO) in 2012, reported that the prevalence of anemia in pregnant women in the world ranges an average of 14%, in industrialized countries 56% and in developing countries between 35% -75%. This study aims to determined the factors of the occurrence of anemia in third trimester pregnant women in Kampung Melayu sub-district Bengkulu City 2017. This research uses Analytical Survey design with Cross Sectional Approach. Population in this research is third trimester pregnant woman in Kampung Melayu sub-district as many as 106 people, using sample total sampling technique. The analysis used Chi square test with significance level p <0,05.The results of this study indicate that there is a relationship between adherence of Fe (p = 0,000) and knowledge (p = 0,000) with anemia occurrence in third trimester pregnant women, no relationship between age (p = 0,346), parity (p = 0,949) , Education (p = 0.198), occupation (p = 1,000) with anemia and the most dominant factor with anemia was the consumption of Fe tablet (OR = 78,803). Health workers are expected to provide routine counseling on the causes, symptoms, and effects of anemia for pregnant women and screening anemia by checking Hb at least twice during pregnancy.


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