UPAYA PENINGKATAN CAKUPAN ASI EKSKLUSIF DAN INISIASI MENYUSU DINI (IMD

Infant mortality rate by Indonesia Demographic Health Survey in 2012 is still quite high at 32 per 1,000 live births and under five year mortality rates of 40 per 1,000 live births. An effort to prevent infant mortality is by breastfeeding soon after birth or so-called early initiation of breastfeeding and exclusive breastfeeding. Coverage of exclusive breastfeeding nationwide in 2014 amounted to 52.3% is still below the national target of 80%. The aim of this research was to find the efforts to improve the coverage of exclusive breastfeeding and the early initiation of breastfeeding. The Efforts that can do are empowering people through Mother Support Group, socialize the Government Regulation No. 33 of 2012 on exclusive breastfeeding and breastfeeding counselor provides power. The local government is advised to draw up local regulations that support the implementation of the early initiation of breastfeeding program and exclusive breastfeeding so as to have binding legal force for all parties involved as well as to conduct promotion, monitoring, evaluating and supervising the implementation and achievement of the program exclusive breastfeeding.

Download Full-text

Early initiation of breastfeeding at Dustira Hospital

Paediatrica Indonesiana ◽

10.14238/pi55.3.2015.126-30 ◽

2015 ◽

Vol 55 (3) ◽

pp. 126

Author(s):

Yoke Ayukarningsih ◽

Arief Dwinanda

Keyword(s):

Birth Weight ◽

Infant Mortality ◽

Success Rate ◽

Medical Records ◽

Early Initiation ◽

Infant Mortality Rate ◽

Early Initiation Of Breastfeeding ◽

Vaginal Deliveries ◽

Preterm Group ◽

Initiation Of Breastfeeding

Background The infant mortality rate (IMR) in Indonesia is higher than that in other ASEAN countries. The highest rate of mortality occurs in the first 24 hours of life. Suboptimal breastfeeding initiation is a cause of high IMR. In an effort to decrease infant mortality, implementing early initiation of breastfeeding (EIB) has been encouraged.Objective To assess the success rate and time needed for latching on in EIB implementation.Methods We reviewed medical records of vaginal deliveries at Dustira Hospital, Cimahi, West Java, from June–November 2011.Results From 305 vaginal deliveries, 174 infants received EIB, though only 159 medical records could be assessed. The results showed that 52 % did EIB with a 91.8% success rate (defined as good implementation by WHO) and a 8.2% fail rate. In terms of subjects’ birth weights, the success rate of EIB implementation was 62.5% in the low birth weight (LBW) group, 94.9% in the normal birth weight (NBW) group, and 100% in the large birth weight or macrosomic group. The success rate of EIB implementation was 69.2% in the preterm group and 93.8% in the full term group. The success rate of EIB implementation was 71.4% in the LBW/fullterm group and 55.6% in the LBW/preterm group. The amount of time for infants to latch on was highest within the 30–44 minute group (52.7%).Conclusion The EIB implementation at Dustira Hospital was classified as good and the amount of time to latch on was 30-44 minutes.

Download Full-text

Literatur Review : Hubungan Pemberian Inisiasi Menyusu Dini (IMD) Dengan Kelancaran Pengeluaran Asi

Prosiding Seminar Nasional Kesehatan ◽

10.48144/prosiding.v1i.772 ◽

2021 ◽

Vol 1 ◽

pp. 928-936

Author(s):

Dewi Solekha ◽

Emi Nurlaela

Keyword(s):

Immune System ◽

Breast Milk ◽

Literature Review ◽

Early Initiation ◽

Infant Mortality Rate ◽

P Value ◽

Live Births ◽

Early Initiation Of Breastfeeding ◽

Milk Flow ◽

Initiation Of Breastfeeding

AbstractThe infant mortality rate in Indonesia is still high at 24 per 100 live births. One of the causes is infection. Infection can by prevented by controling breast milk because breast milk contains colostrum which is able to maintain the baby’s immune system. The introduction of breastfeeding begins with early initiation of breastfeeding. The coverage of newsborn in Indonesia in 2019 who received early intiation of breastfeeding was 75,58%.The purpose of this study was to determine the between early initiation of breastfeeding and the smooth production of breast milk throught the Literature Review.This reserch is a quantitive research through Literature Review. The articles were obtained from three articles from articles from Garuda Portal which is a critical review of the JBI instrument written by The Joanna Briggs Institute. The results of this study indicate a relationship between the provion of early intitiation og breastfeeding with the smooth discharge of breast milk with p value <0,05 (0,000-0,029).There is a corelation between the previsions of early initiation of breastfeeding the smoothness is producing breast milk.Keywords :giving early initiation of breastfeeding ( IMD), breast milk flow AbstrakAngka kematian bayi di Indonesia masih tinggi yaitu 24 per 1000 kelahiran hidup. Salah satu penyebabnya yaitu infeksi. Infeksi dapat dicegah dengan pengendalian ASI karena didalam ASI mengandung kolostrum yang mampu menjaga daya tahan tubuh bayi. Pengenalan Asi dimulai dengan inisiasi menyusu dini (IMD).Cakupan bayi baru lahir di Indonesia pada tahun 2019 yang mendapatkan Inisiasi Menyusu Dini ( IMD) yaitu 75,58. Tujuan dari penelitian ini adalah untuk mengetahui hubungan pemberian Inisiasi Menyusu Dini dengan kelancaran Pengeluaran ASI melalui Literatur Review. Penelitian ini merupakan Penelitian kuantitatif melalui Literature Review. Artikel didapatkan dari Searh Ergine Google scholar tiga dan Portal Garuda dua telaah kritis instrument JBI The Joanna Briggs Institute .Hasil penelitian ini menunjukkan adanya hubungan antara pemberian inisiasi menyusu dini (IMD) dengan kelancaran pengeluaran ASI dengan p value<0,05 (0,000-0,029).Terdapat hubungan antara pemberian inisiasi menyusu dini (IMD) dengan kelancaran pengeluaran ASI.Kata kunci: Pemberian IMD ; Kelancaran Pengeluaran ASI.

Download Full-text

The Implementation of Early Initiation of Breastfeeding and The Sucking Reflex in Newborns

Journal of Maternity Care and Reproductive Health ◽

10.36780/jmcrh.v1i1.16 ◽

2018 ◽

Vol 1 (1) ◽

Author(s):

Ermiati E ◽

Restuning Widiasih ◽

Anita Setyawati

Keyword(s):

Infant Mortality ◽

Sampling Technique ◽

Mortality Rates ◽

Early Initiation ◽

Breastfeeding Initiation ◽

Early Initiation Of Breastfeeding ◽

Descriptive Approach ◽

The Government ◽

Quantitative Descriptive ◽

Initiation Of Breastfeeding

Early initiation of breastfeeding (IMD) is a program recommended by the government in increasing the breastfeeding success, achieving exclusive breastfeeding and reducing the infant mortality rates. The IMD is a process of mothers initiates breastfeeding within one hour after delivery of their baby. During an hour, the baby looks for his mother's nipples without help. This would be useful to increase the ability of the baby's sucking reflex. The IMD is implemented in the delivery room as part of the APN procedure, however limited study in Indonesia assessed the IMD procedure. This study is aimed to assess the implementation of IMD and the sucking reflect of newborns in a hospital in Bandung city. This design of the study was the quantitative descriptive approach. The samples were 30 newborns. The samples were chosen using the accidental sampling technique. There were two types of instruments which are an observation sheet to check the procedure of IMD, and an instrument to assess babies’ sucking reflex including rooting, sucking, and swallowing reflexes. The study findings described in a frequency distribution. This study found that 100% of deliveries were carried out IMD inappropriately, and 86.7% of babies' sucking reflects were not achieved. The study concluded that the implementation of IMD was not maximal, and would be affected babies had not succeeded in breastfeeding. It is expected that the hospital would implement IMD as the standard of maternity services.Keywords: Early Breastfeeding Initiation, Reflect

Download Full-text

Knowledge, attitude, and behavior of pregnant women on early initiation of breastfeeding

Paediatrica Indonesiana ◽

10.14238/pi54.3.2014.174-80 ◽

2014 ◽

Vol 54 (3) ◽

pp. 174

Author(s):

Yoke Ayukarningsih ◽

Sutedja Sutedja ◽

Anna Mardiyah

Keyword(s):

Mortality Rate ◽

Infant Mortality ◽

Pregnant Women ◽

Positive Attitude ◽

Early Initiation ◽

Infant Mortality Rate ◽

Early Initiation Of Breastfeeding ◽

Adequate Knowledge ◽

Reduce Infant Mortality ◽

Initiation Of Breastfeeding

Background Infant mortality rate is an indicator of the degree ofhealth in society. In Indonesia, the infant mortality rate remainshigh, with most deaths occurring in the first 24 hours of life.Breastfeeding has been shown to reduce infant mortality, especiallyif undertaken in the first hour of life. This practice is knownas early initiation of breastfeeding (EIB). According to variousstudies, EIB implementation may be influen ced by many factorssuch as knowledge, attitude, behavior, and health care facilities.Objective To assess the level of knowledge, attitude, and behaviorof pregnant women towards EIB.Methods We conducted a descriptive study using questionnaireson 74 pregnant women in the outpatient clinic of Obstetrics andGynecology Department, Dustira Hospital, Cimahi, West Java,Indonesia from November to December 2012.Results Out of 74 respondents, 21 % had a good level of knowledgeon EIB, 23% had an adequate knowledge, and 56% had less thanadequate knowledge on EIB. A positive attitude towards EIBwas found in 65% of the respondents, while 35% had a negativeattitude. With regards to behavior conducive to EIB, 8% ofrespondents had good behavior, 57% had moderate behaviot; and35%had less than adequate behavior.Conclusion Majority of pregnant women have less than adequateknowledge on EIB, a positive attitude towards EIB, and moderateto less than adequate behavior conducive to EIB.

Download Full-text

Relationship of Knowledge and Attitude among Midwives with the Implementation of Early Initiation of Breastfeeding in Badung Regency

Public Health and Preventive Medicine Archive ◽

10.24843/phpma.2016.v04.i02.p11 ◽

2016 ◽

pp. 195

Author(s):

Luh Sudemi ◽

K. Tresna Adhi ◽

Dyah Pradnyaparamita Duarsa

Keyword(s):

Exclusive Breastfeeding ◽

Private Practice ◽

Early Initiation ◽

Infant Mortality Rate ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Early Initiation Of Breastfeeding ◽

Significant Difference ◽

Knowledge And Attitude ◽

Initiation Of Breastfeeding

Background and purpose: Infant Mortality Rate (IMR) in Bali and also in Indonesia is still high while the proportion of exclusive breastfeeding fully for six months is still very low. One effort to improve exclusive breastfeeding is the early initiation of breastfeeding (EIB) i.e. breastfeeding to infants shortly after birth. This study was conducted to determine the implementation of EIB by midwives and the factors that influence it.Methods: The study design was cross-sectional survey among 61 private practice midwives as respondents in Badung Regency. The respondents were all private practice midwives in three regencies purposively selected from six districts in Badung Regency. The data were collected through questionnaires filled out by midwives and analyzed by bivariate with chi-square test and multivariate using poisson regression method.Results: The IMD was implemented by 62.3% of the respondents. In the group of midwives having >4 patients per month significantly implemented the IMD more compared with those having ?4 patients per month i.e. 83.3% and 57.1% respectively (p=0.008). The implementation of IMD had a significant difference among midwives with higher knowledge i.e. 84.6% and 45.7% respectively (p=0.002), midwives having positive attitude were 79.1% vs. 22.2% (p=<0.001) and those having received supervision, namely 77.5% vs. 33.3% (p=0.001). Multivariate analysis showed that factors associated with implementation of IMD was knowledge with APR=1.5 (95%CI: 1.04-2.1) and attitude with APR=2.7 (95%CI: 1.1-6.3).Conclusion: Knowledge and attitude had a significant relationship to the implementation of IMD by midwives.

Download Full-text

Contribution Factors on Early Initiation of Breastfeeding

International Journal of Public Health Science (IJPHS) ◽

10.11591/.v4i3.4732 ◽

2015 ◽

Vol 4 (3) ◽

pp. 192 ◽

Cited By ~ 1

Author(s):

Dwi Fitria Ariyani ◽

Lina Handayani

Keyword(s):

Exclusive Breastfeeding ◽

Early Initiation ◽

Infant Mortality Rate ◽

Cross Sectional ◽

Is Implementation ◽

Early Initiation Of Breastfeeding ◽

High Infant Mortality ◽

Cross Sectional Design ◽

Low Coverage ◽

Initiation Of Breastfeeding

One of the causes of high Infant Mortality Rate is the low coverage of exclusive breastfeeding. One of the supporting factors to exclusive breastfeeding is implementation of Early Initiation of Breastfeeding (EIB). Mother’s knowledge and understanding about the EIB, as well as the role of birth attendants, especially midwives can be strongly support it’s the EIB. The purpose of this research was to determine the relationship between mother's knowledge, mother’s attitudes and midwife role with the implementation of Early Initiation of Breastfeeding (EIB). The research was an observational analytic research employed cross sectional design. The subjects were maternity mothers who inpatient at Pulang Pisau Hospital in Central Kalimantan Province, Indonesia. The results showed that there were significant relationships between mother's knowledge, attitudes and midwife role with the Implementation of Early Initiation of Breastfeeding (EIB). Attitude was the most influenced variable to the EIB.

Download Full-text

Contribution Factors on Early Initiation of Breastfeeding

International Journal of Public Health Science (IJPHS) ◽

10.11591/ijphs.v4i3.4732 ◽

2015 ◽

Vol 4 (3) ◽

pp. 192 ◽

Cited By ~ 1

Author(s):

Dwi Fitria Ariyani ◽

Lina Handayani

Keyword(s):

Exclusive Breastfeeding ◽

Early Initiation ◽

Infant Mortality Rate ◽

Cross Sectional ◽

Is Implementation ◽

Early Initiation Of Breastfeeding ◽

High Infant Mortality ◽

Cross Sectional Design ◽

Low Coverage ◽

Initiation Of Breastfeeding

One of the causes of high Infant Mortality Rate is the low coverage of exclusive breastfeeding. One of the supporting factors to exclusive breastfeeding is implementation of Early Initiation of Breastfeeding (EIB). Mother’s knowledge and understanding about the EIB, as well as the role of birth attendants, especially midwives can be strongly support it’s the EIB. The purpose of this research was to determine the relationship between mother's knowledge, mother’s attitudes and midwife role with the implementation of Early Initiation of Breastfeeding (EIB). The research was an observational analytic research employed cross sectional design. The subjects were maternity mothers who inpatient at Pulang Pisau Hospital in Central Kalimantan Province, Indonesia. The results showed that there were significant relationships between mother's knowledge, attitudes and midwife role with the Implementation of Early Initiation of Breastfeeding (EIB). Attitude was the most influenced variable to the EIB.

Download Full-text

Determinants Failure of Exclusive Breast Feeding on Health in the City Bengkulu

Jurnal Kesehatan Masyarakat ◽

10.15294/kemas.v12i2.6890 ◽

2017 ◽

Vol 12 (2) ◽

pp. 304-312

Author(s):

Desri Suryani ◽

Demsa Simbolon ◽

Nur Elly ◽

Bintang Agustina Pratiwi ◽

Yandrizal Yandrizal

Keyword(s):

Exclusive Breastfeeding ◽

Health Workers ◽

Early Initiation ◽

Dominant Factor ◽

Live Births ◽

Early Initiation Of Breastfeeding ◽

The City ◽

Initiation Of Breastfeeding ◽

Key Interventions

The first 1,000 days of life program is a program to improve the quality of children in the future which one of these programs is the provision of exclusive breastfeeding. The decline in infant mortality rates slowed between 2003 to 2012 from 35 to 32 per 1,000 live births, all babies need access to key interventions such as exclusive breastfeeding. The success of these programs are driven by health workers, but the researches that analyze information about exclusive breastfeeding program on health workers, especially in Bengkulu had never been examined. The research design used mixed methods (quantitative and qualitative) on health workers in Bengkulu in 2015 who have infants aged 6-24 months (66 people), which were determined by purposive sampling. The results showed that 69.7% of the mothers did not practice exclusive breastfeeding and 54.5% did not practice early initiation of breastfeeding. Analysis of early initiation of breastfeeding factor as the dominant factor for failure of exclusive breastfeeding. The qualitative analysis showed confidence and perception of little milk production are factor for unsuccessful early initiation of breastfeeding .

Download Full-text

Implementasi Pemberian Air Susu Ibu (ASI) Ekslusif

ARTERI : Jurnal Ilmu Kesehatan ◽

10.37148/arteri.v2i1.121 ◽

2021 ◽

Vol 2 (1) ◽

pp. 1-8

Author(s):

Derry Trisna Wahyuni

Keyword(s):

Support Group ◽

Exclusive Breastfeeding ◽

Information Dissemination ◽

Technical Training ◽

Research Association ◽

Uterine Contractions ◽

Early Initiation Of Breastfeeding ◽

Economic Survey ◽

Initiation Of Breastfeeding

Early Breastfeeding have a fundamental role in the survival of infants. Colostrum is rich in antibodies, growth, health and infant nutrition.Reducing morbidity and mortality for infants and toddlers, Early Initiation of Breastfeeding (IMD) has an important role for mothers in stimulating uterine contractions so as to reduce postpartum bleeding (postpartum). Breastfeeding in the long term can extend the birth interval because the amenorrhea period is longer, better restoration of nutritional status before the next pregnancy.According to the National Social and Economic Survey (SUSENAS), coverage of exclusive breastfeeding in infants up to 6 months in 2007 ranges from 28.6%. Health Research Association (2010) shows the percentage of infants exclusively breastfed up to 6 months is only 15.3%. The purpose of this study is known implementation of the exclusive breastfeeding.This study uses qualitative methods. Qualitative data collection is done by interview 17 people and 7 FGD informants regarding the implementation of the exclusive breastfeeding is information dissemination, availability of access to information and education, monitoring and evaluationin Padang Panjang.Implementingtheholderin accordancewith the guidelinesof nutrition programsnutritional surveillance. As well as monitoringand evaluationis done oncea monthat the Posyandu, which is in linewithnutritionalguidelines for the surveillanceprogram.It will be require own policy regarding exclusive breastfeeding, allocate special funds to increase exclusive breastfeeding, optimization of lactation clinic or lactation corner on the and public health service, improve the ability of workers with technical training for facilitators and labor counseling counselor, and monitoring the implementation of the IMD and empower community to form a support group in breastfeeding. (jumlah kata abstrak Inggris menyesuaikan)

Download Full-text