scholarly journals Faktor Terkait Inisiasi Menyusu Dini pada Ibu Postpartum di Rumah Sakit Umum Daerah Kota Cilegon

Author(s):  
Mulia Lestari

Abstrak Inisiasi Menyusu Dini (IMD) merupakan kesempatan bayi yang dilahirkan dalam 24 bulan terakhir dapat menyusu secara alami dengan meletakkannya di perut ibunya selama satu jam setelah kelahiran. Kegiatan ini bertujuan meningkatkan jalinan kasih sayang ibu dan bayi, mempertahankan suhu bayi tetap hangat, merangsang kontraksi otot rahim sehingga mengurangi risiko perdarahan sesudah melahirkan dan memperbesar peluang ibu untuk memantapkan dan melanjutkan kegiatan menyusui selama masa bayi (6 bulan-2 tahun). Tujuan penelitian ini adalah untuk mengetahui pelaksanaan dan faktor terkait IMD di Rumah Sakit Umum Daerah (RSUD) Kota Cilegon. Jenis penelitian bersifat deskriptif dengan menggunakan metode penelitian kualitatif. Wawancara mendalam dilakukan terhadap 14 informan dan metode observasi pelaksanaan persalinan spontan di ruang bersalin. Hasil penelitian menunjukkan bahwa pelaksanaan IMD di RSUD Kota Cilegon ditinjau dari struktur, proses dan output terlaksana cukup baik pada persalinan spontan dan belum terlaksana pada persalinan post-sectio caesaria. Penyebab pelaksanaan IMD belum optimal karena prosedur operasional baku IMD yang dimiliki rumah sakit belum diterapkan pada semua jenis metode persalinan. IMD hanya dilaksanakan pada proses persalinan pervaginam. Selain itu, pelatihan tenaga kesehatan belum diberikan secara menyeluruh. Saran yang dapat dilakukan adalah perbaikan prosedur operasional baku IMD dan inhouse training di rumah sakit tentang IMD. Kata kunci: Inisiasi Menyusu Dini (IMD), ibu postpartum, rumah sakit Abstract Early initiation of breastfeeding (EIB) is opportunity of babies born in the past 24 months to be able to suckle naturally by placing the baby in the mother's stomach within an hour of birth. This activity aims to improve the affection of mothers and babies, keep the temperature of the baby warm, stimulate uterine muscle contraction, thereby reducing the risk of postpartum bleeding and increase the chances of the mother to establish and continue breastfeeding during infancy (6 months-2 years). The purpose of this study was to find out the implementation of EIB at the Cilegon Hospital and their factors related. This type of research is descriptive by using qualitative research methods. In-depth interviews were carried out on 14 informants and methods of observing the implementation of spontaneous labor in the delivery room. The results showed that the implementation of EIB at the Hospital of Cilegon in terms of structure, process and output was carried out quite well at spontaneous labor and had not been carried out in the post sectio caesaria delivery. The causes of the implementation of EIB have not been optimal because the Standard Operational Procedures (SOP) for EIB owned by hospitals have not been for all types of labor methods, EIB is carried out only in the vaginal delivery process. In addition, the training of health workers has not been given as a whole. Suggestions that can be made is to improve the SOP for EIB and inhouse training at the hospital about EIB. Keywords: Early Initiation of Breastfeeding (EIB), postpartum mother, hospital

2020 ◽  
Vol 2 (1) ◽  
pp. 304-312
Author(s):  
Ali Imron ◽  
Ida Yustina ◽  
Etti Sudaryati

Early Initiation of Breastfeeding (EIB) is placing the baby in the mother's stomach immediately after birth in a position of skin contact with the mother in an hour after birth, if there is no medical indication. RSUP Haji Adam Malik Medan was one of the government hospitals, education, national referrals, and plenary status had implementing EIB. Achievement of EIB in this hospital decreased from (27.71%) in 2016 to (23.08%) in 2017. The purpose of this study was to explore the implementation of EIB in RSUP Haji Adam Malik Medan. This was a qualitative research with a phenomenological approach through in-depth interviews. The informants were 6 people, consisting of 2 midwives and 1 structural official in medical services, 2 patients and 1 gynecologist. Implementation of EIB in the hospital wasn’t going well, the factors that influence EIB were communication, disposition and management’s function. The successful implementation of EIB can reduce maternal and infant mortality rates, suggested to RSUP Haji Adam Malik Medan forms a special team to monitoring and evaluates the implementation of EIB, set and carry out sanctions for implementation of EIB, and increases the competence and motivation of health workers.


Author(s):  
Bright Opoku Ahinkorah ◽  
Abdul-Aziz Seidu ◽  
Eugene Budu ◽  
Aliu Mohammed ◽  
Collins Adu ◽  
...  

Abstract Background Early initiation of breastfeeding (EIB) is an inexpensive practice but has a substantial potential to reduce neonatal morbidity. Therefore, this study investigated the maternal and child-related factors associated with EIB and makes recommendations that could help improve the practice in Chad. Methods We used data from the children's recode file of the 2014–2015 Chad Demographic and Health Survey. A total of 3991 women ages 15–49 y who had last-born children in the 2 y preceding the survey were included in our study. The outcome variable for the study was EIB. Both descriptive (frequencies and percentages) and inferential (binary logistic regression) analyses were carried out. All results of the binary logistic analyses are presented as adjusted odds ratios (aORs) with 95% confidence intervals (CIs). Results We found the prevalence of EIB in Chad to be 23.8%. In terms of maternal factors, the likelihood of EIB was high among non-working women (aOR 1.37 [95% CI 1.18 to 1.59]), the richest wealth quintile women (aOR 1.37 [95% CI 1.04 to 1.79]) and non-media-exposed women (aOR 1.58 [95% CI 1.24 to 2.02]) compared with working women, the poorest wealth quintile women and media-exposed women, respectively. EIB was lower among children whose mothers had one to three antenatal care visits (ANC; aOR 0.73 [95% CI 0.61 to 0.87]) and four or more ANC visits (aOR 0.80 [95% CI 0.66 to 0.97]) compared with those who had no ANC visits. With the child factors, EIB was higher among mothers of children who were smaller than average size at birth compared with those of larger than average birth size (aOR 1.47 [95% CI 1.24 to 1.74]). Mothers of children of fifth-order or more births compared with those of first-order births (aOR 1.51 [95% CI 1.07 to 2.12]) and those who were delivered through vaginal birth compared with those delivered through caesarean section (aOR 4.71 [95% CI 1.36 to 16.24]) were more likely to practice EIB. Conclusions Maternal and child-related factors play roles in EIB in Chad. Hence, it is important to consider these factors in maternal and neonatal health interventions. Such initiatives, including training of outreach health workers, health education, counselling sessions and awareness-raising activities on breastfeeding geared towards EIB should be undertaken. These should take into consideration the employment status, wealth quintile, exposure to mass media, size of the baby at birth, ANC visits, parity and delivery method.


2018 ◽  
Vol 5 (1) ◽  
pp. 41-48
Author(s):  
Mariati Mariati

Early initiation of breastfeeding is a process of letting the baby breastfeed their own immediately after birth so that it benefits both mother and baby, physically and psychologically. It can safe 22% of neonatal deaths, prevent hipotermi and enhance ties of affection. In the city of Bengkulu implementation of the early initiation of breastfeeding not yet have an impact on exclusive breastfeeding in 2009 (59.1%). The purpose of this study to know the implementation of early initiation of breastfeeding in private practice midwives in the city of Bengkulu.This study design with qualitative methods through an explorative approach to dig more deeply about the situation of implementation of the early initiation of breastfeeding on the midwives who in private practice in the city of Bengkulu. Informants of this study amounted to 12 persons elected by purpose sampling. Data were collected through in-depth interviews and direct observation analyzed by phase: transcripts, coding, and conclusions based on pre-determined category.The results showed all the informants were well versed in the early initiation of breastfeeding, but its implementation has not been done in the most especially when the patients feel tired or lack motivation and family do not support this implementation so that postponed and not taken immediately. Furthermore, this implementation did not result in exclusive breastfeeding because the patient feels there is no milk coming out so it is not important for mothers to keep breastfeeding. The attitude of midwives in the implementation of the early initiation of breastfeeding is quite good and supports the implementation of the early initiation of breastfeeding, especially with seeing the benefits. To improve the implementation of the early initiation of breastfeeding needs to be done counseling since pregnant women and prepare it so that mothers will understand its benefits and to continually feeding that can accelerate spending and prevent breast milk feeding other than breast milk during the month / exclusive


2021 ◽  
Vol 6 (1) ◽  
pp. 21
Author(s):  
Ana Pujianti Harahap ◽  
Aulia Amini ◽  
Nurul Qamariah Rista Andaruni ◽  
Rizkia Amilia

IMD termasuk dalam salah satu 10 Langkah Menuju Keberhasilan Menyusui (LMKM) atau ten step to successful breastfeeding. IMD dapat dilaksanakan pada persalinan secara normal atau dengan Sectio Caesarea. Berdasarkan data yang diperoleh dari Rumah Sakit Umum Provinsi Nusa Tenggara Barat (RSUD Prov NTB), sebagai rumah sakit pusat rujukan terbesar di NTB data jumlah pasien yang melahirkan dengan SC pada tahun 2017 sebanyak 288 (88%), dari total persalinan 327. Dari jumlah pasien yang melahirkan dengan SC sebagian besar tidak pernah dilakukan IMD. Pasien yang melahirkan spontan sebanyak 39 orang (22%). Penelitian ini bertujuan untuk  mengetahui hambatan IMD pasien post SC. Metode penelitian yang digunakan yaitu deskriptif kualitatif. Informen dalam penelitian ini terdiri dari tenaga kesehatan yaitu dokter spesialis kandungan, dokter spesialis anak, pihak manajemen,bidan dan pasien. Dalam penelitian ini peneliti akan menggunakan Analisis data dilakukan menggunakan versi Miles dan Huberman, dalam Sugiyono (2013). Aktivitas meliputi reduksi data (data reduction), penyajian data ( data display) dan penarikan kesimpulan (verification). Hasil penelitian yang sudah terindentifikasi mengenai hambatan pelaksanaan Inisiasi Menyusu Dini (IMD) pada pasien post SC yaitu : 1) Kendala kurangnya informasi pasien tentang IMD, 2) tidak ada tenaga kesehatan khusus yang melaksanakan IMD, 3) kurangnya pelatihan tentang pelaksanaan IMD post SC, 4) Ketidaknyamanan posisi pasien saat SC, 5) Kekhawatiran ibu terhadap kondisi bayi saat dilakukan imd, dan 6) kurangnya kerjasama tim tenaga kesehatan. Dengan adanya hasil penelitian ini diharapkan tenaga kesehatan dan instansi kesehatan bisa bersama-sama untuk lebih mengoptimalkan pelaksanaan Inisiasi Menyusu Dini pada pasien post Sectio Caesrea.Early initiation of breastfeeding is included in one of the 10 Steps to Successful Breastfeeding (LMKM) or ten-step to successful breastfeeding. IMD can be carried out in labor normally or with Caesarean Sectio. Based on data obtained from the General Hospital of West Nusa Tenggara Province, as the largest referral center hospital in West Nusa Tenggara, the number of patients giving birth to SC in 2017 was 288 (88%), out of total delivery of 327. Of the total, most patients who have had an SC have never had an early initiation of breastfeeding. Patients who gave birth spontaneously were 39 people (22%). This study aims to determine the early initiation of breastfeeding barriers for post-SC patients. The research method used is descriptive qualitative. Informants in this study consisted of health workers namely obstetricians, pediatricians, management, midwives and patients. In this study, researchers will use data analysis performed using the version of Miles and Huberman, in Sugiyono (2013). Activities include data reduction, data display, and verification. The results of studies that have been identified regarding the obstacles to implementing early initiation of breastfeeding in post SC patients are: 1) Obstacles to lack of patient information about early initiation of breastfeeding, 2) there are no special health workers who carry out early initiation of breastfeeding, 3) lack of training on implementing post-SC early initiation of breastfeeding, 4) Discomfort of the patient's position during SC, 5) Mother's concern for the condition of the baby during early initiation of breastfeeding, and 6) Lack of teamwork of health workers. With the results of this study, it is expected that health workers and health agencies can work together to further optimize the implementation of early initiation of breastfeeding in post-SC patients.


Author(s):  
Justin Bruno Tongun ◽  
James K Tumwine ◽  
Grace Ndeezi ◽  
Mohamedi Boy Sebit ◽  
David Mukunya ◽  
...  

Globally, suboptimal breastfeeding contributes to more than 800,000 child deaths annually. In South Sudan, few women breastfeed early. We assessed the effect of a Baby-Friendly Hospital Initiative training on early initiation of breastfeeding at Juba Teaching Hospital in South Sudan. We carried out the training for health workers after a baseline survey. We recruited 806 mothers both before and four to six months after training. We used a modified Poisson model to assess the effect of training. The prevalence of early initiation of breastfeeding increased from 48% (388/806) before to 91% (732/806) after training. Similarly, early initiation of breastfeeding increased from 3% (3/97) before to 60% (12/20) after training among women who delivered by caesarean section. About 8% (67/806) of mothers discarded colostrum before compared to 3% (24/806) after training. Further, 17% (134/806) of mothers used pre-lacteal feeds before compared to only 2% (15/806) after training. Regardless of the mode of birth, the intervention was effective in increasing early initiation of breastfeeding [adjusted prevalence ratio (APR) 1.69, 95% confidence interval CI (1.57-1.82)]. These findings suggest an urgent need to roll out the training to other hospitals in South Sudan. This will result in improved breastfeeding practices, maternal, and infant health.


2021 ◽  
Vol 9 (B) ◽  
pp. 742-746
Author(s):  
Sarma Lumbanraja ◽  
Wardy Susanto Marpaung ◽  
Teuku Mohammad Ichsan ◽  
Ichwanul Adenin ◽  
Roy Yustin Simanjuntak

Aims: To determine the effect of Early Initiation of Breastfeeding (EIBF) in the third stage of labor and the amount of blood loss in the forth stage of delivery. Methods: An experimental study comparing the duration of 3rd stage and the amount of blood loss in 4th stage in Early Initiation of Breastfeeding (EIBF), oxytocin administration, and Early Initiation of Breastfeeding (IBF) given oxytocin at spontaneous vaginal delivery in delivery room of H. Adam Malik General Hospital, Dr. Pirngadi Hospital, Sundari Hospital and Universitas Sumatera Utara Hospital starting from March 2019 until the minimum sample was met. Results: The data analysis results of the comparison of duration demonstrated p-value of 0.001The comparison among groups with post hoc analysis showed a meaningful comparison in this analysis with p value of 0.001, while duration of the3rd stage in group B compared to group C statistically did not show any significant difference with  p value of 1.00. The mean of amount of blood loss among groups A, B, and C respectively were 139 ± 11.8, 141.8 ± 12.4 and 132.1 ± 14.4 with p value 0.048. Conclusions: It is concluded that the amount of blood loss in the fourth stage among the groups was not significantly different in each group. Comparisons of the amount of bleeding in group A vs. B, A vs. C and B vs. C are indicated by the p value of each group i.e. 1.0; 0184 and 0.059.


2018 ◽  
Vol 9 (2) ◽  
Author(s):  
Rini Hayu Lestari

Early initiation of breastfeeding today has become a new hope for the world of obstetrics as a life-saving alternative step mother and baby. However, in practice there are factors that lead to the failure to conduct such an early suckling insiasi implementation of routine care of the newborn. This study aims to determine the effect of routine newborn care to the success of early initiation of breastfeeding in hospitals PONEK Jombang whose implementation. This study used the Analytic korelastional research with cross sectional method. The population in this study were newborn babies born in hospitals PONEK Lounge Jombang and using purposive sampling the treated sample obtained all newborns vaginal qualified IMD and do not do routine maintenance BBL according to the stages. The results showed that the influence of routine maintenance There newborn to suckle Early initiation success in PONEK Hospital Jombang on April 27 to June 6, 2015. Concluded there is the influence of routine newborn care to the success of Early Initiation of Breastfeeding. From these results, health workers must increase efforts to prevent maternal deaths, childbirth, postpartum and improvement of maternal and child health programs. 


Author(s):  
Safrina ◽  
Tengku Sri Wahyuni

The World Health Organization (WHO) and the United Nations Children's Fund (UNICEF) have recommended that children start breastfeeding within the first hour after birth and be exclusively breastfed for the first six months of life (no food or other fluids are given). , including water) (UNICEF & WHO, 2018). An estimated 78 million babies - or three in five babies - are not breastfed in the first hour of life. This puts them at a higher risk of death and disease and makes them less likely to continue breastfeeding (World Health Organization, 2018a). Data from WHO shows that only 40% of infants have received early initiation of breastfeeding (IMD). WHO itself targets that by 2030 70% of infants have received early initiation of breastfeeding (WHO & UNICEF, 2018). The type of research used is descriptive, namely research that clearly describes the variables studied without doing statistical tests. This research was conducted at BPM Pematangsiantar City. The study was conducted in March 2021 with a sample size of 29 people. The sampling method in this study was non-probability sampling, namely by consecutive sampling. The description of the IMD implementation shows that the majority of respondents are aged 20-35 years (65.5%) and the least is <20 years old (6.9), the highest parity is 3 (34.5%) and the least parity is 5 (6.9%). ), all respondents gave birth at term pregnancy (100%), and all respondents did early initiation of breastfeeding (100%) while the implementation of IMD was mostly carried out immediately after birth (89.7%) and the longest IMD implementation was between 30 minutes to 30 minutes. d 1 hour (69%) but there are also those who carry out IMD less than 30 minutes (10.3%). Type of Research Analytical survey with cross sectional design. It is hoped that health workers will carry out an IMD in every delivery immediately after the baby is born and the need for husband and family support in accompanying the delivery process in carrying out IMD.


2019 ◽  
Vol 8 (1) ◽  
pp. 1-9
Author(s):  
Elsa Budi Sihsilya Rahmawati ◽  
Poppy Farantia Saputri

Early Initiation of Breastfeeding (EIBF) is the first step in the success of a baby to learn to suckle first early after birth. The coverage of EIBF is still very low in 2010 (29.3%) and in 2013 it became (34.5%). This study aims to analyze the influence of Successful Breastfeeding e-book on the Practice EIBF. The research design used a quasi experiment design with pre-post-test control group design. The study was conducted on 54 pregnant women 3rd trimester with purposive sampling method (March-June 2018). Data analysis used an independent t-test and Chi square test. The results showed that there was an effect of e-book on knowledge of pregnant women (p value 0.00). Counseling with Successful Breastfeeding e-books affects the Practice of EIBF (p value 0.017). A commitment is needed from health workers, especially those related to pregnant women and giving birth to provide counseling related to the importance of EIBF.


2021 ◽  
Vol 10 (1) ◽  
pp. 9
Author(s):  
Amanda Adityaningrum ◽  
Herlina Jusuf ◽  
Pradita Pristi Nusi

Exclusive breastfeeding is breastfeeding for 6 months without providing complementary foods or drinks. The health center with the lowest achievement of exclusive breastfeeding, based on data from the Gorontalo Provincial Health Office, is the Talaga Jaya Health Center. The purpose of this study was to determine the factors that influence exclusive breastfeeding for infants at the Talaga Jaya Health Center. This research is a quantitative research. The population is all infants aged 7-11 months totaling 290 people and the sample amounting to 168 people. The sampling technique used is Accidental Sampling and the data analysis used is Logistic Regression. Mother's education, mother's occupation, implementation early initiation of breastfeeding and family support obtained a p-value (0.000) less than (0.05), while the support of health workers had a p-value (0.998) more than (0.05). The factors that influence exclusive breastfeeding for infants at the Talaga Jaya Health Center are mother's education, mother's occupation, implementation of early initiation of breastfeeding, and family support. It is recommended for family members to be able to participate in exclusive breastfeeding by providing support for mothers breastfeeding up to 6 months..ASI Ekslusif adalah pemberian ASI selama 6 bulan tanpa memberikan makanan atau minuman pendamping. Puskesmas dengan capaian ASI Ekslusif terendah, berdasarkan data dari Dinas Kesehatan Provinsi Gorontalo adalah Puskesmas Talaga Jaya. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor yang mempengaruhi pemberian ASI Eksklusif pada bayi di Puskesmas Talaga Jaya. Penelitian ini merupakan penelitian Kuantitatif. Populasinya adalah seluruh bayi yang berumur 7-11 bulan berjumlah 290 orang dan sampel berjumlah 168 orang. Teknik sampling yang digunakan adalah Accindental Sampling dan analisis data yang digunakan adalah Regresi Logistik. Pendidikan ibu, pekerjaan ibu, pelaksanaan IMD dan dukungan keluarga memperoleh nilai p-value (0,000) kurang dari α (0,05), sedangkan dukungan petugas kesehatan memiliki nilai p-value (0,998) lebih dari α (0,05). Faktor-faktor yang mempengaruhi pemberian ASI Ekslusif pada bayi di Puskesmas Talaga Jaya adalah pendidikan ibu, pekerjaan ibu, pelaksanaan IMD, dan dukungan keluarga. Disarankan kepada anggota keluarga untuk dapat ikut berpartisipasi dalam pemberian ASI Eksklusif dengan cara memberikan dukungan selama ibu menyusui sampai 6 bulan.


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