scholarly journals Exploring Plant and Behaviour on Usada Herbal Galactagogue Usage among Lactating Mothers in Bali

Author(s):  
Ni Luh Gde Mona Monika ◽  
Ella Yunita

Background: Breastfeeding is essential for the health of newborn infants and mothers. Basic health research in 2018 shows that exclusive breastfeeding in Bali has not reached the national target. High rates of cesarean section delay breastfeeding initiation, the important predictor of continued breastfeeding. Main concern for lactating mothers about medications, increase the use of herbal galactagogue to aid lactation. The use of traditional medicinal plant in Bali is 40% higher than national average and its existence is strengthened by the issuance of Bali Governor Regulation No. 55 of 2019 concerning Traditional Balinese Health Services. Despite increasing popularity of traditional medicine, there are currently limited data available on the plant list and pattern of use herbal galactagogue. Objectives: to explore the galactagogue plants, pattern of use, perceived effectiveness of herbal galactagogues during breastfeeding among lactating mother’s in Bali. Material and Methods: This study was conducted using a questionnaires and in-depth interviews. The questionnaire and interview guideline was validated by lactation consultants and traditional health practitioners in Bali. The study was approved by Human Research Ethic Committee of Bina Usada Bali. Results: The use of herbal galaktagogue is mostly practiced by highly educated mothers, mother’s occupation as health workers and primiparous. There are 26 types of plants that are often used by lactating mothers in Bali. Majority of respondent begin to use herbal galactagogue after giving birth (82%) for approximately < 1 month. Majority of lactating mothers in Bali perceived effectiveness of herbal galactagogue usage based on breastfeeding adequacy indicators. About 95% respondents feel confidence and have self-empowerment after use herbal galactagogue, resultes in psychological benefits. Conclusions: The use of herbal galactagogue is common amongst lactating mothers in Bali, while information about efficacy and safety is lacking. Futher research is needed to give evidence-based information to support exclusive breastfeeding.

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.


2018 ◽  
Vol 9 (1) ◽  
Author(s):  
Uke Maharani Dewi

factors that affect the practice of nursing in the mother post section caesarea. Various programs to support the delivery of ASI has intensified coverage of ASI but still does not meet the expected target. Previous studies showed that breastfeeding initiation was late in babies born with sectio caesarea compared to those with vaginal delivery and prevalence of exclusive breastfeeding practice was low in the former group. The objective of this study was to define factors correlated breast feeding practice initiation on post sectio caesarea mother. 72 post sectio caesarea mothers were observed and interviewed on January 2012 to find the factors correlated with breastfeeding practice. The results showed that although 26.4% of them had previous experience in breastfeeding, only 6.9% and 29.2% of total breastfeeding is started on the first and second post sectio caesarea respectively. Support for breastfeeding practice from health workers was low, and there were significant correlation between the support and rooming conditions with breastfeeding practices (p = 0.001).


Author(s):  
Priyanka Choudhary ◽  

Background: Human breast milk contributes to the physical growth of infants by meeting their nutritional needs and higher intelligence quotient by enhancing their brain development. Objective: To assess the prevalence of exclusive breastfeeding and to determine the contributing factors of exclusive breastfeeding practice in a rural area of Haryana. Methods: It was community-based cross-sectional study, conducted in a rural field practice area attached to the Department of Community Medicine of Pt BD Sharma, PGIMS, Rohtak. The study participants were infants aged 6-11 completed months and their mothers. Multistage sampling technique was used for enrolling 200 study subjects. SPSS was us for statistical analysis. Results: 119 (59.5%) infants were exclusively breastfed for 6 months. Homemakers were 1.37 times more likely to feed exclusively than working women. Women from joint families were 2.64 times more likely to feed exclusively than women from nuclear families. Exclusive breastfeeding had a statistically significant association with mode of delivery, breastfeeding counselling, motivation to feed till 2 years, receiving postnatal checkup, number of children, initiation of breastfeeding within 1 hour, and colostrum being given to infants. Infants given breastfeed within 1 hour had 1.12 times more chance of exclusive breastfeeding. Conclusion: Antenatal breastfeeding counselling and home-based postnatal visits by health workers increases the practice of colostrum administration, initiation of breastfeeding within 1 hour, and exclusive breastfeeding for 6 months. Capacity building in form of training and sensitisation of hospital staff, MPHW (F), and ASHA will help increaseexclusive breastfeeding among lactating mothers.


2019 ◽  
Vol 2 (2) ◽  
pp. 92
Author(s):  
Nur Annisa ◽  
Sumiaty Sumiaty ◽  
Henrietta Imelda Tondong

The prevalence of stunting in five-year-old infants in Indonesia in 2018 it is 30.8% while in two-year babies it is 29.9% which consists of 12.8% very short and 17.1% short. Stunting can be caused by a variety of factors, such as the implementation of initiation of early breastfeeding which is not appropriate and the provision of breast milk is not exclusive. The purpose of this study is to know the relationship between early breastfeeding initiation and exclusive breastfeeding with stunting in two-year-old infants aged 7-24 months in the work area of Pantoloan Health Center. This type of research is an analytical survey with design cross sectional. The sample in this study were two-year-old infants aged 7-24 months totaling 57 samples with sampling techniques namely simple random sampling and data analysis using Chi Square. The results showed that respondents who experienced stunting were 36.8% and not stunting 63.2%. Respondents who had early breastfeeding initiation tended not to experience stunting (79.2%), while respondents who received exclusive breastfeeding tended not to experience stunting (81.0%). The results of the statistical test showed a significant relationship between early breastfeeding initiation and exclusive breastfeeding with stunting with the same p-value of 0.033 (α <0.05). The conclusion is that there is a relationship between early breastfeeding initiation and exclusive breastfeeding with stunting. Suggestions for researchers for health workers to promote and implement early breastfeeding initiatives and exclusive breastfeeding for mothers to prevent and minimize the incidence of stunting in children in the future.


2021 ◽  
Vol 9 (1) ◽  
pp. 53-58
Author(s):  
Yeny Ristaning Belawati

Background UNICEF and WHO estimate that if all babies were breastfed for at least the first six months of their lives, morbidity and malnutrition rates would significantly decrease worldwide. both of these organizations promote the policy of initiating early breastfeeding by campaigning for a baby-friendly hospital policy, one of which encourages early breastfeeding initiation to be carried out. The aim of our study is to review the available evidence regarding the positive effects of early breastfeeding initiation on the success of exclusive breastfeeding, to suggest the most appropriate strategy to support it.Research Methods The research taken was research published in 2000-2019, obtained through major databases such as PubMed, Google Schoolar, and then examined to obtain original documents. Research searches related to the effectiveness of early initiation initiation (IMD) and the factors that influence it use the main terms "early initiation of breastfeeding", "effectivity" and "determinants of". A total of 31 literature conclusions and results of research in making this review. The 31 selected literatures have met the specified inclusion criteria.The Result Giving breastfeeding initiation is best done no later than 1 hour postpartum. IMD (initiation of early breastfeeding) is effective in stimulating milk production, producing antibody protection, reducing postpartum maternal bleeding, and in the long term affecting the duration of breastfeeding. IMD has also been studied as having the effect of reducing neonatal mortality by preventing morbidity such as diarrhea, pneumonia, UTI, meningitis and neonatal sepsis. Factors that influence the success of IMD include geographical, socioeconomic, individual health, education and maternal knowledge about IMD, duration of labor, maternal employment, hospital policy, support from health workers, labor delivery, gestational age, and maternal health conditions.Conclusions Breastfeeding initiation has been extensively studied increasing the success of exclusive breastfeeding and contributing to the reduction in infant mortality caused by infection. However, the success rate of breastfeeding initiation in several developing countries in the world still varies. Many factors influence the success of breastfeeding initiation, which still need to involve health promotion, because the implementation of breastfeeding initiation needs to involve many parties, in addition to the general public as well as to health workers who are tasked with helping in the maternity unit.


2017 ◽  
Vol 34 (2) ◽  
pp. 304-312 ◽  
Author(s):  
Rafael Vila-Candel ◽  
Kiri Duke ◽  
F. Javier Soriano-Vidal ◽  
Enrique Castro-Sánchez

Background: Breastfeeding has been shown to result in extensive physical and psychological benefits for both the mother and the newborn. However, the rate and duration of exclusive breastfeeding (EBF) remains low worldwide. Mother–infant skin-to-skin contact (SSC) immediately after birth has demonstrated results that support the argument for breastfeeding continuation. Research aim: This study aimed to investigate the prevalence of EBF 3 months postpartum and the effect of early SSC in maintaining optimal EBF practices for mothers and their healthy newborns. Methods: We conducted an observational, retrospective study in Spain from 2013 to 2015. Pregnant women were interviewed immediately postpartum and again at 3 months postpartum regarding variables associated with breastfeeding initiation and continuation. Results: There were 1,071 women recruited. Early SSC was performed in 92% of vaginal births but only 57% of urgent cesarean births. Of women breastfeeding at discharge, 69.5% performed SSC with their newborn. We found that 68.6% of women were exclusively breastfeeding by discharge and 46.7% by 3 months postpartum. Type of feeding at discharge, country of origin, and parity were found to be associated with each other ( p = .003, p = .001, respectively). Early SSC was also significantly associated with type of feeding at discharge, 1 month, 2 months, and 3 months postpartum ( p < .001). Hypogalactia (19.8%) was the most frequently reported factor for breastfeeding discontinuation. Conclusion: Breastfeeding promotion interventions are likely to improve breastfeeding rates at 3 months postpartum. Social and economic factors should be taken into account when such programs are planned to be implemented.


Author(s):  
Najah Syamiyah ◽  
Helda Helda

Abstrak Cakupan ASI eksklusif di wilayah Puskesmas Kecamatan Mampang Prapatan masih rendah, sementara pendidikan tentang ASI eksklusif kepada masyarakat harus terus dilakukan karena dapat memberikan informasi penting untuk calon ibu dan keluarga. Penelitian dilakukan untuk mengetahui dukungan tenaga kesehatan terhadap perilaku pemberian ASI eksklusif pada Ibu bayi usia 0-5 bulan 29 hari di Posyandu Wilayah Puskesmas Kecamatan Mampang Prapatan. Penelitian dengan disain cross sectional ini dilakukan terhadap 250 ibu bayi yang terdaftar di Posyandu yang diwawancara menggunakan kuesioner terstruktur pada bulan November–Desember 2017. Berdasarkan hasil analisis multiple cox regression didapatkan bahwa peluang kelompok ibu yang mendapatkan dukungan tenaga kesehatan dengan baik untuk memberikan ASI eksklusif adalah 1,6 (CI 95% 1,02-2,34) kali dibandingkan dengan kelompok ibu yang kurang mendapatkan dukungan dari tenaga kesehatan. Disimpulkan bahwa Ibu yang mendapatkan 4 atau lebih dari 5 perlakuan diantaranya konseling ASI saat ANC, dilakukan IMD, dirawat gabung bersama bayi, bayinya tidak diberikan makanan dan minuman selain ASI selama masa perawatan, serta ibu pernah mendapatkan penyuluhan, maka peluangnya untuk memberikan ASI eksklusif lebih besar dibandingkan dengan ibu yang hanya mendapatkan 0-3 perlakuan tersebut. Diharapkan kepada penyedia layanan kesehatan Ibu dan anak dapat menetapkan kebijakan terkait pelayanan manajemen laktasi. Kata kunci: Dukungan Tenaga Kesehatan, ASI Eksklusif, Posyandu Abstract The coverage of exclusive breastfeeding in Mampang Prapatan Public Health Center was still low. Meanwhile, education about exclusive breastfeeding to the community should continue to be done because it can provide important information for prospective mothers and families. Then conducted a study to determine the support of health workers to exclusive breastfeeding on the mother of the baby aged 0-5 months 29 days in Posyandu Mampang Prapatan Public Health Center. This cross sectional study was conducted on 250 infant mothers enrolled at Posyandu who were interviewed using structured questionnaire in November-December 2017. Based on data analysis with multiple cox regression, it was found that the opportunity of maternal group that get good health support to give exclusive breastfeeding is 1,547 (95% CI 1.023-2,339) times bigger than those group of mothers who get less support from health worker. It can be concluded that if the mothers get 4 or more of 5 treatments such as breastfeeding counseling during ANC, early breastfeeding initiation, treated together with baby, the baby is not given any food and drink other than breastmilk during the treatment period, and the mother has got counseling, the possibility to give exclusive breastfeeding greater than mothers who only get 0-3 of these treatments. It was expected that health providers can establish policies related to lactation management services. Keywords: Health Workers Support, Exclusive Breastfeeding , Posyandu


2019 ◽  
Vol 1 (3) ◽  
pp. 137-143
Author(s):  
Nur Annisa ◽  
Sumiaty Sumiaty ◽  
Henrietta Imelda Tondong

Stunting can be caused by a variety of factors, such as the implementation of initiation of early breastfeeding which is not appropriate and the provision of breast milk is not exclusive. The purpose of this study was to know the relationship between early breastfeeding initiation and exclusive breastfeeding with stunting in two-year-old infants aged 7-24 months in the work area of Pantoloan Health Center. This type of research was an analytical survey with design cross-sectional. The sample in this study were two-year-old infants aged 7-24 months totaling 57 samples with sampling techniques namely proportional random sampling and data analysis using Chi-Square. The results showed that respondents who experienced stunting were 36.8% and not stunting 63.2%. Respondents who had early breastfeeding initiationn din not tend to experience stunting (79.2%), while respondents who received exclusive breastfeeding tended not to experience stunting (81.0%). The results of the statistical test showed a significant relationship between early breastfeeding initiation and exclusive breastfeeding with stunting with the same p-value of 0.033 (α<0.05). The conclusion is that there was a relationship between early breastfeeding initiation and exclusive breastfeeding with stunting. Suggestions for researchers and for health workers to maximize promote and implement early breastfeeding initiations and exclusive breastfeeding for mothers to prevent and minimize the incidence of stunting in children in the future.


Author(s):  
Tirta Anggraini Tirta Anggraini

ABSTRACT Exclusive breastfeeding is breastfeeding as early as possible after delivery and provided no timetable was given no other food, although only the mineral water to infants aged 6 months. Proportion of exclusive breastfeeding in South Sumatra in the year 2011 amounted to 36,33%, specifically in the Kabupaten Semuntul, the proportion of exclusive breastfeeding in the year 2011 amounted to 76,33% while Puskesmas Semuntul Kabupaten Banyuasin in 2011 amounted to 75 %. The purpose of this study to determine the relationship between knowledge and work of mothers exclusively breastfeeding at Puskesmas Semuntul Kabupaten Banyuasin in 2012. This research design is an analytical survey with cross sectional approach in which data pertaining to the independent variables (knowledge and work and the dependent variable (exclusive breastfeeding) were collected at the same time. The population in this study were all mothers who have babies aged 7-12 months who came to Puskesmas Semuntul Kabupaten Banyuasin on May 2012. With a total sample of 40 respondents to the total polulasi taken by accidental sampling technique each variable under study and then analyzed using Chi-square analysis with significance level a (0.05). From the analysis shows that respondents who gave exclusive breast feeding as many as 57.5% and 42.5% who did not give exclusive breastfeeding. Knowledgeable both mothers of 60.0% and 40.0% of mothers are less knowledgeable, highly educated mothers of 37.5% and less educated mothers of 62.5%. From Chi-Square statistical test showed an independent and dependent variables showed that relation between knowledge (P value = 0.002) and work (P value = 0.006) with exclusive breastfeeding in Puskesmas Semuntul Kabupaten Banyuasin in the year 2012. Thus health workers to give more information about exclusive breastfeeding.   ABSTRAK ASI eksklusif merupakan pemberian ASI sedini mungkin setelah persalinan diberikan tanpa jadwal dan tidak diberi makanan lain, walaupun hanya air putih sampai bayi berumur 6 bulan. Proporsi pemberian ASI eksklusif di Sumatera Selatan pada tahun 2011 sebesar 36,33%, khusus di Kabupaten Banyuasin proporsi pemberian ASI eksklusif pada tahun 2011 sebesar 76,33 % sedangkan di Puskesmas Semuntul Kabupaten Banyuasin Tahun 2011 sebesar 75 %. Tujuan penelitian ini untuk mengetahui hubungan antara pengetahuan dan pekerjaan ibu dengan pemberian ASI eksklusif di di Puskesmas Semuntul Kabupaten Banyuasin Tahun 2012. Desain penelitian ini adalah survei analitik dengan pendekatan Cross Sectional dimana data yang menyangkut variabel bebas (pengetahuan dan pekerjaan) dan variabel terikat (pemberian ASI eksklusif) dikumpulkan dalam waktu yang bersamaan. Populasi dalam penelitian ini adalah semua ibu yang mempunyai bayi usia 7-12 bulan yang datang ke Puskesmas Semuntul Kabupaten Banyuasin Tahun 2012 bulan Mei 2012. Dengan jumlah sampel 40 responden yang menjadi seluruh total populasi dengan menggunakan teknik Accidental Sampling masing-masing variabel yang diteliti kemudian dianalisa dengan menggunakan analisis Chi-Square dengan tingkat kemaknaan a (0,05). Dari analisis diketahui bahwa responden yang memberikan ASI eksklusif sebanyak 57,5% dan 42,5% yang tidak memberikan ASI eksklusif. Ibu yang berpengetahuan baik sebesar 60,0% dan 40,0% ibu yang berpengetahuan kurang, ibu yang bekerja sebesar 37,5% dan ibu yang tidak bekerja sebesar 62,5%. Dari uji statistik Chi-Square didapatkan variabel dependen dan independen menunjukkan ada hubungan antara pengetahuan (P value = 0,002) dan pekerjaan (P value = 0,006) dengan pemberian ASI eksklusif di Puskesmas Semuntul Kabupaten Banyuasin Tahun 2012. Dengan demikian petugas kesehatan agar lebih banyak memberikan penyuluhan tentang pemberian ASI eksklusif.


2018 ◽  
Vol 1 (2) ◽  
pp. 156
Author(s):  
Tantut Susanto ◽  
Lantin Sulistyorini

Introduction. The phenomenon of lactation in nursing mothers breastfed exclusively fulfillment requires comprehensive treatment in the community related to the population at risk in the group of breast feeding mothers in the community. The purpose of this study was to improve the ability of nursing mothers, families, and communities in family friendly activities through the integration of family center model of cross-cultural nursing and nursing to meet the sustainability of exclusive breastfeeding in the group of nursing mothers who were sensitive and sensitive to local culture in Jember. Method. This study used a quasi- experimental design with a nonrandomized control group design with pretest and posttest. The data were analyzed using frequency distributions and the Wilcoxon signed rank test were used to compare the behavior of lactating mothers, family independence, the ability of health workers, and management of exclusive breastfeeding services are culturally sensitive and locally sensitive to the treatment group and the control group. Results. The results showed no significant difference between the behavior of lactating mothers, family independence, and management services exclusive breastfeeding before san after the intervention program (p value 0.000) and no significant difference between the ability of health workers before and after the intervention (p value 0.001). Discussion. Exclusive breast feeding can run continuously if the full support of breastfeeding mothers own motivation, family support, health worker visits, and the clinic. Keywords: Exclusive Breast Feeding, Family Friendly, Mother’s Behavior, Cadre Capability.


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