scholarly journals Awareness about expressed breast milk feeding among working mothers visiting a tertiary level hospital, Kathmandu

2019 ◽  
Vol 8 (2) ◽  
pp. 60-65
Author(s):  
Shrijana Pandey

Background: Expressed breast milk can be a healthy feeding option as compared to formula for working mothers. A large number of mothers are working these days and despite their desire to breastfeed, mothers have to get back to their work because of various constraints.Objectives: The research objective was to assess the status of knowledge and attitude regarding expressed breastfeeding and to identify the barriers to expressed breastfeeding among working mothers visiting Kathmandu Medical College Teaching Hospital.Methodology: A cross-sectional study was conducted at Pediatric Outpatient Department of Kathmandu Medical College Teaching Hospital from June 2018 till December 2018. One hundred and eighty working mothers were chosen purposively and interviewed. Research instrument was a structured questionnaire containing questions about technique of pumping and storing breast milk, benefits of breastfeeding, attitude regarding expressed breastfeeding and reasons for not expressing breast milk. Mean standard deviation and Chi-square tests were used for statistical analysis.Results: Out of 180 mothers, half of the mothers had adequate knowledge regarding expressed breastfeeding while slightly more than half of them (52.2%) had negative attitude about it. Only 11.7% of the mothers shared that they had expressed breast milk ever. The most important reason for not expressing breast milk was stated to be inadequate breast milk production (30.7%) and lack of time (26.4%).Conclusion: The study concludes that about half of the working mothers have adequate knowledge and positive attitude regarding expressed breastfeeding. Moreover, very few mothers ever expressed breast milk and the main reason for not doing so was inadequate milk production.

2017 ◽  
Vol 6 (2) ◽  
pp. 91
Author(s):  
Anggorowati Anggorowati ◽  
Heriandi Sutadi ◽  
Setyowati Setyowati ◽  
Raldi Artono Koestoer

Background: Many breastfeeding mothers find that their milk production decreases or even stops when they return to work due to reduced breastfeeding hormones. Massage can stimulate the oxytocin hormone, and to replace the manual massage, a digital massager of oxytocin (DMO) is developed.Purpose: This study aimed to identify the effects of the DMO on the milk production of the breastfeeding working mothers. Methods: This study employed a quasi-experiment with pretest-posttest control group design. The samples were 93 breastfeeding working mothers in the community with a baby below 6 months. The samples were assigned into the intervention group (n=46) and the control group (n=47). An intervention of using the DMO was given to the mothers in the intervention group by applying the electrodes on the first intercostae of BL-17 and Bl-18 acupoints for 20 minutes in 3 consecutive days. Meanwhile, a standard treatment was given to the control group. Breast milk expression was carried out before and after the use of DMO. The data were analyzed using the Mann-Whitney and the Wilcoxon tests. Results: The results showed that there were differences in the volume of the expressed breast milk before and after the use of the DMO (p=0.00). The mothers in the intervention group increased their milk production on an average of 23 ml when other variables affecting the breastfeeding were controlled.Conclusion: The DMO stimulated and increased the milk production of working mothers. It can also be an alternative to the complementary therapy, especially for the nursing care management of breastfeeding mothers.


2020 ◽  
Vol 38 (2) ◽  
pp. 68-73
Author(s):  
Tarannum Tasnim ◽  
ANM Shamsul Islam ◽  
Mehedi Hasan Azad ◽  
Farhana Sharmin

Background: Children are the precious gift from the Almightily Allah and breast milk is an ideal product given to the human being by nature to fulfill all requirements of the offspring until they are matured enough to take adult food. Objective: To assess the services provided for lactating mothers at lactation management centre in selected tertiary level hospitals. Materials and Methods: This cross sectional study was conducted among 100 Lactating mothers who were selected conveniently and were interviewed by pre-tested semi-structured questionnaire and an observational checklist. Collected data were processed and analyzed using SPSS (Statistical Packages for Social Science) software. Results: Lactation management centre (LMC) is supervised by a consultant and separate room is allotted in both out-patient and in-patient departments. Mothers came with lactation problems were more likely in the first month of the baby (73%) and feeling of not enough milk production was common (49%).Highly significant relationship was found between breast problems of lactating mother and age of child (p<0.001). About 84% respondents received practical demonstration on position and attachment of the baby during lactation. About 91% respondents got dietary advice for enough breast milk production, 75% got dietary advice regarding their child’s weaning food chart and69% got health education. Maximum mothers were informed about LMC by doctor & nurse (82%). Conclusion: Information about LMC services should be disseminated across the country. Lactating mothers should be familiarized with LMC and public awareness should be enhanced for effective management of breastfeeding problem to promote, protect and support the breastfeeding. JOPSOM 2019; 38(2): 68-73


2017 ◽  
Vol 9 (2) ◽  
pp. 47-51 ◽  
Author(s):  
Nisha Shrestha ◽  
P Shrestha

Background: Pressure ulcer (PU) development remains a significant complication among at-risk patients. It is considered “never events” because they are preventable and should “never” happen. It has been associated with increased morbidity, mortality, hospital cost and length of stay in the hospital. Prevention of pressure ulcers is considered a nurse-sensitive indicator hence nurses should have adequate knowledge about current evidence-based prevention and management of pressure ulcer. However, non adherence to these guidelines is frequent and lack of knowledge may act as barriers to using guidelines in clinical practice.Objectives: The objectives of the study were to 1. assess the knowledge of pressure ulcer management among nurses 2. determine the level of knowledge of pressure ulcer management among nurses 3. assess the association of knowledge of nurses and baseline variables.Methods: A descriptive cross sectional study was conducted, using pretested self administered questionnaire to assess the knowledge on pressure ulcer management among purposively selected 100 nurses working in Gandaki Medical College Teaching Hospital in 2015. Descriptive statistics as frequency and percentage were used and inferential statistics (Chi-square test) was done to find out association between knowledge and selected baseline variables.Results: The study revealed that 59% of the respondents had adequate knowledge where as 41% of nurse’s knowledge was found to be inadequate. Significant association was not found between age, working ward, experience, education, training, duration and knowledge of pressure ulcer management among Nurses.Conclusion: This result indicates that more than half of the nurses had the adequate knowledge but there is still need of education and training related pressure ulcer management.Journal of Gandaki Medical CollegeVolume, 09, Number 2, July December  2016, Page: 47-51


2018 ◽  
Vol 8 (1) ◽  
Author(s):  
Tri Aprillia Tauriska ◽  
Farida Umamah

The correlation between baby’s suck and breast milk production in breastfeeding mothers in RSI Jemursari Surabaya. The mothers feel reluctant to breastfeed their babies even though the exclusive breastfeeding has become a government’s propaganda. The pre-data taken from 15 breastfeeding mothers inform that 60% had a low breast milk production. Purpose of this study was to find out the correlation between baby’s suck and breast milk production in breastfeeding mothers in RSI Jemursari Surabaya.The design of study was analytic-observational done by applying cross sectional approach. The population involved all breastfeeding mothers as imumnunization visiting the hospital with their babies, totally 18 people, in which 17 respondents were taken by using probability sampling technique. The instrument used for collecting the data was a checklist. The variables used in this study were baby’s suck and breast milk production. The data were analyzed by using Chi-Square test with the significance level α = 0.05.The result of study showed that nearly all of the babies (94.1%) sucked correctly, whereas nearly all of the mothers (88.2%) had sufficient breast milk production. Moreover, the result of statistic test showed that p = 0.018 with the significance level α = 0.05 so that p < α. It also meant that H0 was rejected. The conclusion of study often the babies suck correctly, breast milk is produced. Hence, the breastfeeding mothers to still maintaining for breastfeed their baby with train them how to breastfeed correctly to increase breast milk production.


2021 ◽  
Vol 3 (3) ◽  
pp. 459-465
Author(s):  
Ayu Martiana ◽  
Rilyani Rilyani ◽  
Rahma Elliya

ABSTRAK ASI merupakan makanan yang terbaik bagi bayi produksi ASI dipengaruhi oleh beberapa faktor yaitu faktor nutrisi, perawatan payudara, isapan dan frekuensi menyusui, sosial budaya dan faktor psikologis. Data di Kabupaten Lampung Utara yang memberikan ASI secara eksklusif pada tahun 2015 sebesar 45,5% lebih rendah bila dibandingkan tahun 2016 yaitu 48% dari target 80%, bila dibandingkan di Lampung Timur pencapaian ASI eksklusif sebesar 54,3%. (Dinas Kesehatan Kabupaten Lampung Utara, 2017). Data RSD H.M Ryacudu Kotabumi pada Tahun 2016 cakupan pemberian ASI eksklusif sebesar 57,4% lebih tinggi bila dibandingkan Tahun 2017 dari jumlah bayi 73 yang memberikan ASI secara eksklusif sebesar 54,8. Tujuan penelitian untuk mengetahui hubungan tingkat kecemasan ibu post partum primipara dengan produksi asi di ruang nifas RSD H.M Ryacudu Kotabumi Tahun 2019Jenis penelitian kuantitatif dengan pendekatan Crossectional.   Populasi seluruh ibu post partum primipara yang ada di Ruang Nifas RSD H.M Ryacudu Kotabumi, sebanyak 87 responden tercatat dari tanggal 2- 29 April 2019.. Pengambilan sampel menggunakan teknik total sampling. Analisa menggunakan analisis univariat dan bivariat menggunakan chi squareHasil prasurvey terhadap 10 orang ibu post partum primipara di RSD H.M Ryacudu Kotabumi   menyimpulkan bahwa didapati 4 orang ibu atau (40,0%) tidak mengalami kecemasan paska melahirkan, dan dapat memberikan ASI eksklusif dengan baik kepada anaknya. Sedangkan sebanyak 6 orang ibu atau (60,0%) mengalami kecemasan paska melahirkan yaitu dengan gejala gelisah, gugup, bingung, sangat waspada, ketakutan, dan mengalami hambatan seperti menunda-nunda dalam pemberian ASI kepada anaknya. Kata Kunci      : Tingkat kecemasan, Produksi Asi ANXIETY IN PRIMIPHARA POSTPARTUM MOTHERS WITH BREAST MILK PRODUCTION ABSTRACT Breast milk is the best food for babies. Breast milk production is influenced by several factors, namely nutrition, breast care, suction and frequency of breastfeeding, socio-cultural and psychological factors. Data in North Lampung Regency that exclusively provided breast milk in 2015 was 45.5% lower compared to 2016, which was 48% of the target of 80%, compared to in East Lampung the achievement of exclusive breastfeeding was 54.3%. (North Lampung Regency    1Health Office, 2017). RSD Mayjen HM Ryacudu Kotabumi data in 2016 the coverage of exclusive breastfeeding was 57.4% higher compared to 2017 of the number of 73 babies who exclusively provided breast milk at 54.8. The purpose of this study was to determine the relationship of anxiety levels of postpartum primipara mothers with breast milk production in the puerperal room of H.M Ryacudu Hospital in Kotabumi 2019This type of quantitative research with a cross-sectional approach. The population of all primipara postpartum mothers in the post-partum room of RSDH.M Ryacudu Kotabumi, as many as 87 respondents were recorded from 2- 29 April 2019 .. Sampling using total sampling techniques. Analysis using univariate and bivariate analysis using chi-squareThe results of pre-survey of 10 primipara postpartum mothers in H.M Ryacudu Kotabumi Hospital concluded that 4 mothers or (40.0%) did not experience postpartum anxiety, and were able to give exclusive breast milk to their children. While as many as 6 mothers or (60.0%) experience postpartum anxiety that is with symptoms of anxiety, nervousness, confusion, extreme caution, fear, and experiencing obstacles such as procrastinating in giving breast milk to their children. Keywords: Anxiety Level, Breast Milk Production 


2019 ◽  
Vol 6 (2) ◽  
pp. 60-63
Author(s):  
Monika Lama

Introductions: Expressed breast milk (EBM) is a healthy feeding option as compared to formula milk for working mothers. Awareness and practice towards EBM may be helpful towards its promotion. Methods: A cross sectional study was conducted at Patan Hospital, Patan Academy of Health Sciences, Nepal. Working mothers with breastfeeding child of less than 2 year were interviewed for and practice regarding EBM. A self-constructed open and close ended questionnaire in Nepali was used for data collection to analyze the association of mother’s age, types of family structure and number of children with EBM. Results: Out of 178 working mothers, 121 (67.9%) had awareness about EBM and 22 had practiced it. Mother’s age, types of family structure and number of children were not statistically significant with level awareness. There was positive correlation between awareness and practice of EBM. Conclusions: This study demonstrated 2/3rd of working mothers had awareness of EBM and 1/10th practiced EBM feeding, and there was positive correlation of awareness and practice.


2019 ◽  
Vol 10 (2) ◽  
pp. 657-664
Author(s):  
Fitriani Ningsih ◽  
Rizki Muji Lestari

Latar belakang: Air Susu Ibu dapat memenuhi kebutuhan nutrisi bayi, imunologi dan psikologis. Walaupun ASI memiliki manfaat yang baik untuk bayi, namun faktanya masih banyak ibu yang tidak memberikan ASI secara ekslusif. Hal ini disebabkan karena beberapa alasan yaitu puting susu lecet, payudara bengkak, saluran susu tersumbat, mastitis, abses payudara, kelainan anatomi puting, atau bayi enggan menyusu sehingga membuat ibu tidak memberikan ASI secara eksklusifTujuan: Penelitian ini untuk melihat hubungan perawatan payudara dan frekuensi menyusui dengan produksi asiMetode: Desain penelitian ini menggunakan desain penelitian analitik dengan pendekatan cross sectional. Besar sampel pada penelitian sebanyak 30 responden ibu nifas yang ada di ruang Nifas RSUD dr. Doris Sylvanus Kota Palangka Raya. Pengambilan sampel menggunakan teknik purposive sampling dan pengujian statistik menggunakan uji statistik Chi-Square.Hasil: Berdasarkan hasil penelitian pada variabel perawatan payudara diperoleh nilai p = 0,048 (P Value a 0, 05) sehingga dapat disimpulkan bahwa ada hubungan perawatan payudara dengan produksi ASI dan pada variabel frekuensi pemberian ASI diperoleh nilai p = 0,009 (P Value a 0,05).Kesimpulan: ada hubungan perawatan payudara dan frekuensi pemberian ASI terhadap produksi ASI sehingga tindakan perawatan payudara yang baik dan secara rutin serta pemberian ASI sesering mungkin dapat membantu meningkatkan produksi ASI. Kata Kunci: Perawatan, Frekuensi, Menyusui dan Produksi ASIBackground: Breast milk can meet the nutritional needs of infants, immunology and psychological. Although breast milk has good benefits for babies, in fact there are still many mothers who do not exclusively breastfeed. This is due to several reasons, namely blisters nipples, swollen breasts, blocked milk ducts, mastitis, breast abscesses, anatomical abnormalities of the nipple, or the baby is reluctant to breastfeed so that the mother does not exclusively breastfeedObjective: This study is to look at the relationship between breast care and frequency of breastfeeding with breast milk productionMethod: The design of this study uses analytic research design with cross sectional approach. The sample size in the study were 30 postpartum mothers in the post-partum hospital RSUD dr. Doris Sylvanus Palangkaraya City. Sampling using purposive sampling techniques and statistical testing using the Chi-Square statistical test.Results: Based on the results of research on the variable breast care obtained p value = 0.048 (P Value a0.05) so it can be concluded that there is a relationship between breast care with breast milk production and on the variable frequency of breastfeeding obtained p value = 0.009 (P Value a 0.05).Conclusion: there is a relationship between breast care and the frequency of breastfeeding to the production of breast milk so that good and routine breast care measures and breastfeeding as often as possible can help increase milk production. Keywords: Care, Frequency, Breastfeeding and Breast Milk Production


2019 ◽  
Vol 3 (1) ◽  
pp. 114-122
Author(s):  
Siti Patonah ◽  
Dwi Agung Susanti ◽  
Dara Dwifa Anggraita

Background: Many mothers do not know about the benefits of Breast Crawl. Often mothers have an improper understanding, such as not having to breastfeed the baby because the breast milk has not come out or because the milk that comes out first and yellow is the dirt and stale.Purpose: The purpose of this research is to know the relationship of postpartum knowledge about Breast Crawl in newborn with the smoothness of milk production.Method: This research use analytical method with cross sectional approach. The study was conducted on May 29 to June 23, 2018. The population in this study were all post partum mothers in Sri Widayati Wiwik BPS, SST Tanggungan Ngraho Sub-district Bojonegoro Regency in 2018 as many as 22 people, the sample size of 22 postpartum women was taken by purposive sampling technique. The instrument used is a questionnaire, then performed data processing through editing, coding, scoring and tabulating and analysis of data with Cross tables.Results: The results showed that 22 postpartum mothers in BPS Wiwik Sri Widayati, SST Tanggungan Ngraho Sub-district Bojonegoro Regency is knowledgeable good of 11 people, more than half the smoothness of breast milk production smoothly for 14 people (63,64%).Conclusion: There is relation of maternal knowledge about Breast Crawl on newborn with smoothness of breast milk production at BPS Wiwik Sri Widayati, SST Tanggungan Ngraho Sub-district Bojonegoro Regency. From the results of this study should postpartum mother can improve knowledge especially about Breast Crawl in newborn by coming to counseling conducted by health workers at Maternal & Child Health Centre every month


2014 ◽  
Vol 8 (2) ◽  
pp. 83
Author(s):  
Bibi Ahmad Chahyanto ◽  
Katrin Roosita

<p>This study aimed to analyze association between intake of vitamin A with breast milk production of postpartum mothers. A cross sectional study of 30 postpartum mothers was conducted in Ciherang, Sukawening, Dramaga, Sinarsari, and Neglasari Villages, Subdistrict of Dramaga, District of Bogor, during April to May 2013. Vitamin A intake of postpartum mothers from food source of vitamin A was 565±351.40 RE while sufficiency level of vitamin A was 66.50±41.30%. Most of postpartum mothers perceived that their breast milk production for infants were fulfilled (80%). The results showed that vitamin A intake was significantly associated with breast milk production (p&lt;0.05). As intake of vitamin A in postpartum mothers increased, breast milk production for infants would be fulfilled.</p>


2020 ◽  
Vol 9 (1) ◽  
pp. 50-56
Author(s):  
Yurike Septianingrum ◽  
Nety Mawarda Hatmanti ◽  
Andikawati Fitriasari

Background: The low coverage of exclusive breastfeeding in Indonesia is caused by several factors, one of which is anxiety. The mother feels anxious because she is unable to provide enough milk for her baby.Objectives: The purpose of this study is to analyze the correlation between anxiety and breast milk production among breastfeeding mother in Public Health Center of Jagir, Surabaya.Methods: The design of this study was observational analytic with the cross-sectional approach. The study population were all of breastfeeding mothers in Public Health Center of Jagir, Surabaya who met the inclusion and exclusion criteria. The sample of this study was recruited through purposive sampling as many as 67 mothers. Data were collected by using the State Anxiety Inventory Questionnaire and the breast milk production observational sheet. The results of Cronbach Alpha test for the State Anxiety Inventory Questionnaire was .619 and the breast milk production observational sheet was .711. Descriptive statistics and Spearmen Rank Test with significance value less than .05 were used to analyzed data.Results: The results showed: 1) most breastfeeding mothers experienced moderate anxiety (91.04%), 2) some breastfeeding mothers showed smooth milk production (61.19%), 3) There was a correlation between anxiety and breast production in breastfeeding mothers (p = 0.001).Conclusion: The more severe anxiety in nursing mothers, the production of breast milk becomes not smooth. Future studies are expected to analyze other factors that can affect breast milk production in breastfeeding mothers. Keywords: Anxiety, Breast Milk Production, Breastfeeding Mother


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