scholarly journals HAMBATAN PELAKSANAAN INISIASI MENYUSU DINI PADA PASIEN POST SECTIO CAESAREA DI PROVINSI NTB

2021 ◽  
Vol 6 (1) ◽  
pp. 21
Author(s):  
Ana Pujianti Harahap ◽  
Aulia Amini ◽  
Nurul Qamariah Rista Andaruni ◽  
Rizkia Amilia
Keyword(s):  
Data Reduction ◽  
Health Workers ◽  
Early Initiation ◽  
Sectio Caesarea ◽  
Data Display ◽  
Early Initiation Of Breastfeeding ◽  
Number Of Patients ◽  
Health Agencies ◽  
Center Hospital ◽  
Initiation Of Breastfeeding

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.

scholarly journals Maternal and child factors associated with early initiation of breastfeeding in Chad: evidence from nationally representative cross-sectional data

2021 ◽  
Author(s):  
Bright Opoku Ahinkorah ◽  
Abdul-Aziz Seidu ◽  
Eugene Budu ◽  
Aliu Mohammed ◽  
Collins Adu ◽  
...  
Keyword(s):  
Health Workers ◽  
Working Women ◽  
Wealth Quintile ◽  
Early Initiation ◽  
Outcome Variable ◽  
Related Factors ◽  
Factors Associated ◽  
Early Initiation Of Breastfeeding ◽  
Child Factors ◽  
Initiation Of Breastfeeding

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.

scholarly journals Pengaruh Usia Dan Pendidikan Terhadap Implementasi nisiasi Menyusu Dini (IMD) Pada Pasien Post Sectio Caesarea

2021 ◽  
Vol 4 (1) ◽  
pp. 7
Author(s):  
Meylina Parela Ningsih ◽  
FX. Ady Soesetijo ◽  
Dewi Rokhmah
Keyword(s):  
Data Analysis ◽  
Formal Education ◽  
Early Initiation ◽  
Primary Data ◽  
Sectio Caesarea ◽  
Breastfeeding Initiation ◽  
Educational Media ◽  
Early Initiation Of Breastfeeding ◽  
Skin Contact ◽  
Initiation Of Breastfeeding

Early initiation of breastfeeding (EIBF) in post sectio caesarea patients is the process of breastfeeding the baby to his mother immediately after birth by placing the baby on the mother's chest or abdomen so that skin-to-skin contact occurs and letting the baby find the mother's nipple and then breastfeed until satisfied. The benefits of IMD are very large for mothers and babies including accelerating the production of colostrum as a baby antibody so as to prevent infection, prevent hypothermia and hypoglycemia and prevent anemia due to bleeding after delivery. IMD becomes important to be carried out both for mothers with normal labor and with the act of sectio caesarea. This study aims to determine the effect of maternal age and education on the implementation of early initiation of breastfeeding (IMD) in post sectio caesarea patients. This type of research was analytic observational with cross sectional design. Data obtained from primary data 99 respondents by filling out a questionnaire and direct observation. The research site at Bina Sehat Jember Hospital in April 2021. Data obtained from the primary data of 99 respondents by filling out questionnaires and making direct observations. Data analysis used is bivariate analysis using SPSS statistical data processing tool. The results of the instrument test show that all variables were valid and reliable as a data collection tool. The results of data analysis showed that: 1) Age had no significant effect on the implementation of IMD in post sectio caesarea patients (p = 0.769) because the indication for delivery by sectio caesarea was not carried out in patients with high risk age, but also in productive age. 2) Education had no significant effect on the implementation of IMD in post sectio caesarea patients (p = 0.284) Because knowledge about the importance of early breastfeeding initiation and how to do it is not obtained during formal education but from non-formal education and other educational media, so that other educational media are needed in order to support the implementation of IMD, especially in post sectio cesarea patients. Keywords: Early Initiation Breastfeeding, Education, Sectio Caesarea, Age

scholarly journals Faktor-faktor yang Mempengaruhi Pelaksanaan Inisiasi Menyusu Dini di Instalasi Kamar Bedah Rumah Sakit Panti Rapih Yogyakarta

2021 ◽  
Vol 2 (2) ◽  
pp. 89-102
Author(s):  
Maria Mahdalena Diyah Pujiastuti ◽  
Agnes Mahayanti ◽  
Sr. Therese Maura Hardjanti, CB
Keyword(s):  
Health Personnel ◽  
Sampling Technique ◽  
Early Initiation ◽  
Team Work ◽  
Sectio Caesarea ◽  
P Value ◽  
Operating Theater ◽  
Cross Sectional ◽  
Early Initiation Of Breastfeeding ◽  
Initiation Of Breastfeeding

ABSTRACT   Background: The success of breastfeeding is a team work with proper information and big support to create  environment enabled the  mothers to give breastfeeding optimally to their baby (Kemenkes, 2019). Keeping in mind that the OT achievement is far below 100% , the researcher is interested in take up factors influence the application of Early  Initiation of Breastfeedingin Operating Theater Unit of Panti Rapih Hospital Yogyakarta. Objective: Unveil factors wish  interfere the practice of  Early  Initiation of Breastfeeding  in Operating Theater Unit of Panti Rapih Hospital Yogyakarta. Methods: The design of the study is observational analytic  method with  cross sectional approach. The population of the study is every mother who gives birth with sectio caesarea in Operating Theater Unit of  Panti Rapih Hospital Yogyakarta. Sampling technique in the study is accidental sampling. This study had 33 respondents. Study instrument in the study is  questionnairefilled out by respondents on the first day after sectio caesarea was performed in the inpatient room. The research was conducted from September 2020 to February 2021. Results: There is no significant correlation between knowledge and  IMD practice (p value 0.772), there is no significant correlation between attitudes and IMD practice ( p value  0.500), there is no significant correlation between parity and  IMD practice (p value  0.500), there is a significant correlation , strong and unidirectional between health personnel support and IMD practice (p value  0.000) . Conclusion: Significant factors interfere with the success  of Early Initiation of breastfeeding  in the Operating Theater Unit of Panti Rapih Hospital Yogyakarta is health personnel  supportwhile the insignificant factors consists of knowledge, attitude and parity.

scholarly journals The Effect of Health Worker Training on Early Initiation of Breastfeeding in South Sudan: A Hospital-based before and after Study

2019 ◽  
Vol 16 (20) ◽  
pp. 3917
Author(s):  
Justin Bruno Tongun ◽  
James K Tumwine ◽  
Grace Ndeezi ◽  
Mohamedi Boy Sebit ◽  
David Mukunya ◽  
...  
Keyword(s):  
Infant Health ◽  
Health Workers ◽  
South Sudan ◽  
Prevalence Ratio ◽  
Poisson Model ◽  
Early Initiation ◽  
Baseline Survey ◽  
Early Initiation Of Breastfeeding ◽  
Suboptimal Breastfeeding ◽  
Initiation Of Breastfeeding

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.

scholarly journals Factors that Influence the Implementation of Early Initiation of Breastfeeding in RSUP Haji Adam Malik Medan

2020 ◽  
Vol 2 (1) ◽  
pp. 304-312
Author(s):  
Ali Imron ◽  
Ida Yustina ◽  
Etti Sudaryati
Keyword(s):  
Health Workers ◽  
Phenomenological Approach ◽  
Early Initiation ◽  
Successful Implementation ◽  
Early Initiation Of Breastfeeding ◽  
Skin Contact ◽  
Government Hospitals ◽  
The Government ◽  
Depth Interviews ◽  
Initiation Of Breastfeeding

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.

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

2019 ◽  
pp. 17-24
Author(s):  
Mulia Lestari
Keyword(s):  
Qualitative Research ◽  
Muscle Contraction ◽  
Vaginal Delivery ◽  
Health Workers ◽  
Early Initiation ◽  
The Past ◽  
Early Initiation Of Breastfeeding ◽  
Uterine Muscle ◽  
Depth Interviews ◽  
Initiation Of Breastfeeding

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

scholarly journals PENGARUH PERAWATAN RUTIN BAYI BARU LAHIR TERHADAP KEBERHASILAN INISIASI MENYUSU DINI DI RUANG PONEK RSUD KABUPATEN JOMBANG

2018 ◽  
Vol 9 (2) ◽  
Author(s):  
Rini Hayu Lestari
Keyword(s):  
Health Workers ◽  
Newborn Care ◽  
Routine Care ◽  
Early Initiation ◽  
Cross Sectional ◽  
Early Initiation Of Breastfeeding ◽  
Treated Sample ◽  
Life Saving ◽  
Child Health Programs ◽  
Initiation Of Breastfeeding

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. 

scholarly journals GAMBARAN PELAKSANAAN INISIASI MENYUSUI DINI (IMD)

2021 ◽  
Vol 16 (3) ◽  
pp. 511-515
Author(s):  
Safrina ◽  
Tengku Sri Wahyuni
Keyword(s):  
World Health Organization ◽  
Health Workers ◽  
Statistical Tests ◽  
Early Initiation ◽  
World Health ◽  
Cross Sectional ◽  
Risk Of Death ◽  
Early Initiation Of Breastfeeding ◽  
Health Organization ◽  
Initiation Of Breastfeeding

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.

scholarly journals Study the Effect of Counseling on Early Initiation of Breastfeeding with Media Breastfeeding E-books

2019 ◽  
Vol 8 (1) ◽  
pp. 1-9
Author(s):  
Elsa Budi Sihsilya Rahmawati ◽  
Poppy Farantia Saputri
Keyword(s):  
Pregnant Women ◽  
Health Workers ◽  
Early Initiation ◽  
Control Group ◽  
P Value ◽  
Chi Square ◽  
Control Group Design ◽  
Early Initiation Of Breastfeeding ◽  
Chi Square Test ◽  
Initiation Of Breastfeeding

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.

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