Services Provided for Lactating Mothers at Lactation Management Clinic in Selected Tertiary Level Hospitals

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

2020 ◽  
Author(s):  
Zakari Ali ◽  
Mohammed Bukari ◽  
Anita Mwinisonaam ◽  
Abdul-Latif Abdul-Rahaman ◽  
Abdul-Razak Abizari

Abstract Background Inadequate breast milk production is one of the key factors associated with suboptimal breastfeeding. In most local African homes, special herbs and some food items are commonly used to promote breast milk production (known as lactogogue/galactogogue). We describe the use and characterize the herbs and food items used to promote breastmilk production in two regions of Ghana. Methods We conducted a cross-sectional study involving 402 lactating mothers. The range of foods used as lactogogues was obtained through focus group discussions. Quantitative data on demographics, lactogogue use and feeding practices were obtained through questionnaire administration. Results The mean age of women was 29.2 years and children were 10 months. Breastmilk production problems were low (22.4%) and majority of lactating mothers felt they had adequate breastmilk (70.4%) but awareness about lactogogues was widespread in both regions (88.8%) and highest in the Brong-Ahafo region (90.0%). Information about lactogogues was mainly from grandparents (24.6%), parents (31.6), health facilities (16.5%) and friends (12.8%), while the media had little influence (< 1%). Prevalence of lactogogue use was 83.8%, lactogogues were prepared separate from household meals (59.4%) and consumed 1 to 3 times a day (89.6%). Users felt the effectiveness within 24hrs of use (98.5%). The most common lactogogues included; groundnut/peanut soup prepared with Bra leaves (Hibiscus sabdariffa), hot black tea, Werewere/Agushi (Citrulus colocynthis) prepared with Bra leaves, and Abemudro (a polyherbal formulation). Only 13.2% of lactating mothers also used lactogogues during pregnancy. Conclusion Special foods and selected herbs are widely used to enhance breastmilk production in Ghana and constitute an important part of the diet of lactating mothers. These results could contribute to understanding breastfeeding behaviours and professional support for lactating women with breast milk production concerns in Ghana.


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>


2019 ◽  
Vol 45 (3) ◽  
pp. 149-154
Author(s):  
S. K. Roy ◽  
Saria Tasnim ◽  
Ms. Khurshid Jahan ◽  
Summyia Nazmeen ◽  
Sumon Chandra Debnath ◽  
...  

Background: Breastfeeding is universally recommended feeding method for promoting child survival. Many mothers in developing countries do not practice optimum breastfeeding due to difficulties in the breast that may lead to temporary or permanent cessation of breastfeeding. Oketani breast massage approach is one such technique to overcome those difficulties for successful lactation to promote child growth.   The aim of this study was to assess the difficulties in breastfeeding and mother’s expression on benefits of Oketani breast massage. Methods: A cross sectional study was conducted at lactational management center (LMC) in the Institute of Child Mother Health (ICMH), Dhaka, Bangladesh during March to August 2015. A total of 98 mothers (having 0-12 month’s old children) who had breast problems or difficulty in breastfeeding were included in the study. The mothers agreed to undertake Oketani massage. This is a breast massage that promotes breast milk production and helps the lactating mothers to overcome certain difficulties in the breast. Mothers who received Oketani massage were interviewed using a semi-structured questionnaire. Results: Ninety-eight mothers were interviewed for this study. About two-thirds (66.3%) of babies were girls of which 57.1% were less than 2 months.  More than two-thirds (78.6%) mother ages were more than 25 years. Half of the mothers completed secondary school certificate (SSC) in which non-working (63.3%) mothers were more than working mother (36.7%). The proportion of exclusive breastfeeding practice was 50.0%. Most common difficulties included breast engorgement (22.4%), followed by sore nipple (17.3%) and insufficient milk (14.3%). After receiving Oketani massage mother’s perception of getting confidence improved to 80.6%. About 69% said that the baby can be fed well, 61.2% felt that there was increase in breast milk production and 56.1% mothers expressed feeling good after the massage. Study findings revealed that Breast feeding significantly improved with the Oketani breast massage (p=0.001). Conclusion: Oketani massage is considered as a useful technique to build confidence and improved milk secretion among mothers facing difficulty during lactation. A multicentre study with detailed assessment of quality, the quantity of breastmilk as well as baby’s growth and nutritional assessment is recommended.


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 


2020 ◽  
Vol 3 (2) ◽  
pp. 45
Author(s):  
Raphael Kosasih ◽  
Ninik Mudjihartini ◽  
Saptawati Bardosono

Objective: Docosahexaenoic acid (DHA) is the predominant structural fatty acid in the brain and crucial for cognitive development in early life. Newborn DHA intake completely depends on preformed DHA in mother’s breast milk. In advancing years, globalization has been declining the fish intake of Asian countries. This study aims to determine DHA intake among lactating mothers in Jakarta and its association with breast milk’s DHA.Method: This cross-sectional study was conducted in Grogol Petamburan and Cilincing Public Health Centers, Jakarta. Eighty healthy lactating mothers aged 20–35 years old in 1–6 months postpartum were taken using consecutive sampling method. Characteristics data were taken by interviews and DHA intake was assessed with the semiquantitative food frequency questionnaire. Breast milk specimens were collected in the morning and its DHA content was analyzed using Gas Chromatography with Mass Spectrometry. Descriptive analyses and Spearman rho test were used with a 95% confidence level.Result: This study showed the median of subjects’ DHA intake was 158.5(13.9–719.7) mg/day, i.e., 67.5% of the subjects was below Food and Agriculture Organization (FAO) recommendation. The median of breast milk DHA was 51.7(19–184.7) mg/day, only 42.5 % of the subjects had breast milk DHA to meet the minimal requirement of their infant. A moderate positive correlation was found between maternal DHA intake with breast milk DHA (r = 0.478, p < 0.001). Conclusion:  Maternal DHA intake has moderate positive correlation with breast milk DHA, more than half of the subject had DHA intake below FAO recommendation.


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


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


2019 ◽  
Vol 6 (2) ◽  
pp. 98-106
Author(s):  
Siti Nur Sholeha ◽  
Edi Sucipto ◽  
Nilatul Izah

Exclusive breastfeeding coverage in Indonesia is 61.33%, Central Java 54.40%, Tegal District is 44% and for Bojong Health Center is 68.85%, this figure is still far from the exclusive coverage of targeted breastfeeding. Based on the results of the initial interview, 6 out of 10 respondents of postpartum women interviewed they did not know how to care for the breast, the benefits of breast and during the puerperium there were problems that were nipples so the milk did not come out and after a few days later came out.The purpose of this study was to find out whether there was an effect of breast care on breast milk production in postpartum mothers. The design and type of this research is analytical cross-sectional. The population in this study were all postpartum mothers who had postpartum visits at Bojong Health Center, Tegal Regency. The sample technique uses accidental sampling, namely the number of samples used by 30 respondents. Primary data is obtained from filling out the questionnaire. Chi Square test was used to analyze bivariate in this study. The  results of this study showed that a p value of 0.002, which showed that breast care in postpartum mothers affected breast milk production.   Keywords: Breast Care, ASI Production, Puerperal Mother ABSTRAK                                                             Cakupan ASI Eksklusif di Indonesia sebesar 61,33%, Jawa Tengah 54,40%, Kabupaten Tegal sebesar 44% dan untuk Puskesmas Bojong sebesar 68,85%, angka ini belum sesuai dengan target pencapaian ASI eksklusif yaitu 90%. Berdasarkan hasil wawancara awal 6 dari 10 responden orang ibu nifas yang diwawancarai mereka tidak tahu cara perawatan payudara, manfaat payudara dan pada masa nifasnya ada masalah yang dialami yaitu puting susu tidak menojol/terbenam sehingga ASInya tidak keluar dan setelah beberapa hari kemudian baru keluar. Tujuan penelitian ini yaitu untuk mengetahui apakah perawatan payudara berpengaruh terhadap produksi ASI pada ibu nifas. Rancangan dan jenis penelitian ini adalah analitik secara cross sectional. Populasi pada penelitian ini adalah semua ibu nifas yang melakukan kunjungan nifasnya di Puskesmas Bojong Kabupaten Tegal. Acidental sampling digunakan sebagai teknik untuk pengambilan sampel yaitu jumlah sampel yang digunakan 30 responden. Data primer didapatkan dari pengisisan kuesioner. Uji Chi Square digunakan untuk menganalisis bivariat dalam penelitian ini.  Hasil penelitian menunjukkan bahwa nilai p sebesar  0,002, yang menunjukkan bahwa perawatan payudara pada ibu nifas berpengaruh terhadap produksi ASI.   Kata Kunci: Perawatan Payudara, Produksi ASI, Ibu Nifas


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