scholarly journals EFEKTIFITAS BREAST CARE POST PARTUM TERHADAP PRODUKSI ASI

2016 ◽  
Vol 8 (02) ◽  
Author(s):  
Titik Wijayanti ◽  
Atik Setiyaningsih

ABSTRAKPerawatan payudara masa nifas (Breast Care Post Partum) merupakan suatu kebutuhan bagi ibu nifas. Dimana dengan perawatan payudara akan sangat membantu pengeluaran ASI yang berimbas pada peningkatan produksi ASI. Dengan produksi ASI yang berlimpah, bayi akan mendapatkan ASI Eksklusif. Cakupan ASI Eksklusif di kab. Semarang  pada tahun 2014 masih dibawah target  yaitu 44,3 %, demikian juga di Susukan hanya sebesar 24,8 % (Profil Kesehatan Kabupaten Semarang tahun 2014). Banyak faktor yang mempengaruhi rendahnya cakupan ASI Eksklusif, salah satunya adalah faktor rangsangan yang berupa perawatan payudara. Apabila seorang ibu nifas diberi rangsangan berupa metode breast care secara rutin akan membantu meningkatkan produksi ASI sehingga ibu bisa menyusui secara eksklusif. (Soetjiningsih, 2010). Penelitian yang digunakan adalah penelitian quasi eksperimen dengan pendekatan non equvalentcontrol group desain yaitu suatu penelitian yang terdapat kelompok perlakukan dan kelompok kontrol. (Notoatmodjo, 2005). Kelompok kontrol adalah ibu nifas yang tidak dilakukan breast care dan kelompok perlakuan adalah ibu nifas dengan breast care. Responden adalah ibu nifas hari ke-1 sampai hari ke-7. Untuk kelompok perlakuan diberikan breast care 2x sehari (pagi dan sore)  kemudian diobservasi produksi ASI-nya pada hari ke-8. Responden sejumlah 36 ibu nifas, diambil dengan tehnik purposive sampling terdiri dari 18 ibu nifas dengan breast care  dan 18 ibu nifas tidak diberikan breast care. Hasil perhitungan independent t-test diketahui bahwa besarnya nilai t-hit (16.40) > t-tab (1.691). Dengan demikian dapat disimpulkan bahwa Breastcare Postpastum efektif meningkatkan produksi ASI pada ibu menyusui.Kata Kunci : Produksi ASI, Breast Care post partum..POSTPARTUM BREASTCARE EFFECTIVENESS OF PRODUCTION ASI ABSTRACTBreast Care Post Partum is a requirement for postpartum mothers. Where to breast care will greatly assist ASI expenditures which impact on the increase in milk production. With the abundant production of milk, the baby will be breastfed exclusively. Scope of exclusive breastfeeding in the district. Semarang in 2014 was still below target at 44.3%, so in Susukan only by 24.8% (Semarang District Health Profile 2014). Many factors affect the low coverage of exclusive breastfeeding, one of which is a factor stimulation in the form of breast care. If a given stimulus in the form of postpartum mothers breast care routine methods will help increase milk production so that mothers can breastfeed exclusively. (Soetjiningsih, 2010). Study is a quasi-experimental research with non equvalentcontrol approach to the design of a study group contained treatment group and the control group. (Notoatmodjo, 2005). The control group was postpartum mothers who do not breast care and the treatment group was puerperal women with breast care. Respondents are postpartum mothers day 1 to day 7. For the treatment group given breast care 2x a day (morning and evening) and then observed their milk production on the 8th day. Respondents number 36 puerperal women, taken by purposive sampling technique consisted of 18 puerperal women with breast care and 18 postpartum mother was not given breast care. Results of independent t-test calculation is known that the value of t-hit (16:40) > t-tab (1.691). It can be concluded that Breastcare Postpastum effectively increase milk production in nursing mothers.Keywords: milk production, post partum Breast Care.

2018 ◽  
Vol 3 (1) ◽  
pp. 76
Author(s):  
Elvika Fit Ari Shanti

Abstrak: Produksi ASI yang kurang dan lambat keluar dapat menyebabkan ibu tidak memberikan ASI pada bayinya dengan cukup. Selain hormon prolaktin, proses laktasi juga bergantung pada hormon oksitosin, yang dilepas dari hipofise posterior sebagai reaksi terhadap penghisapan putting. Rolling massage salah satu terapi relaksasi yang bertujuan menstimulasi saraf pusat pada hipofisis posterior dan anterior sehingga dapat meningkatkan produksi ASI khususnya pada ibu post partum dan memberikan kenyamanan dan rileksasi setelah persalinan. Adapun tujuan penelitian adalah mengetahui efektifitas produksi ASI pada ibu post partum dengan massage rolling (punggung) di BPM Sri Sukeni Sleman. Metode penelitian ini adalah Quasi Experimental Design dengan rancangan penelitian two group post test design. Kelompok kontrol adalah ibu postpartum tanpa dipijat Massage roliing dan kelompok perlakuan adalah kelompok ibu postpartum yang dipijat masssage Roliing. Analisis data menggunakan uji independent t test dan paired sample t test. Hasil penelitian uji t sampel menunjukkan bahwa ada perbedaan yang bermakna (p=0.023<) produksi ASI (berat badan bayi) antara kelompok kontrol ( 2687,07 ± 160,155) dengan kelompok perlakuan (2846,13± 198,968). Perbedaan ini terlihat pada rerata berat badan bayi pada kelompok perlakuan lebih besar dibandingkan dengan kelompok. Massage rolling memengaruhi produksi ASI di BPM Sri Sukeni Sleman Tahun 2017. Abstract: The inadequate, slow production of breast milk makes mothers unable to provide enough breast milk to their babies. Besides the prolactin hormone, the lactation process also depends on oxytocin hormone which is secreted from the posterior hypophysis as a reaction on nipple suckling. Rolling massage is one of the relaxation therapy which aims to stimulate the central nerve on posterior and anterior hypophysis, so the breast milk production can be increased, particularly in the postpartum mothers, and comfort and relaxation after childbirth can be provided. This research aims to investigate the effectiveness of breast milk production in the postpartum mothers with massage rolling (back) in Sri Sukeni Community Empowerment Agency, Sleman. The methodology in this research is Quasi-Experimental Design with two-group posttest design. The control group is postpartum mothers without massage rolling and the treatment group is postpartum mother treated with the massage rolling. Data analysis used the independent t-test and the paired sample t-test. The research shows the result that in samples of t-test, there is a meaningful difference (p = 0.023<) in breast milk production (weight of baby) between control group (2,687.07 ± 160.155) and treatment group (2,846.13 ± 198.968). This difference is shown in the average weight of baby in treatment group which is higher compared with the control group. Massage rolling affects breast milk production in Sri Sukeni Community Empowerment Agency, Sleman in 2017.


2020 ◽  
Vol 8 (4) ◽  
pp. 416
Author(s):  
Anita Liliana ◽  
Melania Wahyuningsih

Abstract Adequacy of milk production in the newborns will affect the success of exclusive breastfeeding. Not all postpartum mothers are able to increase milk production in the postpartum period. Acupressure at the meridian points is one way to increase milk production in postpartum mothers. This study aims to determine the effect of acupressure therapy on increasing breast milk production in postpartum mothers at PKU Muhamadiyah Bantul. This study was a quantitative study  a quasi-experimental research design with pre-test and post-test nonequivalent control group. The number of respondents in each group was 17 people. The treatment given was acupressure at the meridian points for 5 minutes on days 2 and 3of poatpartum. Breastfeeding adequacy was assessed before treatment and on day 4 postpartum. Data were analyzed by Mc Nemar analysis. The results showed that there was a significant difference in breast milk production before and after acupressure with p value of 0.000 (p value <0.05). There was a significant difference in breast milk production in the control group before and after being given the breastfeeding technique leaflet p value 0.001 (p value <0.05). Conclusion: There is no significant difference in breast milk production after being given acupressure and after being given leaflets about breastfeeding techniques at PKU Muhamadiyah Bantul p value 0.100 (p value> 0.05).  Keywords: acupressure, breast milk production, postpartum


2020 ◽  
Vol 6 (4) ◽  
pp. 523-530
Author(s):  
Henny Prihatni ◽  
Yuistiana Evayanti ◽  
Devi Kurniasari ◽  
Sunarsih Sunarsih

PERINEUM WOUND HEALING WITH POSSIBLE EXERCISES Background Labor and delivery are physiological events. Often childbirth causes birth canal injuries so that it must be cared for properly and properly The maternal mortality rate in Lampung in 2017 is still high, namely 115.8 per 100,000 live births. The results of the initial survey in January 2019 at BPM Siti Hajar, S.ST, Desa Merak Batin Natar District, South Lampung Regency, that in January there were 52 post partum mothers, of the 52 post partum mothers 40 of them had perineal injuries, 37 due to spontaneous rupture and 3 due to episiotomy.Purpose was to determine the effect of postpartum gymnastics on the healing of perineal wounds in postpartum mothers at BPM Siti Hajar, S.ST, Merak Batin Village, Natar District, South Lampung Regency in 2019.Methods Quantitative research type methods, pre-experimental research design with a static group comparison approach. The population was 52 postpartum mothers. The research sample was 30 people divided into 2 groups, namely 15 people as the experimental group and 15 people as the control group. With a purposive sampling technique. Data analysis with dependent T-test.The results of univariate and bivariate analysis showed that the average duration of healing of perineal wounds in postpartum women who did postpartum exercise at BPM Siti Hajar, S.ST, Merak Batin Village, Natar District, South Lampung Regency in 2019, was 1.33 and in the control group was 4 , 60.The conclusion is that there is an effect of postpartum gymnastics on the healing of perineal wounds in post-partum mothers at BPM Siti Hajar, S.ST, Merak Batin Village, Natar District, South Lampung Regency in 2019. The t test results obtained p value 0.000 <α (0.05).Suggestion it is recommended for health workers, especially midwives, to advise postpartum mothers to do postpartum exercise as an alternative to accelerate the healing of perineal wounds.  Keywords: Postpartum exercise, Perineal Wound Healing ABSTRAK Latar Belakang Persalinan dan kelahiran merupakan kejadian fisiologis. Seringkali persalinan menyebabkan perlukaan jalan lahir sehingga harus dirawat dengan baik dan benar Angka kematian ibu di Lampung tahun 2017 masih tinggi yaitu sebesar 115,8 per 100.000 kelahiran hidup.Hasil survey awal pada Bulan Januari 2019 di BPM Siti Hajar, S.ST Desa Merak Batin Kecamatan Natar Kabupaten Lampung Selatan, bahwa pada bulan januari terdapat 52 ibu post partum, dari 52 ibu post partum tersebut 40 diantaranya mengalami luka perineum, 37 dikarenakan rupture spontan dan 3 karena episiotomi.Tujuan untuk mengetahui pengaruh Senam  Nifas Terhadap Penyembuhan Luka Perineum Pada Ibu Nifas di BPM Siti Hajar, S.ST Desa Merak Batin Kecamatan  Natar Kabupaten Lampung Selatan Tahun 2019.Metode Jenis Penelitian Kuantitatif, rancangan penelitian pre-eksperimen dengan pendekatan static group comparison. Populasi sebanyak 52 ibu nifas. Sampel penelitian  30 orang yang di bagi dalam 2 kelompok yaitu 15 orang sebagai kelompok eksperimen dan 15 orang sebagai kelompok kontrol. Dengan teknik sampling purposive sampling. Analisa data dengan uji T-test dependent.Hasil analisa univariat dan bivariate didapatkan rata-rata lama penyembuhan luka perineum pada ibu nifas yang melakukan senam nifas di BPM Siti Hajar, S.ST Desa Merak Batin Kecamatan  Natar Kabupaten Lampung Selatan Tahun 2019, yaitu sebesar 1,33 dan pada kelompok kontrol sebesar 4, 60. Kesimpulan diketahui ada Pengaruh Senam Nifas Terhadap Penyembuhan Luka Perineum Pada Ibu Nifas di BPM Siti Hajar, S.ST Desa Merak Batin Kecamatan  Natar Kabupaten Lampung Selatan Tahun 2019. Hasil uji t didapat p value 0,000 < α (0,05).Disarankan bagi tenaga kesehatan khususnya bidan agar menganjurkan kepada ibu nifas agar melakukan senam  nifas sebagai salah satu alternatif mempercepat penyembuhan luka perineum.  Kata Kunci            : Senam nifas, Penyembuhan Luka Perineum


2020 ◽  
Vol 7 (1) ◽  
pp. 53-61
Author(s):  
Nova Yulita ◽  
Sellia Juwita ◽  
Ade Febriani

Exclusive breastfeeding in Indonesia is still low. Achievement of exclusive breastfeeding in Indonesia is only 74.5%. Coverage of infants gets exclusive breastfeeding in 2018 which is 68.74%. The main reason that children 0-23 months have never / never been breastfed is because breast milk does not come out (65.7%). Various efforts can be made to increase production. The aim was to determine the behavior of postpartum mothers in increasing milk production. This research was a field survei was conducted in November 2019. Respondents in this survei were postpartum mothers in Pekanbaru City who were met by door to door. The number of respondents in this survei was 30 people. The results of this survei showed that varied maternal behavior in an effort to increase milk production. Some of the correct breastfeeding techniques have been used by mothers. Only a small proportion of mothers who do breast care and consume breast milk   Keywords: Behavior, ASI Production, Puerperium ABSTRAK   Pemberian ASI ekslusif di Indonesia masih rendah. Pencapaian  ASI ekslusif di Indonesia hanya 74,5%. Cakupan bayi mendapat ASI ekslusif tahun 2018 yaitu sebesar 68,74%. Alasan utama anak 0-23 bulan belum/tidak pernah disusui adalah karena ASI tidak keluar (65,7%). Berbagai upaya dapat dilakukan untuk meningkatkan produksi. Tujuan untuk mengetahui perilaku ibu nifas dalam meningkatkan produksi ASI. Penelitian ini menggunakan metode campuran dengan explanatory design  yang dilakukan pada bulan November 2019. Responden pada penelitian ini adalah ibu nifas di Kota Pekanbaru yang ditemui dengan cara door to door, dengan jumlah sebanyak 30 orang. Hasil penelitian ini menunjukkan perilaku ibu yang bervariasi dalam upaya peningkatan produksi ASI. Teknik menyusui yang benar sebagian telah dilakukan oleh ibu. Hanya sebagian kecil ibu yang melakukan perawatan payudara dan mengkonsumsi pelancar ASI.   Kata kunci: Perilaku, Produksi ASI, Nifas.  


2019 ◽  
Vol 8 (1) ◽  
pp. 8-15
Author(s):  
Luh Yunita Yunita ◽  
Ni Nengah Arini Murni ◽  
Mutiara rachmawati Suseno

In order to achieve success in exclusive breastfeeding care is needed for postpartum care in the first days of post partum to help maximize breast milk production. There are various ways that can be done to help increase milk production by using certain massage techniques, especially in the back area such as the SPEOS Method (Endorphin, Oxytocin and Suggestive Massage Stimulation) and the Marmet Technique. The purpose of this study is knowing the differences in the SPEOS Method (Stimulation of Endorphin, Oxytocin and Suggestive Massage) with the Marmet Technique on the milk production of postpartum mothers in the working area of ​​Karang Pule Health Center. This study uses quasi experimental with a post test only design with control group. This research was conducted in April 2019. The study population was all postpartum mothers in the working area of ​​Karang Pule Health Center. The research sample was 34 people. Data analysis using Independent T-test. The characteristics of this study which postpartum mothers were mostly aged 20-35 years with 88.2% presentation, the education level of most senior high schools with a presentation of 47.1%, most mothers did not work with presentations at 76.5% and mostly multiparous parity that is equal to 82.4%. After a statistical test using Independent T-Test significance value (p) of 0.043 <0.05 means that there is a difference between the use of the SPEOS method and the Marmet Technique. The Conclusion this study there is a difference between the SPEOS Method and the Marmet Technique of Breast milk Production in the work area of ​​Karang Pule Health Center


2021 ◽  
Vol 12 (1) ◽  
pp. 11
Author(s):  
Sitti Mukarramah

Breast Milk is an essential intake containing complete nutrition required for infant growth and health. Its protein is much higher than formula milk. One of the methods to improve breast milk production is Breast care. Breast care is helpful for the reflex of the release and increasing the volume of breast milk. This study aimed to determine the effect of breast care on milk production on postpartum mothers at Kassi-Kassi Health Center Makassar. The study applied "Experimental Quasy" with "Nonrandomized Control Group, Pretest-Posttest Design." The study involved 30 participants taken purposively from February to April 2018. The data were analyzed statistically with an independent sample t-test. The study found a significant difference in breast milk production between the experimental group and the control group with t count of 10,512 with df 58 is 2,000 (10,512 > 2,000) and ρ < 0,05 (0,000 < 0,05). Therefore, health workers, particularly midwives, educate and promote breast care to the community and postpartum mothers to support the first 1000 days of life. Air Susu Ibu (ASI) merupakan asupan penting terhadap tumbuh kembang dan kesehatan bayi. Salah satu cara untuk meningkatkan produksi ASI yaitu dengan melakukan perawatan payudara. Perawatan payudara bermanfaat untuk melancarkan refleks pengeluaran dan meningkatkan volume ASI. Tujuan penelitian ini adalah untuk menilai pengaruh perawatan payudara terhadap produksi ASI pada ibu postpartum di Puskesmas Kassi-Kassi Kota Makassar. Jenis penelitian ini adalah “Quasy Eksperimental” dengan rancangan “Nonrandomized Control Group, pretest-posttest Design”. Teknik pengambilan sampel adalah Purposive Sampling. Besar sampel untuk penelitian ini adalah 30 orang. Penelitian ini dilakukan pada bulan Februari – April 2018. Analisis statistik yang digunakan dalam penelitian ini adalah uji independent sample t-test. Hasil penelitian menunjukkan bahwa terdapat perbedaan produksi ASI yang signifikan antara kelompok perlakuan dengan kelompok kontrol dengan nilai t hitung sebesar 10,512 lebih besar dari t tabel sebesar 2,000 dan nilai ρ = 0,000 < 0,05. Produksi ASI lebih tinggi pada ibu yang melakukan perawatan payudara jika dibandingkan dengan ibu yang tidak melakukan perawatan payudara. Hal tersebut menunjukkan bahwa terdapat pengaruh perawatan payudara terhadap kelancaran produksi ASI pada ibu postpartum di Puskesmas Kassi-Kassi Kota Makassar. Edukasi ibu hamil tentang pentingnya perawatan payudara mesti tetap ditingkatkan untuk mendukung 1000 hari pertama kehidupan anak.


2021 ◽  
Vol 8 (2) ◽  
pp. 97
Author(s):  
Bunga Tiara Carolin ◽  
Jenny Anna Siauta ◽  
Irma Damayanti

ABSTRAKASI mengandung gizi tinggi yang sangat bermanfaat untuk kesehatan bayi, bahkan WHO merekomendasikan bayi untuk mendapatkan ASI eksklusif selama 6 bulan. Pencapaian ASI eksklusif di Indonesia belum mencapai angka yang diharapkan. Menurut Kemenkes RI pada  (2018) cakupan pemberian ASI eksklusif hanya 36% yang akan memberikan dampak negatif terhadap status kesehatan gizi, serta tingkat kecerdasan anak. Tujuan penelitian untuk mengetahui pengaruh pemberian buah papaya muda terhadap produksi ASI pada ibu post partum. Penelitian ini menggunakan quasy experiment dengan two group with pretest and postest design. Sampel berjumlah 30 ibu post partum yang melahirkan normal. Uji statistik yang digunakan adalah paired T-Test dan Independet T-Test. Rata-rata skor kecukupan ASI pada kelompok eksperimen sebelum diberikan buah pepaya muda adalah 5,93 dan sesudah adalah 14,60. Rata-rata kecukupan ASI pada kelompok kontrol sebelum adalah 6,60  dan sesudah adalah 7,86. Analisis bivariat menggunakan Independent t-test diperoleh p value = 0,00. Hal ini berarti ada perbedaan yang signifikan kecukupan ASI pada kelompok eksperimen dan kelompok kontrol. Buah pepaya muda terbukti menstimulasi produksi ASI. Oleh karena itu diharapkan bagi bidan unuk dapat memberikan penyuluhan tentang manfaat buah pepaya muda guna meningkatkan produksi ASI agar ibu memberikan ASI eksklusif. Kata Kunci : kecukupan ASI; buah pepaya muda; ibu post partum ABSTRACTBreast milk contains high nutrition which is very beneficial for the health babies, even WHO recommends babies to get exclusive breastfeeding for 6 months. The achievement of exclusive breastfeeding in Indonesia has not reached the expected number. According to the Indonesian Ministry of Health (2018) the coverage of exclusive breastfeeding is only 36% which will have a negative impact on the nutritional health status and the level of intelligence of children. The purpose of the study was to determine the effect of papaya fruit on breast milk production in post partum women. This study used a quasy experiment with two groups with pretest and posttest design. A sample of 30 postpartum women who gave birth normally. Data analysis had been done by paired T-Test and Independent T-Test. The average adequacy rate of postpartum women in the experimental group before being given raw papaya fruit was 5.93 and after 14.60. The mean postpartum breastfeeding adequacy rate in the control group before was 6.60 and after 7.86. Bivariate analysis using Independent t-test obtained p value = 0.00. There is a significant difference in the adequacy of breast milk in the experimental group and the control group. Papaya fruit is proven to stimulate breast milk production. Therefore, it is hoped that midwives can provide counseling about the benefits of young papaya fruit to increase milk production so that mothers provide exclusive breastfeeding Key words : adequacy breat milk, young papaya fruit, postpartum women


2019 ◽  
Vol 5 (1) ◽  
pp. 34-39
Author(s):  
Susilawati Susilawati ◽  
Nining Chusnul Chotimah

Babies should be exclusively breastfed for the first 6 months. But the success of exclusive breastfeeding is low. Shown with coverage of exclusive breastfeeding in the Village  District of Arjasa Biting  Jember  is by 30-40%,  whereas  the target coverage of exclusive breastfeeding in Indonesia is 80%. The reason is the lack of milk production.  Efforts are needed  to increase  milk production.  By providing water boiled papaya fruit in nursing mothers can improve milk production. This study aimed to determine differences in weight babies in the treatment group with the control group. The research method used in this research is the design of Quasi Experimental "Non-Equivalent Control Group Design".  Sampling technique using accidental sampling by respondents as many as 28 nursing mothers. Scale ratio data with independent t-test test gained an average weight gain of treatment and control group infants at 279,78 and 179,36. Analysis SPSS statistical test obtained t count  > t table  (3,86  > 2.160).  Thus  Ho is rejected,  meaning  that  there  are differences in weight babies in the treatment group with the control group. That is because the boiled papaya fruit contain saponins and alkaloids which can affect the production  of prolactin  and oxytocin.  With the significant  results expected health workers can provide information to breastfeeding mothers that water boiled papaya fruit can increase milk production.


2018 ◽  
Vol 12 (02) ◽  
Author(s):  
Muliani Muliani ◽  
Gusman Arsyad ◽  
Tasya Nurlaila Dilla

ABSTRACT The prevalence of exclusive breastfeeding is low. In 2016, the exclusive ASI coverage of Kamonji Public Health Center was 57.89% in Palu City. The method used to launch ASI production is a combination of breast care and oxytocin massage. This is because the method works to help stimulate the hormone prolactin and oxytocin and prevent blockage of the milk ducts. The purpose of this study was to find out the effectiveness of the combination of breast care and oxytocin massage on breast milk production in postpartum mothers at BPM Setia in the Kamonji Community Health Center work area. This type of research is quasi experimental, with posttest-only control design. Replication formula is used for the selection of subjects with a total of 32 subjects, using consecutive sampling technique. The intervention was given from the first day to the third day postpartum and then observation was made. Data normality test using the Shapiro-Wilk test, data analysis using independent t-test.          The results obtained by the significance value of 0.004 with the mean number of combination groups was 4.49 cc and the control group was 3.23 cc. The mean difference between the two groups was 1.26 cc. The conclusion of this study is a combination of breast care and oxytocin massage effective against breast milk production in postpartum mothers. Based on the results of this study it is suggested to develop services by providing combined intervention for postpartum mothers to help increase breastfeedingKeywords : Breast feeding, breast care, oxytocin massage


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 


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