PENGARUH INISIASI MENYUSU DINI (IMD) TERHADAP KADAR HORMON OKSITOSIN DAN PROSES INVOLUSIO UTERI PADA IBU POST PARTUM RESIKO TINGGI DI RSUD H.PADJONGA DG NGALLE KAB. TAKALAR

2018 ◽  
Vol 7 (09) ◽  
pp. 97-103
Author(s):  
Ny. Mantasia

Early Initiation of Breastfeeding (IMD) is the process of feeding the baby immediately after birth for one hour. This study aims to determine the effect of Early Initiation of Breastfeeding Against Oxytocin Hormone Levels And Involusio uteri On Mother Post Partum Resti In Hospital H. Padjonga Dg Ngalle Takalar.This type of research is an analytic observational prospective cohort study design. ie research where data retrieval independent variable (Early Initiation of Breastfeeding) done first, over time new data retrieval performed dependent variable (hormone oxytocin and Involusio uteri) taken by purposive sampling, using primary data. Data analysis by Man Whitney U test.Result showed that early initiation of breastfeeding (IMD) has no effect on the levels of the hormone oxytocin, P = 4.42, early initiation of breastfeeding (IMD) has no effect on uterine involution P = 4.64. Keywords : Early Initiation of Breastfeeding, Hormone Oxytocin, involution uteri

2021 ◽  
Vol 7 (3) ◽  
pp. 466-470
Author(s):  
Helen Evelina Siringoringo ◽  
Susmita Susmita

Background: One of the factors that influence uterine involution is early initiation of breastfeeding (IMD). When breastfeeding occurs stimulation and the release of hormones, including oxytocin, which functions in addition to stimulating contraction of the smooth muscles of the breast, also causes uterine muscle contraction and retraction. This will put pressure on the blood vessels resulting in reduced blood supply to the uterus. This process helps to reduce the placenta implantation site or site as well as reduce bleeding. The Maternal Mortality Rate (MMR) in Indonesia is 250 / 100,000 (KH). one of them is caused by bleeding. One of the causes of bleeding is the sub-involution of the uterus. Uterine involution or uterine contraction is a process by which the uterus returns to its pre-pregnancy state.Purpose: To determine the influencing of early initiation of breastfeeding on uterine involution.Methods: The study was carried out by early initiation of breastfeeding and observation and measuring the height of the uterine fundus (TFU) to assess uterine involution. The design of this study used an analytical survey method with a Cohort research design. This study used primary data. The population in this study were all women with normal gestational age at the Independent Practice Midwives (BPM) Choirul Mala and PMB Fauziah Hatta. The sampling technique was non propability sampling with purposive technique. The sample size was n1 = n2 for each group of 48 people. The analysis used univariate and bivariate with Chi Square. The study was conducted at BPM Choirul Mala and BPM Fauziah Hatta from December 2018 to February 2019.Results: The results of data analysis from 96 respondents showed that the proportion of non-initiation of early breastfeeding with abnormal uterine involution was 45.8% smaller than those with early initiation of breastfeeding as much as 0%. The results of the Chi-square statistical test showed that the p value = 0.00 was smaller than 0.05, this indicated that there was an influencing of early initiation of breastfeeding on uterine involution with an OR: 0.083.Conclusion: There was an influencing of early initiation of breastfeeding on uterine involution in BPM Choirul Mala and BPM Fauziah Hatta in 2019 Suggestion: It is expected that midwives, to carry out their role in carrying out midwifery care by providing education to pregnant women about early initiation of breastfeeding and its benefits and consistently doing IMD in maternity mothers for at least 1 hour.  Keywords: Early Initiation of Breastfeeding, Uterine Involution ABSTRAK Latar Belakang : Salah satu faktor yang mempengaruhi involusi uterus adalah Inisiasi menyusu Dini (IMD). Saat menyusui terjadi rangsangan dan dikeluarkannya hormon antara lain oksitosin yangberfungsi selain merangsang kontraksi otot-otot polos payudara, juga menyebabkan terjadinya kontraksi dan retraksi otot uterus. Hal ini akan menekan pembuluh darah yang mengakibatkan berkurangnya suplai darah ke uterus. Proses ini membantu untuk mengurangi situs atau tempat implantasi plasenta serta mengurangi perdarahan. Angka Kematian Ibu (AKI) di Indonesia adalah 250/100.000 (KH). salah satunya disebabkan oleh perdarahan. Penyebab perdarahan salah satunya yaitu sub involusi uterus. Involusi uterus atau pengerutan uterus merupakan suatu proses dimana uterus kembali ke kondisi sebelum hamil.Tujuan : Mengetahui pengaruh inisiasi menyusu dini terhadap involusi uterus.Metode : Penellitian dilakukan dengan cara melakukan inisiasi menyusu dini dan observasi serta mengukur Tinggi Fundus Uteri (TFU) untuk menilai involusi uteri. Desain penelitian ini menggunakan metode survey analitik dengan rancangan penelitian Cohort. Penelitian ini menggunakan data primer. Populasi dalam penelitian ini adalah seluruh ibu bersalin normal dengan usia kehamilan aterm di Bidan Praktik Mandiri (BPM) Choirul Mala dan PMB Fauziah Hatta. Tehnik Pengambilan sampel secaranon propability sampling dengan teknik purposive. Besar sampel n1 =n2 masing-masing 48 orang setiap kelompok.Analisa yang digunakan univariat dan bivariat dengan Chi Square. Penelitian dilakukan di BPM Choirul Mala dan BPM Fauziah Hatta pada bulan Desember 2018 sampai dengan Februari 2019.Hasil : Hasil analisis data dari 96 responden, didapatkanproporsi tidak inisiasi menyusu dini dengan involusi uterus tidak normal sebanyak 45,8 % lebih kecil daripada yang inisiasi menyusu dini sebanyak 0 %. Hasil uji statistik Chi-squarediperoleh nilai p value = 0,00 lebih kecil dari  0,05 hal ini menunjukkan bahwa ada pengaruh inisiasi menyusu dini terhadap involusi uterus dengan nilai OR : 0,083.Kesimpulan : Ada pengaruh inisiasi menyusu dini terhadap involusi uterus di BPM Choirul Mala dan BPM Fauziah Hatta tahun 2019Saran : Diharapkan kepada bidan, untuk menjalankan perannya dalam melakukan asuhan kebidanan dengan memberikan edukasi pada pada ibu hamil tentang inisiasi menyusu dini dan manfaatnya serta secara konsisten melakukan IMD pada ibu bersalin mimimal selama 1 jam. Kata Kunci : Inisiasi Menyusu Dini, Involusi Uterus


e-NERS ◽  
2013 ◽  
Vol 1 (1) ◽  
Author(s):  
Fransisca M.A. Wowiling ◽  
Benny Wantouw ◽  
Julia Rottie

Abstract: Early Initiation of Breastfeeding is the baby starts to suckle his own soon after birth, as long as the skin is left in contact with his mother, at least 1 hour after birth. How to initiate early breastfeeding baby was named after the breast crawl or crawl seek his own breast. This study aims to gain an overview of the relationship between knowledge and attitude of mothers VK (maternity) Prof Dr Irina D BLU. R.D. Kandou Manado. Design of this study used cross sectional method where the entire population is a normal post partum mothers in space VK (Maternity) Prof Dr Irina D BLU. R.D. Kandou Manado with a sample size of 30 responden. Data responde collected using questionnaires and observation sheets then the data presented preformance cross tabulation tables and chi square test with a significance level of 0.05. Based on the results of the study showed that of the chi square test results obtained ρ value ​> 0.05. It states that there is no correlation between knowledge and attitude with the implementation of early breastfeeding initiation (IMD) in mothers post partum in space VK (maternity) Prof. Dr Irina D BLU R.D. Kandou Manado. Keywords: Knowledge and Attitude Post Partum Mom, Implementation of Early Initiation of Breastfeeding (IMD).     Abstrak: Inisiasi Menyusu Dini adalah bayi mulai menyusu sendiri segera setelah lahir, asalkan dibiarkan kontak dengan kulit ibunya, setidaknya 1 jam setelah lahir. Cara bayi melakukan inisiasi menyusu dini ini dinamakan the breast crawl atau merangkak mencari payudara sendiri. Penelitian ini bertujuan memperoleh gambaran mengenai hubungan pengetahuan dan sikap ibu post partum dengan pelaksanaan inisiasi menyusu dini (IMD) di Ruang VK (bersalin) Irina D BLU RSUP Prof. R.D. Kandou Manado. Desain penelitian ini menggunakan metode cross sectional dimana populasinya adalah keseluruhan ibu post partum secara normal di Ruang VK (Bersalin) Irina D BLU RSUP Prof. R.D. Kandou Manado dengan besar sampel 30 responden.Data dikumpulkan dari responde dengan menggunakan lembar kuisioner dan observasi kemudian data disajikan dalm tabel tabulasi silang dan uji chi square dengan derajat kemaknaan 0,05. Berdasarkan hasil penelitian menunjukkan bahwa dari hasil uji chi square didapatkan nilai ρ > 0,05. Ini menyatakan bahwa tidak ada hubungan pengetahuan dan sikap dengan pelaksanaan inisiasi menyusu dini (IMD) pada ibu post partum di Ruang VK (bersalin) Irina D BLU RSUP Prof.Dr. R.D. Kandou Manado. Kata kunci: PengetahuandanSikapIbuPost Partum, Pelaksanaan Inisiasi Menyusu Dini (IMD).


2021 ◽  
Vol 4 (1) ◽  
pp. 7
Author(s):  
Meylina Parela Ningsih ◽  
FX. Ady Soesetijo ◽  
Dewi Rokhmah

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


2019 ◽  
Vol 4 (1) ◽  
pp. 31-36
Author(s):  
YUNARSIH

The earlyinitiation of breastfeeding mothers  after the delivery happens is possible believed that can decrease the pain of delivery because it is one of distraction acts which can change the mother’s focus on the pain of delivery into another stimulus.The purpose of the study is to find the correlation between the speed of breastfeeding and the decrease of pain occurrence on the mother and also give and attention the fourth stage of the labor.The method used in the study is an analytical observation (longitudinal prospective). While the population of study is some mothers who experience a vaginal birth inDahlia I Room at RSU USD Gambiran Kediri.The number of the sample is 29 mothers using a random sampling technique. The independent variable is the speed of first breast feeding and the dependent variable is the decrease of pain occurrence on the fourth stage. The datum are analyzed by ( SPSS ) T analyzed on two random sample and match to the meaningful degree of α< 0,05.The result of the study shows that there is a correlation between the speed of first breastfeeding with the decrease of  pain occurrence on the mother .Therefore the conclusion of the study is that there is a correlation between the speed of the first breastfeeding and the decrease of pain occurrence of the mother , so that the researcher hope that the person on duty for the delivery process to encourage the first breastfeeding procedure to the mother and also to enlarge the knowledge of health education of the expecting mother about the essential effect of first breast feeding application.    


2017 ◽  
Vol 3 (2) ◽  
pp. 99
Author(s):  
Yunarsih Yunarsih ◽  
Dwi Rahayu

Maternal mortality rate  in Indonesia is assumed to be high enough; it is 228 per a hundred thousand alive birth case in 2010 with the main factor is a heavy bleeding. The decrease of maternal mortality rate  can be done by decreasing one of its factors that is avoiding a heavy bleeding after the delivery by doing a first breast feeding procedure. The purpose of the study is to find the correlation between the speed of early initiation of breastfeeding with  the volume of blood occur at the fourth stage of the labor (post partum hemorrhage). The method used in the study is an analytical observation (longitudinal prospective). While the population of study is some mothers who experience a vaginal birth in BPM Bunda district Prambon. The number of the sample is 29 mothers using a random sampling technique. The independent variable is the speed of early initiation breastfeeding and the dependent variable is  the volume of blood on the fourth stage (post partum hemorrhage). The datum are analyzed by ( SPSS ) T analyzed on two random sample and match to the meaningful degree of α; 0,05. The result of the study shows that there is a correlation between the speed of first breastfeeding  with   the volume of the blood p = 0,00. Therefore the conclusion of the study is that there is a correlation between the speed of the first breastfeeding and the volume of the blood, so that the researcher hope that the person on duty for the delivery process to encourage the first breastfeeding procedure to the mother and also to enlarge the knowledge of health education of the expecting mother about the essential effect of first breast feeding application.; Keyword : early initiation of breastfeeding, post partum hemorrhage, maternal mortality


2018 ◽  
Vol 10 (1) ◽  
Author(s):  
UKE MAHARANI DEWI

Various programs to support the delivery of ASI has intensified coverage of ASI but still does not meet the expected target. The purpose of this study was to determine the relationship between the mother’s attitude, support health workers and support the implementation of those closest to the length of early initiation of breastfeeding on maternal postpartum in BPM Istiqomah, S. Keb.Bd Surabaya. This study is an analityc observational research. Population in this study were all patients post partum in BPM Istiqomah, S. Keb.Bd as many as 15 respondents. Sampling using total sampling. Data collection is done by direct observation by the researcher. Collected data is then processed and analyzed using a computer. Data analysis include univariate analyzes looking for frequency distribution, bivariate analysis with chi square correlation fisher exact test (α<0,05). The results of the bivariate analysis showed a significant relationship (significant) between the attitude of the mother, the support of health professionals, and the support of those closest to the duration of the early initiation of breastfeeding on post partum mothers with significant value smaller than 5%. Key word: attitude, the support of health professionals, and the support of those closest, the duration of the early initiation of breastfeeding> <0,05). The results of the bivariate analysis showed a significant relationship (significant) between the attitude of the mother, the support of health professionals, and the support of those closest to the duration of the early initiation of breastfeeding on post partum mothers with significant value smaller than 5%.


2020 ◽  
Vol 3 (2) ◽  
pp. 73
Author(s):  
Reni Nofita ◽  
Nuntarsih Nuntarsih ◽  
Dorsinta Siallagan

The policy of early initiation of breastfeeding has been socialized in Indonesia since August 2007 (Roesli, 2008). The World Health Organization (WHO) has recommended that all babies get colostrum, namely breast milk on the first and second days to fight various infections and get exclusive breastfeeding for 6 months (Ministry of Health 2012). The IMD implementation policy is also expected to reduce infant mortality (IMD). In infant mortality, 40% occurs in the first month of life and early initiation of breastfeeding can reduce these risk factors for death, thereby reducing 22% for 28-day infant mortality. The research design was a cross sectional study using primary data (questionnaire). This sample uses accidental sampling method. The results showed that of the 87 respondents at Puskesmas Palmerah, the age of 20-35 years old mothers who had good knowledge about IMD were 30 respondents (34.5%), respondents with high education (SMA-PT) had good knowledge about IMD as many as 51 respondents ( 58.62%), respondents who work and have good knowledge about IMD are 24 respondents (27.59%), respondents who are experienced and have good knowledge about IMD are 42 respondents (48.28%), respondents who receive information and have Good knowledge about IMD was 69 (79.31%), while the related variables included age, education and experience with a P value of 0.384 greater than α, namely 0.05. Conclusion. Characteristics of age, education level, experience are closely related to the knowledge possessed by pregnant women, especially those related to knowledge of IMD. Meanwhile, the factor that is not related to the success of IMD is the source of information. Suggestion. There needs to be an effort to do outreach activities on Early Initiation of Breastfeeding (IMD) or supporting facilities to increase the knowledge of pregnant women, especially in the third timester.Keywords: Knowledge, IMD, Characteristics


Author(s):  
Caroline M. Joyce ◽  
Sherry Shu-Yeu Hou ◽  
Binh T. T. Ta ◽  
Duong Vu Hoang ◽  
Roger Mathisen ◽  
...  

Background: Rates of early initiation of breastfeeding are low in Southeast Asia, despite evidence that increased initiation of early breastfeeding would lead to better long-term infant and child health and decrease inequities in long-term health and well-being. In response, a novel performance-based, baby-friendly hospital program designates hospitals that adhere to evidence-based early essential newborn care (EENC) and breastfeeding interventions as Centers of Excellence for Breastfeeding (COE). This study examined whether hospital participation in the program was associated with better breastfeeding outcomes. Methods: Hospitals (n = 28) were invited into the program in December 2018. Hospitals developed an improvement plan for promoting a breastfeeding-friendly environment and meeting the standards of the COE accreditation process and were enrolled on a rolling basis over the course of a year. Post-partum surveys were conducted with parents (n = 9585) from January 2019 through April 2020 to assess their breastfeeding and post-partum experience. Segmented regression models were used to assess how breastfeeding outcomes evolved before and after hospital enrollment in the COE program. Results: Enrollment was associated with a 6 percentage-point (95% CI: 3, 9) increase in the level of early initiation of breastfeeding, which continued to increase in the post-enrollment period, and a 5 percentage-point (95% CI: 2, 9) increase in the level of exclusive breastfeeding during hospital stay. We did not observe evidence that enrollment was immediately associated with receipt of lactation counseling or exclusive breastfeeding at survey time. Conclusion: The prevalence of early and exclusive breastfeeding increased after enrollment in the COE program, suggesting that the program has the potential to improve breastfeeding initiation rates and longer-term child health and well-being. Further research should be conducted to examine whether the program has an impact on the overall duration of breastfeeding.


2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Ofelia P. Saniel ◽  
Veincent Christian F. Pepito ◽  
Arianna Maever L. Amit

Abstract Background The prevalence of early initiation of breastfeeding and exclusive breastfeeding (EBF) at 6 months remain low in the Philippines. To help meet the 90% early initiation of breastfeeding target and to improve infant and young child feeding practices in the Philippines, the Millennium Development Goals - Fund 2030 Joint Programme (JP) on Ensuring Food Security and Nutrition for Children 0–24 months old was implemented. We aimed to determine the effectiveness of visits by peer counselors during pregnancy and after delivery, and membership in breastfeeding support groups in promoting these optimal breastfeeding practices. Methods We used data from the Endline Survey of the JP to study the effects of prenatal and postnatal peer counselor visits, and membership in breastfeeding support groups, and their possible interactions with initiation of breastfeeding within 1 hour of birth among children aged 0 to 24 months and EBF at 6 months among children aged 6 to 24 months, while adjusting for confounding. We used logistic regression methods for survey data to assess these associations. Results Of the 2343 mother-infant pairs, only 1500 (63.1%) practiced early initiation of breastfeeding. Of the 1865 children aged 6 months or older, only 621 (34.7%) were exclusively breastfed at 6 months. After adjusting for confounding variables, there was no strong evidence that peer counselor visits were associated with early initiation or EBF at 6 months. However, members of breastfeeding support groups had 1.49 times higher odds of early initiation of breastfeeding (95% CI [Confidence Interval] 1.12, 1.98) and 1.65 times higher odds of EBF (95% CI 1.20, 2.24) compared to those who were not members of breastfeeding support groups. There was no interaction between the different exposure variables and early initiation and EBF at 6 months. Conclusions Our findings suggest breastfeeding support groups may be institutionalized to promote both early initiation of breastfeeding and EBF in the Philippines, while the role of peer counselors in promoting optimal breastfeeding behaviors should be further reviewed. Our suggestion to integrate non-healthcare professionals to promote early initiation of breastfeeding and EBF could be tested in future intervention studies.


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