scholarly journals PERBANDINGAN TEKNIK PEMERAHAN ASI TANGAN DENGAN MANUAL BREAST PUMP TERHADAP KENYAMANAN IBU DAN KUALITAS ASI

2020 ◽  
Vol 4 (2) ◽  
pp. 18-27
Author(s):  
Siti Sopiatun ◽  
Heda Melinda N Natapawira ◽  
Meita Dhamayanti

The scope of exclusive breastfeeding is low caused by many factors, one of which is a working mother. The government supports the program of exclusive breastfeeding for mothers by promoting breastfeeding by expressed breast milk. Expressed breast milk can be done by hand and manual tools such as pump. Expressed breast milk can be influenced by mother’s experience and the pain at the time of expressing breast milk, this can lead to a sense of comfort. The differences in expressing techniques might lead to contamination of different bacteria and fungi. the purpose of this research is to analyze the differences in hand milking techniques and manual breast pump on the comfort of the mother and the quality of breast milk This was an observational study with cross sectional approach and conductive in Taman Sari district, Bandung. The samples were 35 mothers who fulfilled the inclusion and exclusion criteria. Mann Whitney, Wilcoxon and McNemar were used in examining mothers’ comfort and breast milk quality. The result of of comfort score showed 65.6 in hand expressed and 59.5 has in manual breast pump. There were several significant differences in expressing  techniques to mothers’comfort (p = 0.046). Hand expressing were contaminated by yeast (60%), total mesophilic bacteria (20%), and enterobacter (17.1%). Manual breast pump was contaminated by yeast (80%), total mesophilic bacteria (8.6%), and enterobacter (20%). Breast milk quality in hand expressed was better than the manual breast pump (p = 0.032). It was concluded that hand expressed more comfortable and had better quality  breast milk than manual breast pump techniques.

2017 ◽  
Vol 9 (01) ◽  
pp. 59
Author(s):  
Is Susiloningtyas ◽  
Dewi Ratnawati

ABSTRAKMenyusui adalah proses fisiologis untuk memberikan nutrisi kepada bayi. ASI adalah nutrisi ideal bagi bayi untuk menunjang kesehatan, pertumbuhan dan perkembangan bayi secara optimal. ASI memiliki energi dan komposisi gizi yang lengkap bagi pertumbuhan dan perkembangan bayi terutama di awal kehidupan bayi. Di era industrialisasi kegiatan menyusui telah mengalami penurunan yang signifikan. Ibu yang bekeja menjadi alasan untuk tidak menyusui. Kondisi tersebut menyebabkan semakin menurunnya angka ibu menyusui di Indonesia dalam 5 tahun terakhir. Pencapaian angka menyusui yang rendah telah mempengaruhi angka cakupan pemberian ASI Eksklusif pada tahun 2014 hanya berkisar 27,5%. Oleh karena itu pemerintah Indonesia memandang perlu untuk meningkatkan program ASI Eksklusif dengan diterbitkannya Peraturan Pemerintah Nomor 33 tahun 2012 tentang Pemberian ASI Eksklusif. Pemerintah telah menetapkan bahwa setiap penyelenggara fasilitas kesehatan dan pengurus tempat kerja serta penyelenggara tempat umum harus menyediakan ruang laktasi sesuai dengan ketentuan dan standar prosedur yang telah ditetapkan. Jenis penelitian yang digunakan adalah explanatory research, yaitu bertujuan untuk menguji suatu hipotesis dari hubungan antara variabel. Adapun pendekatannya menggunakan rancangan cross sectional dengan sampel penelitian 99 orang. Analisa data menggunakan analisis univariabel dan bivariabel. Hasil Uji chi square faktor usia dengan pemanfaatan Ruang Laktasi didapatkan  nilai p value 0,06 sehingga tidak ada hubungan antara faktor usia dengan pemanfaatan Ruang Laktasi sedangkan hasil uji chi square faktor pendidikan, persepsi dan motivasi dengan pemanfaatan Ruang Laktasi didapatkan nilai p value 0,05 sehingga ada hubungan antara faktor pendidikan, persepsi dan motivasi dengan pemanfaatan Ruang Laktasi. Sarannya adalah melakukan sosialisasi pemanfaatan ruang laktasi. Kata Kunci : ASI, Ruang LaktasiFACTORS THAT INFLUENCE THE USE OF LAKTATION ROOM IN PRIMARY HEALTH CARE GUNUNG PATI  SEMARANGABSTRACTBreastfeeding is a physiological process to provide nutrition to the baby. Breast milk is the ideal nutrition for babies to optimally support the health, growth and development of babies. Breast milk has a complete energy and nutritional composition for infant growth and development, especially early in life. In the industrialization era of breastfeeding activity has decreased significantly. A working mother is the reason not to breastfeed. This condition causes the decreasing number of nursing mothers in Indonesia in the last 5 years. The achievement of low breastfeeding rates has affected the coverage rate of exclusive breastfeeding in 2014 to only about 27.5%. Therefore the Indonesian government considers it necessary to improve the exclusive breastfeeding program by the issuance of Government Regulation No. 33 of 2012 on Exclusive Breastfeeding. The Government has determined that every provider of health facilities and workplaces and public place providers should provide lactation chambers in accordance with established provisions and standard procedures. The type of research used is explanatory research, which aims to test a hypothesis of the relationship between variables. The approach using cross sectional design with a sample of 99 people. Data analysis using univariable and bivariable analysis. The result of chi square test of age factor with Lactation Space utilization got p value 0,06 so there is no correlation between age factor with Lactation Room utilization whereas chi square test of education factor, perception and motivation with Lactation space utilization got p value 0,05 So there is a relationship between educational factors, perceptions and motivation with the utilization of Lactation Space. The suggestion is to socialize the utilization of lactation space.Keywords: Breast milk, Lactation Room


2020 ◽  
Vol 2 (2) ◽  
pp. 31-37
Author(s):  
Rahmi Fitri ◽  
Nurhikmah Panjaitan

    Breast milk contains substance known as IgA for the defense system in digestive tract against infection. This study aims to determine the relationship between knowledge and working mothers with exclusive breastfeeding in Sidomulyo, Stabat. The type of research used is a descriptive analytic survey using a cross sectional study. The sampling technique used accidental sampling with 150 as population and 30 people is involved as the research sample.  The data analysis applied chi square test to determine the relationship between two variables. The results of this study revealed that there is a relationship between mother's knowledge of exclusive breast feeding with a significant level (ɑ) = 5% (0.05) and df = 2, the result is value = 0.026 at df = 2 where sig <ɑ (0.026 < 0.05) then Ho is rejected and Ha is accepted.  Therefore, mothers are advised to continue to provide exclusive breastfeeding to their babies even though they work by storing breast milk in the refrigerator.  


e-NERS ◽  
2013 ◽  
Vol 1 (1) ◽  
Author(s):  
Saiful Salim ◽  
Sarah M. Warouw ◽  
Julia Rottie

Abstract: One of the fundamental efforts to ensure the achievement of the highest quality of child development is the provision of breast milk (milk) from birth until the age of two years. Mother's Milk (Air Susu Ibu, ASI) is the most perfect food for babies because it contains many nutrients that are high-value required for the growth and development of the nerves and brain and gives substances immunity against some diseases. Breast milk can meet the nutritional needs of infants during the first six months (exclusive breastfeeding). The government up until now continues to promote the program through the promotion of increased use of exclusive breastfeeding, but unexpectdly still there are mothers, who do not exclusively breastfeed their babies. The purpose of this study is to know the relationship between maternal characteristics and the successfulness of exclusive breastfeeding. The desaigned study  was Analytic Observational, with cross sectional approach, with a sample of 65 people. Determination of the samples was done by using a non-probability (purposive sampling). Data collection was accomplished by using questionnaires. Processing data using the computer program SPSS version 20 was presented in narrative form and table. Statistical test used was chi-square with significance level α = 0.05. The results of statistical tests showed that the obtained maternal characteristics values ​​are as follows: for Age characteristic the p-value = 0.25 (p > α), the education characteristic p-value = 0.04 (p < α), a job characteristic p-value = 0.015 (p < α), and the knowledge characteristic p-value = 0.042. (P < α). There is no relationship or association between the age and the exclusive breastfeeding success. There is a relationship of education, employment, knowledge of the mother and the success of exclusive breastfeeding. However the relationship obtained is a significant negative relationship because highly educated mothers, mother who work or carier women and mothers who are actually more knowledgeable are there who fail to braestfeed exclusively. From this this study it can be suggested to the clinic to have to do counseling/ training or dairy feeding for working mothers (Pegawai Negeri Sipil / Swasta), proposed to the Government, the mayor and the head of private institutions to be able to grant permission or instructions to all employees mothers who have a six months old baby to be given permission to go home for breastfeeding while still on the working hours. Keywords: Maternal characteristic, exlusive breastfeeding.   Abstrak: Salah satu upaya mendasar untuk menjamin pencapaian tertinggi kualitas tumbuh kembang anak adalah dengan pemberian Air Susu Ibu (ASI) sejak lahir hingga usia dua tahun. Air Susu Ibu (ASI) merupakan makanan yang paling sempurna bagi bayi karena mengandung banyak zat-zat gizi yang bernilai tinggi yang dibutuhkan untuk pertumbuhan dan perkembangan saraf dan otak, memberikan zat-zat kekebalan terhadap beberapa penyakit. Air susu ibu dapat memenuhi kebutuhan gizi bayi selama enam bulan pertama (ASI eksklusif). Sampai sekarang pemerintah terus berupaya mempromosikan program ASI eksklusif melalui gencarnya promosi peningkatan penggunaan ASI eksklusif, namun masih saja didapatkan ibu menyusui bayinya tidak secara eksklusif sesuai yang diharapkan. Tujuan penelitian ini untuk mengetahui hubungan karakteristik ibu dengan keberhasilan pemberian ASI eksklusif. Desain penelitian yang digunakan adalah Analitik Observasional dengan pendekatan Cross Sectional, dengan jumlah sampel 65 orang. Penentuan besar sampel dengan menggunakan Non probability (purposive Sampling). Pengumpulan data dengan menggunakan kuesioner. Pengolahan data menggunakan komputer dengan program SPSS versi 20 yang disajikan dalam bentuk narasi dan tabel. Uji statistik yang digunakan adalah Chi-Square dengan tingkat signifikasi α = 0,05. Hasil uji statistik menunjukan bahwa karakteristik ibu (umur) diperoleh nilai p-value = 0,25 (p > α), pendidikan diperoleh nilai p-value = 0,04 (p < α), pekerjaan diperoleh nilai  p-value = 0,015 (p < α), dan pengetahuan diperoleh nilai p-value = 0,042. (p < α). Kesimpulan dalam penelitian ini adalah tidak ada hubungan umur dengan keberhasilan pemberian ASI eksklusif dan ada hubungan pendidikan, pekerjaan, pengetahuan dengan  keberhasilan pemberian ASI eksklusif. Namun hubungan yang didapatkan adalah hubungan yang bermakna negatif dikarenakan ibu yang berpendidikan tinggi, ibu yang bekerja dan ibu yang berpengetahuan baik justru lebih banyak yang tidak berhasil memberikan ASI eksklusif. Dari penelitian ini dapat disarankan kepada pihak puskesmas untuk perlu dilakukannya penyuluhan/pelatihan tentang pemberian ASI perah kepada ibu-ibu pekerja (PNS/Swasta), mengusulkan  ke Pemerintah Daerah dalam hal Wali Kota dan pimpinan instansi swasta untuk dapat memberikan izin/intruksi kepada seluruh pegawai ibu-ibu yang mempunyai bayi enam bulan kebawah agar dapat diberi izin pulang ke rumah untuk menyusui bayinya meskipun masih jam kerja. Kata kunci: Karakteristik Ibu, ASI eksklusif.


2018 ◽  
Vol 25 (1) ◽  
pp. 47
Author(s):  
Aswita Amir ◽  
Nursalim Nursalim ◽  
Aliffiani Widyansyah

Breast milk contains high immune antibodies and killer germs that can reduce the risk of infant mortality but exclusive breastfeeding coverage in Indonesia is only 55,7% and has not reached the government target of 80%. This study aims to determine the relation between delivery process of baby, breast crawl and mother’s knowledge with exclusive breastfeeding  at RSIA Pertiwi Makassar.The research is an analytical research with cross sectional design. Samples of this study are 155 newborn babies at RSIA Pertiwi Makassar. Data collected  by interview using questionnaire then analyzed by Chi Square Test in SPSS program. The results show that there are 54,2% respondents who gave exclusive breastfeeding. There are 59,4% respondents with normal delivery process. There are 20,6% respondents who did breast crawl. Thera are 11,6% respondents with good knowledge. The result of statistical test shows that there are relation between delivery process of baby, breast crawl, and mother’s knowledge with exclusive breastfeeding.


2018 ◽  
Vol 11 (1) ◽  
pp. 44
Author(s):  
Rizki Amalia ◽  
Lailatul Khusnul Rizki

Air susu ibu (ASI) merupakan makanan bayi yang terbaik. ASI tidak dapat digantikan oleh makanan atau minuman apapun walaupun ibu dalam keadaan bekerja di luar rumah, faktor faktor yang mempengaruhi keberhasilan pemberian ASI eksklusif pada ibu bekerja adalah sikap ibu bekerja, dukungan sarana, atasan dan suami. Tujuan penelitian ini adalah untuk mengetahui hubungan sikap, dukungan sarana, atasan dan suami terhadap keberhasilan ibu menyusui pada ibu bekerja. Metode penelitian yang digunakan yaitu deskriptif analitik dengan pendekatan cross sectional. Populasi dan sampel penelitian adalah ibu menyusui yang bekerja, menggunakan total sampling. Pengumpulan data dilakukan secara langsung menggunakan kuesioner tertutup dan dianalisis menggunakan uji Chi square dengan taraf kesalahan 0,05. Hasil penelitian didapatkan sikap ibu bekerja, dukungan sarana, atasan dan suami berpengaruh terhadap keberhasilan pemberian asi eksklusif oleh ibu bekerja (p<0,05). Kesimpulan penelitian ini menunjukkan hubungan yang signifikan antara keberhasilan pemberian asi eksklusif dengan sikap ibu, dukungan sarana, atasan dan suami.   Breast Milk is the best baby food. Breast milk can not be replaced by any other food or drink even if the mother is working outside the home. The factors that influence the success of exclusive breastfeeding in working mother are the attitude of mother, the support of the facilities, supervisor and husband. The aim of the study was to investigate the relationship of attitude, support facilities, supervisor and husband to the success of exclusive breastfeeding of working mother. The analytical descriptive with cross sectional approach was used in this study. The population and sample of the study were working mothers, with total sampling. Data collection was done directly through closed questionnaire and analyzed by Chi square test with error level 0,05. The result of this study was the attitude of working mother, support of facilities, supervisor and husband influence the succesfull of exclusive breastfeeding of working mother (p <0,05). The conclusion of the study was exclusive breastfeeding correlated to mother's attitude, support facilities, supervisor and husband significantly.


2019 ◽  
Vol 2 (1) ◽  
pp. 5
Author(s):  
Eka Putri Primasari

Abstract: Breast milk is the best food for babies, especially in the first month of life. Breast milk contains all nutrients to build and provide the energy needed by the baby. The low rate of breastfeeding is a threat to child development. Several factors related to the success of exclusive breastfeeding are the level of knowledge of the mother and husband's support. The purpose of this study was to determine the relationship between the level of knowledge of mothers and husband's support  towards the success of exclusive breastfeeding in Lubuk Kilangan Puskesmas in 2017. This study was analytical with a cross sectional design. The population in this study amounted to 153 respondents. A sample of 31 respondents obtained by simple ramdom sampling. Data were analyzed bivariate. The statistical test results obtained p-value = 0,000. It can be concluded that there is a relationship between the knowledge of mothers about exclusive breastfeeding and husband's support for the success of exclusive breastfeeding.


2022 ◽  
Vol 3 (1) ◽  
pp. 202-208
Author(s):  
Balqis Dwiyanti Haedar ◽  
Rauly Ramadhani ◽  
Andi Sitti Rahma

Exclusive breastfeeding is a condition in which infants are only given breast milk without the addition of other fluids and foods. until the baby reaches 6 months old. Breast milk strengthen the immune system in infants so they can avoid various diseases including diarrhea. This study aims to determine the relationship between exclusive breastfeeding and the incidence of diarrhea in infants aged 0-6 months in the Sudiang Community Health Center. This research is an analytical survey research with a cross-sectional design. This research was conducted at the Sudiang Health Center, Makassar City in the period November 1st to December 31st, 2019. The total respondents were 89 mothers with babies aged 0-6 months. The results showed that most of the respondents were mothers with male babies (61%), most of the mothers' education was high school graduates (46%), housewives (75%) with low economic background (56%). Exclusive breastfeeding related to the incidence of diarrhea in children aged 0-6 months in the Sudiang Community Health Center with a value of p <0.05 (p = 0.001). In addition, no significant relationship on maternal nipple hygiene to diarrhea in children aged 0-6 months p <0.05 (p = 0.075). In conclusion, this study showed there is a relationship between exclusive breastfeeding and the incidence of diarrhea in children aged 0-6 months in Sudiang Health Center. There is a relationship between hand hygiene and the incidence of diarrhea in children aged 0-6 months in Sudiang Health Center, Makassar.


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.


2019 ◽  
Vol 5 (1) ◽  
pp. 39-42
Author(s):  
Heriza Syam ◽  
Jehanara Jehanara ◽  
Nurdjasmi Nurdjasmi

Mother's knowledge is one factor in the success of exclusive breastfeeding. Research in Ghana (2008), 1.3 million infant deaths can be prevented by the provision of breast milk (ASI) in infants from the first day of birth until under the age of 5 years. If breastfeeding starts in the first 1 hour after birth, This figure rises to 22% from 16%,. This study aims to determine the differences in knowledge about Exclusive Breastfeeding and the factors that influence it in post partum mothers in BPM with Puskesmas in the East Jakarta area. Research Design: Observational analytic study with the approach used is cross sectional. The results showed that there were significant differences (P = 0.001) between the place of labor and the knowledge of nursing mothers. Mothers who gave birth at the Good Knowledge Midwife Practice (PMB) were 78.6%, while those in the Puskesmas were only 38.5%. Characteristics of respondents related to knowledge of post partum mothers about breastfeeding were Education (P 0.01), Economy, (P 0.000) and ethnicity (P 0.019). Factors-education, economy and ethnicity influence mother's knowledge about exclusive breastfeeding. Place of birth in the Independent Practice Midwives have the opportunity to increase knowledge of exclusive breastfeeding 3 times compared to the knowledge of mothers who give birth at the Puskesmas after controlled by the Education variable.  


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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