scholarly journals PENGARUH STRESS PSIKOLOGI TERHADAP PRODUKSI ASI PADA IBU POST PARTUM

2021 ◽  
Vol 8 (1) ◽  
pp. 1-10
Author(s):  
Nining Istighosah ◽  
Aprilia Nurtika Sari
Keyword(s):  
P Value ◽  

ASI merupakan makanan terbaik untuk bayi baru lahir. Karena kandungan ASI terbukti mempunyai komponen – komponen nutrisi penting yang dibutuhkan pada bayi pada masa awal kehidupannya. Meskipun demikian sampai saat ini masih banyak ditemui hambatan- hambatan dalam pemberian ASI secara eksklusive yang menjadi penyebab ketidakcukupan pemenuhan ASI pada bayi. Ketidakcukupan pemberian ASI sering dihubungkan dengan factor stress pada ibu selama proses menyusui. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh Stress psikologis terhadap produksi  ASI pada ibu pada masa awal nifas ( 2 minggu post partum ). Subjek dan Metode: Penelitian ini menggunakan desain analitik dengan pendekatan cross sectional . Sampel pada penelitian ini adalah 30 ibu post partum yang melahirkan secara spontan di wilayah kabupaten Kediri. Penelitian dilaksanakan pada bulan Agustus 2020. Pengumpulan data menggunakan kuesioner PSS untuk skala stress psikologi dan untuk mengukur produksi ASI dilakukan observasi pada proses pemompaan ASI ketika payudara penuhatau minimal 2 jam setelah menyusui bayi. Uji statistic menggunakan Mann witney U test untuk mengetahui pengaruh stress terhadap produksi ASI  didapatkan nilai p value 0,166 yang berarti lebih besar dari alpha (0,05) sehingga dapat disimpulkan tidak ada pengaruh tingkat stress terhadap produksi ASI. Kesimpulan dari penelitian ini adalah tidah adanya pengaruh yang significant antara stress psikologi ibu dengan jumlah produksi ASI yang dihasilkan pada awal masa menyusui.

Author(s):  
Desti Widya Astuti Desti Widya Astuti

ABSTRAK   Berdasarkan data di RSUD Kota Prabumulih bahwa terdapat peningkatan jumlah kejadian perdarahan post partum, tahun 2014 sebanyak 178 orang, tahun 2015 sebanyak 246 orang dan tahun 2016 sebanyak 151 orang. Penelitian ini bertujuan untuk mengetahui hubungan umur ibu dan jarak kehamilan terhadap kejadian perdarahan post partum di RSUD Kota Prabumulih Tahun 2016. Penelitian ini merupakan penelitian analitik dengan rancangan cross sectional. Populasi yang digunakan adalah semua ibu bersalin di RSUD Kota Prabumulih, sebanyak 1.296 ibu bersalin dan 306 sampel. Pengambilan sampel dengan mengunakan random sampling, analisa data menggunakan analisa univariat dan bivariat dengan menggunakan uji statistik chi-square dengan derajat kemaknaan 0,05. Hasil penelitian ini menunjukan bahwa dari 288 ibu bersalin terdapat 151 yang mengalami perdarahan post partum sebagian besar adalah ibu dengan umur resiko tinggi sebanyak 43 orang  (40,9%) dan ibu dengan jarak kehamilan resiko tinggi sebanyak 21 orang (17,3%). Hasil uju chi-square umur didapatkan p.value 0,000 < α 0,05 dan uji chi-square untuk jarak kehamilan didapatkan p.value 0,000 < α 0,05. Maka ada hubungan umur ibu dan jarak kehamilan terhadap kejadian perdarahan post partum di RSUD Kota Prabumulih Tahun 2016. ABSTRACK   Based on the data at District General Hospital (RSUD) Prabumulih, there was increasing of post-partum bleeding, in 2014, there were 178 people. In 2015, there were 246 people. And in 2016, there were 151 people. The purpose of the study was to know relationship between maternal mother and the distance and old post-partum bleedingat District General Hospital (RSUD) Prabumulih in 2013. The study was analytic researchwith cross sectional design. Population thas was used in the study was all maternal mother ar District General Hospital (RSUD) Prabumulih. It was about 1.296 maternal mother and from 306. Random sampilng was done in the study, data analyses used univariate and bivariate analyses by using chi-square statistic test with significance level 0,05. The study result showed that from 306 maternal mother, there were 151 mother who experienced old post-partum bleeding, the large of that was high maternal mother 43 people  (40,9%) and mother age high distance 21 people (17,3%). The result of chi-square test was p value 0,000 < α 0,05 and chi-square test for age was p value 0,000 < α 0,05. It meant that there was relationship between maternal mother and the distance and of post-partum bleeding at District General Hospital (RSUD) Prabumulih in 2016.


Author(s):  
Vina Rahmatika ◽  
Musa Ghufron ◽  
Nenny Triastuti ◽  
Syaiful Rochman

Background: The birth rate by caesarean section method is getting higher. Risk data for 2013 shows the method of birth with the operation method of 9.8 percent of the total 49,603 births during 2010 to 2013. Being in practice the mother must be given anesthetic before the surgery begins. This anesthesia will later affect the pain that will occur after SC. Purpose: The purpose of this study was to determine the correlation between regional anesthetic drugs and the smoothness of breast milk in women born in sectio caesarea at Muhammadiyah Gresik Hospital. Method: Method with Cross Sectional approach. The population in this study mothers who gave birth in a caesarean section at Muhammadiyah Hospital Gresik in December 2019 to January 2020. The sampling technique in this study is probability / random simple sampling. The sample in this study was a portion of mothers who gave birth in a caesarean section at Muhammadiyah Gresik Hospital. The instrument used was primary data collection in the form of questionnaires and secondary data in the form of patient medical records. Result: The data obtained in this study were processed using spearman correlation statistics. From the statistical test the Correlation coefficient value was 0.807, and obtained P-Value equal to 0,000 this value is less than 0.05. Conclusion: The conclusion of this study is that there is a correlation between the administration of a regional anesthetics and the smoothness of breast milk in mothers of post partum caesarea at Muhammadiyah Gresik Hospital.


2018 ◽  
Vol 46 (1) ◽  
pp. 47-52 ◽  
Author(s):  
David Yohai ◽  
Debi Alharar ◽  
Ruthi Cohen ◽  
Zohar Kaltian ◽  
Barak Aricha-Tamir ◽  
...  

AbstractObjective:To evaluate the effect of attending a prenatal childbirth preparation course (CPC) on labor duration and outcomes.Methods:A cross sectional study of 53 primiparous women who attended and 54 women who did not attend a CPC was conducted. The state-trait anxiety inventory (STAI) score was used to diagnose anxiety. Clinical and obstetrical data were collected from the perinatal database of our center. Through post-partum interviews, coping strategies were assessed, patients graded their childbirth experience and breastfeeding was evaluated. Data were analyzed using description analyses and a P-value <0.05 was considered statistically significant.Results:The STAI score was significantly lower in the study group compared with controls (P=0.025). The first stage and the entire duration of labor were significantly shorter (P=0.036 and P=0.026, respectively) in women who attended the CPC. No significant differences were found with regard to the mode of delivery, rate of episiotomy, use of analgesics and neonatal outcomes between the groups. Women in the study group rated their labor experience significantly higher (P=0.016) and exhibited significantly higher rates of breastfeeding (P<0.001) than controls.Conclusions:The knowledge acquired in the CPC has positive effects on the course of labor and delivery outcomes as well as higher rates of breastfeeding.


2019 ◽  
Vol 5 (3) ◽  
pp. 193-199
Author(s):  
Maria NSW Kause ◽  
Yanita Trisetiyaningsih ◽  
Anastasia Suci Sukmawati

Background: Lactation onset is a term of multiplying breast milk until the release of breast milk for the first time. It is also perceived by mothers as a bit hard breast, inflammed, and full of breast milk or the release of colostrum. Colostrum is the first liquid secreted by breast milk gland since the first day until the fourth day of labour. One of the factors that influences lactation onset is labour methods. Mothers who undergo sectio caesaria surgery will experience pain and prolonged effects of anesthesia compared to mothers with normal labors. Objective: To investigate the difference of colostrum releasing onset in post partum mothers with normal labors and sectio caesaria in Panembahan Senopati General Hospital, Bantul. Method: This study was quantitative with cross sectional design. The number of samples were 80 respondents selected with purposive sampling technique. Study instrument was observational sheets. Data analysis applied Mann-Whitney test. Result: The majority of respondents who had normal labors and sectio caesaria experienced different colostrum onset. In normal labors, the time of colostrum release was 1 day. In sectio caesaria labors, the time of colostrum release was 2 days. The average duration of post partum mothers with normal labors was 13,6 hours and post partum mothers with sectio caesaria was 22,6 hours. The result of Mann-Whitney test was that there was a difference between colostrum release onset of post partum mothers with normal labors and sectio caesaria with p-value of 0,001 (p<0,05). Conclusion: Colostrum onsets were different in normal labors and sectio caesaria labors. Keyword: Colostrum, Normal labors, Sectio Caesaria labors.


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


2013 ◽  
Vol 2 (3) ◽  
pp. 158
Author(s):  
Sari Handayani Utami ◽  
Desmiwati Desmiwati2 ◽  
Endrinaldi Endrinaldi

AbstrakWanita pada periode post-partum memiliki angka unmet need terhadap kontrasepsi, padahal ini waktu yang tepat untuk mulai memakai kontrasepsi. Salah satu kontrasepsi pasca-salin terkini yang mulai disosialisasikan adalah IUD post-placenta. Namun demikian, masih belum banyak wanita pasangan usia subur yang menggunakan alat kontrasepsi ini bahkan mengetahuinya. Tujuan dari penelitian ini adalah untuk mengetahui faktor-faktor yang berhubungan dengan unmet need KB pasca-salin IUD post-placenta. Jenis penelitian survey dengan desain cross sectional study. Waktu pengambilan data dari 12 Januari sampai dengan 12 Maret 2013. Sampel adalah wanita pasangan usia subur yang melahirkan pervaginam dan dipilih secara accidental sampling. Penelitian dilakukan pada 88 orang responden dengan 50 orang bukan akseptor KB IUD post-placenta dan 38 orang akseptor KB IUD Post-placenta. Pengumpulan data dilakukan menggunakan kuesioner melalui wawancara terpimpin. Data dianalisis secara univariat dan bivariat. Hasil penelitian menunjukkan faktor yang memiliki hubungan signifikan dengan unmet need IUD post-placenta adalah faktor pengetahuan (p value = 0,001), sedangkan faktor lain yang tidak memiliki hubungan signifikan adalah faktor pendidikan (p value = 0,222), faktor status ekonomi (p value = 1,000), dan faktor konseling KB (p value = 0,583).Kata kunci: faktor yang berhubungan, unmet need, KB pasca-salin, IUD post-placentaAbstractThe women in post-partum period have unmet need rate to contraception, whereas it’s approriate time to start using contraception. One of recent post-partum contraception method is IUD post-placenta. But, only a few women of fertile age couple use this contraception even has known it. The purpose of this study was to determine the factors associated to unmet need of post-partum contraception IUD post-placenta. This survey study with cross sectional design study. The data was collected from January 12 until March 12 2013. The subject were women of fertile age couple who give birth per vaginam and selected by accidental sampling. This study had 88 respondents consists of 50 as not IUD Post-placenta acceptors and 38 respondents as IUD post-placenta acceptors. The data collected by using questionnaire through guided interview and analyzed through univariate and bivariate.The result of analysis showed that the factor had significant relation to unmet need of IUD post-placenta is knowledge (p value = 0,001), while another factors did not have significant relation are education level (p value = 0,222), economic level (p value=1,000), and family planning counselling (p value=0,583).Keywords:the relating factors, unmet need, post-partum contraception, IUDpost-placenta


2018 ◽  
Vol 3 (1) ◽  
Author(s):  
Idha Suparwati ◽  
Murwati Murwati ◽  
Endang Suwanti

Abstract: The smoothness of Breastfeeding, Post Partum Blues Occurrence. The incompleteness of breast milk (ASI) is one of the problems when the mother begins to breastfeed her baby. If not addressed immediately will result in anxiety and anxiety about the mother's ability to breastfeed. If this condition is left it will continue to be post partum blues and even postpartum depression. The purpose of this study was to determine the relationship between the smoothness of breastfeeding expenditure and postpartum blues incidence in the Trucuk II Klaten district. This research design is analytical descriptive research with cross sectional approach. The sample is normal postpartum day 3-10 at Trucuk II Klaten Health Center in May 2017 as many as 48 people, by purposive sampling. Analysis of univariate and bivariate data with chi square test correlation. Maternal breastfeeding expenditure was 93.8% in the current category. Post partum blues events were 44.2%. Statistic test results obtained p value = 0.001. There is a relationship between the smooth expenditure of breast milk with Postpartum Blues Occurrence in Trucuk II Klaten District Health Center.


2021 ◽  
Vol 14 (1) ◽  
pp. 39
Author(s):  
Mariyatul Qiftiyah ◽  
Eva Silviana Rahmawati ◽  
Aris Puji Utami ◽  
Nur Maziyah Hurin’in

Abstrak. ASI memberi semua energi dan nutrisi yang dibutuhkan bayi selama 6 bulan pertama hidup bayi, sehingga dianjurkan untuk enam bulan pertama bayi hanya diberi ASI Ekslusif tanpa tambahan makanan atau minuman lain. Penelitian ini bertujuan untuk menganalisa hubungan frekuensi perawatan payudara dengan kelancaran produksi ASI pada ibu nifas hari ke 4. Metode penelitian yang digunakanan adalah analitik observasional dengan pendekatan cross sectional. Populasi dalam penelitian adalah seluruh ibu nifas hari ke 4 di BPS Asri dan Polindes Permata Bunda Tuban bulan Juli - AgustusTahun 2020, sampel penelitian adalah sebagian ibu nifas hari ke 4 di BPS Asri dan Polindes Permata Bunda Tuban bulan Juli – Agustus Tahun 2020. Teknik sampling yang digunakan dalam penelitian ini adalah simple random sampling. Variabel independen dalam penelitian ini adalah frekuensi perawatan payudara sedangkan variabel dependen dalam penelitian ini kelancaran produksi ASI. Analisis data dalam penelitian menggunakan korelasi Spearman dengan batasan signifikan jika p-value < 0,05. Analisa hasil penelitian menunjukkan p-value = 0,000 yang berarti terdapat hubungan antara frekuensi perawatan payudara dengan kelancaran produksi asi pada ibu nifas hari ke 4. Pentingnya ASI bagi bayi maka ibu nifas diharapkan selalu menjaga kelancaran ASI dengan cara melakukan perawatan payudara secara rutin dan benar.  Kata kunci. Perawatan payudara, ASI, Nifas   The Correlation between The Frequency of Breast Care and The Smooth Production of Breast Milk on Day 4 Postpartum  Abtract.Breastmilk provides all the energy and butrition a baby needs for the first 6 months of baby life. The firts six months only exclusive breastfeeding is provided for babies without any additional food or drink. This study aims to analyze the correlation between the breast care frequency and the smooth production of breastmilk in post-partum mothers on day 4. The research method was observational analytic with a cross-sectional approach. The study population was all-day 4 postpartum mothers and the study sample were some of the fourth days' postpartum mothers at BPS Asri and Polindes Permata Bunda Tuban in March-April 2020. The research sampling was simple random sampling. The independent variable was the frequency of breast care, while the dependent variable was the milk production smoothness. Data analysis used the Spearman correlation with significant limits of p-value <0.05. The analysis of the results showed a p-value=0.000, which means that there was a correlation between the breast care frequency and the breastmilk smooth production in postpartum mothers on day 4. The importance of breastfeeding for babies is that postpartum mothers are expected to always maintain the smooth running of breast milk by doing regular and correct breast care.  Keywords. Breast care, breast milk, postpartum


2018 ◽  
Vol 11 (2) ◽  
pp. 67-72
Author(s):  
Faizah Betty Rahayuningtyas ◽  
Retwin Rahwanti Megasari

The family is the smallest unit in society consisting of father, mother and child. In a family, there are five functions to be performed, such as affective function and coping, socialization function, reproductive function, the function of the economy, and health care function. There are several factors that can affect the function of the family, including employment, education, and economics. An agitated state of the mother and occurs after delivery characterized by feelings of sadness, crying, fear of taking care of the baby is called postpartum blues. The purpose of this study was to determine whether there is a relationship between family function with postpartum blues in the sub-district Puskesmas Tladan Kawedanan Magetan. The study design used is cross sectional analytic study, which means that the data collection is done in the period. The population in this study are pregnant women primigravida birth day forecast in April. These samples included 30 maternal postpartum with simple random sampling technique. The research instrument used to measure the Family APGAR questionnaire family function and EPDS questionnaire to measure postpartum blues. The measurement results were tested using the chi-square and p values obtained 0,024. P value less than 0.05 so it can be concluded that there is a correlation between family function with postpartum blues in the sub-district Puskesmas Tladan Kawedanan Magetan.


2019 ◽  
Vol 8 (2) ◽  
pp. 11-21
Author(s):  
Solihati ◽  
Lastri Mei Winarni ◽  
Rini Sartika ◽  
Mega Suciani

Latar belakang :Kasus disfungsi seksual kurang menjadi perhatian pemerintah, kurangnya promosi konseling fungsi seksual tidak banyak dibicarakan. Sebagian besar ibu post partum memiliki persepsi bahwa membahas seksualitas merupakan hal yang tabu, disfungsi seksual khususnya pada ibu post partum dapat memberikan dampak buruk bagi ibu, bayi dan keluarganya. Disfungsi seksual ibu post partum dapat menyebabkan stress hingga perceraian. Tujuan Penelitian : adalah untuk mengetahui faktor-faktor yang mempengaruhi prevalensi disfungsi seksual ibu post partum dengan luka episiotomi dan sectio sesarea di wilayah kerja Puskesmas Tigaraksa. Metode Penelitian : Penelitian ini menggunakan desain penelitian deskriptif analitik dengan metode kuantitatif dengan pendekatan cross sectional sehingga diperoleh 120 responden dengan analisa uji statistik chi square test. Hasil Penelitian : Didapatkan hasil uji analisa dengan usia ibu, paritas dan menyusui adalah p- value 0,000, 0,000 dan 0,004 < α (0,05) sedangkan pendidikan, pekerjaan dan jenis persalinan memiliki p-value 0,251, 0,810 dan 0,584 > α (0,05). Kesimpulan: Dari hasil penelitian terdapat hubungan antara usia ibu, paritas dan menyusui serta tidak adanya hubungan antara pendidikan, pekerjaan, dan jenis persalinan terhadap prevalensi disfungsi seksual.


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