scholarly journals GAMBARAN PELAKSANAAN INISIASI MENYUSUI DINI (IMD)

Author(s):  
Safrina ◽  
Tengku Sri Wahyuni

The World Health Organization (WHO) and the United Nations Children's Fund (UNICEF) have recommended that children start breastfeeding within the first hour after birth and be exclusively breastfed for the first six months of life (no food or other fluids are given). , including water) (UNICEF & WHO, 2018). An estimated 78 million babies - or three in five babies - are not breastfed in the first hour of life. This puts them at a higher risk of death and disease and makes them less likely to continue breastfeeding (World Health Organization, 2018a). Data from WHO shows that only 40% of infants have received early initiation of breastfeeding (IMD). WHO itself targets that by 2030 70% of infants have received early initiation of breastfeeding (WHO & UNICEF, 2018). The type of research used is descriptive, namely research that clearly describes the variables studied without doing statistical tests. This research was conducted at BPM Pematangsiantar City. The study was conducted in March 2021 with a sample size of 29 people. The sampling method in this study was non-probability sampling, namely by consecutive sampling. The description of the IMD implementation shows that the majority of respondents are aged 20-35 years (65.5%) and the least is <20 years old (6.9), the highest parity is 3 (34.5%) and the least parity is 5 (6.9%). ), all respondents gave birth at term pregnancy (100%), and all respondents did early initiation of breastfeeding (100%) while the implementation of IMD was mostly carried out immediately after birth (89.7%) and the longest IMD implementation was between 30 minutes to 30 minutes. d 1 hour (69%) but there are also those who carry out IMD less than 30 minutes (10.3%). Type of Research Analytical survey with cross sectional design. It is hoped that health workers will carry out an IMD in every delivery immediately after the baby is born and the need for husband and family support in accompanying the delivery process in carrying out IMD.

Author(s):  
Maureen I. Punuh ◽  
Sulaemana Engkeng

Background: Exclusive breastfeeding is the process of giving breast milk to babies without any additional food from birth until they are six months old. It takes the role of mothers, health workers and families, especially husbands so that exclusive breastfeeding can be successful. The purpose of this study was to determine the factors associated with exclusive breastfeeding for children in North Minahasa regencyMethods: This study used a cross sectional design on 132 toddlers aged 7-12 months. The sampling in this study was carried out by using purposive sampling technique.Results: The results of the study found that 44.7% of children under five received exclusive breastfeeding and 25.0% of children had early initiation of breastfeeding from their mother. From this study it is also known that 55.3% of mothers' knowledge level about exclusive breastfeeding is in the sufficient category, 52.3% of health workers have a good role and as many as 54.5% of husbands play a good role in exclusive breastfeeding.Conclusions: The results obtained based on statistical tests using chi square were there is association of early initiation of breastfeeding (p=0.018), knowledge about exclusive breastfeeding (p=0.045), the role of health workers (p=0.030), and the role of husband on the exclusive breastfeeding for children in North Minahasa regency. However, maternal knowledge and supervision regarding the early initiation of breastfeeding and health workers needs to be more improved.


Author(s):  
Neha Goyal

Background: Early initiation of breastfeeding defined by World Health Organization as initiation of breastfeeding within one hour of birth, provides new-borns the best chance for survival, growth and development. Yet the rates of early initiation are still low (41.5%), varying widely in different parts of India. Present study was done to find the proportion of early initiation of breastfeeding and associated factors in a rural area.Methods: This cross-sectional study was conducted among 73 recently delivered mothers residing in a rural area of Moradabad, who were interviewed using a semi structured questionnaire with early initiation of breastfeeding as outcome variable. For statistical analysis Chi-square and Fisher’s exact tests were used.Results: 61.64% recently delivered mothers responded that they had initiated breastfeeding within one hour of delivery. Early initiation was significantly lower among working mothers as compared to housewives. No significant differences in timely initiation have been found with mother age, religion and type of family. However significant association of early initiation was found between full antenatal care (ANC) and breastfeeding counselling.Conclusions: More than sixty percent mothers initiated breastfeeding within an hour of delivery. Full ANC and breastfeeding counselling can help in improving rates of early initiation. 


2021 ◽  
Author(s):  
Davis Leonard Rubagumya ◽  
Muzdalfat Abeid ◽  
Eric Aghan ◽  
Mariam Noorani

Background: Breastfeeding is a key intervention to improve global targets on nutrition, health and survival. The World Health Organization (WHO) recommends early initiation of breastfeeding to prevent infections in the newborn and achieve targets of exclusive breastfeeding for the first six months of life. Early initiation of breastfeeding improves neonatal- maternal bonding, reduces jaundice and prevents gastrointestinal and respiratory tract infections. Global prevalence of early initiation of breastfeeding is 45% and 51% for Tanzania. The recommended prevalence is at least 80% by WHO guidelines. Objective: To explore barriers to early initiation of breastfeeding in a hospital setting. Methods: A descriptive exploratory qualitative study with semi-structured individual interviews was employed to explore the barriers to early initiation of breastfeeding in a hospital setting. Three midwives and six mothers were interviewed. The interview topic guide covered experiences and challenges of early initiation of breastfeeding. Data was analyzed using Systematic Text Condensation as described by Malterud. Results: Participants perceived that inadequate breastfeeding information especially on ideal time to start breastfeeding contributed to delayed initiation. The practices and environment post-delivery such as perineal tear repair and dirty labor room prevented women from initiating breastfeeding immediately. Conclusions: The barriers identified were related to gaps in knowledge, immediate postpartum practices and individual perceptions of a non-conducive environment.


Author(s):  
Monmohan Borah ◽  
Jenita Baruah ◽  
Rupali Baruah ◽  
Manjit Boruah

Background: Early or timely initiation of breastfeeding, specifically within 1 hour of birth has benefits for survival and beyond and it is recommended by the World Health Organization. Breastfeeding initiation after the first hour of birth doubles the risk of neonatal mortality. The present study has been conducted to estimate the prevalence and determine the factors affecting early initiation of breastfeeding in rural areas of Dibrugarh, district, Assam.Methods: Community based cross sectional study from May 2017 to April 2018 among mothers having children in the age group 0 to 23 months in the rural areas of Dibrugarh district. The sample size calculated for the study was 360 children.Results: The results were analyzed for 334 children. Prevalence of early initiation of breastfeeding was found to be 54.8%. On multivariate regression analysis the occupation and education of mothers, number of antenatal checkup visits, type of delivery and religion were found to be independently associated with early initiation of breastfeeding.Conclusions: This study reveals that the early initiation of breast feeding is lower in rural areas of Dibrugarh district. The findings clearly highlight the importance of imparting health education to family members and mothers right from antenatal period on infant and child feeding practices.


2021 ◽  
Vol 5 (11) ◽  
pp. 1236-1243
Author(s):  
Barirah Madeni ◽  
Hasritawati

Background: Data from the World Health Organization (WHO) shows that there are 170 million children worldwide experiencing malnutrition, 3 million of whom leave each year due to malnutrition. Therefore, WHO recommends, all infants need to receive colostrum (first and second day milk) to fight infection and exclusively breastfed for 6 months to ensure adequate nutrition for infants. This study aims to determine the factors that influence the knowledge of midwives about early initiation of breastfeeding in the working area of the Lut Tawar City Health Center, Central Aceh Regency in 2020. Methods: The research method used is an analytical survey method with a cross sectional approach. The population in this study were all midwives in the area. The city health center serves as many as 59 people. The sampling method uses a total sampling technique that uses all members of the population as a sample. Data collection was carried out on November 15-19, 2020. Results: The results showed that respondents aged > 40 years had good knowledge, namely 64.3%, respondents with DIII education had less knowledge, namely 56.8%, respondents who had never attended breastfeeding initiation training 69.6% respondents who did not often do early initiation of breastfeeding have good knowledge that is 63.9%, respondents who do not get information about early initiation of breastfeeding mostly lack of knowledge that is 58.1%. Conclusion: Factors that influence the knowledge of midwives on early initiation of breastfeeding are education and experience participating in training related to early initiation of breastfeeding.


2018 ◽  
Vol 9 (2) ◽  
Author(s):  
Rini Hayu Lestari

Early initiation of breastfeeding today has become a new hope for the world of obstetrics as a life-saving alternative step mother and baby. However, in practice there are factors that lead to the failure to conduct such an early suckling insiasi implementation of routine care of the newborn. This study aims to determine the effect of routine newborn care to the success of early initiation of breastfeeding in hospitals PONEK Jombang whose implementation. This study used the Analytic korelastional research with cross sectional method. The population in this study were newborn babies born in hospitals PONEK Lounge Jombang and using purposive sampling the treated sample obtained all newborns vaginal qualified IMD and do not do routine maintenance BBL according to the stages. The results showed that the influence of routine maintenance There newborn to suckle Early initiation success in PONEK Hospital Jombang on April 27 to June 6, 2015. Concluded there is the influence of routine newborn care to the success of Early Initiation of Breastfeeding. From these results, health workers must increase efforts to prevent maternal deaths, childbirth, postpartum and improvement of maternal and child health programs. 


Author(s):  
Rini Gustina Sari

ABSTRAK Menurut World Health Organization (WHO) menunjukkan bahwa kematian akibat Tetanus Neonatorum di Negara-negara berkembang adalah 135 kali  lebih tinggi daripada Negara maju. Tahun 2011 dilaporkan kasus Tetanus di seluruh dunia sebanyak 14.132 kasus dengan kematian terjadi pada 61.000 ibu hamil. Di Indonesia, masih ditemukan banyak  kasus tetanus neonatorum terutama daerah  dengan cakupan persalinan oleh  tenaga kesehatan yang rendah. Tujuan penelitian mengetahui hubungan sikap, dukungan keluarga dan peran petugas kesehatan dengan pemberian  imunisasi tetanus       toxoid     pada ibu hamil di Puskesmas Sekip Palembang Tahun 2018. Penelitian jenis penelitian adalah bersifat kuantitatif dengan menggunakan metode survey analitik dengan pendekatan cross sectional. Subjek penelitiannya adalah semua ibu hamil K1 yang datang ke Puskesmas Sekip menggunakan kuisioner dengan jumlah 67 responden. Hasil penelitian didapatkan ibu hamil dengan sikap positif sudah mengerti akan tujuan/manfaat dan efek samping mengenai pemberian imunisasi Tetanus Toxoid pada ibu hamil sehingga ibu hamil cenderung  bersikap positif. ibu hamil dan orang orang yang berhubungan dekat dengan ibu hamil yang memberikan dukungan positif cenderung dilakukan imunisasi. Peran petugas kesehatan yang memiliki tugas untuk meningkatkan kesehatan masyarakat, termasuk juga petugas kesehatan imunisasi Tetanus Toksoid yang memiliki tugas untuk mengajak ibu hamil cenderung melakukan imunisasi agar terhindar dari penyakit infeksi tetanus yang dapat menyebabkan kematian bagi ibu dan bayi yang tidak melakukan  imunisasi Tetanus selama kehamilan. Kata Kunci : Imunisasi Tetanus Toxoid, Sikap, Dukungan keluarga, Peran tenaga kesehatan   ABSTRACT According to the World Health Organization (WHO) shows that deaths from Tetanus Neonatorum in developing countries are 135 times higher than developed countries. In 2011 there were 14,132 cases of Tetanus worldwide reported with deaths occurring in 61,000 pregnant women. In Indonesia, there are still many cases of tetanus neonatorum, especially in areas with low coverage of deliveries by health workers. The research objective was to find out the relationship between attitudes, family support and the role of health workers by giving tetanus toxoid immunization to pregnant women at Palembang Sekip Health Center in 2018. The research was quantitative in nature using analytical survey method with cross sectional approach. The research subjects were all K1 pregnant women who came to the Sekip Health Center using a questionnaire with a total of 67 respondents. The results showed that pregnant women with a positive attitude already understood the purpose / benefits and side effects of giving Tetanus Toxoid immunization to pregnant women so that pregnant women tended to be positive. pregnant women and people who are in close contact with pregnant women who provide positive support tend to be immunized. The role of health workers who have the duty to improve public health, including health workers Tetanus Toksoid immunization who has the task of inviting pregnant women to do immunizations to avoid tetanus infection which can cause death for mothers and infants who do not do Tetanus immunization during pregnancy.  Keywords: Tetanus Toxoid immunization, attitude, family support, role of health workers


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


Nutrients ◽  
2019 ◽  
Vol 11 (11) ◽  
pp. 2723 ◽  
Author(s):  
Zainab Taha ◽  
Ahmed Ali Hassan ◽  
Ludmilla Wikkeling-Scott ◽  
Dimitrios Papandreou

The World Health Organization (WHO) recommends the early initiation of breastfeeding. Research shows that factors such as mode of delivery may interfere with the early initiation of breastfeeding. However, data in the United Arab Emirates (UAE) on these findings is limited. Thus, the aim of this study was to describe the prevalence of caesarean sections (CSs) and evaluate their effect on breastfeeding initiation among mothers of children under the age of two years in Abu Dhabi. Data were collected in clinical and non-clinical settings across various geographical areas in Abu Dhabi during 2017 using consent and structured questionnaires for interviews with mothers. Data analysis included both descriptive and inferential statistics. Among the 1624 participants, one-third (30.2%) reportedly delivered by CS, of which 71.1% were planned, while 28.9% were emergency CS. More than half of all mothers (62.5%) initiated early breastfeeding. Multivariable logistic regression indicated factors that were associated positively with CS included advanced maternal age, nationality, and obesity. However, gestational age (GA) was negatively associated with CS. This study shows that the prevalence of CS is high in Abu Dhabi, UAE. CS is associated with lower early initiation rates of breastfeeding. The early initiation rates of breastfeeding were 804 (79.2%) 95% confidence interval (CI) (76.4, 82.0), 162 (16.0%) 95% CI (10.4, 21.6), and 49 (4.8%) 95% CI (1.2, 10.8) among vaginal delivery, planned CS, and emergency CS, respectively. Regarding the mode of delivery, vaginal were 2.78 (Adjusted Odd Ratio (AOR)): CI (95%), (2.17–3.56, p < 0.001) times more likely related to an early initiation of breastfeeding. CS in general, and emergency CS, was the main risk factor for the delayed initiation of breastfeeding. The study provides valuable information to develop appropriate strategies to reduce the CS rate in UAE. Maternal literacy on CS choices, the importance of breastfeeding for child health, and additional guidance for mothers and their families are necessary to achieve better breastfeeding outcomes.


2020 ◽  
Vol 1 (1) ◽  
pp. 8
Author(s):  
Fera Riswidautami Herwandar ◽  
Russiska Russiska ◽  
Intan Maharani Fakhrudin

Permasalahan kesehatan pada remaja yang menduduki persentasi terbesar dibanding yang lainnya adalah gangguan menstruasi. Gangguan pada siklus menstruasi (durasi perdarahan yang lebih lama dan ketidakteraturan siklus) disebabkan oleh beberapa faktor, salah satunya ialah stres. Stres diketahui sebagai faktor-faktor penyebab (etiologi) terjadinya gangguan siklus menstruasi. Stres akan memicu pelepasan hormon kortisol dimana hormon kortisol ini dijadikan tolak ukur untuk melihat derajat stres seseorang. Hormon kortisol diatur oleh hipotalamus otak dan kelenjar pituitari, dengan dimulainya aktivitas hipotalamus, hipofisis mengeluarkan FSH dan proses stimulus ovarium akan menghasilkan estrogen. Penelitian yang dilakukan oleh Pelayanan Kesehatan Peduli Remaja (PKPR) dibawah naungan World Health Organization (WHO) menyebutkan bahwa permasalahan remaja di Indonesia adalah seputar permasalahan yang mengenai gangguan menstruasi. Tujuan penelitian ini adalah untuk mengetahui hubungan tingkat stres dengan siklus menstruasi pada mahasiswa kebidanan tingkat I di STIKES Kuningan tahun 2019. Penelitian ini menggunakan desain penelitian kuantitatif dengan pendekatan Cross Sectional. Populasi dalam penelitian ini adalah mahasiswa kebidanan tingkat I di STIKES Kuningan tahun 2019 sebanyak 41 responden. Analisis yang digunakan analisis univariat dan bivariat dengan menggunakan uji Rank Spearman. Hasil penelitian menunjukkan adanya hubungan tingkat stres dengan siklus menstruasi pada mahasiswa kebidanan tingkat I di STIKES Kuningan, dari 41 responden terdapat 18 (44%) responden yang mengalami stres sedang, pada siklus menstruasi yang tidak teratur terdapat 25 (61%) responden. Hasil uji rank spearman,  yakni p value = 0,01 (<0,05) yang ada hubungan antara tingkat stres dengan siklus menstruasi. Berdasarkan hasil penelitian penulis dapat menyimpulkan bahwa terdapat hubungan yang signifikan antara tingkat stres dengan siklus menstruasi pada mahasiswa kebidanan tingkat I di STIKES Kuningan tahun 2019. Bagi institusi Pendidikan khususnya Program Studi Diploma III Kebidanan diharapkan dapat membuat sebuah program edukasi mengenai manajemen stres pada remaja yang bisa dilakukan secara rutin di luar jadwal perkuliahan.  


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