scholarly journals Faktor-faktor yang Mempengaruhi Pelaksanaan Inisiasi Menyusu Dini di Instalasi Kamar Bedah Rumah Sakit Panti Rapih Yogyakarta

2021 ◽  
Vol 2 (2) ◽  
pp. 89-102
Author(s):  
Maria Mahdalena Diyah Pujiastuti ◽  
Agnes Mahayanti ◽  
Sr. Therese Maura Hardjanti, CB

ABSTRACT   Background: The success of breastfeeding is a team work with proper information and big support to create  environment enabled the  mothers to give breastfeeding optimally to their baby (Kemenkes, 2019). Keeping in mind that the OT achievement is far below 100% , the researcher is interested in take up factors influence the application of Early  Initiation of Breastfeedingin Operating Theater Unit of Panti Rapih Hospital Yogyakarta. Objective: Unveil factors wish  interfere the practice of  Early  Initiation of Breastfeeding  in Operating Theater Unit of Panti Rapih Hospital Yogyakarta. Methods: The design of the study is observational analytic  method with  cross sectional approach. The population of the study is every mother who gives birth with sectio caesarea in Operating Theater Unit of  Panti Rapih Hospital Yogyakarta. Sampling technique in the study is accidental sampling. This study had 33 respondents. Study instrument in the study is  questionnairefilled out by respondents on the first day after sectio caesarea was performed in the inpatient room. The research was conducted from September 2020 to February 2021. Results: There is no significant correlation between knowledge and  IMD practice (p value 0.772), there is no significant correlation between attitudes and IMD practice ( p value  0.500), there is no significant correlation between parity and  IMD practice (p value  0.500), there is a significant correlation , strong and unidirectional between health personnel support and IMD practice (p value  0.000) . Conclusion: Significant factors interfere with the success  of Early Initiation of breastfeeding  in the Operating Theater Unit of Panti Rapih Hospital Yogyakarta is health personnel  supportwhile the insignificant factors consists of knowledge, attitude and parity.

2020 ◽  
Author(s):  
Desalew Degu Ayalew ◽  
Belayneh Ayanaw Kassie ◽  
Melkamu Tamir Hunegnaw ◽  
Kassahun Alemu ◽  
Aysheshim Kassahun Belew

Abstract Background : The world is now suffering from malnutrition and remains one of the major causes of under-five mortality. Children from developing countries, including Ethiopia also suffer from undernutrition due to suboptimal breastfeeding practice. Hence, the study aims were to assess early initiation of breastfeeding among children aged less than two years, months in West Belessa district, North West Ethiopia, 2019. Methods: A community-based cross-sectional study was conducted from January to February 2019 in the West Belessa district. A total of 569 Children was selected by a simple random sampling technique. The data were collected by an interviewer-administered structured questionnaire. Data were entered and analyzed by using Epi-Info version 7 and SPPS version 20, respectively. Bi-variable logistic regression analysis was used to check predictor variables associated with the dependent variable. Variables having a p-value of less than 0.20 in the bi-variable analysis were fitted into the multivariable model. Multivariable binary logistic regression with a 95% confidence interval and Odds Ratio (OR) were computed. Variables having p-value < 0.05 were taken as significantly associated with the dependent variables. Result : The prevalence of EIBF was 77.7 % (95%CI, 74.3-81.0). Age of the mother (AOR= 2.76, 95%CI (1.21, 6.27)), postnatal Visit (AOR= 1.85, 95%CI (1.03, 3.85)), and Antenatal care (AOR= 2.58, 95%CI (1.18, 9.94)) was significantly associated with EIBF. Conclusion and Recommendation: We observed, the prevalence of early initiation of Breastfeeding was low in West Belessa District. Age of the mother, Antenatal and postnatal care were associated with EIBF. Hence, improving antenatal and postnatal care services through increase accessibility and providing counseling during this contact time. Keywords: early initiation of breastfeeding, Children, West Belessa


2021 ◽  
Vol 5 (1) ◽  
pp. 032-039
Author(s):  
Tuke Dube Gemeda ◽  
Wodajo Legesse Tadesse ◽  
Zelalem Hiwot

Background: Early-initiation of breastfeeding is putting the newborns to the breast within the first hour of life. It is the first critical time they contact their mother outside of the womb. The current study aimed to assess the early initiation of breastfeeding in the study setting. Objectives: To assess the level of early initiation of breastfeeding and its associated factors among mothers who had a baby of less than the age of 24 months in Jeju Woreda, Arsi Zone, Oromia, Ethiopia, 2019. Methods: A community-based cross-sectional study conducted involving 487 mothers from September 18 to October 09, 2019. A multistage sampling technique was employed. First, the setting stratification done in urban and rural settings. Second, ten kebeles selected from both strata. The study participants identified by systematic random sampling technique using kebele log-books registration list as a scheme. The collected data were entered into Epi Info version 7.1.5.0 and exported to SPSS version 21.0.0.0 to analyze. Bivariate and multivariate logistic regression used to determine relations between independent factors and early initiation of breastfeeding. Nine variables became eligible for multivariate analysis at a p - value less than 0.05 in bivariate. The final analyses done the significance of association decided using AOR with its 95% CI, and p - value at less than 0.05. Results: A 97% response rate achieved in this study. The prevalence of early breastfeeding initiation was 74.5%. In multivariate analysis variables namely, mothers whose age category was 35 years and above (AOR = 2.34, 95% CI: (1.07, 5.11)), Pre-lacteal feeding (AOR = 0.37 95% CI (0.17, 0.79)), postpartum advice (AOR = 1.72, 95% CI (1.01, 2.95)) had a significant association. Conclusion and recommendations: The prevalence of early breastfeeding initiation was (74.5%). The finding was low compared to the world health organization recommendation. A working towards discouraging pre-lacteal feeding and strengthening postnatal advice and focusing on ways to better reach young mothers were the recommendations to bring the prevalence in the study area to the recommended level.


2021 ◽  
Vol 7 (1) ◽  
pp. 44
Author(s):  
M Riduan Abriadi ◽  
Husaini Husaini ◽  
Eko Suhartono ◽  
Zairin Noor ◽  
Meitria Syahadatina Noor

Early initiation of breastfeeding is program of Indonesian Government.   Early breastfeeding has not been widely practiced, <30% for South Kalimantan and 21% for Tapin District. The implementation of early initiation of breastfeeding by midwives at Datu Sanggul Rantau Hospital is influenced by age, education level, years of service, midwife training and socialization of implementation of early breastfeeding initiation. This study aims was to analyze the factors associated with implementation of early initiation of breastfeeding by midwives at Datu Sanggul Rantau Hospital. The study was cross sectional, with 32 midwives in PONEK, maternity and nicu at Datu Sanggul Rantau Hospital. The variables were age, education level, years of service, training and socialization. Data were analyzed using Chi square.  The results showed socialization was related with p value of 0.004. Unrelated factors were age p value 0.660, education level p value 0.496, years of service p value of 0.761, and training p value 0.314. Simultaneously, age, education level, years of service, training and socialization are not related to the implementation of early breastfeeding initiation with p value 0, 083. The conclusion is there is a significant relationship between socialization and the implementation of early initiation of breastfeeding at Datu Sanggul Rantau Hospital.


2020 ◽  
Author(s):  
Tesfa Birlew ◽  
Muluken Amare

Abstract BackgroundEthiopian government implemented baby-friendly hospital initiative and community integrated management of childhood illnesses program. Despite early initiation of breastfeeding taken as a key tool for tackling neonatal mortality, EIBF is still low and most of the neonatal mortalities were existed due to delayed initiation of breastfeeding in Ethiopia in general and the practice is not well documented in South West Ethiopia in particular. Therefore, this study aimed to assess early initiation of breastfeeding practice and associated factors among mothers of children aged less than six months of old in Mizan-Aman town, southwest Ethiopia.MethodsA community-based cross-sectional study was employed from April 15 to May 15, 2018. A total of 487 recently delivered mothers were included. The data was collected through face to face interview by using a pre-tested and structured questionnaire. Binary and multivariable logistic regression analysis were employed and p-value < 0.05 was identified as statistically significant factors, and the quality of the data were assured, checked, coded, cleaned and entered in Epi-Info version 3.5.3 and exported to SPSS version 25 for the analysis. ResultThe prevalence of timely initiation of breast feeding was 296(64.50%) in Mizan- Aman Town. Mothers who had < 24 months birth spacing history 1.85(AOR: 95% CI: 1.22, 2.81), mothers’ income level between 1001-1500 Ethiopian Birr 2.21 (AOR: 95% CI: 1.12, 4.37), Primipara mothers 2.00 (AOR: 95% CI: 1.24, 3.23) and home delivery 2.76(AOR: 95% CI: 1.24, 6.14) were important positive predictors for timely initiation of breast feeding. Furthermore, Government employee and merchant mother by occupation was found to be protective factors.Conclusion and recommendationThe practice of early initiation of breast feeding was suboptimal and still below the national average. Intervention at the community and facility level should paid special attention.


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


2020 ◽  
Vol 32 (3) ◽  
pp. 527-532
Author(s):  
Thakkar Hemaben Kanubhai ◽  
Mohd Maroof ◽  
Pamei Gaihemlung ◽  
Bhatt Maneesh ◽  
Preeti Kumari

Introduction: Breastfeeding benefits both the mother and infant. It contains all the essential nutrients in an adequate amount that fulfils the infant first six month’s needs. Early initiation of breastfeeding is necessary to ensure consumption of colostrum having multiple protective factors. Aim and Objectives: To estimate the prevalence of early initiation of breast feeding and to determine its associated factors among 0- 23 months children. Methodology: A community-based cross- sectional study was carried out among 339 children aged 0-23 months in field practice areas of Rural & Urban Health Training Centres (RHTC & UHTC), Department of Community Medicine, Govt. Medical College, Haldwani, District Nainital for a period of 6 months using simple random sampling. Questions related to Early initiation of breast feeding and its associated factors were asked through Epicollect software. Wald’s statistics, Chi- square test, Fisher’s exact test were applied. P value of less than 0.05 was considered as significant. Results: The prevalence of Early Initiation of Breastfeeding was 45.1% (95% CI= 39.9%-50.5%) which was significantly associated with place of delivery, mode of delivery, mother’s education & ANC care. Conclusion: Early Initiation of Breastfeeding practice was found in almost half of children which were significantly associated with various factors highlighting the importance of addressing these factors to improve Early Initiation of Breastfeeding practices.


2021 ◽  
Vol 15 (1) ◽  
pp. 26
Author(s):  
Suci Musvita Ayu ◽  
Winda Juliani Hergianingrum

Background: The coverage of Early Initiation of Breastfeeding (EIB) in Public Health Centers in Gunung Kidul Regency was 84.79%. Unit Pelaksana Teknis (UPT) Nglipar 1 Public Health Center has an EIB coverage of 75.86%. The amount is below the average of EIB coverage of all Public Health Centers in Gunung Kidul. This study aims to determine the factors that influence EIB at the UPT Nglipar 1 Public Health Centers. Method: The research employed observational analytic with a cross-sectional study design. The sample of this study was 45 mothers who were used as primary data. The sampling technique used to select participants was purposive sampling. Additionally, a questionnaire was also employed as research instrument. The population in this study were all mothers who gave birth in the UPT Nglipar 1 Public Health Center's working area. The study's independent variables were the mother's knowledge, husband's support, and health personnel support. The dependent variable is the Early Initiation of Breastfeeding. The data were analyzed using the chi-square method. Results: The results suggested that the relationship between maternal knowledge and EIB was indicated with p-value < 0.05. It showed that there was no relationship between partner support and EIB (p-value > 0.05). However, the data indicated that there was a relationship between health personnel support and EIB with p-value < 0.05. Conclusion: The result of the study suggested that the variables under investigation showed different impacts. Maternal knowledge and health workers' support were the two variables which were correlated to EIB whereas partner support showed no correlation at all.


2020 ◽  
Vol 40 (3) ◽  
pp. 190-196
Author(s):  
Mia Ervina ◽  
Bunga Astria Paramashanti ◽  
Hamam Hadi ◽  
Nur Indah Rahmawati

Introduction: Exclusive breastfeeding plays an important role in preventing morbidity and mortality in infants and young children. However, exclusive breastfeeding coverage remains low, especially among working mothers. This study aimed to examine the relationship between early initiation of breastfeeding and prevalence of exclusive breastfeeding among working mothers in Bantul District, Yogyakarta Special Region, Indonesia. Methods: This study used a cross-sectional design. The population were all women in reproductive age who worked in middle and large companies. Samples included mothers whose infants were aged six to 12 months and were selected by probability proportional to size sampling technique. Main outcome was exclusive breastfeeding, while the independent variable was the early initiation of breastfeeding. Statistical analysis were descriptive statistics test, chi-square test, and multiple logistic regression at the level of significance of 0.05. Results: Exclusive breastfeeding coverage was around 22%, whilst the early initiation of breastfeeding coverage was 10%. Early initiation of breastfeeding was associated with exclusive breastfeeding practice (adjusted OR = 2.93; 95% CI: 1.04 - 8.28). Variables that were not significantly related to exclusive breastfeeding included being a first-time mother, maternal age, maternal educational level, breastfeeding counselling during antenatal visits, and delivery methods. Conclusions: Early initiation of breastfeeding is associated with higher prevalence of exclusive breastfeeding among working mothers. To increase exclusive breastfeeding coverage, particularly among employed women, it is highly recommended to enhance early initiation of breastfeeding program.


2016 ◽  
Vol 8 (01) ◽  
Author(s):  
Irfana Tri Wijayanti ◽  
Puji Hastuti

Irfana Tri Wijayanti 1), Puji Hastuti 2)1) 2) Akademi Kebidanan Bakti Utama PatiE-mail: [email protected] dan [email protected] ABSTRAKBeberapa hal yang dapat mempengaruhi keberhasilan pelaksanaan Inisiasi Menyusu Dini  adalah persepsi dan sikap yang kurang mendukung terhadap pelaksanaan IMD. Berdasarkan hasil wawancara pre survey pada 30 bidan di Kabupaten Pati, terdapat 14 bidan tidak melakukan IMD dengan alasan harus menunggu lama, 16 bidan melakukan IMD dengan alasan bidan bekerja lebih santai dan ingin mendapatkan bounding attachment antara ibu dan bayi. Tujuan penelitian untuk mengetahui hubungan persepsi dan sikap bidan terhadap pelaksanaan Inisiasi Menyusu Dini pada ibu bersalin di Kabupaten Pati. Jenis penelitian analitik korelasi, pendekatan cross sectional. Penelitian dilakukan pada bidan dengan menggunakan sampel stratifikasi random. Total populasi 380 bidan, jumlah sampel 38 bidan. Hasil penelitian menunjukkan bahwa bidan dengan persepsi buruk seluruhnya tidak melakukan IMD (26 orang), dan bidan dengan persepsi baik (12 orang) sebagian besar melakukan IMD (11 orang). Seluruh bidan yang bersikap kurang baik tidak melakukan IMD (19 orang), dari 13 bidan yang bersikap cukup baik ada 8 orang yang tidak melakukan IMD dan seluruh bidan dengan sikap baik (6 orang) melakukan IMD. Hasil analisis menunjukkan ada hubungan antara persepsi dan sikap bidan dengan pelaksanaan IMD (p value = 0,000). Mengingat pentingnya IMD untuk meningkatkan kesehatan ibu dan bayi, diharapkan seluruh bidan memiliki persepsi dan sikap yang baik terhadap IMD. Kata Kunci : Pengetahuan, persepsi, sikap, IMDRELATIONSHIP OF PERCEPTION AND ATTITUDES THE MIDWIFE WITH INITIATION OF BREASTFEEDING OF EARLY POSTPARTUMABSTRACTSome things that can affect the successful implementation of the Early Initiation of Breastfeeding is the perception and attitude of less assistance to the implementation of the IMD. Based on the results of a pre interview survey on 30 midwives in Pati District, there are 14 midwives did the IMD for reasons having to wait a long time, 16 midwives perform IMD arguing midwives work more relaxed and want to get the bounding attachment between mother and baby. The aim of research to determine the relationship of perception and attitude of midwives on the implementation of Early Initiation of Breastfeeding in women giving birth in Pati regency. Type correlation analytical research, cross sectional approach. The study was conducted in the midwife using random stratified sample. The total population of 380 midwives, the number of samples 38 midwives. The results showed that the midwife with a bad perception entirely did the IMD (26), and a midwife with good perception (12) doing most of the IMD (11 people). The whole midwife who behave less well did the IMD (19), of 13 midwives who behaved pretty well there are 8 people who did the IMD and the whole midwife with a good attitude (6) perform IMD. The analysis showed no relationship between perceptions and attitudes of midwives with the implementation of the IMD (p value = 0.000). Given the importance of IMD to improve maternal and infant health, hope that all midwives have a good perception and attitude towards IMD. Keywords: Knowledge, perceptions, attitudes, IMD


2018 ◽  
Vol 10 (02) ◽  
pp. 153
Author(s):  
Novita Nurhidayati ◽  
Mardianingsih .

Novita Nurhidayati 1) Mardianingsih2)1),2) Prodi DIII Kebidanan Sekolah Tinggi Ilmu Kesehatan Estu UtomoEmail: [email protected] Belakang :Ikatan kasih sayang antara ibu dan anak sangatlah penting, tidak adanya ikatan kasih sayang antara ibu dan anak atau bounding attachment pada ibu dan bayi menyebabkan kurangnya proses perkembangan otak bayi karena tidak diberikan stimulus yang positif oleh ibunya. Salah satu hal yang dapat mendukung proses bounding attachment adalah inisiasi menyusu dini. Tujuan Penelitian :Penelitian ini bertujuan untuk mengetahui hubungan inisiasi menyusu dini dengan keberhasilan bounding attachment. Metode Penelitian :Penelitian yang dilakukan menggunakan metode survey analitik dan pendekatan waktu cross sectional. Populasi penelitian ini yaitu ibu nifaspada bulan April-Juni 2017 di BPS Tutik, Cabean, Boyolali  sebanyak 31 responden, pengambilan sampel dengan total sampling dan analisa data chi square. Hasil Penelitian :Hasil penelitian didapatkan dari 20 responden yang dilakukan inisiasi menyusu dini terdapat 18 responden yang bounding attachment positif.Hasil perhitungan chi square dengan α = 0,05, p value (0,002< 0,05), berarti Ha diterima dan Ho ditolak. Simpulan :Dari penelitian ini dapat disimpulkan bahwa ada hubungan inisiasi menyusu dini dengan keberhasilan bounding attachment.Kata Kunci :Inisiasi menyusu dini, Keberhasilan bounding attachmentRELATIONSHIP EARLY INITIATION OF BREASTFEEDING WITH BOUNDING SUCCESS ATTACHMENTSABSTRACTBackground : Bond of love between mother and child or bounding attachment in mothers and infants causing lack the baby’s brain development because there is a positive stimulus given by his mother. One of the things that can contribute to the bounding attachment is early initiation of breastfeeding. Purposes : This study aims to determine the relationship of early initiation of breastfeeding with bounding success attachments. Research method : Research conducted using survey methods of analytic and cross sectional approach.This study population is women giving birth in April-Juni 2017 in the BPS Tutik, Cabean, Cepogo, total sampling with sampling and data analysis chi square. Result: The results obtained from the 20 respondents who made early breastfeeding initiation, there are 18 respondents who bounding positive attachment. Chi square calculation results with α = 0.05, p value (0.002 <0.05), mean Ha Ho accepted and rejected. Conclude : From this study it can be concluded that there is a connection with the early initiation of breastfeeding success bounding attachment.keyword :Early initiation of breastfeeding, Bounding succes attachments


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