Peran kelas ibu hamil terhadap pemberian ASI Eksklusif di Gunung Kidul

https://doi.org/10.22146/bkm.18048

Dwi Andayani(1*), Ova Emilia(2), Djauhar Ismail(3)

(1) Departemen Biostatistik, Epidemiologi dan Kesehatan Populasi, Fakultas Kedokteran, Universitas Gadjah Mada
(2) Fakultas Kedokteran, Universitas Gadjah Mada
(3) Fakultas Kedokteran, Universitas Gadjah Mada
(*) Corresponding Author

Abstract


The influence of antenatal class implementation toward exclusive breastfeeding in Gunung Kidul

Purpose

This study aimed to determine the effect of the implementation of the antenatal class toward exclusive breastfeeding.

Methods

The research was a case-control study with a quantitative approach. This research was also supported by a qualitative approach which aimed to complement and reinforce the results obtained from the quantitative data. Sample cases were 135 exclusive breastfeeding infants aged 6-12 months, and the control sample were 135 not exclusive breastfeeding infants aged 6-12 month. Data analysis used the McNemar and conditional logistic regression tests with significance level of p = <0.05 and 95% confidence interval.

Results

Bivariate analysis showed that antenatal class affected exclusive breastfeeding p = 0.026 and OR = 1.80 (95% CI: 1.03 to 3.24). In the results of multivariate analysis after controlling by including support of her husband and the ANC p = 0.03 and OR = 1.86 (95% CI: 1.05 to 3.30). Mothers who attended antenatal class have exclusive breastfeeding rate 1.86 times higher compared to mothers who did not attend the antenatal class.

Conclusion

The antenatal class can directly affect exclusive breastfeeding, in spite of controlling the support of her husband and the ANC.


Keywords


antenatal class; exclusive breastfeeding



References

  1. World Health Organization, UNICEF.. Global strategy for infant and young child feeding. World Health Organization; 2003.
  2. Kramer MS, Kakuma R. Optimal duration of exclusive breastfeeding. The Cochrane Library. 2012 Aug 15.
  3. Horta BL, Bahl R, Martínez JC, Victoria CG. Evidence on the long-term effects of breastfeeding: systematic review and metal-analyses. InEvidence on the long-term effects of breastfeeding: systematic review and metal-analyses 2007. OMS.
  4. Kementerian Kesehatan RI. Profil kesehatan Indonesia tahun 2013. Jakarta: Kementerian Kesehatan RI. 2014.
  5. UNICEF. Breastfeeding on the worldwide agenda. New York: New York United Nations Children’s Fund. 2013.
  6. Bhutta ZA, Das JK, Rizvi A, Gaffey MF, Walker N, Horton S, Webb P, Lartey A, Black RE. Evidence-based interventions for improvement of maternal and child nutrition: what can be done and at what cost?. The lancet. 2013 Aug 3;382(9890):452-77.
  7. Cai X, Wardlaw T, Brown DW. Global trends in exclusive breastfeeding. International breastfeeding journal. 2012 Dec ;7(1):12.
  8. Black RE, Victora CG, Walker SP, Bhutta ZA, Christian P, De Onis M, Ezzati M, Grantham-McGregor S, Katz J, Martorell R, Uauy R. Maternal and child undernutrition and overweight in low-income and middle-income countries. The lancet. 2013 Aug 3;382(9890):427-51.
  9. Dinkes Profil Kesehatan Kabupaten Gunung Kidul 2014, Kabupaten Gunung Kidul: Dinas Kesehatan.2015.
  10. Kemenkes. Pedoman Pelaksanaan Kelas Ibu Hamil, Jakarta:Kementerian Kesehatan RI. 2011.
  11. Lumbiganon P, Martis R, Laopaiboon M, Festin MR, Ho JJ, Hakimi M. Antenatal breastfeeding education for increasing breastfeeding duration. Cochrane Database Syst Rev. 2012 Jan 1;9.
  12. Gijsbers B, Mesters I, Knottnerus JA, Kester AD, Schayck CP. The success of an educational program to promote exclusive breastfeeding for 6 months in families with a history of asthma: A randomized controlled trial. Pediatric Asthma, Allergy & Immunology. 2006 Dec 1;19(4):214-22.
  13. Lin CH, Kuo SC, Lin KC, Chang TY. Evaluating effects of a prenatal breastfeeding education programme on women with caesarean delivery in Taiwan. Journal of clinical nursing. 2008 Nov 1;17(21):2838-45.
  14. Mete S, Yenal K, Okumuş H. An investigation into breastfeeding characteristics of mothers attending childbirth education classes. Asian nursing research. 2010 Dec 1;4(4):216-26.
  15. Goulet L, Fall A, D’Amour D, Pineault R. Preparation for discharge, maternal satisfaction, and newborn readmission for jaundice: Comparing postpartum models of care. Birth. 2007 Jun 1;34(2):131-9.
  16. Notoatmodjo, S. (2010). Metodologi Penelitian Kesehatan. Jakarta: PT Rineka Cipta.
  17. Astuti, A. T. Pemberian Asi Eksklusif Pada Bayi Usia 0-6 Bulan Di Kabupaten Timor Tengah Selatan Provinsi Nusa Tenggara Timur. Tesis. Universitas Gadjah Mada. 2015.
  18. Sriningsih I. Faktor demografi, pengetahuan ibu tentang Air Susu Ibu dan pemberian ASI eksklusif. Jurnal Kesehatan Masyarakat. 2011;6(2).
  19. Utami Roesli DR. Mengenal ASI Eksklusif. Penerbit Tubulus Agriwidya. 2000.
  20. Depkes. Strategi Nasional Peningkatan Pemberian ASI (PP-ASI). Jakarta: Departemen Kesehatan Republik Indonesia. 2001.
  21. Taveras EM, Capra AM, Braveman PA, Jensvold NG, Escobar GJ, Lieu TA. Clinician support and psychosocial risk factors associated with breastfeeding discontinuation. Pediatrics. 2003 Jul 1;112(1):108-15.
  22. Badan Pusat Statistik. Survey Demografi dan Kesehatan Indonesia. Jakarta. 2012.
  23. Chien LY, Tai CJ. Effect of delivery method and timing of breastfeeding initiation on breastfeeding outcomes in Taiwan. Birth. 2007 Jun 1;34(2):123-30.
  24. Susilawati. Pengaruh Inisiasi Menyusui Dini (IMD) terhadap kelangsungan pemberian ASI eksklusif di Kabupaten Kampar Riau. Tesis. Yogyakarta: Universitas Gadjah Mada. 2010.
  25. Agam I. Faktor-faktor yang Mempengaruhi Pemberian Asi Eksklusif di Kelurahan Tamamaung Kecamatan Pamak Kukang Makasar. Makasar: Fakultas Kesehatan Masyarakat UNHAS. 2011.
  26. Hector D, King L, Webb K, Heywood P. Factors affecting breastfeeding practices. Applying a conceptual framework. New South Wales public health bulletin. 2005;16(4):52-5.
  27. Susanti dan Rustam. Hubungan Kehamilan dan Kunjungan Nifas Dengan Pemberian ASI Eksklusif Pada Bayi Usia 0-6 Bulan. Jurnal Poltekes Kemenkes. Padang. 2015.
  28. Su LL, Chong YS, Chan YH, Chan YS, Fok D, Tun KT, Ng FS, Rauff M. Antenatal education and postnatal support strategies for improving rates of exclusive breast feeding: randomised controlled trial. Bmj. 2007 Sep 20;335(7620):596.
  29. Safiera, F. Hubungan Dukungan Suami Terhadap Minat Ibu DDalam Memberikan ASI Eksklusif Di Posyandu Wilayah Puuskesmas Godean II. Fakultas Kebidanan. Universitas Gadjah Mada. 2016.
  30. Meedya S, Fahy K, Kable A. Factors that positively influence breastfeeding duration to 6 months: a literature review. Women and Birth. 2010 Dec 1;23(4):135-45.
  31. Wahyuningsih D. Dukungan Suami dalam Pemberian ASI Eksklusif. Jurnal Keperawatan Maternitas. 2013;1(2).
  32. Saifuddin AB. Buku acuan nasional pelayanan kesehatan maternal dan neonatal. Jakarta: Yayasan Bina Pustaka Sarwono Prawirohardjo. 2006;100:111-2.
  33. Aisyah dan Fitriani. Hubungan Antara Keteraturan Kunjungan ANC Dengan Keteranpilan Menyusui Pada Ibu Nifas Diruang Bersalin, Jurnal Midpro. Edisi 1/2013.Universitas Islam Lamongan. 2013.
  34. Agho KE, Dibley MJ, Odiase JI, Ogbonmwan SM. Determinants of exclusive breastfeeding in Nigeria. BMC pregnancy and childbirth. 2011 Dec;11(1):2.
  35. Purnamawati S. Faktor-faktor yang Berhubungan dengan Pola Pemberian Asi pada Bay1 Usia Empat Bulan (Analisis Data Susenas 2001). Media Penelitian dan Pengembangan Kesehatan. 2003;13(3 Sept).
  36. Heather LK, Katie HC, Suzanne CT. Risk Factor For Cessation Of Breastfeeding Prior to Six Month Postpartum a Community Sampel of Woman in Calgary, Alberta. Can J of Pub Health. 2009;6(8):1-4.
  37. Marques NM, Lira PI, Lima MC, da Silva NL, Batista Filho M, Huttly SR, Ashworth A. Breastfeeding and early weaning practices in northeast Brazil: a longitudinal study. Pediatrics. 2001 Oct 1;108(4):e66-.
  38. Fahriani R, Rohsiswatmo R, Hendarto A. Faktor yang memengaruhi pemberian ASI eksklusif pada bayi cukup bulan yang dilakukan inisiasi menyusu dini (IMD). Sari Pediatri. 2016 Nov 9;15(6):394-402.
  39. Indrawati T, Aenti ER. Hubungan Status Pekerjaan Ibu Dengan Pemberian Air Susu Ibu (ASI) Eksklusif pada Bayi Saat Usia 0-6 Bulan di Bidan Praktik Mandiri Kota Semarang. Jurnal Dinamika Kebidanan Akademi Kebidanan Abdi Husada Semarang. 2012;2(2).
  40. Riskesdas (2010). Riset Kesehatan Dasar. Badan Penelitian dan Pengembangan Kesehatan. Jakarta: Kementrian Kesehatan RI.
  41. Nur Afifah D. Faktor yang Berperan dalam Kegagalan Praktik Pemberian ASI Eksklusif (Studi Kualitatif di Kecamatan Tembalang, Kota Semarang Tahun 2007). SUAR. 2007;3(1).
  42. Fatmawati, A.P. Hubungan Status Ekonomi Orangtua Dengan Pemberrian ASI Eksklusif Pada Bayi Usia 0-6 Bulan Di Baki Sukoharjo. Naskah Publikasi. Fakultas Ilmu Kesehattan Universitas Muhammadiyah Surakarta. 2013.



DOI: https://doi.org/10.22146/bkm.18048

Article Metrics

Abstract views : 3093 | views : 3308

Refbacks

  • There are currently no refbacks.


Bookmark and Share


Copyright (c) 2017 Berita Kedokteran Masyarakat

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Berita Kedokteran Masyarakat ISSN 0215-1936 (PRINT), ISSN: 2614-8412 (ONLINE).

Indexed by:

 

Web Analytics Visitor Counter