Metode persalinan dan hubungannya dengan inisiasi menyusu dini di RSUP Dr. Sardjito Yogyakrta
Sheilla Virarisca(1*), Djaswadi Dasuki(2), Sulchan Sofoewan(3)
(1) BKKBN Pusat Jakarta
(2) Bagian Obstetri dan Ginekologi, Fakultas Kedokteran Universitas Gadjah Mada
(3) Bagian Obstetri dan Ginekologi, Fakultas Kedokteran Universitas Gadjah Mada
(*) Corresponding Author
Abstract
Background: The 2002-2003 IDHS shows that the presentation of breastfeeding within an hour after birth or early initiation in Indonesia is still low (38%). According to some studies, early initiation plays an important role in reducing infant mortality rate, determining the success of exclusive breastfeeding, preventing pre-lactation feeding, creating more intensive bonding between mother and baby. Some earlier studies state that delivery methods are related with early initiation. However, there have been some studies whose results are in contrast with those previous studies.
Objective: To study the relationship between delivery methods and early initiation in Dr. Sardjito hospital, Yogyakarta.
Method: This was an observational study with a cross-sectional study design through quantitative and qualitative approaches. Samples were postpartum women in Dr. Sardjito hospital as many as 100 respondents. Data were analyzed with univariable analysis using frequency distribution table, bivariable analysis using chi-square, and multivariable analysis using binary regression.
Results: The proportion of early initiation of breastfeeding was three times greater in women who gave birth with normal delivery methods than women who gave birth with cesarean section (RR=3.1; 95% CI=1.42-6.89). Another factor that was related with early initiation of breastfeding was the support from health providers (RR=2.3; 95% CI=1.36-3.78). Meanwhile, women’s age, knowledge, parity, economic status, and mother’s disease were insignifcantly related with early initiation.
Conclusion: The proportion of early initiation of breastfeeding was three times greater in women who gave birth with normal delivery methods than women who gave birth with cesarean section. Another factor that was related with early initiation of breastfeeding was the support from health providers. Meanwhile, women’s age, knowledge, parity, economic status, and disease were insignifcantly related with early initiation of breastfeeding.
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Badan Pusat Statistik (BPS), Badan Koordinasi Keluarga Berencana Nasional (BKKBN), Departemen Kesehatan (DEPKES), ORC Macro. USA: Survey Demografi dan Kesehatan Indonesia; 2003.
IBFAN Asia. The state of the world’s breastfeeding report card: initiation of breastfeeding within 1 hour [serial online] 2007 [cited 2008 Apr 28]. Avalaible from: http://ibfanasia.org.
UNICEF. Initiation of breastfeeding by breast crawl. India: Unicef Maharastra 19, Harish Enterprises Parsee Panchayat Road, Andheri; 2007.
Departemen Kesehatan. Manajemen laktasi, buku pegangan bagi petugas kesehatan. Jakarta: Direktorat Jenderal Pembinaan Kesehatan Masyarakat; 2002.
Roesli U. Inisiasi menyusu dini. Jakarta: Pustaka Bunda; 2008.
Edmond KM, Zandoh C, Quigley MA, Etego SA, Agyei SO. Delayed breastfeeding initiation increases risk of neonatal mortality. Pediatrics 2006;117. 380-6.
Righard L, Alade MO. Effect of delivery room routines on success of breastfeed. Lancet 1990;
1105-7.
Fikawati S, Syafiq A. Hubungan antara menyusui segera dan pemberian ASI eksklusif sampai dengan empat bulan. J Kedokteran Trisakti 2003; 22: 47-55.
Klaus M. Mother and infant: early emotional ties. Pediatrics 1998; 102. 1244.
Nissen E, Lilia G, Widstrom AM. Elevation of oxytocin levels in early post partum women. Acta Obstetric and Gynaecology 1995; 74: 530.
Wilopo SA. Pola, tren, dan perbedaan praktik menyusui di Indonesia: analisis deskriptif peran modernisasi dan budaya tradisional dari data Survei Demografi Kesehatan Indonesia. Jurnal Gizi Klinik Indonesia 2009; 6(1) : 42-51.
Murray HJR, Fisher JRW. Baby friendly hospital practices: cesarean section is persistentent barrier to early initiation of breastfeeding. Birth 2002; 29: 124-31.
Escamilla RP, Radovan IM, Dewey KG. The association between cesarean delivery and breastfeeding outcomes among mexican women. Am J Public Health 1996; 86: 832-6.
Chien LY, Tai CJ. Effect of delivery method and timing of breastfeeding initiation on breastfeeding outcomes in Taiwan. Birth 2007; 34: 123-30.
Victora CG, Huttly, SRA, Barros FC, Vaughan JP. Caesarean section and duration of breastfeeding among brazilians. Arch Dis Child 1990; 65: 632-4.
Patel RR, Liebling RE, Murphy DJ. Effect of operative delivery in the second stage of labour on breastfeeding success. Birth 2003; 30(4): 255-60.
Lemeshow S, Hosmer DWJ, Klar J, Lwanga SK. Besar sampel dalam penelitian kesehatan. Terjemahan Pramono D, Kusnanto H. Yogyakarta: Gadjah Mada University Press; 1997.
Afolabi BB, Lesi FA, Merah NA. Regional versus general anaesthesia for cesarean section. Cohrane Database of Systematic Reviews, issue 4; 2006.
Schnittger T. Regional anaesthesia in developing countries. Anaesthesia 2007; 62: 44-7.
Hakim AI, Ashmawy AI. Breastfeeding patterns in a rural village in Giza Egypt. Am J Public Health 1992; 82(5): 731-2.
Merten S, Dratva J, Liebrich UA. Do baby friendly hospitals influence breastfeeding duration on a national level?. Pediatrics 2005; 116: 702-8.
Braun MLG, Soares, MEM, Giugliani C, Oliveira PD, Danelon CMM. Evaluation of the impact of the baby friendly hospital initiative on rates of breastfeeding. Am J Public Health 2003; 93 (8): 1277-9.
Sinusas K, Gagliardi A. Initial management of breastfeeding. Am Fam Physician 2001; 64: 981-8.
Shealy KR, Li R, Benton DS, Grummer SLM. The CDC guide to breastfeeding interventions. Centers for Disease Control and Prevention. USA: US Departement of Health and Human Services; 2005.
DOI: https://doi.org/10.22146/ijcn.17744
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