Background: Breast milk spending is a very complex interaction between mechanics, nerves, and hormons. The decrease and production of breast milk production in the first days after delivery can be caused by a lack of stimulation of prolactin and oxytocin hormons. Caesarea section does not allow the mother to breastfeed her infant more flexibly, with adaptation to the pain, so she should be able to support the health worker thoroughly about the lactation process. Purpose: to know the difference of endorphin, oxytocin and combination effect on breast milk production in Postoperative section of caesarea section. Research design: quasi experimental design type post test only non equivalent control group design. The population in this study were all postoperative mothers caesarea section, 10 samples for each treatment. Group 1 : endorphin massage, group 2 (control) : the oxytocin massage, and group 3 : the combine massage. Results: Combination massage is the best method to produce the highest amount of ASI because the largest Sig p value is (1,000) where the level is significant <0.05. So H0 this study was rejected means that there is a significant difference between the production of breast milk from the combination massage compared with the two massage done separately. Conclusion: It is expected during childbirth the midwife can develop and implement independent non-pharmacological midwife actions to help increase milk production
Background: The issue of malnutrition that leads to food security is not just a technical issue, but also a matter of individual habit to meet nutrients needed, including nutrients for fetus. The Government agrees to address the issue of food security in the first 1,000 days of life. This study aims at determining the influence of Infant Feeding Planning (Intention) Education on Nutrition and Breastfeeding Knowledge, Mother's Attitude, and Husband's Support to gravid Mother in Samarinda. Methods: This study is a quasi-experimental research design with pre and post control group. The sample size was 30 in the intervention group and 30 in the control group. The independent variable in this study was intention to breastfeed, while the dependent variables were breastfeeding and nutrition knowledge, mother's attitude and husband's support. The data were analyzed using paired t test, Wilcoxon test, ANOVA and MANOVA. Results: The study found the differences between intervention group and control group in nutrition knowledge, breastfeeding knowledge, and attitude. There was no difference between the groups in intention. The variables that influenced knowledge were education and employment. The variables influenced by the intention to breastfeed were breastfeeding knowledge, nutrition knowledge, and attitude. Intention had the greatest impact on the attitude, with the power observed at 0.689 which means that the intention affected the attitude of breastfeeding by 68.9%. Conclusions: Infant feeding planning education influences breastfeeding and nutrition knowledge as well as breastfeeding attitude.
This study aims to analyze the effect of massage effleurage on the back and breasts on milk production in postpartum mothers. This type of research is a quantitative research with a quasi-experimental research design by way of a pre-post test. The population in this study were all postpartum mothers who live in the working area of the Barong Tongkok Health Center, totaling 50 people. Data collection was carried out directly using questionnaires and observation sheets. Data analysis techniques used the Wilcoxon mean difference test for each group and the Mann Whitney test for differences in post test results between the two groups. Based on the research results obtained, it can be concluded that there is an effect of massage effleurage on milk production in postpartum mothers in the working area of the Barong Tongkok Health Center in 2022 with a p-value ¬= 0.000 (<0.05).
Teknik menyusui merupakan salah satu faktor yang mempengaruhi produksi ASI, bila teknik menyusui tidak benar dapat menyebabkan puting lecet dan menjadikan ibu enggan menyusui dan bayi jarang menyusui. Puting susu lecet merupakan fenomena yang tidak asing lagi bagi para ibu-ibu menyusui, karena selalu menganggapnya hal wajar apalagi bagi ibu yang baru pertama kali menyusui Banyak faktor yang menyebabkan terjadinya puting susu lecet, diantaranya disebabkan oleh moniliasis (infeksi yang disebabkan oleh monilia yang disebut candida) pada mulut bayi yang menular pada puting susu, bayi dengan tali lidah pendek (frenulum lingue) sehingga sulit menghisap sampai areola dan hanya sampai putting. Tujuan penelitian ini adalah untuk mengetahui hubungan teknik menyusui dengan kejadian puting lecet pada ibu post partum di RSD Dr. H. Soemarno Sosroatmodjo Tanjung Selor. Desain penelitian kuantitatif yang bersifat analitik dengan pendekatan cross-sectional. Populasi dalam penelitian ini adalah seluruh ibu menyusui yang terdata di poli kandungan, poli anak dan klinik laktasi RSD Dr. H. Soemarno Sosroatmodjo Tanjung Selor. Pengambilan sampel menggunakan teknik purposive sampling dengan besar sampel sebanyak 35 orang. Instrumen menggunakan lembar observasi teknik menyusui dan lembar observasi kejadian puting lecet. Analisis data menggunakan distribusi frekuensi dan persentase serta uji Chi-Square. Diperoleh sebagian besar responden memiliki teknik menyusui salah sebanyak 26 orang (68,4%) dan teknik menyusui benar sebanyak 12 orang (31,6%). Diperoleh sebagian besar responden menyatakan ada kejadian puting lecet sebanyak 22 orang (57,9%) dan tidak ada puting lecet sebanyak 16 orang (42,1%). Hasil uji hipotesis variabel teknik menyusui dengan kejadian putting lecet menggunakan chi square didapatkan nilai p-value sebesar 0,000 < 0,05. Ada hubungan teknik menyusui dengan kejadian puting lecet pada ibu post partum di RSD Dr. H. Soemarno Sosroatmodjo Tanjung Selor.
Faktor penyebab atau kendala dalam pemberian ASI Ekslusif yaitu ibu merasa ASI kurang padahal sebenarnya cukup hanya ibu yang kurang yakin dapat memproduksi ASI yang cukup, ibu tidak melakukan inisiasi menyusui dini, jadwal pemberian ASI. Bayi terlanjur diberi prelactal feeding, seringkali sebelum ASI keluar bayi sudah diberi air putih, pemberian air gula, air madu atau susu formula. Dukungan suami yang baik kepada ibu akan membantu keberhasilan pemberian ASI eksklusif. Dukungan suami akan membuat ibu merasa tenang sehingga memperlancar produksi ASI. Tujuan penelitian ini untuk mengetahui hubungan dukungan suami dan dukungan tenaga kesehatan terhadap pemberian ASI eksklusif pada ibu menyusui di RSD. dr. H. Soemarno Sosroatmodjo. Jenis penelitian yang digunakan untuk penelitian ini adalah penelitian kuantitatif yang bersifat analitik korelasional dengan pendekatan cross-sectional. Populasi dalam penelitian ini adalah seluruh ibu yang memiliki bayi usia 6 bulan yang sedang berkunjung di poli anak RSD dr. H. Soemarno Sosroatmodjo Bulungan. Pengambilan sampel menggunakan teknik purposive sampling dengan besar sampel sebanyak 49 orang. Diperoleh hasil bahwa sebagian besar responden menyatakan dukungan suami tidak mendukung sebanyak 35 orang (71,4%) dan dukungan suami mendukung sebanyak 14 orang (28,6). Diperoleh hasil bahwa sebagian besar responden menyatakan dukungan tenaga kesehatan tidak mendukung sebanyak 26 orang (53,1%) dan dukungan tenaga kesehatan mendukung sebanyak 23 orang (46,9%). Diperoleh hasil bahwa sebagian besar responden menyatakan pemberian ASI eksklusif tidak sebanyak 28 orang (57,1%) dan pemberian ASI eksklusif ya sebanyak 21 orang (42,9%). Terdapat hubungan dukungan suami dan dukungan tenaga kesehatan terhadap pemberian ASI eksklusif pada ibu menyusui di RSD. dr. H. Soemarno Sosroatmodjo.
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