United Nation Children’s Fund (UNICEF) menyatakan sebanyak 30.000 kematian bayi di Indonesia dan 10 juta kematian anak balita di dunia tiap tahunnya dapat dicegah dengan pemberian Air Susu Ibu (ASI) secara eksklusif selama enam bulan pertama kehidupan bayi. Beberapa masalah yang sering timbul pada masa menyusui adalah sindrom ASI kurang. Produksi dan pengeluaran ASI dipengaruhi oleh 2 hormon yaitu prolaktin (mempengaruhi jumlah produksi ASI) dan oksitosin (mempengarui proses pengeluaran ASI). Prolaktin berkaitan dengan nutrisi ibu, semakin baik nutrisinya baik, ASI yang diproduksi juga banyak. Penelitian ini bertujuan untuk mengetahui pengaruh konsumsi air rebusan daun katuk terhadap pengeluaran produksi ASI pada ibu nifas DI bpm Manurung Medan dengan metode quasi eksperiment dan desain kohort. Kelompok sampel intervensi (mengkonsumsi rebusan daun katuk) dan kelompok sampel kontrol masing-masing berjumlah 16 responden. Uji statistik yang diguankan adalah man whytney test. Hasil uji statistik didapatkan p (sig) adalah 0,009 < 0,05, maka dapat disimpulkan bahwa ada pengaruh konsumsi rebusan daun katuk terhadap peningkatan produksi ASI pada ibu nifas. Diharapkan kepada ibu nifas, tenaga kesehatan dan masyarakat lebih maksimal mensosialisasikan dan memanfaatkan daun katuk sebagai solusi untuk meningkatkan produksi ASI pada ibu nifas untuk pencapaian ASI eksklusif demi generasi dengan sumber daya manusia yang lebih berkualitas. The United Nation's Fund (UNICEF) states that as many as 30,000 infant deaths in Indonesia and 10 million deaths of children under five in the world each year can be prevented by providing breast milk exclusively for the first six months of a baby's life. Some problems that often arise during breastfeeding are less ASI syndrome. Breast milk production and expenditure is influenced by two hormones, namely prolactin (affects the amount of ASI production) and oxytocin (affects the process of breastfeeding). Prolactin is related to maternal nutrition, the better the nutrients are good, the more milk produced. This study aimed to determine the effect of consumption of katuk leaf boiled water on the expenditure of breast milk production in postpartum mothers IN Manurung Medan bpm with the quasi experiment method and cohort design. The intervention sample group (consuming katuk leaf decoction) and control sample groups were 16 respondents respectively. The statistical test used is man why test. The statistical test results obtained p (sig) is 0.009 <0.05, it can be concluded that there is an influence of katuk leaf decoction consumption on increased milk production in postpartum mothers. It is expected that postpartum mothers, health workers and the community will be more maximal socializing and utilizing katuk leaves as a solution to increase breastmilk production in postpartum mothers to achieve exclusive breastfeeding for generations with better quality human resources.
Latar Belakang:Pada periode emas sangat urgen dan efektif untuk dilakukannya optimalisasi berbagai aspek tumbuh kembang guna membentuk SDM berkualitas. Pada periode ini otak mengalami perkembangan paling cepat dalam sejarah kehidupannya yaitu hingga 80%. ASI adalah makanan terbaik di awal kehidupan. Keberhasilan ASI Eksklusif berawal dari terlaksananya proses IMD. Lamanya waktu ASI keluar pada kali pertama menyusu menjadi penyebab terbesar kegagalan ASI Eksklusif. Diperburuk lagi dengan persepsi keluarga bahwa penyebab bayi menangis adalah karena ASI tidak keluar/tidak cukup sehingga perlu diberikan susu formula.Tujuan:Penelitian ini bertujuan untuk mengidentifikasi pengaruh edukasi berbasis keluarga terhadap pelaksanaan IMD.Metode:Desain penelitian menggunakan quasi experiment, pre test and post test with control group design. Diawali dengan melakukan pre test pada kedua kelompok responden, selanjutnya pada kelompok intervensi dilakukan edukasi berbasis keluarga (melibatkan suami/1 orang anggota keluarga lainnya) tentang IMD sebanyak 3 kali pertemuan. Tahap ketiga melakukan post test pada kedua kelompok. Jumlah responden sebnayak 40 orang masing-masing kelompok 20 ibu hamil. Analisis data menggunakan Wilcoxon test dan Mann whitney test.Hasil: Hasil penelitian menunjukkan bahwa ada pengaruh yang signifikan antara edukasi berbasis keluarga terhadap pelaksanaan IMD (p value = 0.004). Secara alamiah bayi baru lahir sehat dapat melakukan proses IMD, pengetahuan dan sikap ibu dan kelaurga perlu ditingkatkan.Simpulan:Disarankan penerapan edukasi berbasis keluarga terhadap pelaksanaan IMD untuk peningkatan pencapaian ASI EksklusifKata Kunci: Edukasi berbasis keluarga, IMD Background: In the golden period it was very urgent and effective to optimize various aspects of growth and development in order to form quality human resources. In this period the brain experiences the fastest development in its life history, which is up to 80%. Breast milk is the best food in early life. The success of the exclusive ASI began with the implementation of the IMD process. The length of time that milk comes out the first time is the biggest cause of failure. To make matters worse, the family's perception that the cause of the baby crying is because the milk is not coming out / not enough so formula milk needs to be given.Objective: This study aims to identify the effect of family-based education on the implementation of IMD.Methods: The study design used a quasi experiment, pre test and post test with control group design. It starts with a pre-test for the two groups of respondents, then in the intervention group a family-based education (involving husband / 1 other family member) about IMD is held 3 times. The third stage is to do a post test on both groups. The number of respondents was 40 people in each group of 20 pregnant women. Data analysis using Wilcoxon test and Mann Whitney test.Results: The results showed that there was a significant effect between family-based education on the implementation of IMD (p value = 0.004). Naturally a healthy newborn can do the IMD process, knowledge and attitudes of the mother and family need to be improved.Conclusion: It is recommended the application of family-based education to the implementation of IMD to increase the achievement of exclusive breastfeedingKeywords: Family-based education, IMD
<p align="center"><strong>ABSTRAK </strong></p><p><strong><em>Latar Belakang</em></strong><em>: Pemerintah Indonesia telah menetapkan stunting sebagai isu prioritas nasional dalam Rencana Pembangunan Jangka Menengah Nasional (RPJMN) dengan target penurunan stunting yang signifikan sebesar 14% pada tahun 2024.</em></p><p><strong><em>Tujuan</em></strong><em>: Penelitian ini bertujuan untuk membahas prevalensi terkini dan mengungkap faktor risiko terbesar kasus stunting di kota Medan dengan metode kuantitatif dengan desain case-control. Kasus stunting tertinggi di Kota Medan terdapat di Puskesmas Kecamatan Medan Tembung yaitu 442 anak dari 6.603 anak balita.</em></p><p><strong><em>Metode:</em></strong><em> Penelitian ini menggunakan desain kasus-kontrol. Data diperoleh dengan teknik purposive sampling. Data populasi adalah 442 ibu balita stunting yang terdiri dari 30 ibu sebagai kasus dan 30 ibu sebagai kontrol. Data dianalisis dengan analisis univariat, bivariat, dan multivariat.</em></p><p><strong><em>Hasil:</em></strong><em> Hasil penelitian menunjukkan bahwa pengetahuan (p = 0,034), tindakan (p = 0,033), sikap (p = 0,029), dukungan kader (p = 0,027), pendapatan keluarga (p = 0,019), dan dukungan keluarga (p = 0,008). ) berpengaruh pada ibu yang berisiko melahirkan balita stunting. Dukungan keluarga yang buruk sebagai faktor dominan memiliki risiko 12,6 kali ibu melahirkan balita stunting.</em></p><p><strong><em>Kesimpulan:</em></strong><em> Kajian ini menyarankan agar Dinas Kesehatan Kota Medan memperkuat koordinasi lintas sektoral antara pemerintah kecamatan, puskesmas, dan kelurahan secara bersama-sama dan berkomitmen untuk menurunkan angka kejadian stunting di Kota Medan.</em></p><p><em> </em></p><p><strong>KATA KUNCI<em>: </em></strong><em>d</em><em>ukungan Keluarga; faktor risiko; <em>Kota Medan; s</em>tunting </em></p><p align="center"><strong> </strong></p><p><strong> </strong></p><p align="center"><strong>ABSTRACT</strong></p><p><strong><em>Background: </em></strong><em>The Indonesian government has designated stunting as a national priority issue in the National Medium-Term Development Plan (RPJMN) with a target of a significant stunting reduction to be 14 % in 2024.</em><em></em></p><p><strong><em>Objectives: </em></strong><em>This research aims to address the recent prevalence and to reveal the most risk factor of stunting cases in Medan city with a quantitative method with a case-control design. The highest cases of stunting in Medan city were found at the Public Health Center in Medan Tembung district, namely 442 children out of 6,603 children under five.</em></p><p><strong><em>Methods: </em>This study used a case-control design. </strong><em>Data were obtained by the purposive sampling technique. The population data was 442 mothers with stunting toddlers consisting of 30 mothers as cases and 30 as controls. Data were analyzed by univariate, bivariate, and multivariate analyses.</em></p><p><strong><em>Results: </em></strong><em>The results showed that knowledge (p = 0.034), actions (p = 0.033), attitudes (p = 0.029), cadre support (p = 0.027), family income (p = 0.019), and family support (p = 0.008) had an effect on mothers at risk of giving birth to stunting toddlers. As the dominant factor, poor family support had a 12.6 times higher risk of mothers giving birth to stunted toddlers. </em></p><p><strong><em>Conclusions: </em></strong><em>This study suggests that the Health Services in Medan city must strengthen the cross-sectoral coordination between sub-district administrations, health centers, and villages jointly and commit to reducing the incidence of stunting in Medan city.</em></p><p><em> </em></p><p><strong>KEYWORD<em>: </em></strong><em>f</em><em>amily support; risk factor; Medan city; s<em>tunting</em></em><em></em></p><p> </p>
Background: Nutritional problems that occur in early life have serious consequences. Underweight in children under five accounts for 4.7% of deaths or two million deaths from all deaths of children under five in the world. Mother's Milk Breast milk is the best food because it contains balanced and perfect nutrition for baby's growth and development. However, considering that when mothers are unable to breastfeed or can only breastfeed partially, there is a legitimate market for breast milk replacement products (PASI) for infants as an effort to fulfill infant nutrition. Methods: This research is a quantitative research with a correlational approach using a cross sectional design. This study aims to determine the relationship between the provision of breast milk substitutes with the nutritional status of infants at the UPT Puskesmas Aek Natolu, Lumban Julu District, Toba Regency in 2021. The population in this study were all infants aged 6 months in the working area of the UPT Puskesmas Aek Natolu as many as 32 babies. The sampling technique in this study was total sampling so that the number of samples was 32 infants. Data analysis was carried out by statistical tests using chi-square with a significance degree of = 0.05. Results: Most babies were not given PASI, as many as 22 people (68.7%) and a small portion were given PASI, namely 10 people (31.3%). Most of the reasons why babies were given PASI were recommended by family/friends as many as 5 people (50%), because 3 people did not get breast milk (30%) and a small part because the mother worked as much as 2 people (20%). Most of the baby's nutritional status is normal, as many as 25 people (78.1%.) and a small portion of the abnormal status is as many as 7 people (21.9%). The results of the chi square test obtained a p-value = 0.019, this value < 0.005, this means that there is a significant relationship between the provision of Breast Milk Substitutes (PASI) and the nutritional status of infants.
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