Abstract:Introduction: Indonesia’s rate of MMR and IMR remains high among other ASEAN countries. This issue needs to be seriously addressed, particularly in dealing the mother-and-infant related problems, through developing the postnatal education model which focuses on postpartum mother by involving family as the social support.Methods: This research is conducted at dr. Soebandi Regional Hospital Jember and the Kaliwates Primary Health Service Jember Regency. This research employs participative approach (qualitative) … Show more
“…Hasil penelitian mengungkapkan faktor yang mempengaruhi keberhasilan ASI eksklusif diantaranya adalah keberhasilan Inisiasi Menyususi Dini (IMD), pengetahuan ibu terkait pemberian ASI ekslusif, dukungan suami [5]. Hasil penelitian lainnya mendukung pengetahuan yang buruk tentang ASI merupakan faktor yang penyebab rendahnya pemberian ASI Ekslusif dan masih adanya keyakinan jika bayi hanya diberikan ASI, bayi tidak akan kenyang dan masih ditemukan ibu dan keluarga tepengaruh pada susu formula [6] [7].…”
Exclusive breastfeeding for babies provides great benefits for the health status of babies and their mothers, but in reality the coverage of exclusive breastfeeding is still low. The low coverage of exclusive breastfeeding causes many problems such as stunted growth and development. The low coverage of exclusive breastfeeding is caused by the lack of knowledge of mothers about how to increase milk production. There are still breastfeeding mothers who are confused about how to breastfeed properly, how to increase milk production and how to deal with problems found during breastfeeding. Handling is needed in increasing this knowledge through peer counseling education. This research method is quasi-experimental with a one group pre-post test approach. The population in this study were third trimester pregnant women. The sampling technique was total sampling. All pregnant women who came to visit the LMT Siregar Clinic in September 2022 were used as research samples, namely 27 people. The purpose of this study was to examine the effectiveness of peer counseling education on increasing mother's knowledge in increasing milk production. The research location was at the Siregar LMT Clinic during August-November 2022. The results found that there was significant effectiveness in providing peer counseling education on mother's knowledge about increasing milk production at the Siregar LMT Clinic with a p-value of 0.023 (p-value <0.05). The recommendation in this study is that peers can be empowered in maternal and child health education methods in health services.
“…Hasil penelitian mengungkapkan faktor yang mempengaruhi keberhasilan ASI eksklusif diantaranya adalah keberhasilan Inisiasi Menyususi Dini (IMD), pengetahuan ibu terkait pemberian ASI ekslusif, dukungan suami [5]. Hasil penelitian lainnya mendukung pengetahuan yang buruk tentang ASI merupakan faktor yang penyebab rendahnya pemberian ASI Ekslusif dan masih adanya keyakinan jika bayi hanya diberikan ASI, bayi tidak akan kenyang dan masih ditemukan ibu dan keluarga tepengaruh pada susu formula [6] [7].…”
Exclusive breastfeeding for babies provides great benefits for the health status of babies and their mothers, but in reality the coverage of exclusive breastfeeding is still low. The low coverage of exclusive breastfeeding causes many problems such as stunted growth and development. The low coverage of exclusive breastfeeding is caused by the lack of knowledge of mothers about how to increase milk production. There are still breastfeeding mothers who are confused about how to breastfeed properly, how to increase milk production and how to deal with problems found during breastfeeding. Handling is needed in increasing this knowledge through peer counseling education. This research method is quasi-experimental with a one group pre-post test approach. The population in this study were third trimester pregnant women. The sampling technique was total sampling. All pregnant women who came to visit the LMT Siregar Clinic in September 2022 were used as research samples, namely 27 people. The purpose of this study was to examine the effectiveness of peer counseling education on increasing mother's knowledge in increasing milk production. The research location was at the Siregar LMT Clinic during August-November 2022. The results found that there was significant effectiveness in providing peer counseling education on mother's knowledge about increasing milk production at the Siregar LMT Clinic with a p-value of 0.023 (p-value <0.05). The recommendation in this study is that peers can be empowered in maternal and child health education methods in health services.
“…Hasil penelitian lainnya mengungkapkan rendahnya pengetahuan ibu tentang pemberian ASI ekslusif menyebabkan gagalnya pemberian ASI ekslusif. [10] [11].…”
Infants aged 0-6 months who are only given Mother's Milk (ASI), whether drinks, liquids or additional food have never been given, it means that the baby has received exclusive breastfeeding. Various factors cause the low success of exclusive breastfeeding including breastfeeding self-efficacy (BSE). Breastfeeding self-efficacy (BSE) is a person's confidence in breastfeeding, this feeling can increase motivation. Another thing expressed by Breasfeeding self-efficacy (BSE) is related to the perception of the ability to provide breast milk. Handling is needed in increasing this knowledge through peer education. This research method is quasi-experimental with a one group pre-post test approach. The population in this study were third trimester pregnant women. The sampling technique was total sampling. All pregnant women who came to visit the LMT Siregar Clinic in September 2022 were used as research samples, namely 27 people. The purpose of this study was to examine the effectiveness of peer education on increasing BSE mothers. The research location was at the Siregar LMT Clinic during August-November 2022. The results of the study found that there was significant effectiveness in providing peer counseling education (education) to BSE at the Siregar LMT Clinic with a p-value of 0.033 (p-value <0.05). The recommendation in this study is that peers can be empowered in maternal and child health education methods in health services
“…Salah satu jembatan untuk mengoptimalkan upaya edukasi postnatal adalah melalui keterlibatan keluarga. Ibu dengan dukungan keluarga melalui pendekatan family centered maternity care diharapkan memiliki kemampuan yang optimal dalam beradaptasi secara maternal pada masa nifas, juga kemampuan dalam mengasuh bayi (3) . Saat masa post-partum terjadi perubahan fisioligis pada organ reproduksi terutama uterus, dimana setelah plasenta lahir terjadi penurunan estrogen dan progesterone yang cukup besar, hal ini menyebabkan uterus sebagai tempat implantasi plasenta setelah plasenta lahir melakukan kompensasi berupa mekanisme homeostasis, dimana homeostasis sangat dipengaruhi oleh kontraksi otot-otot miometrium, yang berfungsi untuk menekan atau mengikat pembuluh darah terbuka pada sisi plasenta sehingga kemungkinan perdarahan fatal dari tempat implantasi kemungkinan kecil terjadi.…”
Section: Pendahuluanunclassified
“…Family Centered Maternity Care adalah pemberian asuhan kepada wanita dan keluarganya pada saat kehamilan, kelahiran, post partum dan perawatan bayi yang dimasukkan ke dalam siklus kehidupan keluarga sebagai peristiwa normal dan sehat (3) .…”
Section: Landasan Teoriunclassified
“…Dampak dari peningkatan pemahaman ibu postpartum tersebut ibu akan memiliki kemampuan competent mothering secara optimal. Hal ini tentunya berkontribusi terhadap optimalisasi status kesehatan ibu maupun bayi yang dilahirkan, sehingga dapat berdampak untuk menekan angka kematian ibu dan bayi (3) . Masalah yang diteliti ini berkaitan dengan 1) peran petugas kesehatan dan institusi kesehatan dalam optimalisasi competent mothering ibu postpartum dalam upaya menurunkan Angka Kematian Ibu dan Bayi; 2) peran keluarga dengan pendekatan family centered maternity care dalam optimalisasi competent mothering ibu postpartum dalam upaya menurunkan angka kematian ibu dan bayi (3) .…”
Periode masa nifas yang dijalani ibu postpartum masih memiliki berbagai kendala salah satunya persepsi yang belum sinergis dengan anjuran kesehatan. Peran sebagai orang tua tidak terlepas dari partisipasi atau kerja sama antara ibu dan keluarga (suami) serta anggota keluarga yang lain. Berkaitan dengan permasalahan tersebut di atas telah dipecahkan, salah satunya dengan membangun Model Edukasi Postnatal yang difokuskan pada ibu postpartum dengan melibatkan keluarga sebagai sosial support. Model ini memiliki keunggulan bahwa dalam mengoptimalkan pemahaman ibu tentang peran dan fungsinya dalam beradaptasi secara maternal dan perawatan bayi baru lahir, keluarga ikut terlibat aktif dalam upaya tersebut. Dampak dari peningkatan pemahaman ibu postpartum tersebut ibu akan memiliki kemampuan competent mothering secara optimal.
Setelah dilakukan upaya peningkatan perilaku ibu postpartum melalui edukasi Family Centered Maternity Care (FCMC) diharapkan ibu postpartum dapat melakukan pijat oksitosin dengan melibatkan keluarga. Metode pelaksanaan dengan demontrasi dan diskusi. Media yang digunakan adalah phantom payudara, booklet perawatan masa nifas salah satunya pijat oksitosin, LCD, Laptop dan Proyektor.Pelaksanaan pendidikan kesehatan dilaksanakan secara kunjungan rumah dengan memperhatikan protocol kesehatan yaitu pada bulan Maret 2021 sampai September 2021.
Hasil pengabdian masyarakat adalah 90% ibu postpartum bisa melakukan pijat oksitosin dengan keterlibatan keluarga. Serta dari hasil monitoring dan evaluasi dengan cara pertemuan kembali dengan cara melakukan kunjungan rumah (home care) kepada ibu postpartum dengan menggunakan instrument yang berhubungan dengan perawatan postpartum.
Berdasarkan pelaksanaan pengabdian masyarakat dapat disimpulkan bahwa adanya peningkatan perilaku ibu postpartum dalam pijat oksitosin di Wilayah Kerja Puskesmas Gambirsari Surakarta.
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