Pengaruh Inisiasi Menyusu Dini Terhadap Jumlah Perdarahan Pasca Persalinan

Abstract

Background: Mortality and morbidity among women during pregnancy and labour are a major problem in poor and developing countries including Indonesia. The prevalence of postpartum hemorrhage is between 2-11% out of all childbirth. Postpartum hemorrhage is the main cause of maternal mortality (28%). Maternal mortality mainly occurs within the first 4 hours after childbirth. Uterus contraction after childbirth greatly minimizes the risk of hemorrhage. Early breastfeeding initiation stimulates the back of hypofiche gland to produce oxytoxin that ignites womb muscle contraction so that the risk for the prevalence of postpartum hemorrhage can be minimized. Objective: To identify the impact of early breastfeeding initiation to the amount of postpartum hemorrhage. Method: The study was observational with prospective cohort design. Subject of the study were normal partum mothers at Sleman Hospital taken using non probability with consecutive sampling technique (62 samples). Data analysis used univariate with frequency distribution and percentage, bivariate with independent t-test and multivariate with linear regression. Result and Discussion: Average amount of blood in postpartum mothers that practised early breastfeeding initiation (EBI) was lower than those without EBI. The average amount of hemorrhage in mothers that practice EBI was 77,26 + 33,6 cc, and in mothers that did not practiced EB was 115,4 +31,0 cc. Average difference in the amount of hemorrhage in the two groups was -38,1 cc. This difference was statistically significant with p<0,05 (p=0,000), 95%CI=-54,6--21,7. External variables, either age, parity or education of mothers, had no significant association with the amount of postpartum hemorrhage (p>0,05). Conclusion: EBI affected the amount of postpartum hemorrhage. Average amount of postpartum hemorrhage in mothers that practiced practised EBI was 38,1 cc less than in those that did not practise EBI.Keywords: postpartum, early breastfeeding initiation, skin to skin contact ABSTRAK Latar Belakang: Mortalitas dan morbiditas pada wanita selama kehamilan dan persalinan adalah masalah besar di negara-negara miskin dan berkembang termasuk Indonesia. Prevalensi perdarahan postpartum adalah 2-11% dari semua persalinan. Perdarahan postpartum merupakan penyebab utama kematian ibu (28%). Kematian ibu terutama terjadi dalam 4 jam pertama setelah melahirkan. Kontraksi rahim setelah melahirkan sangat meminimalkan risiko perdarahan. Inisiasi menyusui dini merangsang bagian belakang kelenjar hypofiche untuk menghasilkan oxytoxin yang memicu kontraksi otot rahim sehingga resiko untuk prevalensi perdarahan postpartum dapat diminimalkan. Tujuan: Untuk mengidentifikasi dampak dari inisiasi menyusui dini terhadap jumlah perdarahan postpartum. Metode: Jenis penelitian ini adalah observasional dengan rancangan kohort prospektif. Subyek penelitian adalah ibu yang melahirkan normal di Rumah Sakit Sleman diambil menggunakan non probability dengan teknik pengambilan sampel berturut-turut (62 sampel). Analisis data yang digu...

The Use of Oxytocin Electrostimulator Corsets as A Preventive Measures of Postpartum Bleeding Potential

“…The results of this study are in line with research conducted by Cunningham that the abdominal wall muscles function as a stabilizer (brace) so that the force reaching the abdominal wall will be reflected back and will increase intra-abdominal pressure and then will increase the thrust into the uterine cavity. This is what drives lochea fluid out through the vagina, a decrease in the uterine fundus and a good uterine involution process [18]. In addition, the back corset oxytocin electrostimulator uses a spikeexponential monophase pulse shape having an effective voltage that is much smaller than its peak voltage.…”

Early Breastfeeding Initiation of Postpartum Hemorrhage Events

“…Hal ini sesuai dengan peneltitian yang dilakukan Tahun 2013 di Puskesmas Tanah Kali Kedinding yang menyatakan bahwa IMD merupakan salah satu cara untuk mengurangi kejadian perdarahan kala IV [17]. Hal tersebut juga diperkuat dengan penelitian yang dilakukan tahun 2010 di RS Sleman Jogjakarta, yang menyimpulkan bahwa keberhasilan IMD mempengaruhi jumlah perdarahan postpartum [18].…”