Peran Konseling Laktasi dengan Penerapan Media terhadap Tingkat Keyakinan Diri dan Keberhasilan Menyusui pada Ibu Post partum

Abstract

Pemberian Air Susu Ibu (ASI) yang dilakukan sejak usia dini dan dilanjutkan dengan ASI eksklusif selama 6 bulan dapat menurunkan angka kesakitan dan kematian bayi, serta meningkatkan tumbuh kembang bayi secara optimal. Namun, secara global masih sedikit bayi di bawah usia enam bulan yang diberikan ASI secara eksklusif, yaitu sebesar 40%. Beberapa studi telah dilakukan tentang pentingnya ASI, tetapi angka pemberian ASI belum memuaskan. Salah satu penyebab rendahnya pemberian ASI, yaitu karena ketidaktahuan ibu tentang proses laktasi yang menyebabkan kurangnya keyakinan ibu untuk dapat menyusui bayinya. Ibu memerlukan informasi yang tepat dari tenaga kesehatan tentang proses laktasi. Informasi tersebut disampaikan dalam proses konseling laktasi dan wajib ibu ketahui mulai dari masa kehamilan. Tujuan penelitian ini adalah untuk menganalisis pengaruh penggunaan media dalam konseling laktasi terhadap keyakinan diri dan keberhasilan menyusui ibu post partum. Penelitian ini merupakan penelitian kuasi eksperimen dengan rancangan post test only with control group design. Pengambilan sampel dengan cara consecutive sampling sesuai kriteria inklusi, yaitu sebesar 30 ibu primigravida usia kehamilan 36 minggu sampai 1 bulan post partum. Instrumen yang digunakan, yaitu Breastfeeding Self-Efficacy Scale Form (BSESF) dan lembar observasi kemampuan menyusui sesuai dengan modul konseling menyusui 40 jam WHO/UNICEF tahun 2011. Rancangan analisis penelitian ini menggunakan uji T dan uji Mann-Whitney serta uji Rank Spearman untuk mencari korelasi dengan bantuan SPSS. Keyakinan diri pada usia kehamilan 36 minggu sampai 1 minggu post partum didapatkan nilai p<0,05, sedangkan pada waktu 1 hari post partum sampai 1 minggu post partum didapatkan nilai p<0,01. Tidak terdapat korelasi keyakinan diri terhadap kemampuan menyusui dan keberhasilan menyusui pada ibu post partum dengan nilap p>0,05.

Media counseling of breastfeeding practice improved newborn growth outcomes in Ngombol Public Health Center, Purworejo-Indonesia

“…Mothers need to be accompanied by the subject's family such as her husband or mother (not mandatory) will be creating better feeling from them to receive the counselling process (Aldana et al, 2020;Benedict et al, 2018). Counselling using media assistance in this study was better than not using counseling media assistance, this is in line with the research of Suksesty et al, (2016) that the ability to breastfeed in the group that was given counseling with the application of media was higher than the group that was counseled with standard care. The benefits of counseling with media include information that is easier to receive, more interesting and as a substitute for object (Alhadi et al, 2016).…”

“…The success of breastfeeding can be seen by the mother's ability to provide exclusive breastfeeding with correct attachment and positions. A research from (Suksesty et al, 2016) showed that the ability to breastfeed in the group that was counseled with the application of media was higher compared to without media counselling. This finding supported by Sari et al, (2013) that an effect of counseling on breastfeeding attachment had a significant association between breastfeeding techniques and the weight of newborns aged 1-6 months.…”

The Effectiveness of Lactation Counseling on Knowledge, Self-Confidence, and Successful Breastfeeding for Postpartum Mothers

“…Proper breastfeeding technique is a factor in breastfeeding success, which needs to be considered in breastfeeding techniques, namely the breastfeeding position and attachment of the baby's mouth to the mother's breast. 7 Table 2 shows that the median value of the mother's ability to breastfeed in the intervention group is the same as the control group, which is 24.50. In addition, the Mann-Whitney test results showed no difference between the mother's ability to breastfeed in the two groups (p=1.000, p>0.05).…”

“…Counseling will be effective when using various media and affect the absorption of information and increase knowledge about lactation. [7][8][9] Many media are used in counseling, one of which is audio-visual media such as video. In addition to the use of media in counseling, community support also affects the duration of breastfeeding.…”

“…The support can be in technology, for example, using cell phones. 1,7,[10][11][12] The results of the literature study show that structured counseling programs impact breastfeeding performance. Jerin et al 1 showed that breastfeeding support is given during pregnancy, and postpartum can increase exclusive breastfeeding.…”