Tingkat Kecemasan Ibu Postpartum Berhubungan dengan Keterlambatan Pengeluaran ASI pada Masa Pandemi Covid-19

Abstract

Anxiety is a subjective emotion that makes an individual uncomfortable, an unclear fear and anxiety, which is accompanied by autonomic responses. In the Covid-19 pandemic condition, the prevalence of postpartum maternal anxiety levels is increasing, this is related to the process of breastfeeding formation and excretion, namely the milk production reflex and let down reflex, both of which are closely related to hormones regulated by the hypothalamus. So that the higher the level of anxiety in the mother, the more inhibiting the production of breast milk in postpartum mothers.This study aims to analyze the relationship between postpartum anxiety level and breast milk production during the Covid-19 epidemic at the Antang Perumnas Health Center, Makassar City. This type of research is an analytic survey, with a cross sectional observation design. The sampling technique uses "Quota Sampling". The sample size in this study was 38 respondents. This research was conducted in February – May 2020. The statistical analysis used in this study is the Pearson Correlation Test. Based on the results of the Pearson correlation statistical test, the correlation coefficient table obtained results of 0.562 with p value=0.000 < α:0.05, so it can be concluded that the anxiety of the Covid-19 pandemic has a relationship with delays in breastfeeding for postpartum mothers at the Antang Perumnas City Health Center. Makassar and the degree of correlation are at a moderate level. So it is advisable for health service providers to always provide information or socialization to postpartum mothers regarding the transmission of Covid-19.

Gambaran Tingkat Kecemasan pada Ibu Postpartum Spontan di Puskesmas Ibrahim Adjie Kota Bandung

“…Perasaan gelisah, cemas, tidak tenang, firasat buruk serta rasa takut merupakan faktor yang nantinya akan menghambat pada proses let down refleks. Hal tersebut diakibatkan karena pada saat ibu merasa cemas terdapat pelepasan pada hormon adrenalin yang menyebabkan vasokontriksi dari pembuluh alveoli, sehingga memperkecil harapan hormone oksitosin untuk mencapai organ sel miopepitelium, yang akan mengakibatkan tidak adanya kontraksi otot-otot myopitel dari saluran susu sehingga produksi dan pengeluaran ASI terhambat (Malik et al, 2022).…”