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Jurnal Keperawatan Indonesia
Articles
VIEWS: 1136
10.7454/jki.v13i2.233
Submitted: 2014-06-25
Published: 2010-07-24

Peningkatan Produksi ASI Ibu Nifas Seksio Sesarea Melalui Pemberian Paket "Sukses ASI"

paket “SUKSES ASI” produksi ASI seksio sesarea

Abstract

Abstrak

Ibu nifas sering mengalami masalah menyusui diantaranya karena kurangnya produksi ASI. Penelitian ini bertujuan melihat keefektifan pemberian paket "SUKSES ASI" ibu menyusui dengan seksio sesarea terhadap produksi ASI di wilayah Depok. Penelitian ini menggunakan desain kuasi eksperimen dengan post test only design. Jumlah sampel adalah 29 orang kelompok intervensi dan 31 orang kelompok kontrol. Uji kesetaraan karakteristik didapatkan hasil tidak ada perbedaan bermakna antara kelompok intervensi dan kelompok kontrol (p> α, α< 0,05). Hasil uji analisis dengan Chi-Square didapatkan perbedaan yang bermakna antara kepuasan produksi ASI (p= 0,002, OR 95% CI 9,244), kelancaran produksi ASI dari indikator bayi (p= 0,000, OR 95 % CI 9,000) dan kelancaran produksi ASI dari indikator ibu (p= 0,004, OR 95 % CI 0,181) antara kelompok intervensi dan kontrol. Diharapkan paket "SUKSES ASI" ini dapat digunakan dalam intervensi keperawatan maternitas, serta pengembangan paket yang lebih sempurna melalui penelitian lanjutan dengan survei pengkajian kebutuhan ibu post seksio sesarea untuk kelancaran produksi ASI.

 

Abstract

Postpartum mothers often have feeding problems include lack of milk production. This study purposed to look at the effectiveness of the package "SUKSES ASI" nursing mother with caesarean section on milk production in the area of Depok. This study used quasi-experimental design with a post test only design. Number of samples was 29 intervention group and 31 control group. Equivalence test characteristics obtained results no significant difference between the intervention and control groups (p> α, α< 0,05). The results with the Chi-Square analysis found significant differences between milk production satisfaction (p= 0,002, OR 95% CI 9,244), the smooth production of the indicators of infant milk (p= 0,000, OR 95% CI 9,000) and lactation of indicators mothers (p= 0,004, OR 95% CI 0,181) between the intervention and control groups. Expected package "SUKSES ASI" can be used in maternity nursing interventions, as well as the development of a more complete package through continued research with the needs assessment survey of post-caesarean section for maternal lactation.

References

  1. Biancuzzo, M. (2000). Breastfeeding the newborn clinical strategies for nurses (1st Ed.). St. Louis, Missouri: Mosby Inc.
  2. Bobak, I.M., Perry, S., & Lowdermilk, D.L. (2005). Maternity nursing (4th Ed.). California: Mosby.
  3. Bonuck, K.A., Freeman, K., & Trombley, M. (2005). Randomized controlled trial of prenatal and postnatal lactation consultant intervention on duration and intensity of breastfeeding up to 12 months. Pediatrics, 116 (6), 1413-1426.
  4. Chertok, I.R., & Vardi, I.S. (2008). Infant hospitalization and breastfeeding post cesarean section. British Journal of Nursing, 17 (12), 786-791.
  5. Cox, S. (2006). Breastfeeding with confidence: Panduan untuk belajar menyusui dengan percaya diri (Gracinia, J, Penerjemah). Jakarta: Gramedia. (sumber asli diterbitkan tahun 2001).
  6. Cregan, M. Mitoulas, L., & Hartmann, P. (2002). Milk prolactin, feed volume and duration between feeds in women breastfeeding their full-term infants over a 24 hour period. Exp Physiol, 87 (2), 207-214.
  7. Dhandapany, G., & Bethou, A. (2008). Antenatal counseling is it adequate? A descriptive study from pondicherry, India. International Breastfeeding Journal, 3 (5), 1-4.
  8. Dharmawati, Rustina, Y., & Sabri, L. (2008). Efektifitas kombinasi aerola massage dengan rolling massage terhadap pengeluaran ASI secara dini pada ibu nifas di Puskesmas Pamulang-Banten (Tesis, tidak dipublikasikan). FIK UI, Depok.
  9. Edmond, K., et al. (2006). Delayed breast feeding initiation increases risk neonatal mortality. Journal Pediatrics, 117, 380-386.
  10. Gartner, L.M., et al. (2005). Breastfeeding and the use of human milk. Pediatrics Journal,115(2),496-506.
  11. Indriyani, D. (2006). Pengaruh menyusui dini dan teratur terhadap produksi ASI pada ibu postpartum dengan seksio sesarea di RSUD Dr. Soebandi Jember dan Dr. Koesnadi Bondowoso (Tesis, tidak dipublikasikan).Universitas Indonesia, Depok.
  12. Lin, Chien-Hui, & Su-Chen, K. (2008). Evaluating effects of prenatal breastfeeding education program on women with cesarean delivery in Taiwan. Journal of Clinical Nursing, 17 (21), 2838-2859.
  13. Mathur, G.P., et al. (2003). Breastfeeding in babies delivered by cesarean section. Indian Pediatrics, 30 (11), 1285-1290.
  14. Meek, J. Y. (2001). Breastfeeding in the workplace. Pediatrics Clinical North America, 48, 461-474.
  15. Perinasia. (2004). Manajemen laktasi. Jakarta: Balai Pustaka.
  16. Pillitteri, A. (2003). Maternal and childhealth nursing: Care of the childbearing and childrearing family (4th ed). Philadelphia: Lippincott.
  17. Rasjidi, I. (2009). Manual seksio sesarea & laparatomi kelainan adneksa: Berdasarkan evidence Based. Jakarta: Sagung seto.
  18. Rekam Medik RSUPN CM. (2008). Data persalinan dengan SC terencana dan cito (Tidak dipublikasikan). Jakarta: RSUPN CM.
  19. Riskesdas. (2007). Angka kesakitan dan kematian bayi di Indonesia. Diperoleh dari http://old.depkominfo.go.id/portal/html.
  20. Roesli, U. (2008). Inisiasi menyusui dini plus ASI eksklusif (Cet I). Jakarta: Pustaka Bunda.
  21. Rowe, Murray, H. & Fisher. (2002). Baby friendly hospital practices cesarean section is a persistent barrier to early initiation of breastfeeding. Birth, 29, 124-130.
  22. Suradi, R., & Roesli, U. (2008). Manfaat ASI dan menyusui. Jakarta: Balai Penerbit FK-UI.
  23. UNICEF. (2007). Breastfeeding the remarkable first hour of life. Diperoleh dari www.unicef.go.id.

How to Cite

Budiati, T., Setyowati, S., & CD, N. H. (2010). Peningkatan Produksi ASI Ibu Nifas Seksio Sesarea Melalui Pemberian Paket "Sukses ASI". Jurnal Keperawatan Indonesia, 13(2), 59–66. https://doi.org/10.7454/jki.v13i2.233