Faktor Implementasi Inisiasi Menyusu Dini (IMD) pada Persalinan Sesar: Studi di Salah Satu Rumah Sakit Rujukan Sekunder di Surabaya, Indonesia
Abstract
Latar belakang: Persalinan sesar di Indonesia mencapai angka 17,6% pada tahun 2018 yang menghambat pelaksanaan Inisiasi Menyusu Dini (IMD). IMD berperan penting dalam keberhasilan ASI eksklusif dan kesejahteraan neonatus. Penelitian ini bertujuan untuk menganalisis faktor implementasi IMD pada salah satu rumah sakit rujukan sekunder di Kota Surabaya.
Metode: Penelitian observasional retrospektif menggunakan data rekam medik pasien. Sampel dalam penelitian ini sebanyak 248 perempuan bersalin yang diambil dengan random sampling. Analisis yang digunakan menggunakan pendekatan univariate dan bivariate dengan uji chi-square.
Hasil: Hasil penelitian ini menunjukkan bahwa IMD yang tidak berhasil terjadi pada ibu yang bersalin sesar dengan karakteristik usia diantara 15 sampai dengan 20 tahun (70%), pendidikan SD (85.4%), primipara (91.8%) dan dengan sesar CITO (97.1%). Tingkat pendidikan, paritas, jenis sesar merupakan variabel yang memiliki hubungan signifikan dengan keberhasilan IMD.
Kesimpulan: Deteksi dini dan pencegahan komplikasi harus menjadi prioritas terutama untuk komplikasi dan indikasi medis sesar, dan perlu adanya komitmen rumah sakit untuk mendukung IMD pada persalinan sesar melalui kebijakan dan regulasi rumah sakit.
References
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19. Alrasheedi AT. Factors associated with early initiation of breastfeeding in central Saudi Arabia : a hospital-based survey. Int Breastfeed J. 2023;6:1–11.
20. Gebremeskel SG, Gebru TT, Gebrehiwot BG. Early initiation of breastfeeding and associated factors among mothers of aged less than 12 months children in rural eastern zone , Tigray , Ethiopia : cross ‑ sectional study. BMC Res Notes. 2019;12(671):1–6.
21. Syukur NA, Purwanti S. Penatalaksanaan IMD pada Ibu Post Partum Sectio Caesar Mempengaruhi Status Gizi dan Kecepatan Produksi ASI. J Bidan Cerdas. 2020;2(2):112–20.
22. Ahmad F, Utomo B, Ramadhan NA. Pelaksanaan Inisiasi Menyusu Dini berdasarkan Jenis Persalinan di Indonesia : Analisis SDKI 2017. J Kesehat Reproduksi. 2021;8(2).
23. Evans K, Fraser H, Uthman O, Osokogu O, Johnson S, Al-Khudairy L. The effect of mode of delivery on health-related quality-of-life in mothers: a systematic review and meta-analysis. BMC Pregnancy Childbirth. 2022;22(1):1–16.
24. Murrieta AM. Unnecessary Caesarean sections and obstetric violence in Mexico: growing visibility and resonance . Sante Publique (Paris) . 2022;33(5):685–94.
25. Hobbs AJ, Mannion CA, McDonald SW, Brockway M, Tough SC. The impact of caesarean section on breastfeeding initiation, duration and difficulties in the first four months postpartum. BMC Pregnancy Childbirth [Internet]. 2016;16(1):1–9.
26. World Health Organization, UNICEF. Baby Friendly Hospital Initiative [Internet]. Switzerland; 2018. Available from: https://iris.who.int/bitstream/handle/10665/272943/9789241513807-eng.pdf?sequence=19
27. Soubeiga D, Gauvin L, Hatem MA, Johri M. Birth Preparedness and Complication Readiness (BPCR) interventions to reduce maternal and neonatal mortality in developing countries: systematic review and meta-analysis. BMC Pregnancy Childbirth. 2014;14(129).
28. Kiataphiwasu N, Kaewkiattikun K. Birth preparedness and complication readiness among pregnant women attending antenatal care at the faculty of medicine Vajira hospital, Thailand. Int J Womens Health. 2018;10:797–804.
29. Ekubay M, Berhe A, Yisma E. Initiation of breastfeeding within one hour of birth among mothers with infants younger than or equal to 6 months of age attending public health institutions in Addis Ababa, Ethiopia. Int Breastfeed J. 2018;13(1):1–7.
30. Kitano N, Nomura K, Kido M, Murakami K, Ohkubo T, Ueno M, et al. Combined effects of maternal age and parity on successful initiation of exclusive breastfeeding. Prev Med Reports. 2016;3:121–6.
31. Yilmaz E, Ocal FD, Yilmaz ZV, Ceyhan M, Kara OF, Kucukozkan T. Early initiation and exclusive breastfeeding: Factors influencing the attitudes of mothers who gave birth in a baby-friendly hospital. Turkish J Obstet Gynecol [Internet]. 2017;14:1–9.
2.Kemenkes RI. Laporan Nasional mRiskesdas 2018 [Internet]. Badan Penelitian dan Pengembangan Kesehatan. Jakarta; 2019. Available from: https://www.litbang.kemkes.go.id/laporan-riset-kesehatan-dasar-riskesdas/
3.Betran AP, Torloni MR, Zhang JJ, Gülmezoglu AM. WHO statement on caesarean section rates. BJOG An Int J Obstet Gynaecol. 2016;123(5):667–70.
4.Gedefaw G, Goedert MH, Abebe E, Demis A. Effect of cesarean section on initiation of breast feeding: Findings from 2016 Ethiopian Demographic and Health Survey. PLoS One. 2020;15(12):1–13. Available from: http://dx.doi.org/10.1371/journal.pone.0244229
5.Johar N, Mohamad N, Saddki N, Ismail TAT, Sulaiman Z. Factors Associated with Early Breastfeeding Initiation among Women Who Underwent Cesarean Delivery at Tertiary Hospitals in Kelantan, Malaysia. Korean J Fam Med. 2021;42(2):140–9. Available from: https://doi.org/10.4082/kjfm.19.0178 •
6.Rowe-Murray HJ, Fisher JRW. Baby Friendly Hospital practices: Cesarean section is a persistent barrier to early initiation of breastfeeding. Birth. 2002;29(2):124–31.
7.Masitoh S, Nurokhmah S, Rizkianti A, Sugiharti S. Hubungan Operasi Sesar dengan Inisiasi Menyusu Dini di Indonesia: Analisis Data SDKI 2017. Media Penelit dan Pengemb Kesehat. 2021;31(1):39–50.
8.Patil CL, Turab A, Ambikapathi R, Nesamvuni C, Chandyo RK, Bose A, et al. Early interruption of exclusive breastfeeding : results from the eight-country MAL-ED study. J Heal Popul Nutr. 2015;34(10):1–10.
9.Takahashi K, Ganchimeg T, Ota E, Vogel JP. Prevalence of early initiation of breastfeeding and determinants of delayed initiation of breastfeeding : secondary analysis of the WHO Global Survey. Nat Publ Gr. 2017;(February):1–1
10. Yisma E, Mol BW, Lynch JW, Smithers LG. Impact of caesarean section on breastfeeding indicators : within-country and meta-analyses of nationally representative data from 33 countries in sub-Saharan Africa. BMJ Open. 2019;1–12.
11. World Health Organization. National Implementation Of The Baby-Friendly Hospital Initiative [Internet]. Switzerland: World Health Organization; 2017. Available from: https://iris.who.int/bitstream/handle/10665/255197/9789241512381-eng.pdf
12. Riyanti E, Fitriyani AS, Haryani KD. The Readiness for Implementing a Baby-Friendly Hospital Initiative at PKU Muhammadiyah Gombong Hospital. J Aisyah J Ilmu Kesehat [Internet]. 2023;8(2):929–34.
13. WHO. Global Nutrition Targets 2025 policy Brief Series. Policy Br Ser . 2014;12–3. Available from: www.who.int/nutrition/topics/nutrition_
14. UNICEF, WHO. Protecting, promoting and supporting Breastfeeding in facilities providing maternity and newborn services: the revised BABY-FRIENDLY HOSPITAL INITIATIVE. Implementation Guidance. 2018. 135–149 p.
15. Ulfa Y, Maruyama N, Igarashi Y, Horiuchi S. Early initiation of breastfeeding up to six months among mothers after cesarean section or vaginal birth: A scoping review. Heliyon [Internet].
16. Sanctis V De, Soliman AT, Daar S, Tzoulis P. Retrospective observational studies : Lights and shadows for medical writers. Acta Biomed [Internet]. 2022;93(5).
17. Gardner A., Charlesworth M. How to write a retrospective observational study. Anaesthesia [Internet]. 2023;78(4):521–5. Available from: https://doi.org/10.1111/anae.15831
18. 18. Shirima LJ, Mlay HL, Fabian A, Mushy SE, Ngalesoni N, Mboya IB. Early Initiation of Breastfeeding and Associated Factors Among Women of Reproductive age in Simiyu Region , Tanzania. Perinat Nurs Midwifery [Internet]. 2023;9:1–10.
19. Alrasheedi AT. Factors associated with early initiation of breastfeeding in central Saudi Arabia : a hospital-based survey. Int Breastfeed J. 2023;6:1–11.
20. Gebremeskel SG, Gebru TT, Gebrehiwot BG. Early initiation of breastfeeding and associated factors among mothers of aged less than 12 months children in rural eastern zone , Tigray , Ethiopia : cross ‑ sectional study. BMC Res Notes. 2019;12(671):1–6.
21. Syukur NA, Purwanti S. Penatalaksanaan IMD pada Ibu Post Partum Sectio Caesar Mempengaruhi Status Gizi dan Kecepatan Produksi ASI. J Bidan Cerdas. 2020;2(2):112–20.
22. Ahmad F, Utomo B, Ramadhan NA. Pelaksanaan Inisiasi Menyusu Dini berdasarkan Jenis Persalinan di Indonesia : Analisis SDKI 2017. J Kesehat Reproduksi. 2021;8(2).
23. Evans K, Fraser H, Uthman O, Osokogu O, Johnson S, Al-Khudairy L. The effect of mode of delivery on health-related quality-of-life in mothers: a systematic review and meta-analysis. BMC Pregnancy Childbirth. 2022;22(1):1–16.
24. Murrieta AM. Unnecessary Caesarean sections and obstetric violence in Mexico: growing visibility and resonance . Sante Publique (Paris) . 2022;33(5):685–94.
25. Hobbs AJ, Mannion CA, McDonald SW, Brockway M, Tough SC. The impact of caesarean section on breastfeeding initiation, duration and difficulties in the first four months postpartum. BMC Pregnancy Childbirth [Internet]. 2016;16(1):1–9.
26. World Health Organization, UNICEF. Baby Friendly Hospital Initiative [Internet]. Switzerland; 2018. Available from: https://iris.who.int/bitstream/handle/10665/272943/9789241513807-eng.pdf?sequence=19
27. Soubeiga D, Gauvin L, Hatem MA, Johri M. Birth Preparedness and Complication Readiness (BPCR) interventions to reduce maternal and neonatal mortality in developing countries: systematic review and meta-analysis. BMC Pregnancy Childbirth. 2014;14(129).
28. Kiataphiwasu N, Kaewkiattikun K. Birth preparedness and complication readiness among pregnant women attending antenatal care at the faculty of medicine Vajira hospital, Thailand. Int J Womens Health. 2018;10:797–804.
29. Ekubay M, Berhe A, Yisma E. Initiation of breastfeeding within one hour of birth among mothers with infants younger than or equal to 6 months of age attending public health institutions in Addis Ababa, Ethiopia. Int Breastfeed J. 2018;13(1):1–7.
30. Kitano N, Nomura K, Kido M, Murakami K, Ohkubo T, Ueno M, et al. Combined effects of maternal age and parity on successful initiation of exclusive breastfeeding. Prev Med Reports. 2016;3:121–6.
31. Yilmaz E, Ocal FD, Yilmaz ZV, Ceyhan M, Kara OF, Kucukozkan T. Early initiation and exclusive breastfeeding: Factors influencing the attitudes of mothers who gave birth in a baby-friendly hospital. Turkish J Obstet Gynecol [Internet]. 2017;14:1–9.
Published
2024-08-08
How to Cite
FARIZI, Sofia Al; DEWI, Vienne Citra; IZZATI, Dwi.
Faktor Implementasi Inisiasi Menyusu Dini (IMD) pada Persalinan Sesar: Studi di Salah Satu Rumah Sakit Rujukan Sekunder di Surabaya, Indonesia.
BIOGRAPH-I: Journal of Biostatistics and Demographic Dynamic, [S.l.], v. 4, n. 1, p. 15 - 21, aug. 2024.
ISSN 2776-155X.
Available at: <https://jurnal.unej.ac.id/index.php/biograph-i/article/view/49466>. Date accessed: 19 dec. 2024.
doi: https://doi.org/10.19184/biograph-i.v4i1.49466.
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