Determinan keberhasilan praktek menyusui dini pada ibu bersalin di RSUD Dr. Moewardi Surakarta

RAHAJU, Siti, dr. Srisupar Yati S., SpAK.,PhD

2002 | Tesis | S2 Ilmu Kesehatan Masyarakat

Pola pemberian MI. yang dianjurkan tingkat internasional dan nasional adalah pemberian segera atau setengah jam setelah bayi lahir. Segera memberikan ASI. atau menyusui dini mempunyai efek terhadap keberhasilan kelangsungan pemberian ASI. jangka penjang, sehingga tercapai kesehatan bayi anak optimal dan kualitas sumber daya manusia makin meningkat. Namun beberapa penelitian membuktikan rendahnya prevalensi menyusui dini. Faktor penyebabnya kompleks baik yang berasal dari ibu sendiri dan petugas kesehatan yang memberikan pertolongan saat bersalin. Tujuan adalah mengetahui hubungan karakteristik ibu bersalin yang meliputi umur, paritas, pendidikan, pengetahan dan sikap serta karakteristik petugas kesehatan meliputi perilaku, pengetahuan dan sikap terWp kekrhasilan pdk menyusui dini. Rancangan penelitian cross sectiond, pengambilan sampel purposive sumpring pada 146 ibu bersalin yang,memenuhi kriteria inchion di BUD. dr. Muwardi Surakarta. Pengolahan data dengan deskripbf dan analitik, metode kuantitatif dan kualitatif Hubungan bivariat didisis dengan chi square dan oneway anova, hubungan muZti variat dengan Zogistic regressian serta data halitatif didapatkan dengan indepth interview. Hasil, bahwa hubungan umur, paritas, pendidikan, sikap ibu dan perilaku petugas kesehatan secara bivariat maupun mdtivariat %tidak bermakna (p > 0,05). Hanya pengetahuan ibu yang bermaha terhadap keberhasilan praktek menyusui dini (p 0,05 = 0,016 dan OR = 2,301). Ada perbedam berm- tentang pengetahuan menyusui dini antara petugas kesehatan dari bidan (<1990), bidan (>1990) dan perawat (D3) yaitu (p < 0,05 = 0,048), sedangkan sikap menyusui dini mtara petugas kesehatan ti& ada perbedaan yang bermakna (p > 0,05). Kesimpulan studi ini adalah variabel pengetahuan ibu tentang ASI. dan variabel pengetahuan petugas kesehatan tentang manajemen laktasi memberikan kontribusi besar dalam keberhasilan praktek menyusui din

The pattern of breastfeeding suggested by the international and national breastfeeding levels is as soon as possible or thirty minutes after birth. Early breastfeeding has an effect on the success of the long-term breastfeeding, so that optimum infant-child health will be acheved and the quality of human resources increases. However, several studies showed low prevalence of early breastfeeding. The causes are complex factors from the mother it self or health workers provide delivery assistance. The aim of this study was to find out the characteristic relationships of delivery mothers, which include age, parity, education, knowledge and attitude and also the characteristics of health workers that include behavior, knowledge, attitude tow& early breastfeeding. This cross-sectional study and the samples were taken using purposive sampling among 146 mothers fulfilling the criteria of inclusion at dr. Moewardi Distric Hospital, Surahta. The data were analyzed descriptively and was analyzed with the chi-square analysis and, oneway anova analysis, multivarizte relationship was analyzed with logistic regression analysis. The difference between knowledge and attitude of health workers was analyzed using oneway anova, and the qualitative data was done using inzdepth interview. The results showed that the bivariate and multivariate analysis showed that relationship between age, parity, education, attitude of mothers and the behavior of health workers were not significant (pM.05). The only significant relationship was the mothers kaowledge (F0.05 and OR=2,301). The relationship between age, parity, education, attitude of mothers altogether and the behavior of health workers and the practice of early breastfeeding was not significant (p>0.05), Bivariate analysis with oneway anova showed that midwives knowledge (< 1990), midwives knowledge (> 1990), and mrses (dip!arna graduates) had sigruficant difference (p

Kata Kunci : Kesehatan Ibu dan ANak,Menyusui Dini,Ibu Bersalin, determinant, practice, early breastfeeding, delivery mothers