Faktor-faktor yang mempengaruhi inisiasi laktasi pada ibu post partum di RSUD Curup Kabupaten Rejang lebong

YUSNIARITA, Prof.dr. Sulchan Sofoewan, PhD.,Sp.OG(K)

2006 | Tesis | S2 Ilmu Kedokteran Klinik

Inisiasi laktasi mempunyai efek keberhasilan kelangsungan pemberian ASI jangka panjang. Faktor ibu mempengaruhi keberhasilan inisiasi laktasi. Tujuan: Penelitian ini bertujuan melihat faktor yang mempengaruhi inisiasi laktasi ibu post partum yang meliputi: umur, paritas, pendidikan, motivasi, kecemasan dan cara menyusui yang benar terhadap inisiasi laktasi di RSUD Curup Kabupaten Rejang Lebong. Metodologi: Rancangan penelitian yang digunakan adalah studi potong lintang, pada 115 ibu post partum yang memenuhi kriteria inklusi: ibu post partum, menandatangani persetujuan penelitian, bayi sehat dan kriteria eksklusi: ibu dengan usia kehamilan ≤ 37 minggu, operasi seksiosesar, BBLR, APGAR skor 5 menit pertama < 7. Pengambilan sampel consecutive sampling. Dilakukan analisis untuk mengetahui hubungan variabel – variabel yang mempengaruhi inisiasi laktasi. Hasil: Setelah dianalisis bivariat dan multivariat tingkat kecemasan ibu berhubungan bermakna secara statistik terhadap inisiasi laktasi (p<0,05) dengan OR 0,305 (95% Cl:0,109 – 0,856) sedangkan umur, paritas, pendidikan, motivasi dan cara menyusui dengan inisiasi laktasi tidak bermakna secara statistik (p>0,05). Simpulan: Ibu yang cemas akan menurun pemberian inisiasi laktasi dibandingkan ibu yang tidak cemas.

Background: Initiation of lactation is recommanded a half hour after delivery. Initiation of lactation has an effect on the success of long term breastfeeding. Mothers Factors it self that will influence the success of lactation. Objective: To know the correlation between age, parity, education, motivation, and anxiety with initiation of lactation in Curup general hospital Rejang Lebong District. Material and Methods: 115 post partum mother were enroller in the study (consecutive sampling) inclusion criteria were post partum mother and healthy infants and exclusion criteria were age of pregnant ≤ 37 week, score APGAR less than 7 first five minute. The characteristic of the subject will be analysed by descriptive Analyses. Proportion and OR level by chi-square. Logistic regresion analysis to determine correlation between independent variable with initiation of lactation Result: There were correlation between age, parity, education, and motivation with initiation of lactation but statistically not difference (p>0,05). The correlation between anxiety with initiaton of lactation were statistically difference (p<0,05), OR 0,305 (95% CI: 0,109 – 0,856). Conclusion: Initiation of lactation will be longer in anxiety mother there were correlation between initiation of lactation with level of anxiety.

Kata Kunci : Inisiasi Laktasi,Post Partum, Factor, Initiation of lactation, Post partum mother