EVALUASI PROMOSI MENYUSUI DENGAN KEBERHASILAN INISIASI DINI PASCA PERSALINAN DI RSB AL HASANAH KOTA MADIUN PERIODE TAHUN 2007-2008

Rumpiati, SST., dr. Siswanto Agus Wilopo, S.U., M.Sc., Sc.D.

2011 | Tesis | S2 Kesehatan Masyarakat/KIA

Latar Belakang: Promosi tentang menyusui merupakan kunci penting dalam strategi harapan hidup anak. Inisiasi menyusu dini dapat mengurangi 22% kematian bayi sampai umur 28 hari. Promosi menyusui di RSB Al Hasanah Kota Madiun diberikan sejak ibu kontak pada pelayanan antenatal, dari fakta yang ada kurang lebih 20% ibu pasca persalinan memberikan susu formula pada bayinya 1 jam setelah lahir . Tujuan: Meningkatnya keberhasilan inisiasi dini pasca persalinan dengan promosi menyusui di RSB Al Hasanah Kota Madiun. Metode: Jenis penelitian merupakan penelitian observasional dengan desain studi kohort, pendekatan secara kuantitatif, menggunakan data sekunder yaitu register kohort ibu di RSB Al Hasanah Kota Madiun periode tahun 2007-2008. Subjek penelitian ini adalah semua ibu yang melahirkan normal di RSB Al Hasanah Kota Madiun, dengan menggunakan teknik sampel accidental sampling. Besar sampel dihitung menggunakan software PASS 2008 diperoleh total sampel sebanyak 86 responden. Analisis data terdiri dari analisis univariabel, bivariabel, dan multivariabel dengan menggunakan uji statistik Chi square dan regresi logistik. Hasil: Melalui promosi menyusui responden akan melakukan inisiasi menyusu dini, terdapat hubungan bermakna secara statistik antara promosi menyusui dengan keberhasilan IMD dengan nilai (P<0,05) dan RR 1,76 (95%CI:1,14-2,24). Dari mengontrol variabel pendamping persalinan, terjadi perubahan R 2 dari 0,7 menjadi 0,16 yang berarti promosi menyusui dapat memprediksi keberhasilan IMD sebesar 16%. Sedangkan dari variabel petugas kesehatan menunjukan hubungan signifikan secara statistik dengan nilai RR 2,11 (95%CI:0,09-4,47) berarti Ibu yang mendapat promosi menyusui akan melakukan IMD 2,11 kali jika persalinannya Ibu ditolong tenaga kesehatan. Disamping itu terjadi perubahan R 2 sebesar 0,15, hal ini menggambarkan bahwa ibu yang mendapat promosi menyusui dan persalinannya ditolong tenaga kesehatan akan melakukan IMD sebesar 15%. Kesimpulan: Keberhasilan IMD di RSB Al Hasanah Kota Madiun sebesar 58.1%, ada hubungan signifikan antara promosi menyusui dengan keberhasilan IMD.

Background: Breastfeeding promotion is an important key in the strategy of child life expectancy. Early breastfeeding initiation can minimize infant mortality as much as 22% until it reaches the age of 28 days. Breastfeeding promotion at Al Hasanah Maternity Hospital at Madiun Municipality is implemented since the mother has had a contact with antenatal service. Approximately 20% of postpartum mothers give formula milk to their babies one hour after birth. Objective: To improve postpartum early initiation performance through breastfeeding promotion at Al Hasanah Maternity Hospital of Madiun Municipality. Method: The study was observational with cohort study design and quantitative approach using secondary data of cohort registry of mothers at Al Hasanah Maternity Hospital, Madiun Municipality 2007-2008. Subject of the study were all mothers having normal birth at Al Hasanah Maternity Hospital. Samples were taken accidentally. Sample size consisted of 86 respondents taken using software of PASS 2008. Data analysis used univariate, bivariate, and multivariate technique with chi square and logistic regression statistical test. Result: There was statistically significant association between breastfeeding promotion and performance of early breastfeeding initiation with score of p<0.05 and RR 1.76 (95% CI=1.14-2.24). With the control of variable of childbirth assistant there was a change of R 2 from 0.7 to 0.16, meaning that breastfeeding promotion could predict performance of early breastfeeding initiation as much as 16%. With the control of variable of health staff there was statistically significant association with score of RR=2.11 (95% CI:0.09-4.47), meaning that mothers that got breastfeeding promotion would give early breastfeeding initiation 2.11 times greater when the process of labour was assisted by health staff. Meanwhile there was a change of R 2 as much as 0.15. This indicated that mothers that got breastfeeding promotion and were assisted by health staff during labour would have early breastfeeding initiation as much as 15%. Conclusion: Good performance of early breastfeeding initiation at Al Hasanah Maternity Hospital Madiun Municipality reached 58.1%. There was significant association between breastfeeding promotion and performance of early breastfeeding initiation.

Kata Kunci : promosi menyusui, keberhasilan inisiasi menyusu dini, pasca persalinan