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Analisis Faktor yang Memengaruhi Frekuensi Kunjungan Balita ke Posyandu Evi Khrisna; Siti Aisyah; Rizki Amalia
Jurnal SMART Kebidanan Vol 7, No 2 (2020): Desember 2020
Publisher : Universitas Karya Husada Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34310/sjkb.v7i2.376

Abstract

ABSTRAK Posyandu di Indonesia berfungsi sebagai salah satu media promosi dan sarana pemantauan pertumbuhan bayi balita, kegiatan posyandu ini sangat diharapkan dapat mendeteksi kasus gizi buruk secara dini di masyarakat sehingga tidak berkembang menjadi angka kejadian luar biasa. Penelitian bertujuan ingin mengetahui hubungan pendidikan ibu, pekerjaan ibu dan jarak ke posyandu dengan frekuensi kunjungan balita ke posyandu. Metode pada penelitian ini menggunakan cross sectional dengan jumlah populasi 1.487 dan sampel sebanyak 94 responden. Analisa data menggunakan uji statistik chi square dengan p value ≤ nilai α (0,05). Hasil penelitian ini dari 39 responden yang berpendidikan rendah dengan frekuensi kunjungan balita ke posyandu rendah sebanyak 30 (76,9%) dengan p value = 0,005, dari 60 responden yang tidak bekerja dengan frekuensi kunjungan balita ke posyandu tinggi sebanyak 31 responden (51,7%) p value = 0,01, dari 61 responden jarak posyandu dekat dengan frekuensi kunjungan balita ke posyandu tinggi sebanyak 33 responden (54,1%) p value = 0,002. Ada hubungan yang bermakna pendidikan ibu, pekerjaan ibu dan jarak ke posyandu dengan frekuensi kunjungan balita ke posyandu Kata kunci: frekuensi kunjungan balita; pendidikan; pekerjaan; jarak ke posyandu  THE ANALYSIS OF INFLUENCING FACTORS OF TOODLERS’S VISITS TO INTEGRATED HEALTHCARE CENTER ABSTRACT  Integrated Healthcare Center in Indonesia has functions as promotion and monitoring the growth of toddlers under five. It is hoped that the activity of Integrated Healthcare Center can detect cases of malnutrition early in the community so that it does not develop into an extraordinary number of incidents. This study was aimed to determine the relationship between mother’s education level, occupation and distance to Health Centre with the frequency of visits by toddlers to Integrated Healthcare Center. The method in this study used cross sectional with a population of 1,487 and a sample of 94 respondents. Data analysis used Chi Square statistical test with p value ≤ α value (0.05). The results of this study shows 39 respondents with low education has low frequency of toddler visits to Integrated Healthcare Center as many as 30 (76.9%) with p value = 0.005, 60 respondents who did not work with has high frequency of toddler visits to Integrated Healthcare Center as many as 31 respondents (51.7 %) p value = 0.01, and 61 respondents who live closely to Integrated Healthcare Center has high toddlers’ visits to Integrated Healthcare Center as many as 33 respondents (54.1%) p value = 0.002.  Keywords: frequency of toddler visits; mother's education; occupation; distance to Integrated Healthcare Center
FAKTOR–FAKTOR PENYEBAB RENDAHNYA PENGGUNAAN METODE KONTRASEPSI JANGKA PANJANG (MKJP) Sri Yuliani Frisilia Dewi; Siti Aisyah; Merisa Riski
Jurnal 'Aisyiyah Medika Vol 7, No 1: Februari 2022 Jurnal 'Aisyiyah Medika
Publisher : stikes 'aisyiyah palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36729/jam.v7i1.775

Abstract

Latar Belakang: Sejalan dengan meningkatnya jumlah penduduk Indonesia dan kebutuhan akan kesehatan reproduksi untuk meningkatkan kesehatan ibu dan anak maka pemerintah mencanangkan program Keluarga Berencana (KB). Salah satu metode kontrasepsi yang rasional, efektif dan efisien adalah Metode Kontrasepsi Jangka Panjang (MKJP). Hasil survei awal di Puskesmas Beringin Kecamatan Lubai Kabupaten Muara Enim tahun  tahun 2020 tercatat sebanyak 5.225 Pasangan Usia Subur (PUS) dengan 4.470 (85,55%) adalah peserta KB aktif yaitu MKJP sebanyak 1.343 (25,70%) dan Non MKJP sebanyak 3.127 (59,85%). Dilihat dari data tersebut bahwa penggunaan MKJP masih lebih rendah dari Non MKJP. Tujuan: Untuk mengetahui hubungan paritas, pendidikan dan pekerjaan dengan penggunaan MKJP pada akseptor keluarga berencana KB di Puskesmas Beringin Kecamatan Lubai Kabupaten Muara Enim tahun 2020. Metode: Penelitian menggunakan jenis penelitian survei analitik dengan pendekatan cross sectional. Populasi berjumlah 4470 akseptor KB, dengan total sampel 98 responden. Data dalam penelitian ini diambil menggunakan teknik systematic random sampling dan instrumen lembar checklist dengan di uji statistik chi-square. Hasil: Ada hubungan paritas (nilai p 0,0005 dan OR 0,249), pendidikan (nilai p 0,0001 dan OR 6,818) dan pekerjaan (nilai p 0,005 dan OR 0,249) dengan penggunaan MKJP. Saran: Diharapkan agar wilayah kerja Puskesmas Beringin khususnya bidan untuk meningkatkan pelayanan terutama serta konseling pada metode kontrasepsi jangka panjang agar dapat menekan angka kelahiran dalam rangka meningkatkan kesejahteraan ibu. Kata Kunci: MKJP, Paritas, Pendidikan, Pekerjaan
HUBUNGAN SIKAP IBU, PERAN TENAGA KESEHATAN, DAN DUKUNGAN SUAMI DENGAN PEMBERIAN ASI EKSLUSIF Tiara Ayu Chandra Giana; Siti Aisyah; Erma Puspita Sari
Jurnal 'Aisyiyah Medika Vol 7, No 1: Februari 2022 Jurnal 'Aisyiyah Medika
Publisher : stikes 'aisyiyah palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36729/jam.v7i1.798

Abstract

Latar Belakang: Data UNICEF tahun 2018 hanya 39% bayi <usia 6 bulan yang mendapatkan ASI eksklusif tahun 2019, yaitu hanya 40% keberhasilan pemberian ASI eksklusif di seluruh dunia. Data ini menunjukkan bahwa pencapaian target pemberian ASI Ekslusif yaitu 50% tidak tercapai begitu juga untuk nasional pencapaiannya masih dibawah target yaitu 29,5% ditahun 2018 dan 34,7% ditahun 2019 dengan target 80%, dan di Sumatera Selatan hanya mampu mencapai 47% ditahun 2018 dan di Kabupaten Empat Lawang hanya 22,1% masih sangat jauh dari target yang diharapkan. Tujuan: Untuk mengetahui hubungan sikap ibu, peran tenaga kesehatan dan dukungan suami dengan pemberian ASI eksklusif di wilayah kerja Puskesmas Muara Pinang Kabupaten Empat Lawang tahun 2021. Metode: Jenis penelitian survey analitik dengan pendekatan cross sectional. Penelitian ini dilakukan pada bulan Agustus 2021 di wilayah kerja puskesmas Muara Pinang Kabupaten Empat Lawang dengan populasi semua ibu yang mempunyai bayi berusia 7-12 bulan dengan teknik pengambilan sampel dengan accidental sampling didapat 50 responden. Analisis data penelitian ini adalah analisis univariat dan bivariat dengan uji statistik chi-square. Hasil: Sebagian responden tidak memberikan ASI eksklusif dengan proporsi 25 (50%) responden dan 25 (50%) responden yang memberikan ASI eksklusif kepada bayinya. Sikap ibu ( p = 0,008), peran tenaga kesehatan (p = 0,009) dan dukungan suami (p = 0,020) < α = 0,05 sehingga ada hubungan yang bermakna sikap ibu, peran tenaga kesehatan dan dukungan suami dengan pemberian ASI eksklusif di wilayah kerja Puskesmas Muara Pinang Kabupaten Empat Lawang tahun 2021. Saran: Diharapkan dapat memotivasi peran tenaga kesehatan untuk meningkatkan penyuluhan mengenai ASI eksklusif kepada Ibu dan suami agar pengetahuan mengenai ASI eksklusif lebih meningkat sehingga cakupan pemberian ASI eksklusif meningkat. Kata Kunci: ASI Eksklusif, Sikap, Peran, Dukungan Suami
Factors Associated with the Incidence of Chronic Energy Deficiency (CED) in Pregnant Women in the Working Area of the UPT Health Center Inpatient Banding Agung in 2021 Robiyati Robiyati; Siti Aisyah; Helni Anggraini
Science Midwifery Vol 10 No 2 (2022): April: Science Midwifery
Publisher : Institute of Computer Science (IOCS)

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Abstract

Background: Chronic energy deficiency is a condition where a pregnant woman suffers from a lack of food intake that lasts for a long time (chronic or chronic) which results in health problems, so that the increased nutritional needs during pregnancy cannot be met. The purpose of the study was to know the factors associated with the incidence of chronic energy deficiency in pregnant women in the work area of the Appeal Agung Inpatient Health Center in 2021. The research method was a quantitative research type of descriptive research using a cross sectional approach. using accidental sampling technique. The population in the study amounted to 245 people and the number of samples was 71 respondents. The results of the univariate analysis of respondents based on chronic energy deficiency were 48 people (67.6%), respondents based on economic status were 43 people (60.6%), respondents based on diet were 45 people (63.4%). Respondents based on knowledge amounted to 45 people (63.4%). The results ofthe bivariate analysis were a significant relation, honor between economic status with ap value of 0.000 <0.05, knowledge with ap value of 0.009 and eating patterns with ap value of 0.000 statistically proven. The conclusion is that there is a relationship between economic status, knowledge and eating patterns in the Working Area of the Great Appeal Inpatient Health Center in 2021. Suggestions for health workers Improve the quality of health services, especially services in antenatal care services. The need for counseling as often as possible about the nutrition of pregnant women to prevent chronic energy deficiency. Respondents based on diet were 45 people (63.4%).
Relationship of Age, Parity, and History of Abortion With the Incidence of Incomplete Abortion at RSUD Dr. HM Rabain Muara Enim 2021 Eva Kurnia; Siti Aisyah; Erma Puspitasari
Science Midwifery Vol 10 No 2 (2022): April: Science Midwifery
Publisher : Institute of Computer Science (IOCS)

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Abstract

Incomplete abortion is the expulsion of the products of conception that occurs at 20 weeks of gestation and the fetus weighs 500 grams and there are remnants left in the uterus. This study aims to determine the relationship between age, parity and history of abortion simultaneously with the incidence of incomplete abortion in RSUD Dr.HM Rabain Muara Enim 2021. The method used in this study is a quantitative study with an analytical survey method with a cross sectional approach. The population in this study were all mothers who were treated in the Midwifery Care Room without giving birth as many as 523 people, with a total sample of 84 people. The sampling technique in this study was Systematic random sampling with class intervals. The statistical test used is the chi square test. Through the analysis, the results obtained from 33 respondents of high risk age who experienced incomplete abortion as many as 25 respondents (75.8%) and 8 respondents (24.2%) who did not experience incomplete abortion, where p value 0.007 and OR 4.119 means that there is a relationship between age mothers with incomplete abortions. Of the 40 respondents with high parity, 26 respondents (65%) experienced an incomplete abortion and 14 respondents (35%) did not experience an incomplete abortion with ap value of 0.170 and an OR of 2.034, which means that there is no parity relationship with the incidence of incomplete abortion. abortion. and of the 21 respondents who had a history of abortion, there were 18 respondents (85.7%) who had incomplete abortions and 3 respondents (14.3%) did not experience an incomplete abortion with ap value of 0.004 OR 7.034, meaning that there was a relationship between the history of abortion and the incidence of abortion. . Incomplete. The results of this study are expected to be input for improving the quality of services for pregnant women so as to reduce the incidence and mortality due to incomplete abortion.
The Relationship of Knowledge, Parity and Anxiety With the Event of Severe Preeclamsia in Hospital General of Wood Area 2021 Reni Aryanti; Siti Aisyah; Helni Anggraini
Science Midwifery Vol 10 No 2 (2022): April: Science Midwifery
Publisher : Institute of Computer Science (IOCS)

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Abstract

Preeclampsia is a health problem that requires special attention because preeclampsia is a high cause of maternal and perinatal mortality, especially in developing countries. Until now preeclampsia and eclampsia are still "the disease of theories", because the incidence of preeclampsia-eclampsia remains high and results in high maternal morbidity and mortality. Many theories suggest that the cause of preeclampsia is placental ischemia. However, this theory cannot explain all the things related to the disease. Apparently not only one factor, but many factors that cause preeclampsia and eclampsia (multiple causation). Factors that are often found as risk factors include parity, knowledge and anxiety. This study aims to determine the relationship between knowledge, parity and anxiety with the incidence of severe preeclampsia at the Kayuagung Hospital in 2021. The design of this research is quantitative using an analytical survey method with a cross sectional approach. The population in this study were all pregnant women who were treated at the Kayuagung Hospital from January to December 20, 2021. The sample used was some pregnant women who were treated at the Kayuagung Hospital. Sampling technique Incidental Sampling / Accidental Sampling, amounting to 33 respondents. The statistical results of the chi-square test obtained p value = 0.015 <0.05, so it can be concluded that there is a relationship between knowledge and the incidence of severe preeclampsia, the statistical results of the chi-square test obtained p value = 0.033 <0.05, so it can be concluded it was concluded that there was a relationship between parity and the incidence of severe preeclampsia and the statistical results of the chi-square test obtained p value = 0.067 <0.05, so it could be concluded that there was no relationship between parity and the incidence of severe preeclampsia. It can be concluded that there is a relationship between knowledge and parity with the incidence of severe preeclampsia at the Kayuagung Hospital in 2021 and there is no relationship between simultaneous anxiety and the incidence of severe preeclampsia in the Kayuagung Hospital in 2021
Factors Associated With The Incidence Of Low Birth Weight Rya Dora Vitaloka; Siti Aisyah; Helni Anggraini
JKM (Jurnal Kebidanan Malahayati) Vol 8, No 3 (2022): Volume 8 No.3 July 2022
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v8i3.5649

Abstract

Latar Belakang: Faktor yang berhubungan dengan kejadian BBLR adalah usia ibu, jarak kelahiran, paritas, status gizi, dan kadar hemoglobin. Berdasarkan data di Puskesmas PONED Karya Mukti, jumlah bayi yang lahir di wilayah kerja Puskesmas Karya Mukti pada tahun 2018 sebanyak 487 bayi dengan penanganan komplikasi neonatal sebanyak 74 bayi dan 11 bayi dengan berat badan lahir rendah. Kemudian jumlah bayi yang lahir pada tahun 2019 sebanyak 456 bayi dimana penanganan komplikasi neonatus sebanyak 59 bayi dan 12 bayi dengan berat badan lahir rendah dan jumlah bayi yang lahir pada tahun 2020 sebanyak 448 bayi dimana penanganan komplikasi neonatus sebanyak 47 bayi dan 15 bayi lahir rendah Berat lahir.Tujuan Penelitian: Untuk mengetahui hubungan umur, paritas dan status gizi dengan kejadian berat badan lahir rendah (BBLR) di Puskesmas PONED Karya Mukti Tahun 2020.Metode: Penelitian ini menggunakan penelitian survei analitik kuantitatif dimana variabel bebas yaitu umur, paritas dan status gizi serta variabel terikat termasuk kejadian berat badan lahir rendah (BBLR) dikumpulkan pada waktu yang bersamaan. Populasi seluruh bayi yang lahir di Puskesmas PONED Karya Mukti tahun 2020 adalah 115 orang. Sampel sebanyak 53 orang diperoleh dengan menggunakan teknik random sampling.Hasil: uji statistik Chi-Square pada variabel umur diperoleh p-value 0,003 (< = 0,05), pada variabel paritas diperoleh p-value 0,006 (< = 0,05) dan pada variabel status gizi diperoleh p-value 0,001 (< = 0,05)Kesimpulan ada hubungan yang bermakna antara umur, paritas dan status gizi dengan kejadian BBLR.Saran : Sebaiknya Puskesmas Karya Mukti lebih aktif memberikan penyuluhan kepada bidan terkait dengan berat badan lahir rendah. Kata kunci: Berat badan lahir rendah, Keseimbangan, Status nutrisi, Usia ABSTRACT Background: Factors related to the incidence of low birth weight (LBW) are maternal age, birth spacing, parity, nutritional status, and hemoglobin levels. Based on the data at PONED Karya Mukti Public Health Center, the number of babies born in the work area of Karya Mukti Public Health Center in 2018 was 487 babies of which handling neonatal complications was 74 babies and 11 babies had low birth weight. Then the number of babies born in 2019 was 456 babies of which handling neonatal complications was 59 babies and 12 babies had low birth weight and the number of babies born in 2020 was 448 babies of which handling neonatal complications was 47 babies and 15 babies had low birth weight.Purpose : to find out the relationship between age, parity and nutritional status with the incidence of low birth weight (LBW) at PONED Karya Mukti Public Public Health Center in 2020.Methods: This study used a quantitative analytical survey study in which the independent variables, namely age, parity and nutritional status and the dependent variable including the incidence of low birth weight (LBW) were collected at the same time. The population of all babies born at PONED Karya Mukti Public Health Center in 2020 was 115 people. The sample was 53 people obtained using random sampling technique.Results: statistical test, Chi-Square on age variable was obtained p-value 0.003 (< = 0.05), on parity variable was obtained p-value 0.006 (< = 0.05) and on nutritional status variable was obtained p -value 0.001 (< = 0.05)Conclusion that there was a significant relationship between age, parity and nutritional status with the incidence of low birth weight.Suggestion: It is recommended that Karya Mukti Public Public Health Center should be more active in providing counseling to midwives related to low birth weight. Keywords: Age ,Low birth weight, Nutritional status, Parity 
FAKTOR-FAKTOR YANG MEMPENGARUHI KEJADIAN STUNTING PADA BALITA USIA 24 – 60 BULAN Rahmi Kurniati; Siti Aisyah; Helni Anggraini; Fika Minata Wathan
Jurnal 'Aisyiyah Medika Vol 7, No 2: Agustus 2022 Jurnal 'Aisyiyah Medika
Publisher : stikes 'aisyiyah palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36729/jam.v7i2.849

Abstract

Latar Belakang:  Stunting pada anak merupakan dampak dari defisiensi nutrien selama 1000 Hari Pertama Kehidupan (HPK). Hal ini menimbulkan gangguan perkembangan fisik anak yang irreversible, sehingga menyebabkan penurunan kemampuan kognitif dan motorik serta penurunan performa kerja. Berat badan lahir, status pemberian ASI eksklusif dan status imunisasi merupakan beberapa faktor yang dapat mempengaru hiprevalensi stunting. Tujuan: Untuk mengetahui hubungan berat badan lahir, status pemberian ASI eksklusif dan status imunisasi dengan kejadian stunting pada balita usia 24-60 bulan di wilayah kerja Puskesmas Penyandingan Kecamatan Sosoh Buay Rayap Kabupaten Ogan Komering Ulu Tahun 2022. Metode: Penelitian ini dilakukan di wilayah kerja Puskesmas Penyandingan Kecamatan Sosoh Buay Rayap Kabupaten Ogan Komering Ulu Tahun pada bulan Januari 2022. Populasinya yaitu seluruh ibu yang memiliki balita usia 24 -60 bulan. Penelitian ini menggunakan metode observasi yang bersifat studi analitik dengan pendekatan case-control. Pengambilan sampel menggunakan teknik consecutive samplingdengan jumlah 158 responden. Instrumen penelitian ini menggunakan kuesioner dan microtoise/pita meteran. Hasil: Analisis bivariat menggunakan uji chi-square pada variabel berat badan lahir didapatkan p-value=1,000, status ASI Eksklusif p-value=0,728 dan status imunisasi didapatkan p-value=0,327. Tidak ada hubungan antara berat badan lahir, status pemberian ASI eksklusif dan status imunisasi dengan kejadian stunting pada balita usia 24-60 bulan di Puskesmas Penyandingan Kecamatan Sosoh Buay Rayap Kabupaten Ogan Komering Ulu Tahun 2022. Saran: Semua pihak terkait agar berkolaborasi menerapkan kebijakan untuk mengurangi risiko stunting agar masyarakat mendapatkan pendidikan yang berkualitas, dan dapat memberikan asupan nutrien yang seimbang dan meningkatkan derajat kesehatan anak. Kata Kunci: Stunting, Berat Badan Lahir, ASI Eksklusif, Imunisasi, Balita
Relationship Of Mileage Work And Family Support With a Complete Postnatal Purwanti Purwanti; Siti Aisyah; Helni Anggraini; Fika Minata
Jurnal MID-Z (MIDWIFERI ZIGOT) Vol 5 No 2 (2022): NOVEMBER
Publisher : Universitas Islam Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56013/jurnalmidz.v5i2.1674

Abstract

Globally, 289,000 women die from complications related to pregnancy, childbirth or the postnatal period each year. Postnatal care is essential to prevent complications during the puerperium. This study aims to determine the relationship between mileage, work and family support with complete postpartum visits at the Griya Sehat Clinic, East Ogan Komering Ulu (OKU) Regency in 2021. The method in this study used an analytical survey with a cross sectional approach. The population in this study were all mothers giving birth at the Griya Sehat Clinic in 2021 as many as 65 respondents and a sample of 65 respondents using the total sampling technique. Collecting data using primary data through interviews by distributing questionnaires. Data analysis used chi square statistical test with p value value (0.05). The results of this study were from 31 respondents who traveled close to a complete postpartum visit as many as 27 people (87.1%) with p value = 0.000, of 27 respondents who worked with a complete postpartum visit as many as 14 people (51.9%) p value = 1,000, meanwhile, from 41 respondents who received family support with complete postpartum visits, 26 people (63.4%) p value = 0.03. There is a relationship between mileage, work and family support with complete postpartum visits at the Griya Sehat Clinic in 2021. Midwives are expected to increase counseling and information about midwifery care during the puerperium and breastfeeding, especially postpartum visits.
The Relationship Of The Role Of Delivery Aid, Breastfeeding Frequency, And Family Support With Exclusive Breastfeeding At Pmb Nurachmi Palembang In 2022 Sahada Kartini; Fika Minata Wathan; Putu Lusita Nati Indriani; Satra Yunola; Siti Aisyah
Science Midwifery Vol 10 No 3 (2022): August: Science Midwifery
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v10i3.688

Abstract

orld Health Organization (WHO) and United Nations of Children's Fund (UNICEF) regarding the global strategy for infant breastfeeding stated that the prevention of infant mortality is through proper feeding, ie through exclusive breastfeeding for 6 months and the introduction of complementary foods ( MPASI). This study aims to determine the correlation of the roles of the childbirth helper, breastfeeding frequency and family support at PMB Nurachmi Palembang in 2022. Analytical Survey was used as the research design with a Cross Sectional approach. The sampling technique in this study was carried out by accidental sampling with a total sample of 45 respondents. Data collection was done through a questionnaire sheet and data analysis used Univariate analysis and bivariate analysis using Chi Square test. The Univariate results showed 22 respondents (48.9%) giving exclusive breastfeeding, while 23 respondents (51.1%) did not give exclusive breastfeeding were. The respondents with the good category for the role of childbirth helpers were at 73.3%, those in the good category for the breastfeeding frequency were at 75.6% and the respondents with the high category of family support were at 51.1%. The results of the Chi Square statistical test showed that there was a role of childbirth helper with exclusive breastfeeding (p value = 0.023; OR = 7.692), there was no correlation of breastfeeding frequency and exclusive breastfeeding (p value = 1,000; OR = 1,200 ) and there was a correlation of family support to exclusive breastfeeding (p value = 0.039; OR = 5.556). Conclusion: there was a correlation of the childbirth helper and family support to the exclusive breastfeeding. It is expected that healthcare personnel are able to provide counseling and information to mothers who have babies regarding exclusive breastfeeding and for families to provide information and support to mothers regarding exclusive breastfeeding.