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Journal : Contagion: Scientific Periodical Journal of Public Health and Coastal Health

Early Initiation of Breastfeeding Can Accelerate Uterine Involution in Postpartum Women Epti Yorita; Juita Dian Anggraini; Sri Yanniarti; Rialike Burhan; Rina Rina
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 5, No 3 (2023): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v5i3.17550

Abstract

Maternal Mortality Rate (MMR) in Indonesia is still high with the main causes of pre-eclampsia and postpartum hemorrhage, this occurs due to endometritis, congenital coagulation disorders as well as residual conception products, subinvolution of blood vessels at placental implantation.  Therefore, efforts are needed to increase uterine contractions in the first minute after birth by stimulating the release of the hormone oxytocin so that the uterus contracts adequately with early initiation of breastfeeding (EIB). This study aims to determine the effect of EIB on uterine involution in postpartum mothers in Bengkulu Regency, Bengkulu Province. Design of research is cross sectional with independent variable of EIB, dependent variable of uterine involution. External variables measured include early mobilization, age and parity. The sample in this study were postpartum mothers on day 7, a total of 54 people selected by purposive sampling. The research site was located in Central Bengkulu Regency, Bengkulu Province. Data were analyzed univariate, bivariate with Mann Whitney and multivariate with ancova. There is an effect of EIB with uterine involution p=0.000.  There is no relationship between parity and uterine involution p=0.100. There is a relationship between age and uterine involution p=0.00. There is a relationship between early mobilization and uterine involution p=0.00. EIB is the dominant factor affecting uterine involution in postpartum mothers. EIB is the dominant factor affecting uterine involution. Health care providers should perform EIB within the first hour after the birth of the baby to prevent sub involution in postpartum women. Keywords:  Breastfeeding, Early, Initiation, Involution, Uterine
Factors Affecting Exclusive Breastfeeding in the Working Area of the Sawah Lebar Health Center, Bengkulu City Welly Ayunda Dwi Pratiwi; Epti Yorita,; Desi Widiyanti; Rina Rina; Rialike Burhan
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 6, No 1 (2024): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v6i1.19229

Abstract

Breast milk is the best food for babies because it can build antibodies from an early age. Exclusively breastfeeding babies with additional food from birth to 6 months of age can prevent infectious diseases such as otiris media, diarrhea and acute respiratory infections. In Indonesia, the achievement of exclusive breastfeeding is still low due to various factors related to socio-demographics. Low access to relevant information about exclusive breastfeeding is also the cause of mothers' low knowledge about the benefits of exclusively breastfeeding their babies. Apart from that, adequate support from family and health workers also influences exclusive breastfeeding. This research aims to determine the relationship between socio-economics, family support and support from health workers on exclusive breastfeeding for babies 0-6 months in the Sawah Lebar Community Health Center area, Bengkulu City. Cross sectional research design with a sample of 98 babies aged 6-12 months selected using proportional random sampling technique. Data were analyzed univariately using a frequency distribution table, bivariately using chi square and multi variately using logistic regression. The results of the study found that there was a relationship between economic status and exclusive breastfeeding, p=0.00, there was a relationship between family support and exclusive breastfeeding, p=0.00, and there was a relationship between support from health workers and exclusive breastfeeding, p=0.00. Multivariate test results found that economic status was the most dominant factor influencing exclusive breastfeeding with a value of p=0.00. It is recommended for health workers to provide exclusive breastfeeding education in structured groups, the intervention given must take into account working mothers from middle to upper economic groups and involve family members.Keywords:  Exclusive breastfeeding, economy, family, officers
Improvement of Breastfeeding Efficacy Through Small Group Education of Cadres with Pregnant Women Epti Yorita; Sri Yanniarti; Yulinda Yulinda; Rina Rina; Rialike Burhan
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 5, No 4 (2023): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v5i4.18015

Abstract

WHO recommends that every infant should be exclusively breastfed, but until now the coverage of exclusive breastfeeding is still low due to factors such as knowledge, breastfeeding efficacy, family support, lactation problems, and barriers in the health care system.  This study aims to determine the effectiveness of Small group education of cadres with pregnant women on breastfeeding efficacy among third trimester pregnant women on Enggano Island. The research design was a quasi-experimental pre-test and post-test with a control group. The treathird trimesterent group was pregnant women who received Small group education of cadres with pregnant women while the control group was pregnant women who received conventional education. The study was conducted at Enggano Health Centre from January to November 2023 with a sample of 50 pregnant women in the third trimester of pregnancy from 25-36 weeks of age, selected by purposive sampling.  The research instruments were modules and leaflets on exclusive breastfeeding, developed through a needs assessment, while breastfeeding efficacy was measured using the Breastfeeding Self-efficacy Scale-Short Form (BSES-SF). Data were analysed univariate, bivariate with  wilcoxon and multivariate with spearman rank test. The results showed that there was an effect of Small group education of cadres with pregnant women class education on breastfeeding effectiveness with p=0.00 mean difference of 19.56. There was an effect of conventional class education on breastfeeding effectiveness in the control group with p=0.46 mean difference of 1.12. The class was more effective in improving breastfeeding practices among pregnant women with p=0.00 mean difference of 47.26. Class and education level were the most dominant factors in improving breastfeeding efficiency among pregnant women. The conclusion of this study is that the small group education of cadre with pregnant women is effective in improving breastfeeding efficacy in pregnant women in the third trimester.  Keywords: Breastfeeding, Education, Efficacy, Small Group