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Hubungan antara Kadar Feritin dengan Kreatinin Serum pada Pasien Thalassemia di RSUD Dr. Moewardi Utami, Eko Dewi Ratna; Salimo, Harsono; Budiani, Dyah Ratna
Nexus Kedokteran Klinik Vol 2, No 3 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background : Patients with thalassemia that underwent routine blood transfusion are developing iron overload. In the state of excess iron, ferritin levels increase. When iron storage capacity has been depleted, free iron will cause tissue damage. One of that damaged organ is kidney. One of parameter used to know the function of kidney is GFR (Glomerular Filtration Rate). A simple way to estimate GFR is serum creatinine. Increased 1-2 mg/dL of creatinine serum showed decrease ±50% of GFR. This research was aimed to determine the correlation between ferritin levels and serum creatinine of patients with thalassemia. Methods : A cross-sectional study which the subjects were 30 patients with thalassemia in the pediatric ward RSUD Dr. Moewardi who met the inclusion criteria. Ferritin levels and serum creatinine obtained from medical records or patient report book. Data normality was tested with Shapiro-Wilk normality test. Correlation between ferritin levels and serum creatinine were analyzed with non-parametric correlation test Spearman using Statistical Product and Service Solutions (SPSS) 20.0 for Windows. Results : Ferritin levels ranged from 1004.2 to 9600 ng/mL. Creatinine serum were 0.2 mg/dL; 0.3 mg/dL; 0.4 mg/dL; 0.5 mg/dL with almost equal distribution. Results of the analysis with non-parametric correlation test Spearman obtained R = 0.044 and p = 0.816. Conclusion : There was no correlation between ferritin levels and serum creatinine of patients with thalassemia. Keywords : thalassemia, ferritin, creatinine
Biopsychosocial and Institutional Factors Associated with Exclusive Breastfeeding among Working Mothers in Klaten, Central Java Ekawati, Desi; Salimo, Harsono; Murti, Bhisma
Journal of Health Promotion and Behavior Vol 2, No 3 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Breast milk has an important role in health maintenance and survival of infants. It is acknowledged as the best food for infant. The World Health Organization has recommended exclusive breastfeeding (EBF) for infants until 6 months of age. However, many working mothers did not provide EBF to their infants. This study aimed to examine biopsychosocial and institutional factors associated with exclusive breastfeeding among working mothers, using health belief model and PRECEDE-PROCEED model.Subjects and Method: This study was observational analytic with cross sectional design. It was conducted in Klaten District, Central Java, from March to April, 2017. A sample of 120 working mothers was selected for this study by simple random sampling. The dependent variable was exclusive breastfeeding. The independent variables were maternal education, perceived benefit, perceived barrier, self efficacy, family support, health personnel support, and availability of lactation room at workplace. The data were collected by a pre-tested questionnaire. Logistic regression was employed for data analysis.Results: Maternal education (OR=4.2; 95% CI = 1.09 to 11.51; p=0.001), availability of lactation room at workplace (OR=4.11; 95% CI= 1.21 to 14.29; p=0.001), family support (OR=6.25; 95% CI= 1.45 to 15.96; p<0.001), health personnel support (OR=3.76; 95% CI = 1.43 to 16.06; p=0.002), perceived benefit (OR=2.30; 95% CI = 1.09 to 12.87; p=0.044), self-efficacy (OR= 3.57; 95% CI  = 1.21 to 14.29; p=0.002) had positive effect on EBF. Perceived barrier (OR=0.18; 95% CI = 0.64 to 0.76; p<0.001) had negative effect on the provision of EBF.Conclusion: Maternal education, availability of lactation room at workplace, family support, health personnel support, perceived benefit, self-efficacy have positive effect on EBF. Perceived barrier has negative effect on the provision of EBF among working mothers.Keywords: biopsychosocial factors, exclusive breastfeeding, PRECEDE-PROCEED model, health belief modelCorrespondence: Desi Ekawati. Masters Program in Public Heath, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta, Central Java. Email: eccadesy@yahoo.com. Mobile: +6285725123320.Journal of Health Promotion and Behavior (2017), 2(3): 197-206https://doi.org/10.26911/thejhpb.2017.02.03.01
Effect of Birthweight, Illness History, and Dietary Pattern, on the Incidence of Anemia in Children Under-Five at Tasikmadu Health Center, Karanganyar, Central Java Anggraini, Yeni; Salimo, Harsono; Tamtomo, Didik
Journal of Maternal and Child Health Vol 2, No 3 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: The first five years of life is often regarded as “golden age period” of development. During this period physical, motor, intellectual, emotional, language, and social development proceed  rapidly in children. Brain tissues grow fast to reach 80% of adult brain weight. Anemia occuring during this period can affect health, as well as cognitive and physical development in children. This study aimed to determine the effects of birthweight, illness history, dietary pattern, maternal education, and family income on the incidence of anemia in children under-five years of age.Subject and Method: This was an analytic observational study using case control design. The study was carried out at Karanganyar District, Central Java, from February to April 2017. A sample of 110 subjects was selected for this study, consisting of 35 children under-five years of age with anemia and 75 children of the same age without anemia. The independent variables were birthweight, illness history, dietary pattern, maternal education, and family income. The dependent variable was anemia. The data were collected by a set of questionnaire. Hemoglobin concentration was measured by Hb meter. The data were analyzed by path analysis on Stata 13.Results: Anemia in children under-five was directly affected by illness history (b= 2.50; 95% CI = 1.06 to 3.95;  p= 0.001;), dietary pattern (b= -1.89; 95% CI = -3.39 to -0.39;  p=0.013;), and birthweight (b= -0.97; 95% CI = -2.07 to 0.13; p= 0.083). Anemia in children under-five was indirectly affected by maternal educational (b=1.09; 95% CI = 0.14 – 2.04; p= 0.024) and family income (b= -0.90; 95% CI = -1.78 to 0.02; p= 0.044).Conclusion: Anemia in children under-five is directly affected by illness history, dietary pattern, and birthweight. It is indirectly affected by maternal educational and family income.Keywords : Anemia, birthweight, illness history, dietary pattern, children under-fiveCorrespondence: Yeni Anggraini. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Indonesia. Email : yenni.anggrainie@gmaill.com. Mobile : 085712329100Journal of Maternal and Child Health (2017), 2(3): 200-212https://doi.org/10.26911/thejmch.2017.02.03.02
The Effect of Socio-Demographic and Obstetric Factors on Early Initiation of Breastfeeding in Tegal District, Central Java Nisa, Juhrotun; Salimo, Harsono; Budihastuti, Uki Retno
Journal of Maternal and Child Health Vol 2, No 2 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: It is estimated that approximately 10 million children die every year worldwide. Forty five percent of those deaths are caused by malnutrition either directly or indirectly. Studies have shown that breastfeeding in the first hour can reduce neonatal death to 22%. However, breastfeeding practice in the first hour of life reaches only 43% of the newborns in the world. In South Asia, early initiation of breastfeeding is only 41% of the newborn, while in Indonesia it is only 34.5%. This study aimed to determine the effect of socio-demographic and obstetric factors on early initiation of breastfeeding in Tegal District, Central Java.Subjects and Method: This was an analytic observational study with cross-sectional design. This study was conducted at 4 Community Health Centers (Puskesmas Pagiyanten, Puskesmas Pagerbarang, Puskesmas Bum­ijawa, Puskesmas Jatinegara) and Dr. Soeselo hospital, Tegal District, Central Java, from February to March 2017. A sample of 121 post partum mothers were selected for this study by  exhaustive sampling. The dependent variable was time from birth delivery to breastfeeding. The independent variables were maternal education, maternal employment status, maternal knowledge, family income, parity, antenatal care (ANC) visit, and health provider support. The data were collected by questionnaire and were analyzed by multiple logistic regression.Results: Early initiation of breastfeeding was positively affected by maternal education ≥ High School (OR=3.90; 95% CI=1.14-13.37; p=0.030), maternal work outside the house (OR=7.93; 95% CI=1.68 to 37.52; p=0.009), ANC ≥ 4 times (OR=3.48; 95% CI=0.82 to 14.81; p=0.092), and strong  health provider support (OR=12.58; 95% CI=4.30 to 36.77; p<0.001)Conclusion: Early initiation of breastfeeding is positively affected by maternal education ≥ High School, maternal work outside the house, ANC ≥ 4 times, and strong  health provider support.Keywords: Socio demographic, obstetric factor, early initiation breastfeedingCorrespondence: Juhrotun Nisa. Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: nisa.jn20@gmail.com. Mobile: +6285642905995. Journal of Maternal and Child Health (2017), 2(2): 89-99https://doi.org/10.26911/thejmch.2017.02.02.01
Factors Associated with Exclusive Breastfeeeding: Application of PRECEDE-PROCEED Model and Theory of Planned Behavior Alfianrisa, Anggityas; Salimo, Harsono; Poncorini, Eti
Journal of Maternal and Child Health Vol 2, No 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Exclusive breastfeeding (EBF) is an ideal food for infants aged 0-6 months. EBF is useful for infants, but it is under-implemented. A non profit organization, namely Indonesian Association of Lactating Mothers (AIMI), has been established recently, with an objective to disseminate knowledge and information on breastfeeding and to increase breastfeeding practice in Indonesia. This study aimed to examine factors associated with exclusive breastfeeeding using  PRECEDE-PROCEED model and Theory of Planned Behavior.Subjects and Methods: This was an analytic observational study with retrospective cohort design. This study was conducted at Pajang Community Health Center, Surakarta, Central Java, from January to March, 2017. A total sample of 120 lactating mothers were selected for this study by simple random sampling. The dependent variable was exclusive breastfeeding. The independent variables were maternal education, maternal employment status, participation in AIMI, knowledge, attitude, family support, perceived behavior control, and intention. The data were collected by a set of questionnaire and analyzed by path analysis.Results: Exclusive breastfeeding were positively associated with maternal education ≥senior high school (b= -0.13; SE= 0.22; p= 0.572), participation in AIMI (b= 0.45, SE= 0.26, p= 0.085), maternal employment status (b= -0.63; SE= 0.20; p= 0.002), attitude (b= 0.05; SE= 0.03; p= 0.172), family support (b= 0.06; SE= 0.03; p= 0.039), perceived behavior control (b= 0.04; SE= 0.03; p= 0.164), and intention (b= 0.09; SE= 0.05; p= 0.045). EBF intention were positively associated with maternal education ≥senior high school (b=1.44; SE=0.42; p<0.001), participation in AIMI (b= 0.55; SE= 0.46; p= 0.229), attitude (b= 0.11; SE= 0.06; p= 0.046) and perceived behavior control (b= 0.38; SE= 0.05; p <0.001).Conclusion: Exclusive breastfeeding are positively associated with maternal education ≥senior high school, participation in AIMI, maternal employment status, attitude, family support, perceived behavior control, and intention. EBF intention are positively associated with maternal education ≥senior high school, participation in AIMI, attitude and perceived behavior control.Keywords: PRECEDE-PROCEED model, theory of planned behavior, AIMI, exclusive breastfeedingCorrespondence: Anggityas Alfianrisa. Masters Program in Public Heath, Sebelas Maret University, Surakarta. Email: anggityasrisa@gmail.com. Mobile: +6285647563476.Journal of Maternal and Child Health (2017), 2(1): 42-53https://doi.org/10.26911/thejmch.2017.02.01.05
Effect of Play Group and Biopsychosocial Factors on the Independence Development of Preschool Children in Surakarta Marlinawati, Iin Tri; Salimo, Harsono; Murti, Bhisma
Journal of Maternal and Child Health Vol 2, No 4 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: The development of childrens independence is important for their future competitiveness in the rapidly increasing social changes. Disturbance in the development of children’s independence may have a negative future impact in adult life and children become dependent individuals. Efforts are needed to help children develop optimally. Some play groups have been introduced to meet this need in Surakarta, but no studies have been carried out to evaluate its effectiveness. This study aimed to determine the effect of play group on the independence development of preschool children while controlling for the effect of biopsychosocial factors .Subjects and Method: This was an analytic observational study using case control design. The study was conducted at 3 kindergartens in Surakarta, Central Java, from February to April 2017. A sample of 120 kindergarten pupils were selected for this study by purposive sampling and random sampling. The dependent variable was independence development. The independent variables were play group participation status, parenting style (autoritarian, democratic, and permissive), parental education, and child age. The data were collected by a set of questionnaire and analyzed by path analysis.Results: Maternal education ≥Senior High School (b= 8.77; 95% CI= 1.89 to 15.65; p= 0.012), paternal education ≥Senior High School (b= 9.82; 95% CI = 2.70 to 16.93; p= 0.007), child age ≥5 years old (b= 5.59; 95% CI = 1.50 to 9.68; p= 0.007), participation in play group (b= 9.45; 95% CI = 2.19 to 16.71; p= 0.011), and democratic parenting style (b= 0.12; 95% CI= 0.02 to 0.23; p= 0.018) increased child independence. Autoritarian parenting style (b= -0.15; 95% CI= -0.26 to -0.04; p= 0.006) and permissive parenting style (b= -0.09; 95% CI= -0.20 to 0.01; p= 0.092) decreased child independence. Participation in play group was determined by democratic parenting style (b= 0.01; 95% CI -<0.01 to 0.03; p= 0.080), permissive parenting style (b= -0.03; 95% CI -0.05 to <0.01; p= 0.027), paternal education ≥Senior High School (b= 2.06; 95% CI= 0.88 to 3.24; p= 0.001), and child age ≥5 years old (b= 1.42; 95% CI= 0.63 to 2.21; p <0.001).Conclusion: Maternal education ≥Senior High School, paternal education ≥Senior High School, child age ≥5 years old, participation in play group, and democratic parenting style, positively and directly affect child independence. Autoritarian parenting style and permissive parenting style negatively and directly affect child independence.Keywords: play group, parenting style, biopsychosocial factor, independence, development, preschool childrenCorrespondence: Iin Tri Marlinawati. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta, 57126, Central Java, Indonesia. Email: iin3marlina@gmail.com. Mobile: +6285600252256Journal of Maternal and Child Health (2017), 2(4): 284-296https://doi.org/10.26911/thejmch.2017.02.04.01
Role of Biopsychosocial Factors on the Risk of Pneumonia in Children Under-Five Years Old at Dr. Moewardi Hospital, Surakarta Lestari, Nining; Salimo, Harsono; -, Suradi
Journal of Maternal and Child Health Vol 2, No 2 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: It is estimated that the worldwide annual incidence of child pneumonia is approximately 156 million cases. Sixty-one million new cases occure in Southeast Asia with death rate of 3.1 million deaths per year. Prevalence of infant pneumonia in Indonesia is high at 1.8% in 2013 with mortality of 0.16% in 2015. This study aimed to determine the role of bio-psychosocial factors on the risk of pneumonia in children under-five years old. Subjects and Method: This was an analytic observational study using cross-sectional design. The study was conducted at Dr. Moe¬wardi Hospital, Surakarta, from April to May 2017. A sample 120 children under five years old, consisting of 30 children with pneumonia and 90 children without pneumonia, were selected for this study by fixed disease sampling. The dependent variable was incidence of pneumonia. The independent variables were nutritional status, exclusive breastfeeding, low birthweight, maternal stress, maternal education, maternal employment, family income, and home environment. Nutritional status was measured by anthropometry, while other variables were collected by questionnaire. Path analysis was employed to analyze data. Results: Pneumonia in children under-five was directly affected by nutritional status (b= -1.23; 95% CI=-2.45 to -0.02; p=0.047), exclusive breastfeeding (b=-1.09; 95% CI=-2.26 to 0.07; p= 0.065), maternal stress (b= 1.70; 95% CI =0.36 to 3.04; p=0.013), maternal education (b=-1.96; 95% CI=-3.31 to -0.61; p=0.004), and home environment (b=-1.83; 95% CI = -3.02 to -0.64; p=0.002). Nutritional status was affected by maternal education (b=3.48; 95% CI=1.79 to 5.17; p<0.001), maternal stress (b=-2.55; 95% CI=-4.06 to -1.04; p=0.001), family income (b=3.26; CI 95%=1.67 to 4.84; p<0.001), and low birthweight (b= -1.84; 95% CI=-3.12 to -0.57; p= 0.005). Exclusive breastfeeding was affected by maternal education (b=0.97; 95% CI=0.09 to 1.86; p=0.031), maternal stress (b=-0.74; 95% CI=-1.69 to 0.19; p=0.112), family income (b=1.39; CI 95%=0.54 to 2.23; p=0.001), and maternal employment (b=-1.29; 95% CI=-2.14 to -0.45; p=0.003). Maternal stress was affected by home environment (b=-1.12; 95% CI=-1.96 to -0.29; p=0.009 Home environment was affected by maternal education (b=0.76; 95% CI=-0.03 to 1.54; p=0.059). Low birthweight was affected by maternal education (b=-1.21; 95% CI=-2.08 to -0.35; p=0.006) and family income (b=-1.50; 95% CI=-2.35 to -0.66; p<0.001). Conclusion: Pneumonia in children under-five is directly affected by nutritional status children, exclusive breastfeeding, maternal education, maternal stress, and home environment. Keywords: pneumonia, biopsychosocial factors Correspondence: Nining Lestari. Universitas Muhammadiyah Surakarta. Email: dr.nining.lestari.nl@gmail.com. Mobile: +6285229390353.Journal of Maternal and Child Health (2017), 2(2): 162-175https://doi.org/10.26911/thejmch.2017.02.02.07
Effects of Maternal Nutrition Status, Maternal Education, Maternal Stress, and Family Income on Birthweight and Body Length at Birth in Klaten, Central Java Nurmayanti, Rika; Salimo, Harsono; Dewi, Yulia Lanti Retno
Journal of Maternal and Child Health Vol 2, No 4 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Birthweight and body length at birth are predictors of morbidity and mortality in children under five years old and adult age. Low birthweight increases the risk of morbidity and mortality in children under five. This study aimed to examine the effects of maternal nutrition status, maternal education, maternal stress, and family income, on birthweight and body length at birth in Klaten, Central Java.Subjects and Method: This was an observational analytic study with case control design. The study was conducted at Manisrenggo and Bayat community health centers, Klaten District, Central Java, in April 2017. A total sample of 120 children aged 0 to 6 months and their mothers were selected for this study using fixed disease sampling. The dependent variables were birthweight and body length and birth. The independent variables were maternal nutrition status, maternal education, maternal stress, and family income. The data were collected by a set of questionnaire. Maternal nutrition status at pregnancy was measured by mid-upper arm circumference (MUAC). Data on birthweight and body length at birth were taken from mother and child health monitoring book. The data was analyzed using path analysis.Results: Birthweight was directly and positively affected by maternal MUAC at pregnancy (b=0.50; SE=0.13; p<0.001), family income (b=0.11; SE=0.04; p=0.004), and maternal education (b=2.14; SE=0.88; p=0.016). Birthweight was directly and negatively affected by maternal stress (b=-1.81; SE=0.81; p=0.025). Body length at birth was directly and positively affected by maternal MUAC at pregnancy (b=0.16; SE=0.64; p=0.011) and family income (b=0.05; SE=0.18; p=0.005). Maternal MUAC at pregnancy was affected by maternal education (b=1.41; SE=0.58; p=0.014). Likewise, family income was affected by maternal education (b=5.28; SE=2.11; p=0.012).Conclussion: Maternal MUAC at pregnancy, family income, and maternal education positively and directly affect birthweight. Maternal stress directly and negatively affects birthweight. Body length at birth is directly and positively affected by maternal MUAC at pregnancy and family income.Keywords: birthweight, body length at birth, MUAC, maternal stressCorrespondence: Rika Nurmayanti. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: yicha.adjach@gmail.com. Mobile: +6281270333572.Journal of Maternal and Child Health (2017), 2(4): 297-308https://doi.org/10.26911/thejmch.2017.02.04.02
Path Analysis on the Effect of Birthweight, Maternal Education, Stimulation, Exclusive Breastfeeding, and Nutritional Status on Motoric Development in Children Aged 6-24 Months in Banyumas District, Central Java Kusuma, Inggar Ratna; Salimo, Harsono; Sulaeman, Endang Sutisna
Journal of Maternal and Child Health Vol 2, No 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: The first two years of a child life is a critical period for his growth and development. Motor skill is one of the elements of children development. Having good control of motor skill helps children in exploring their surrounding also helps in improving development. The study aimed to explain the effect of birth weight, maternal education, provision of stimulation, and nutritional status toward the development of children under two years old.Subjects and Method: The method of the study was analytic observational, with retrospective cohort approach. The study was conducted in 4 sub-districts of Banyumas Regency included: Kembaran, Somagede, Cilongok and Sumpiuh. Cluster sampling was used as subject selection techniques and were classified based on low birth weight and non low birth weight (fixed exposure sampling). There were a total of 120 children whom 40 of them were born with Low Birth Weight and 80 of them with normal birth weight. Exogenous variables among others were birth weight, exclusive breastfeeding, maternal education, stimulation provision. Endogeneous variables were nutritional status, and motor development. Data collection was conducted by using Early Detection Intervention Stimulation for Growth and Development (SDIDTK). Path analysis was used as the analysis technique.Result: Motor development was affected by nutritional status (b=0.12; SE= 0.04; p=0.006), frequency of stimulation (b=0.04; SE= 0.01; p=0.005), birth weight (b=0.33; SE=0.06; p<0.001), and maternal education (b=0.02; SE=0.07; p=0.719). Nutritional status was affected by exclusive breastfeeding (b =0.10, SE=0.15; p=0.507), maternal education (b=0.23; SE=0.13; p=0.078) and birth weight (b=0.38; SE=0.12; p=0.002).Conclusion: Motor development was affected by nutritional status, frequency of stimulation, birth weight, and maternal education. Nutritional status was affected by exclusive breastfeeding, maternal education and birth weight.Key words: birth weight, exclusive breastfeeding, stimulation, maternal education, nutritional status, motor development.Correspondence: Inggar Ratna Kusuma. Fakultas Health Science of Muhammadiyah University Purwokerto Email : inggarratna@gmail.com. Mobile: 08562553967.Journal of Maternal and Child Health (2017), 2(1): 64-75https://doi.org/10.26911/thejmch.2017.02.01.07
Optimizing the Combination of Oxytocin Massage and Hypnobreastfeeding for Breast Milk Production among Post-Partum Mothers Sari, Lutfiana Puspita; Salimo, Harsono; Budihastuti, Uki Retno
Journal of Maternal and Child Health Vol 2, No 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: The incidence of post-partum blues both in Indonesia and abroad has been quite high; the stress that post-partum mothers experience will inhibit breast milk production and, as a result, breastfeeding process should be stopped earlier. Hypnobreastfeeding relaxation and oxytocin massage have been a combination of therapy that might decrease the rate of Adenocorticotropic Hormon (ACTH) and that might assist hormone and prolactin secrection in order that breast milk production becomes fluent. This study then aimed at analyzing the optimization of the combination of oxytocin massage and hypnobreastfeeding in order to decrease anxiety and to improve breast milk production among post-partum mothers.Subjects and Method: This was an analytic experimental study with Randomized Control Trial (RCT) design. This study was conducted at Dr. Suradji Tirtonegoro Central General Hospital, Klaten, from January 25th, 2017 until March 9th, 2017. The population in this study was 200 post-partum mothers. A sample of 60 post-partum mothers was selected for this study and allocated into the intervention group (n1= 30) and the control group (n2= 30). The intervention group would be treated by the combination of oxytocin massage and hypno­breastfeeding. The dependent variables were anxiety and breast milk production. The independent variables were oxytocin massage and hypnobreastfeeding. The anxiety was measured by STAI scale. The breast milk production process was measured by checklist questionnaire. The breast milk production amount was measured by milking cups. The breast milk production between the two groups was tested by Mann-Whitney.Results: The anxiety scale in the intervention group was better and lower than that of the control group. The differences in terms of anxiety scale between the intervention group (median= 24.00; SD= 4.45) and the control group (median= 34.00; SD= 6.93) were statistically significant (p<0.001). Then, the differences in terms of breast milk production process between the inter­vention group (median= 9.00; SD= 1.66) and the control group (median= 8.00; SD= 1.56) were nearly significant (p<0.145). Furthermore, the differences in terms of breast milk production amount between the intervention group (median= 10.00; SD= 10.36) and the control group (median= 4.50; SD= 4.21) were statistically significant (p<0.001).Conclusion: Combination of oxytocin massage and hypnobreastfeeding can effectively decreasing anxiety and increasing breast milk production for post-partum mothers.Keywords: oxytocin massage, hypnobreastfeeding, breast milk production, post-partumCorrespondence: Lutfiana Puspita Sari. Masters Program in Public Health, Sebelas Maret University, Surakarta. ­­Email: bidanlutfiana@gmail.com. Mobile: +6282221522374.Journal of Maternal and Child Health (2017), 1(1): 20-29https://doi.org/10.26911/thejmch.2017.02.01.03
Co-Authors -, Suradi Abd. Rasyid Syamsuri Adi Magna Patriadi Nuhriawangsa Alfianrisa, Anggityas Anggraini, Yeni Anindya, Ivanda Glanny Annang Giri Moelyo Annang Giri Moelyo Argyo Demartoto, Argyo Aries - Krisbiyantoro Astuti, Fitriyani Dwi Atika, Zummatul Ayuningrum, Ika Yuli Bachtiar, Harrys Bhisma Murti Burhannudin Ichsan Catur Retno Lestari Desi Ekawati Diana Mayasari Hadianto Didik Tamtomo, Didik Dwi Hidayah Dwi Wijayanti Dyah Ratna Budiani Eko Dewi Ratna Utami Endang Dewi Lestari Endang Sutisna Sulaeman Eti Poncorini Pamungkasari Fauziyah, Rahma Galih Herlambang H.A.A. Soebijanto Hardilla, Dinda Septiani Hartanti, Ainurrizma Tri Ilma, Nabilah Nurul Ilma, Nabilah Nurul Indita, Wiwen Indriasih, Merlita Indriasih, Merlita Indriyani, Eny Inggar Ratna Kusuma Irnawati, Prita Yuliana Iskandar, Nurdin Aji Ivanda Glanny Anindya Juhrotun Nisa, Juhrotun Khalifah, Intan Noor Khalifatunisak, Alfadefi Kusumastuti, Nurry Ayuningtyas Kusumawardhani, Wahyu Kuswandari, Eti Leilani Lestarina Lestari, Nining Lilisianawati Lilisianawati Listiani, Funik Rahma Mei Maria Galuh Kamenyangan Sari Marlinawati, Iin Tri MS, Novi Paramitasari Muslimah, Putri Andini Ningsih, Nur Isniani Nugraha, Sandi Nugroho, Irfan Dzakir Nurahmawati, Dhewi Nurmayanti, Rika Palupi, Endang Poncorini, Eti Rahardjo, Setyo Sri Ramadhani, Alinda Nur Rita Adriani Benya Adriani Riza, Muhamad Rohaniyati, Retno Dwi Rokhayati, Rokhayati Rokhayati, Rokhayati Safriana, Latifah Saptawati Bardosono Sari, Lutfiana Puspita Sinta, Prabawati Sri Lilijanti Widjaja Sukoco, Amin Susanti, Isne Titah Pujangkara, Ajeng Ayu Trisnawati, Iga Uki Retno Budihastuti Vitri Widyaningsih Yulia Lanti Retno Dewi yulia lanti retno dewi Yulidar Hafidh