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All Journal JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Jurnal Ilmu Kesehatan Masyarakat
Demsa Simbolon
Jurusan Gizi Poltekkes Kemenkes Bengkulu
Health Professions Medicine & Pharmacology Nursing Public Health Other

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The influence of education packages on adequacy of breast milk and baby weight gains during the covid-19 pandemic Nur Elly; Demsa Simbolon; Iin Nilawati
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 9, No 3 (2021)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2021.9(3).214-223

Abstract

Background: The process of breastfeeding in the early days of a baby's life often fails due to a lack of breast milk production. Breastfeeding education is an effort that needs to be done to prevent and overcome breastfeeding failure. During the COVID-19 pandemic, education for pregnant and postpartum women is needed that can be done online. Objectives: The purpose of this study was to determine the effectiveness of the "Edu-ASI" package on the adequacy of breastfeeding and increasing infant weight in Bengkulu City. Methods:This study uses a quasi-experimental design with a post-test design with a control group. The population in this study were 3rd trimester pregnant women (with gestational age above 35 weeks who carried out ANC at BPM Bengkulu City followed by post partum on the fourteenth day. The number of samples was 15 people in the intervention group and 15 people in the control group obtained by consecutive sampling. In the intervention group, an education package was given with educational media tools through Edu_ASI in the form of 3 video parts containing the concept and how to breastfeed, then mentoring and post-test measurement of the adequacy of breastfeeding were carried out and 2 weeks after delivery the baby was weighed.In the control group only education was given by the midwife as education that is usually done by midwives. The adequacy of breast milk is measured based on indicators from the baby and the increase in baby weight by comparing the increase in birth weight with the baby's weight at the age of 2 weeks. Result: The analysis was carried out using the T test and man witney. control and case respondents. The Edu-ASI package was effective for breastfeeding adequacy with a P value of 0.007, and the Edu-ASI package was less effective in increasing the baby's weight gain which was measured 2 weeks after delivery with a p-value test of 0.671. Conclusions: The Edu-ASI package is expected to support the success of the Exclusive Breastfeeding program, especially during the COVID-19 pandemic.
History of Risky Pregnancies and Failure of Exclusive Breastfeeding in Indonesia Demsa Simbolon; Nur Mahdiyah Merly Yanti; Lisma Ningsih
Jurnal Ilmu Kesehatan Masyarakat Vol. 14 No. 3 (2023): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2023.14.3.332-348

Abstract

The coverage of exclusive breastfeeding for infants in Indonesia still needs to be higher compared to the national target (80%). Low coverage of exclusive breastfeeding is a risk factor for various nutritional problems in toddlers. The causes of failure of exclusive breastfeeding are multifactorial, including risky pregnancy. This study aims to determine the association of risky pregnancies with the failure of exclusive breastfeeding using national data from the 2017 Indonesian Health Demographic Survey (IDHS) with a cross-sectional design. The study sample that met the criteria was 6,689 mothers with children aged 6-23 months. The independent variable is risky pregnancy (parity, pregnancy spacing, age during pregnancy), and the dependent variable is the failure of exclusive breastfeeding. Data analysis using multivariate logistic regression. The results found that only 26.2% of exclusive breastfeeding practices. Risky pregnancy is associated with the failure of exclusive breastfeeding. Mothers with too much parity risked 1,195 times, mothers with primiparous parity risked 1,716 times, too close birth spacing risked 1,210 times, and too young mothers were 1,267 times more likely not to exclusively breastfeed than mothers who had normal pregnancies after controlling for the area of residence. It is necessary to improve health promotion programs to the public regarding the importance of offering exclusive breastfeeding to infants and improving fertility characteristics.
Co-Authors Iin Nilawati Lisma Ningsih Nur Elly Nur Mahdiyah Merly Yanti