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All Journal Mitra Raflesia (Journal of Health Science)
Sulung, Neshy
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Health Professions Public Health

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PENGARUH STRES PSIKOLOGIS TERHADAP KADAR KORTISOL ASI PADA IBU MENYUSUI DI KABUPATEN SELUMA Rosaria, Rini Rosaria; Flora, Rostika; Zulkarnain, Mohammad; Sitorus, Rico Januar; Hasyim, Hamzah; Fajar, Nur Alam; Ermi, Nurmalia; Jasmine, Annisah Biancika; Aguscik, Aguscik; Ikhsan, Ikhsan; Slamet, Samwilson; Purnama, Yetti; Sulung, Neshy
Mitra Raflesia (Journal of Health Science) Vol 15, No 2 (2023)
Publisher : LPPM STIKES BHAKTI HUSADA BENGKULU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51712/mitraraflesia.v15i2.301

Abstract

Breast milk is the gold standard in infant nutrition, which is the best food for babies compared to formula milk. Apart from containing the necessary nutrients, breast milk also contains various bioactive compounds that can affect the growth and development of the baby. Among these bioactive compounds there is also a glucocorticoid (GC) content, such as cortisol. It is known that cortisol levels are affected by the level of stress experienced by mothers during pregnancy and after childbirth. Purpose: this study aims to analyze the effect of maternal stress on breast milk cortisol levels in breastfeeding mothers in Seluma District. Method : : This research is an analytic survey, cross sectional study, conducted in Seluma Regency. A total of 77 rbreastfeeding mothers of children aged 0-24 months were taken as respondents by random sampling. Breast milk samples were taken to examine breast milk cortisol levels and were measured using the ELISA method. interviews using a questionnaire were conducted to collect data on maternal characteristics, while the stress level data were obtained by conducting interviews using the DASS 42 questionnaire. The data obtained was then processed and analyzed using univariate and bivariate analysis. Results: The results of measuring psychological stress showed that 35.1% of mothers experienced stress, while the results of measuring breast milk cortisol levels showed that 50% of mothers had high cortisol levels. The results of the Mann Whitney test found that there was a significant difference in the average breast milk cortisol levels in mothers who experienced psychological stress and those who did not (201.65 ± 97.82 μ/mL vs 150.32 ± 81.80 μ/mL, p=0.028) . Conclusion: psychological stress affects breast milk cortisol levels in breastfeeding mothers in Seluma Regency. Education related to handling stress in breastfeeding mothers needs to be done so that it does not hinder the breastfeeding process which can have an impact on the health of mothers and children. Keywords: Breastfeeding mothers, breast milk cortisol level, psychological stress
STUDI CROSS SECTIONAL TERHADAP HUBUNGAN ASUPAN PROTEIN DENGAN KADAR PROTEIN TOTAL ASI PADA IBU MENYUSUI Marissa, Febi Marissa; Flora, Rostika; Zulkarnain, Mohammad; Ermi, Nurmalia; Jasmine, Annisah Biancika; Aguscik, Aguscik; Ikhsan, Ikhsan; Slamet, Samwilson; Purnama, Yetti; Sulung, Neshy
Mitra Raflesia (Journal of Health Science) Vol 15, No 2 (2023)
Publisher : LPPM STIKES BHAKTI HUSADA BENGKULU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51712/mitraraflesia.v15i2.283

Abstract

Background: During breastfeeding, mothers need adequate nutritional intake, including protein intake. Essential amino acids play an important role in the process of breast milk protein synthesis and can increase the production and protein of breast milk.  Breast milk protein is needed to support the growth and development of infants in the early stages of life. This study aims to analyze the relationship between protein intake and breast milk protein levels in breastfeeding mothers. Methods: This study was a quantitative study with a cross-sectional approach conducted in Seluma Regency. The sample used was 77 breastfeeding mothers aged 20-35 years who were randomly selected.  Protein intake was obtained using 3x24 hour food recall, then calculated using the Nutri survey application. Breast milk protein levels were measured using the spectrophotometric method. Characteristic data were obtained through interviews. The data obtained were then processed and analyzed using univariate and bivariate analysis using SPSS version 20. Result: The measurement of protein intake showed that 76.6% of breastfeeding mothers had insufficient protein intake. Measurement of breast milk protein levels showed that 67.5% of breastfeeding mothers had insufficient breast milk protein levels. Statistical test results showed that there was a significant relationship between protein intake and breast milk protein levels in breastfeeding mothers (p=0.007; PR=1.961; CI=1.08-3.56). Mothers who have less protein intake have a 1.96 times greater risk of having low breast milk protein levels. Conclusion: There is a significant relationship between protein intake and breast milk protein levels in breastfeeding mothers (p<0.005).  Education related to protein intake in breastfeeding mothers needs to be done.  Adequate protein intake can produce the needed quality of breast milk to help the optimal growth and development of the baby.Key words: breast milk, breast milk, protein intake, breastfeeding mothers, milk protein levels
HUBUNGAN KADAR ZAT BESI SERUM DENGAN KONSENTRASI ZAT BESI ASI IBU MENYUSUI DI KABUPATEN SELUMA Ariana, Rika; Flora, Rostika; Sitorus, Rico Januar; Zulkarnain, Mohammad; Hasyim, Hamzah; Fajar, Nur Alam; Ermi, Nurmalia; Jasmine, Annisah Biancika; Aguscik, Aguscik; Ikhsan, Ikhsan; Slamet, Samwilson; Purnama, Yetti; Sulung, Neshy
Mitra Raflesia (Journal of Health Science) Vol 15, No 2 (2023)
Publisher : LPPM STIKES BHAKTI HUSADA BENGKULU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51712/mitraraflesia.v15i2.289

Abstract

Background: Maternal iron status affects infant neurocognitive development. When the maternal iron intake and status are disturbed, it can lead to iron deficiency which can lead to anemia if not treated.  Anemia in breastfeeding mothers has a negative impact on the quality and volume of breast milk, including the availability of iron in breast milk. This study aims to analyze the relationship between serum iron levels and breast milk iron concentration in breastfeeding mothers in Seluma Regency. Methods: This study was an analytic survey, cross-sectional design, conducted in Seluma Regency in 4 (four) public health center working areas, namely Rimbo Kedui Public Health Center, Talang Tinggi, Tais, and Masmambang. Respondents were 124 breastfeeding mothers of children aged 0-24 months who were taken by proportional consecutive sampling. Venous blood and breast milk samples were collected for iron level measurement. Iron measurement was done using the spectrophotometric method. Data on characteristics were obtained using a questionnaire. Furthermore, the data were analyzed univariately and bivariately. Results: The results of measuring iron levels showed that 38.7% of mothers had iron deficiency and 15.3% of mothers had low breast milk iron levels. The bivariate test results showed 25% of mothers who experienced iron deficiency had low breast milk iron levels. (p=0.034, OR= 3.28; CI= 1.190-9.071). Conclusion: There is a significant relationship between serum iron levels and breast milk iron levels in breastfeeding mothers. It is necessary to educate mothers regarding the prevention of iron deficiency during pregnancy and breastfeeding so that the quantity of breast milk iron can meet the needs of children during breastfeedingKeyword : Breast milk, Iron Deficiency, Breast milk Iron Level, Iron
Co-Authors : Samwilson Slamet, : Samwilson Aguscik, Aguscik Ariana, Rika Hamzah Hasyim HS, Mardliyataini Ikhsan Ikhsan Jasmine, Annisah Biancika Juniarti, Luci Maisaroh Maisaroh Marissa, Febi Marissa Musmarlinda, Musmarlinda Nur Alam Fajar Nurmalia Ermi Purnama, Yetti Rico Januar Sitorus Rosaria, Rini Rosaria Rostika Flora Sadewa, Muhammad Ridho Samboina, Monica Tiara Zulkarnain, Mohammad