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Meningkatkan frekuensi menyusui mempercepat onset laktasi Ida Nursanti
MEDIA ILMU KESEHATAN Vol 1 No 1 (2012): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

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Background:The administration of breast milk since early after birth is highly recommended because it provides many health benefits for mother and baby. In the first hour, a baby willlearn to get used to sucking nipples and this prepares the mother to start producingcolostrums. The open access to maternal and infant closeness and unlimited frequency offeeding the baby for the first days after birth are the beginning of the acceleration of milkproduction. Objectives:To determine the postpartum mothers’ breastfeeding frequency, to determine theonset of lactation in primiparous postpartum mothers and to determine the effect ofbreastfeeding frequency on the onset of lactation on postpartum mothers in YogyakartaMunicipal Hospital. Methods:This was an observational study with a prospective cohort design. The number ofsamples was 54 determined purposively. The collection of data used observation sheet andchecklist. The study was started immediately after birth and followed until the third day. Thebivariable analysis used chi-square test with significant level of p <0.05 and CI95%. Results:The study found the majority of mothers had breastfed their babies with sufficientfrequency (72.2%) and with more rapid onset of lactation (64.8%) found in primiparouspostpartum mothers. There was a significant relationship between the frequency ofbreastfeeding and the onset of lactation, based on the analysis withp= 0.03, RR 2.3 andCI95% 0.95-4.23. Conclusion:Mothers who breastfed their babies with sufficient frequency were likely to havea 2.3 time opportunity to not delay the onset of lactation. Keywords: Breastfeeding frequency, onset of lactation, primiparous

APAKAH BAYI PERLU DIJEMUR PADA PAGI HARI? Ida Nursanti
MEDIA ILMU KESEHATAN Vol 1 No 1 (2012): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

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Background: The neonatal jaundice (icterus neonatorum) is a frequent problem encountered ininfants during the first week after birth. Sixty percents of healthy infants born full term are at riskof neonatal jaundice and 5-12% of infants are at risk of developing severe jaundice. Bilirubinen cephalopathy causes severe jaundice/kernicterus and the baby suffering fromcernicterus willexperience impaired growth and development. Severe neonatal jaundice can be prevented byutilization of sunlight. Sunlight helps the process of bilirubin degradation as to preventaccumulation of excessive bilirubin in the blood in the newborn. Objective: To determine the effect of utilization of sunlight on the risk of severe icterusneonatorum. To determine the reasons mothers do the utilization of sunlight and the reason themothers have not done proper utilization of sunlight. Methods:This study was an observational study with a prospective cohort design. The study was conducted with quantitative and qualitative approaches. Sampling used purposive sampling. The sample size was 86 pairs of mother-infant who met the inclusion and exclusion criteria. The data was collected using monitoring sheets, check lists, and questionnaires. The qualitative data were obtained from interviews to 6 respondents. Hypothesis test used chi-square with p<0.05 and 95% Confidence Interval. Analysis of data used univariable, bivariable, and qualitative analyses. Results: There were differences in the proportion of the incidence risk of neonatal jaundice among infants who received the good utilization of sunlight with infants who had less utilization of sunlight. Babies who lacked the benefits of sunlight had a 2.5 times greater chance to experienceneonatal jaundice compared with infant with good benefits of sunlight. The reason why mother stook advantage of sunlight was because they felt confident that the sun could cope with jaundice in infants. They received knowledge about the benefits of sunlight from the information providedby health workers and family. The mothers had enough knowledge about the techniques of appropriate utilization of sunlight but with less knowledge about the risks of ultraviolet on skin. Conclusion: Infants who benefited less sunlight had higher risk for having neonatal jaundicecomparedwith infants who benefited adequate sunlight. Keywords: Baby born healthy, sunlight, neonatal jaundice

INISIASI MENYUSU DINI MENJAMIN KECUKUPAN ASUPAN ASI Ida Nursanti
MEDIA ILMU KESEHATAN Vol 1 No 2 (2012): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

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Background: Breastfeeding is the best way of providing ideal food for babies’ growth. Exclusive breastfeeding appropriate to the needs of babies is recommended considering the benefits of breastfeeding for the next phase of life. Optimal breastfeeding management will affect the adequacy of breast milk intake in babies. Volume of milk produced by lactating mothers is closely related to the earlytime of breastfeeding. One factor likely to lead to inadequate intake of milk is unimplemented practice of early initiation of breastfeeding at the first hour after birth. Objective: To determine the implementation of early initiation of breastfeeding (EIB), to determine the adequate in take of milk to the newborn, to determine the relationship of EIB implementation to adequate in take of milk and to determine the effect of IEB implementation on the adequacy of breast milk intake in new borns. Methods: This was an observational study with a prospective cohort design using quantitative approach. The number of samples was 92 pairs of mother-baby determined by purposive sampling. Data were collected by observation using monitoring sheets. Statistical tests used were Chi-square (x²) at the significance level of p <0.05, to see the magnitude of the risk of the effect (outcome) seen in the RR with the confidence interval (CI) 95%. Results: The majority of babies was initiated early breastfeeding and received a good adequacy of breastmilk. There was a significant association between early initiation of breastfeeding (EIB) and adequate in take of breastmilk (p = 0.001) and EIB in creased the chances to the baby to get adequate intake of milk (RR = 2.0). Conclusion: Babies who received early initiation of breastfeeding had a better chance to get adequate intake of milk than those who did not receive early initiation of breastfeeding. Keyword: Healthily born baby, early initiation of breastfeeding, adequate intake of breast milk

ONSET LAKTASI TERLAMBAT SERING TERJADI PADA PRIMIPARA Rr. Fitriyana Kesumaningsih; Ida Nursanti
MEDIA ILMU KESEHATAN Vol 1 No 3 (2012): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

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Background: WHO and UNICEF recommend giving breast milk (ASI) exclusively for 6 months. In 2009, in Indonesia, the coverage of infants who were exclusively breastfed for 6 months was only 34.3%. In Yogyakarta Province, according to the Provincial Health Office of Yogyakarta, the coverage of exclusive breastfeeding in 2010 amounted to 40.57%, whereas the MOH target of achieving exclusive breastfeeding for 6 months was by 80%. There are several factors which hamper exclusive breastfeeding, one of which is the onset of lactation. Delayed onset of lactation can result in inhibition of milk expenditures. Results of research reveal more primiparous mothers delayed onset of lactation than multiparous. Stress during labor and after childbirth can increase levels of cortisol hormone. An increase in cortisol hormone causes decreased levels of oxytocin hormone, which results in the delay of onset of lactation. Objective: To determine the effect of parity on lactation onset in postpartum mothers. Methods: This was an observational study with a prospective cohort design. Research subjects in this study were postpartum mothers. Observations made on the respondents until 72 hours of postpartum period. Analysis of the data in this study used univariable and bivariable analysis. Statistical test used was chi-square with significance level of p <0.05. Results: The results of analysis showed that delayed onset of lactation occurred in 19 postpartum mothers (44%) and 79% were primiparous. Statistical tests with chi-square obtained p-value of 0.00 with a contingency coefficient of 0.35 and Relative Risk of 5.4. Conclusion: Primiparous mothers had a risk of delayed onset of lactation 5.4 times higher than multiparous mothers. Health workers are expected to conduct health education about breastfeeding in postpartum mothers particularly those at risk of delayed onset of lactation (primiparous mothers) Keywords: Onset of lactation, parity, postpartum.

FOTOTERAPI BUKAN ALASAN UNTUK GAGAL ASI EKSKLUSIF Suwarniningsih; Ida Nursanti
MEDIA ILMU KESEHATAN Vol 2 No 2 (2013): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v2i2.48

Background : Exclusive breastfeeding is recommended based on the evidence of the benefits and proper nutrients for the baby. Phototherapy is done for the treatment of hyperbilirubinemia in infants with several side effects such as: increased temperature, increased insensible water loss, and a separate room will increase a risk fordisanting exclusive breastfeeding. Objective : This study aimed for identifying the correlation between phototherapy and continuity of exclusive breastfeeding at Perinatology room of Wates Hospital Propinsi Daerah Istimewa Yogyakarta 2012. Method : This was a prospective cohort study that was conducted from 1st December until 31 December 2012. Sixty eight hospitalized babies at a neonatology ward were involved in this study. Using a purposive sampling method, 34 babies receiving photothetapy were assigned into the treatment group and 34 babies were assigned into control group. The breastfeeding continuity was measured using a valid and reliable observational checklist which was constructed by the researcher. Result : There was no correlation between phototherapy with continuation of exclusive breastfeeding (p = 0.27) Conclusion and suggestion : Phototherapy treatment did not interrupt continuityof breastfeeding. Based on this study, we strongly recommend that during the phototherapy treatment affecting on separation between mothers and baby, the breastfeeding continuity needs to be concerned. Keywords : Exclusive breastfeeding, phototherapy.

KECEMASAN MENGHAMBAT ONSET LAKTASI IBU POST PARTUM Rizki Lia Puspita; Ida Nursanti
MEDIA ILMU KESEHATAN Vol 2 No 3 (2013): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

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Background: Lactation is the overall process of breastfeeding production until the baby suckling. Exclusive breastfeeding has many benefits for mother and the baby, it is supported by UNICEF and WHO with Baby friendly Hospital Initiative program. However, exclusive breastfeeding rates remain low. Some studies show that delayed onset of lactation are less likely to continue full breastfedding. One factor that may influence the delayed onset of lactation is anxiety levels in the postpartum. Purpose: To knew how the relationship between the anxiety levels with onset lactation postpartum mothers in RSUD Panembahan Senopati Bantul. Methods: The study used cohort prospective to 60 respondents were recruited with purposive sampling. Analysis of the data devided be univariable and bivariabel analysis using chi-square with a significance level of p <0.05. Results: There was a significant association between levels of anxiety with the onset of lactation on postpartum mothers. Mothers who experienced mild levels of anxiety most rapid onset of lactation 81.7%, and mothers with severe levels of anxiety experienced were delayed onset of lactation (p = 0.000). Conclusion: The level of anxiety in postpartum influence to delayed onset of lactation. Suggestion: Good preparation for pregnancy and family support may affect on anxiety levels in postpartum. Keywords: Levels of anxiety, Onset Lactation

CEGAH IKTERUS DENGAN MENINGKATKAN PENGETAHUAN IBU Ida Nursanti
MEDIA ILMU KESEHATAN Vol 2 No 3 (2013): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

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Background: Neonatal jaundice (icterus neonatorum) is acommon problem in infants in the first weekafter birth. Sixty percents of healthy infants born full term are at risk of neonatal jaundice. Bilirubinen cephalopathy causes severe jaundice/kernicterus and the baby suffering from kernicterus willexperience impaired growth and development. The Health education for mother is very important for improving the knowledge, disease prevention, and health improvement. Mother is expected to know and recognize the signsof icterus neonatorum so that shecan bring the baby to get help at the health facilityas fast as possible. Objective:To reduce the risk of neonatal jaundice in Yogyakarta; to know the incidence of neonatal jaundice in breastfed infants, the effect of health education against the risk of neonatal jaundice; Methods: This study was anobservational study with across-sectional design. Sampling used purposive sampling. The sample size was 115 pairs of mother-infant who met the inclusion and exclusion criteria. The data was collected using monitoring sheet sand check lists. Hypothesis test used chi-square with p<0.05 and 95% Confidence Interval. Analysis of data used univari able and bivari able analyses. Results: There was adifference in the proportion of the riskof neonatal jaundice between mothers who received good health education and those who received in adequate health education. Mothers who received in adequate health education were more likely to have chances of neonatal jaundice by 2.1 times compared with mothers who received ade quate health education. Conclusion: Mothers who received in adequate health education had ahigher risk for neonatal jaundicetooccur compared with those who received ade quate health education. Keyword: Healthy born baby, health education, neonatal jaundice (icterus neonatorum)

PEMBERIAN ASI EKSKLUSIF BERHUBUNGAN DENGAN RISIKO TERJADINYA TUBERKULOSA PARU PADA ANAK Fransiska Saman; Ida Nursanti; Retno Sumiyar Rini
MEDIA ILMU KESEHATAN Vol 3 No 1 (2014): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

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Background: Indonesia is in the third rank in the quantity of tuberculosis patients. Based on data of World Health Organization in 2009 Indonesian rank declined to the fifth with as many as 429,000 people.Proportion of child TB patients among all TB cases in 2011 per province in 2011 was in the range of 1.7%-17.2%. Exclusive breastfeeding supplementation in infants of 0-1 year has a very important role,particularly in aspect of nutrition fulfillment and immunity against diseases. In the breast milk there factors of immunity such as lisozim and immunoglobulin A (Ig A) that can break the cell walls of enterobacter bacteria and positive gram bacteria on of which is Mycobacterium tuberculosis. Objective: To identify correlation between exclusive brestfeeding supplementation and the incidence of lung TB in children of 3-11 years at Jetis Health Center Yogyakarta. Methods: The study was an analytic survey with cross sectional design. Samples were purposively selected comprising 119 mothers and children of 3-11 years at Jetis Health Center Yogyakarta. Research instruments were data of medical records and questionnaire. Analysis used chi square test. Result: The majority of mothers at Jetis Health Center Yogyakarta gave exclusive breastfeeding (87.4%). Most of the children of 3-11 years at Jetis Health Center Yogyakarta did not suffer from lung TB (70.6%). The result of chi square test showed p value (0.005) < 0.05 and contingency coefficient was 0.247. Conclusion: There was correlation between exclusive breastfeeding supplementation and the incidence of lung TB in children of 3-11 years at Jetis Health center Yogyakarta with low level of correlation. Keywords: Exclusive breastfeeding, lung tuberculosis, children under five years

HUBUNGAN INISIASI MENYUSU DINI DENGAN IKTERUS NEONATORUM DI RSUD WATES YOGYAKARTA Mercedes Naaharani Pohlman; Ida Nursanti; Yuni Very Anto
MEDIA ILMU KESEHATAN Vol 4 No 2 (2015): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

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Background: One of the recommended primary treatments for the icterus after the early initiation of breastfeeding (EIB). The EIB is when the infant starts to breastfeed immediatel after birth. The way the infant does the EIB is called the breast crawl, through which it crawls looking for breasts. Objective: The studi aims to investigate the relationship between early initiation of breastfeeding (EIB) and the icterus neonatorum at RSUD Wates, Yogyakarta. Method: This was an analytical survey method employing the cohort approach. The research population comprised mother-and- newborn-infant pairs at RSUD Wates, Yogyakarta. The sample was selected by means of the purposive sampling technique, with a sample size of 65 respondents. The research instrument was a standardized observation sheet from the Ministry of Health. The analysis technique to test the hypothesis was the Chi-Square at a significance level of 95% and α = 0.05. Results: The results of the analysis show that there is a relationship between the early initiation of breastfeeding and the icterus neonatorum at RSUD Wates, Yogyakarta with p = 0.000 and a contingency coefficient value of 0.460 or in a range of 0.40-0.599. Based on the data analysis, of 65 respondents, 38 infants (58,5%) not with the early initiation of breastfeeding, most of the respondents, namely 32 (41,5%), do not suffer from the icterus. Conclusion: There is a relationship between the early initiation of breastfeeding and the icterus neonatorum at RSUD Wates, Yogyakarta. Health officials should continuously provide information about the importance of and suggest the application of the early initiation of breastfeeding for newborn infants. Mothers should improve their awareness of doing the early initiation of breastfeeding and provide good breast milk. Keywords: Early initiation of breastfeeding, icterus neonatorum

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