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All Journal Jurnal Kesehatan Reproduksi Jurnal Kesehatan Masyarakat Nusantara Medical Science Journal Indonesian Journal of Obstetrics & Gynecology Science Jurnal Kesehatan Reproduksi Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) Jurnal Kesehatan Manarang Journal of Nursing Care and Biomolecular
Irwan Taufiqur Rachman
Departemen Obstetri Dan Ginekologi, FKKMK Universitas Gadjah Mada
Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Public Health

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Pengetahuan dan Sikap Residen Obstetri dan Ginekologi tentang Keselamatan Pasien di Kamar Bersalin RSUP Dr. Sardjito Yogyakarta Fadhilah Armaijn; Ova Emilia; Irwan Taufiqur Rachman
JURNAL KESEHATAN REPRODUKSI Vol 3, No 1 (2016)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.13877

Abstract

Background: The traditional medical Oath of ‘first do no harm’ is something that is very rarely breached either intentionally by a doctor, nurse or other health practitioner. Resident is health workers who perform services directly to patients that’s why their knowledge and attitudes towards patient safety are very usefulObjective: To determine the relationship of the level of knowledge with the attitudes about patient safety in obstetrics and gynecology resident while services in delivery room at Dr DR Sardjito hospital.Method: Descriptive methods with cross sectional approach, accompanied by a qualitative research The study involved 90 residents of Obstetrics and Gynecology at Sardjito Hospital Yogyakarta , by filling out a questionnaire. Knowledge assessed based on the number of correct answers and categorized into good and bad. Attitudes toward patient safety was assessed using a Safety Attitude Questionnaire (SAQ) labor and delivery version. Reliability was measured using Cronbach’s alpha. The qualitative data collection (interviews) conducted to support the descriptive data.Result and Discussion: Cronbach’s Alpha value for SAQ= 0.862, and the question of knowledge = 0.702. Between 77 responden who had good level of knowlage, only 53,2% had a good level of attitudes, and between 13 who has bad level of knowlage, there were 10 responden with good level of attitudes (76,9%) (RP 0,69;95%CI 0,44-1,04; p= 0,11). Elements of stress recognition on the attitude were getting the lowest average value (3.50 ± 0.56). From the qualitative data were known that the resident had desire for a reduction in working hours as well as improved communication and collaboration between teams. Althogh most of resident had a good level of knowledge and attitudes about patient safety, there were no meaning because of p value was >0,05 (OR 2,69;95%CI 0,66-10,9; p= 0,17).Conclusion: Clinically, a good level of knowledge about patien safety improving a good level of attitude towards patient safety.Keywords: Knowledge- attitude- patient safety- resident obstetrics
Peran Penambahan Misoprostol pada Penatalaksanaan Aktif Kala Tiga dalam Menurunkan Perdarahan Pasca Persalinan Puti Lenggo Geni; Irwan Taufiqur Rachman; Heru Pradjatmo
JURNAL KESEHATAN REPRODUKSI Vol 4, No 3 (2017)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (310.609 KB) | DOI: 10.22146/jkr.35422

Abstract

Background: Postpartum haemorrhage is the leading cause of maternal mortality in both developed and developing countries, which is almost 80 % due to the failure of the uterus to contract. Misoprostol is a powerful uterotonic agent used as an alternative in preventing postpartum haemorrhage.Objective: The purpose of this study was to determine whether administration of misoprostol adjunctive therapy in active management of the third stage of labor influenced postpartum blood loss.Method: This study was a non-blinding randomized controlled trial that divided subjects into two groups. The treatment group was the group who received misoprostol 600 mcg orally for adjunctive treatment in active management of the third stage of labor and the control group did not receive misoprostol, each group also got routine oxytocin 10 IU intramuscularly. Both group were assessed of the number of blood loss in the fourth stage of labor, decreased levels of hemoglobin and hematocrit within 24 hours after delivery. Chi square test was conducted to determine the strength of the relationship between the two groups.Result and Discussion: The study recruited 104 subjects, there were significant difference for the mean number of blood loss in the fourth stage of labor and the decrease in hemoglobin levels within 24 hours of postpartum between treatment and control group (OR 2.45; 95% CI 1.05-5.71, p=0.04), (OR 2.99; 95% CI 1.26-7.11, p=0.01). The mean of the decreasing hematocrit levels was statistically not significant between the two groups (OR 0.87; 95% CI 0.38-1.99, p=0.75).Conclusion: The addition of misoprostol to the routine active management of the third stage of labor was statistically significant to decrease amount of postpartum blood loss.Keywords: misoprostol, active management of the third stage of labor, postpartum blood loss, postpartum hemorrhage.
Perbandingan Kualitas Hidup Penderita Kanker Ovarium Epitelial yang Diberikan Kemoterapi Regimen Paclitaxel dan Carboplatin dengan Regimen Cyclophospamide, Adriamicyn dan Cisplatin di RSUP Dr. Sardjito Ibnu Ahyar; Irwan Taufiqurrachman; Ardhanu Kusumanto
JURNAL KESEHATAN REPRODUKSI Vol 4, No 1 (2017)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.35428

Abstract

Background: Epithelial ovarian cancer is the dominant type of ovarian cancer. Platinum and Taxane regiment has been proved to increase the survival rate of ovarian cancer patientsObjective: To compare the quality of life of ovarian cancer patients who got Paclitaxel and Carboplatin regiments with Cyclophosphamide, Adriamycin and Cisplatin regiments and risk factors which influence themMethod: The design of the study was retrospective cohort. The total subjects were 156 ovarian cancer patients who consisted of 79 patients with paclitaxel and carboplatin regiments and dan 77 patients who got cyclophospamide, adriamicyn dan cisplatin regiments in DR. Sardjito hospital, Yogyakarta. The quality of life was measured with EORTC QLQ-C30. The data distribution were tested with KolmogorovSmirnov and analysed with D Chi-Squaretest for categorical data and Mann-Whitney for continuous data. Multivariable Analysis was done with logistic regression.Result and Discussion: The bivariable analysis of ovarian cancer stage and the quality of life showed that early stage of ovarian cancer patients had quality of life 19,068 times higher than advance stage of ovarian cancer patients (RR 19,068; 95% CI 2,590-140,362). There were signicant differences in quality of life in ovarian cancer patients with low body mass index <18,5 compared to normal body mass index as well as the titer of tumor marker Ca125. Multivariable analysis showed that there was no significant difference in quality of life between ovarian cancer patients who got Paclitaxel plus Carboplatin and ovarian cancer patients who got Cyclophospamide, Adriamicyn plus Cisplatin.Conclusion: there was no significant difference in quality of life between ovarian cancer patients who got Paclitaxel plus Carboplatin and ovarian cancer patients who got Cyclophospamide, Adriamicyn plus Cisplatin in DR. Sardjito Hospital, Yogyakarta.Keywords: Quality of life, ovarian cancer, paclitaxel plus carboplatin regiment, cyclophospamide, adriamicyn plus cisplatin regiment.
The Accuracy of Risanto's Formula and Ultrasound Measurement in Estimating Fetal Weight Elsina Krisnawati Pietersz; Irwan Taufiqur Rachman; Risanto Siswosudarmo
JURNAL KESEHATAN REPRODUKSI Vol 5, No 1 (2018)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.37942

Abstract

Background: Accurate estimated fetal weight (EFW) is crucial in determining delivery management. Several methods to estimate fetal weight were used such as abdominal palpation, measurement of symphisis fundal height (SFH), and ultrasound examination. Risanto’s formula based on Indonesian population had been already proven to be more accurate than Johnson’s formula. The formula was as follows: Y = 125 X - 880 where Y was EFW in grams, X was SFH in cm, and 125 was the constanta.Objective: To compare the accuracy of Risanto’s formula and ultrasound examination in estimating fetal weight.Method: A cross sectional study was carried out in Sardjito hospital, Faculty of Medicine Universitas Gadjah Mada, from March 2013 to March 2014. A total of 400 pregnant women meeting the inclusion criteria at 37 – 42 weeks of gestation were recruited. The estimated fetal weight using Risanto’s formula (R_EFW) was compared to the estimated fetal weight using ultrasound measurement (U_EFW). The U_EFW was done by obstetricians on duty or senior residents using Hadlock’s formula. Actual birth weight (ABW) was measured using the same calibrated baby scale. Accuracy was determined by comparing the mean difference between the R_EFW minus ABW (ΔR_EFW) and the U_EFW minus ABW (ΔU_EFW). Paired t-test was used for statistical analysis.Result and Discussion: The mean ABW was 3025.3 ± 414.6 gram and the mean R_EFW was 2972.7 ± 365.4 grams, while the mean U_EFW was 3058.7 ± 423.2 grams. The mean ΔR_EFW was lower than the mean ΔU_EFW (178.2 ± 147.6 grams vs 197.5 ± 155.4 grams; 95% CI 1.24 – 36.68; p = 0.04).Conclusion: Risanto’s formula was more accurate than ultrasound measurement in estimating fetal weight.Keywords: Estimated fetal weight, Risanto’s formula, Ultrasonography, Fundal height
Hubungan antara Preeklampsia Berat Awitan Dini dengan Pertumbuhan Janina Terhambat pada Pasien Preeklamsia Beratdi RSUP Dr. Sardjito Yogyakarta Miftakhul Muslichah; Shinta Prawitasari; Irwan Taufiqur Rachman
JURNAL KESEHATAN REPRODUKSI Vol 7, No 2 (2020)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.59812

Abstract

Latar      Belakang: Pertumbuhan Janin Terhambat (PJT) merupakan salah satu komplikasi janin yang sering terjadi pada pasien Preeklamsia Berat (PEB) dan eklamsia. Angka kejadian PEB awitan dini berkisar 5-20% dari keseluruhan kasus preeklamsia yang berhubungan dengan neonatal morbiditas dan mortalitas, dimana angka kejadian PJT sendiri berkisar 3-7%, sedangkan angka kejadian PEB awitan lanjut sebesar 75-80% dari keseluruhan kasus preeklamsia yang berhubungan dengan maternal morbiditas.Tujuan: untuk mengetahui hubungan antara PEB awitan dini dan kejadian PJT di rumah sakit Sardjito Yogyakarta.Metode: rancangan penelitian adalah cross sectional study Populasi penelitian adalah pasien preeklamsia dengan janin tunggal yang lahir di RSUP DR. Sardjito Yogyakarta tahun 2013-2015. Sampel penelitian adalah pasien PEB berjumlah 135 subyek, PEB awitan dini 105 subyek, dan awitan lanjut 30 subyek. Uji chi square digunakan untuk menghitung prevalensi PJT pada PEB awitan dini dan lanjut. Stratifikasi mantel-haneszel dilakukan untuk menilai variabel perancu. Multivariat menggunakan regresi logistik.Hasil dan Pembahasan: subyek dengan PEB awitan dini adalah 51 subyek (48,57%) yang mengalami PJT sedangkan awitan lanjut adalah 7 subyek (23,33%). Subyek dengan PEB awitan dini dan preeklamsia genuine memiliki prevalensi PJT lebih tinggi RP (CI 95%)=2,453 (1,170-5,141) dan p=0,007. Prevalensi PJT pada PEB awitan dini, OR (CI95%)=3,257 (1,244-8,530) dan p=0,016; usia OR (CI 95%)=0,488 (0,202–1,178) dan p=0,111; paritas OR (CI 95%)=1,159 (0,461–2,912) dan p=0,11; jenis PE OR (CI 95%)=0,730 (0,294–1,814) dan p=0,498; dan derajat proteinuria OR (CI 95%)=0,955 (0,464–1,968) dan p=0,901. Kesimpulan: PEB awitan dini mempunyai hubungan yang signifikan dengan PJT. Kata kunci: PEB; PEB awitan dini; PEB awitan lanjut; PJT.
Hubungan Metode Persalinan dengan Penggunaan IUD Pascasalin di RSUD Panembahan Senopati Bantul Eis Damayanti; Irwan Taufiqurrachman; Eugenius Phyowai Ganap
JURNAL KESEHATAN REPRODUKSI Vol 8, No 1 (2021)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.64361

Abstract

Latar Belakang: Periode pascasalin merupakan masa yang penting untuk memulai kontrasepsi, namun masih kurang dimanfaatkan, utamanya untuk penggunaan IUD pascasalin. Hal ini ditunjukkan oleh penggunaan IUD pascasalin hanya 14,06% dari keseluruhan metode kontrasepsi pascasalin. Angka seksio sesarea meningkat signifikan akhir-akhir ini, mencapai 29,6% di Indonesia. Peningkatan angka seksio caesarea (SC) tidak diikuti peningkatan penggunaan IUD pascasalin. Padahal peluang penggunaan IUD pascasalin pada persalinan abdominal/seksio sesarea lebih besar. Tujuan: Penelitian ini bertujuan untuk melihat hubungan antara metode persalinan dengan penggunaan IUD Pascasalin di RSUD Panembahan Senopati. Metode: Penelitian ini merupakan penelitian analitik dengan desain cross sectional atau potong lintang, sampel penelitian diambil dari pasien yang melahirkan di RSUD Panembahan Senopati, data dikumpulkan dengan metode wawancara. Uji Chi square dan prevalence ratio dipakai untuk analisis statistika. Hasil dan Pembahasan: Penelitian ini melibatkan 260 subyek, 161 (61,92%) persalinan vaginal dan 99 (38,08) SC. Total pengguna IUD pascasalin sebanyak 128 (49,23%). Persalinan SC memiliki hubungan bermakna dengan penggunaan IUD pascasalin (p 0,000; PR 1,49; CI 1,19-1,89).  Faktor lain yang mempengaruhi penggunaan IUD pascasalin secara bemakna adalah riwayat penggunaan metode kontrasepsi jangka panjang (MKJP) sebelumnya (p 0,002; PR 1,68; CI 1,38-2,06), adanya asuransi Jaminan Kesehatan Nasional (JKN) (p 0,038; PR 1,71; CI 1,04-2,80), dan konseling (p 0,000; PR 2,84; CI 1,85-4,35). Alasan terbanyak subyek menolak penggunaan IUD pascasalin adalah takut efek samping (35%). Kesimpulan: Penggunaan IUD pascasalin lebih tinggi secara bermakna pada seksio sesarea dibandingkan persalinan vaginal. Faktor lain yang mempengaruhi penggunaan IUD pascasalin secara bermakna adalah riwayat penggunaan MKJP, adanya asuransi JKN dan konseling. Kata Kunci: IUD pascasalin; metode persalinan; angka pemasangan; persalinan vaginal, SC  
Gambaran Luaran Pasien Plasenta Akreta Spektrum yang Dilakukan Manajemen Konservatif dan Manajemen Non Konservatif di RSUP Dr. Sardjito Gita Vania Damayanti; Irwan Taufiqur Rachman; Addin Trirahmanto
JURNAL KESEHATAN REPRODUKSI Vol 9, No 2 (2022)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.74838

Abstract

Latar belakang: Angka kejadian plasenta akreta spektrum terus meningkat dari tahun ke tahun seiring dengan meningkatnya angka seksio sesarea. Risiko utama yang berhubungan dengan plasenta akreta spektrum adalah perdarahan banyak yang dapat menyebabkan komplikasi sekunder termasuk koagulopati, kegagalan multi sistem organ dan kematian. Manajemen optimal yang melibatkan tim multidisiplin perlu dilakukan untuk mendapatkan luaran yang baik.Tujuan: Tujuan penelitian ini adalah untuk mengetahui gambaran luaran pasien plasenta akreta spektrum yang dilakukan manajemen konservatif dan manajemen non konservatif di RSUP Dr. Sardjito.Metode: Penelitian ini merupakan penelitian deskriptif dengan menggunakan data rekam medis pasien plasenta akreta spekrum yang dilakukan tindakan di RSUP Dr. Sardjito pada tahun 2018-2020. Subjek penelitian terbagi ke dalam dua kelompok yaitu kelompok yang dilakukan manajemen konservatif dan manajemen non konservatif.Hasil: Dari 38 subjek, 22 subjek (57,89) direncanakan untuk dilakukan manajemen konservatif dan 16 subjek (42,11%) dilakukan manajemen non konservatif. Dari 22 subjek yang direncanakan untuk dilakukan manajemen konservatif, 10 subjek gagal sehingga dilakukan manajemen non konservatif. Luaran utama yang dinilai adalah jumlah perdarahan. Rata-rata jumlah perdarahan pada kelompok manajemen konservatif lebih sedikit daripada kelompok manajemen konservatif (2.179,16 ± 399,69 ml vs 5.173,07 ± 594,29 ml). Luaran lain yaitu jumlah transfusi (transfusi PRC 1.062 ± 187,50ml vs 2.048,07 ± 198,07 ml; transfusi FFP 512,50 ± 100,21 ml vs 1.117,30 ± 100,11 ml; transfusi TC 120,83 ± 29,80 ml vs 375 ± 36,92 ml) dan kematian 16,67% vs 3,85%.Kesimpulan: Luaran jumlah perdarahan dan jumlah transfusi (PRC, FFP, TC) lebih sedikit pada kelompok yang dilakukan manajemen konservatif daripada manajemen non konservatif. Angka kematian pada kelompok manajemen konservatif lebih tinggi daripada manajemen non konservatif.
Studi Literatur: Pengalaman Menyusui pada Ibu Usia Remaja Arista Kusuma Wardani; Yanti Yanti; Irwan Taufiqur Rachman
Jurnal Kesehatan Manarang Vol 8 No 2 (2022): Agustus 2022
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v8i2.473

Abstract

Breastfeeding in one of the best ways to reduce infant mortality. However, UNICEF data in 2019 recorded that only 43% of newborns started breastfeeding in the first hour and 41% received exclusively breastfed. The causes of initiation and continuation of breastfeeding are closely related to the age of the mother. Adolescent mothers were found to not continue exclusive breastfeeding. This article aims to explore the experience of exclusive breastfeeding for adolescent mothers. The method used is a literature study. Research questions were identified using the PEOS (Population, Exposure, Outcome, Study Design) framework. The journals used in the literature review were obtained through the Pubmed, Science Direct and Google Scholar databases from 2010-2020. The keywords used according to MESH (Medical Subject Heading) are "experience", "exclusive breastfeeding", and "adolescent mothers", and selected full text. The results of the review of 6 articles include: mother’ decisions to breastfeed such as, breastfeeding is a natural, easy, and fun way, a supportive environment, breastfeeding can improve baby’s health, provide benefits for mothers, save costs. The obstacles faced by adolescent mother include, lack of knowledge and skills, uncontrollable and unplesant physical experiences, inadequate response to health services, lack of support for breastfeeding at work/school, and difficulty breastfeeding in public places. So, adolescent mothers need breastfeeding support such as information support, instrumental support, emotional support, and apraisal support.
Luaran Maternal pada Ibu Hamil dengan Covid-19 di Daerah Istimewa Yogyakarta Studi Kohort Retrospektif Kartika Wahyuningtyas Utami; Irwan Taufiqur Rachman; Detty Siti Nurdiati
JURNAL KESEHATAN REPRODUKSI Vol 9, No 3 (2022): In Process
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.77933

Abstract

Latar Belakang: Coronavirus merupakan penyakit yang muncul pada akhir tahun 2019 disebabkan oleh  Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) yang kini telah ditetapkan sebagai pandemic oleh WHO sejak 11 Maret 2020. Indonesia melaporkan kasus pertama COVID-19 pada tanggal 2 Maret 2020 dan jumlahnya terus bertambah hingga sekarang. Sampai saat ini penelitian tentang infeksi SARS-CoV-2 pada kehamilan dan luaran maternalnya masih terbatas. Dikatakan ibu hamil memiliki risiko lebih tinggi untuk terjadinya morbiditas dan mortalitas dibandingkan pada populasi umum.Tujuan: Mengetahui apakah terdapat hubungan antara ibu hamil konfirmasi COVID-19 dengan luaran maternal di Daerah Istimewa Yogyakarta. Metode: Desain penelitian ini adalah kohort retrospektif. Subjek penelitian adalah   pasien hamil dengan konfirmasi COVID-19. Subjek penelitian diambil di RSUP Dr. Sardjito dan RS Akademik UGM sejak periode Maret 2020 sampai dengan Agustus 2021Hasil: Dari 436 subjek penelitian didapatkan 340 sampel yang memenuhi kriteria untuk dilakukan analisis. Karakteristik subjek penelitian menunjukkan 58,24% pasien berusia >35 tahun dengan mayoritas usia kehamilan ≥ 37 minggu sebanyak 79,41%. Terdapat hubungan yang signifikan (p<0.05) antara ibu hamil dengan COVID-19 simptomatik terhadap luaran persalinan prematur (RR 2,42, CI 95% 1,44–4.04), kebutuhan ICU (RR 53.89, CI 95% 3.33–870.45), lama rawat inap (RR 1.97, CI 95% 1,05–3,68) dan kematian maternal (RR 38.08, CI 95% 2,34–619,83) dibandingkan dengan ibu hamil COVID-19 asimptomatik. Tidak terdapat hubungan bermakna (p>0.05) antara ibu hamil COVID-19 dengan luaran metode persalinan. Usia, obesitas, hipertensi dan diabetus melitus tidak memiliki hubungan signifikan terhadap luaran maternalKesimpulan: Kehamilan merupakan faktor risiko independent COVID-19 simptomatik yang tidak bergantung pada komorbiditas lain. Ibu hamil dengan COVID-19 simptomatik memberikan luaran maternal yang lebih buruk dibandingkan dengan ibu hamil COVID-19 asimptomatik. Metode persalinandiputuskan berdasarkan indikasi medis dan kebidanan.Kata Kunci: COVID-19, kehamilan, komorbid, luaran maternal
Studi Literatur: Pengalaman Menyusui pada Ibu Usia Remaja Arista Kusuma Wardani; Yanti Yanti; Irwan Taufiqur Rachman
Jurnal Kesehatan Manarang Vol 8 No 2 (2022): Agustus 2022
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v8i2.473

Abstract

Breastfeeding in one of the best ways to reduce infant mortality. However, UNICEF data in 2019 recorded that only 43% of newborns started breastfeeding in the first hour and 41% received exclusively breastfed. The causes of initiation and continuation of breastfeeding are closely related to the age of the mother. Adolescent mothers were found to not continue exclusive breastfeeding. This article aims to explore the experience of exclusive breastfeeding for adolescent mothers. The method used is a literature study. Research questions were identified using the PEOS (Population, Exposure, Outcome, Study Design) framework. The journals used in the literature review were obtained through the Pubmed, Science Direct and Google Scholar databases from 2010-2020. The keywords used according to MESH (Medical Subject Heading) are "experience", "exclusive breastfeeding", and "adolescent mothers", and selected full text. The results of the review of 6 articles include: mother’ decisions to breastfeed such as, breastfeeding is a natural, easy, and fun way, a supportive environment, breastfeeding can improve baby’s health, provide benefits for mothers, save costs. The obstacles faced by adolescent mother include, lack of knowledge and skills, uncontrollable and unplesant physical experiences, inadequate response to health services, lack of support for breastfeeding at work/school, and difficulty breastfeeding in public places. So, adolescent mothers need breastfeeding support such as information support, instrumental support, emotional support, and apraisal support.
Co-Authors A.A. Ketut Agung Cahyawan W Addin Trirahmanto Ahyar, Ibnu Akhmadi Akhmadi Ardhanu Kusumanto Ardhanu Kusumanto Arista Kusuma Wardani Arista Kusuma Wardani Armaijn, Fadhilah Damayanti, Eis Detty Siti Nurdiati Eis Damayanti Elsina Krisnawati Pietersz Eugenius Phyowai Ganap Fadhilah Armaijn Ganap, Eugenius Phyowai Geni, Puti Lenggo Gita Vania Damayanti Hermanto Hermanto Heru Pradjatmo Ibnu Ahyar Kartika Wahyuningtyas Utami Kusuma, Raden Aditya Miftakhul Muslichah Muslichah, Miftakhul Ova Emilia Pietersz, Elsina Krisnawati Purwoko, Agus Puti Lenggo Geni Risanto Siswosudarmo Risanto Siswosudarmo Saputro, Christina Shinta Prawitasari Utomo, Muhammad Wahyu Wenny Artanty Nisman, Wenny Artanty Wulandari, Barkah Yanti Yanti Yuni Purwati