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Determinants of interprofessional collaboration in implementing Basic Emergency Obstetric and Neonatal Care (BEmONC) services Ersianti, Yuninda Loviana; Fernandez, Veronica; Aulia, Rizka; Ladjar, Yohana Filiberta Lumu; Adnani, Qorinah Estiningtyas Sakilah
Majalah Obstetri & Ginekologi Vol. 33 No. 1 (2025): April
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V33I12025.53-64

Abstract

HIGHLIGHTS BEmONC has been proven to diminish both newborn and mother death rates and morbidity. The study identified three main areas for improving and assessing the determinants of interprofessional collaboration (IPC) in the implementation of BEmONC services: team performance, management, and BEmONC evaluation.   ABSTRACT Objective: Maternal and infant mortality is a global challenge due to limited healthcare access. The WHO’s BEmONC program in Indonesia aims to reduce MMR and IMR, but its effectiveness is suboptimal due to service-related issues. This study identified factors affecting essential obstetric and neonatal service implementation in primary healthcare facilities. Materials and Methods: A literature review was conducted using a descriptive analysis approach, supported by Mendeley and Biblioshiny in R-Studio. Sixteen peer-reviewed articles were selected from four online databases, based on predefined inclusion criteria. Results: The study identified three critical domains for improving and evaluating the performance of BEmONC teams. These domains include optimizing team efficacy through factors such as healthcare personnel, infrastructure, collaboration, and targeted training. Furthermore, effective BEmONC management is essential, encompassing policy formulation, communication strategies, operational improvements, and robust leadership. Lastly, evaluating the implementation of BEmONC requires consideration of factors such as self-efficacy, healthcare workforce capacity, and societal trust, confidence, and recognition. Key contributors to the success of BEmONC include efficient collaboration, streamlined administration, and focused evaluation. Enhancing maternal and newborn health service delivery can be achieved by addressing infrastructure deficiencies, improving healthcare worker performance, and fostering community trust. Conclusion: Effective teamwork, robust management, and community confidence are pivotal in improving maternal and newborn health outcomes within BEmONC services.
Dampak Edukasi Menyusui dalam Meningkatkan Efikasi Diri dan Keberhasilan Menyusui: Scoping Review Aulia, Rizka; Ladjar , Yohana Filiberta Lumu; Ersianti, Yuninda Loviana; Fernandez, Veronica; Adnani, Qorinah Estiningtyas Sakilah
ARTERI : Jurnal Ilmu Kesehatan Vol 6 No 2 (2025): Februari
Publisher : Puslitbang Sinergis Asa Professional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37148/arteri.v6i2.579

Abstract

One of the key factors influencing infant health is successful breastfeeding. A mother's perception of self-efficacy plays a crucial role in breastfeeding success, highlighting the need for appropriate breastfeeding education. The limited number of studies that comprehensively evaluate the impact of breastfeeding education on maternal self-efficacy and breastfeeding success prompted this study. This research aims to assess the effectiveness of breastfeeding education in improving both aspects. A scoping review design was employed, using a descriptive analytical approach. Articles utilized were randomized controlled trials (RCTs). Relevant articles were searched using keywords in 4 online databases with inclusion criteria, resulting in 15 articles as the reference sources for this study. Overall, 15 articles stated that breastfeeding education can have positive impacts on both mothers and infants. Three themes were identified regarding the effectiveness of breastfeeding education: sources of breastfeeding education and support (researchers, midwives/healthcare providers, community), educational media (technology, booklets, peer groups), and the impacts of breastfeeding education (self-efficacy, frequency of breastfeeding problems, breastfeeding success). Education is not only provided offline but can also be delivered online by leveraging technological advancements. The effectiveness of breastfeeding education is not only determined by the content delivered but also by the sources of education and the use of educational media, thus potentially leading to increased maternal self-efficacy and breastfeeding success.
Hubungan Antenatal Colostrum Expression Dengan Onset Laktogenesis II Pada Ibu Post Sectio Cesarean Balindra, Fredlina Rossa; Taqiyya , Nadia; Ersianti, Yuninda Loviana
Borneo Nursing Journal (BNJ) Vol. 8 No. 2 (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i2.709

Abstract

Keterlambatan onset Laktogenesis II merupakan masalah yang sering terjadi pada ibu post sectio cesarean dan dapat mempengaruhi keberhasilan menyusui. Antenatal colostrum expression (ACE) merupakan salah satu intervensi yang dikembangkan untuk meningkatkan kesiapan laktasi sejak masa antenatal, namun efektivitasnya masih belum diketahui. Penelitian ini bertujuan untuk menganalisis hubungan antara antenatal colostrum expression dengan onset Laktogenesis II pada ibu post sectio cesarean. Penelitian ini menggunakan pendekatan kuantitatif dengan desain observasional analitik retrospektif berbasis data rekam medis pada 30 responden yang memenuhi kriteria inklusi. Analisis data dilakukan secara univariat dan bivariat menggunakan uji Chi-Square. Hasil penelitian menunjukkan bahwa tidak terdapat hubungan yang signifikan antara antenatal colostrum expression dengan onset Laktogenesis II (p > 0,05), meskipun terdapat kecenderungan peningkatan peluang onset normal pada kelompok yang melakukan antenatal colostrum expression. Proses laktogenesis dipengaruhi oleh berbagai faktor, termasuk metode persalinan, kondisi maternal, dan praktik menyusui postpartum. Keterbatasan penelitian ini meliputi ukuran sampel yang kecil dan desain retrospektif yang tidak memungkinkan pengendalian faktor perancu secara optimal. Disimpulkan bahwa antenatal colostrum expression belum dapat direkomendasikan sebagai intervensi rutin, namun dapat dipertimbangkan secara selektif dengan pengawasan tenaga kesehatan sebagai bagian dari pendekatan komprehensif dalam mendukung keberhasilan laktasi terutama pada ibu yang mempunyai faktor risiko keterlambatan Laktogenesis II.