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K, Diah Andriani
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Pengaruh Edukasi Teknik Menyusui terhadap Efektivitas Menyusui pada Ibu Nifas: The Effect of Breastfeeding Technique Education on Breastfeeding Effectiveness in Postpartum Mothers Yunita, Nurul Siska; K, Diah Andriani; Ika Tristanti
Indonesian Journal of Midwifery (IJM) Vol. 8 No. 2 (2025): September 2025
Publisher : Universitas Ngudi waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35473/ijm.v8i2.4329

Abstract

Breastfeeding is a natural process that is important in providing optimal nutrition to babies. However, many postpartum mothers still experience obstacles in breastfeeding due to a lack of knowledge about correct breastfeeding techniques. This study aims to determine the effect of education on correct breastfeeding techniques on breastfeeding effectiveness in postpartum mothers at Ki Ageng Getas Pendowo Gubug Regional Hospital, Grobogan Regency. This study used a pre-experimental design with a one-group pretest-posttest approach. Sampling was taken using a purposive sampling technique, the calculation of the sample size formula used the Slovin formula so that a sample size of 48 postpartum mothers was obtained. The instrument used was a breastfeeding effectiveness observation sheet compiled based on the Standard Operating Procedure (SOP) for Correct Breastfeeding Techniques. Data were analyzed using the Wilcoxon Signed Ranks Test. The results showed that before education, all respondents (100%) were in the ineffective category. After education, all (100%) changed to the effective category. The Wilcoxon test showed a p value = 0.000 (p <0.05), which means there was a significant difference between breastfeeding effectiveness before and after education. Therefore, this intervention can be made into a routine educational program in health facilities.   Abstrak Menyusui merupakan proses alami yang penting dalam memberikan nutrisi optimal pada bayi. Namun, masih banyak ibu nifas yang mengalami kendala dalam menyusui karena kurangnya pengetahuan mengenai teknik menyusui yang benar. Penelitian ini bertujuan untuk mengetahui pengaruh edukasi teknik menyusui yang benar terhadap efektivitas menyusui pada ibu nifas di RSUD Ki Ageng Getas Pendowo Gubug Kabupaten Grobogan. Penelitian ini menggunakan desain pra-eksperimen dengan pendekatan one group pretest-posttest. Pengambilan sampel dengan tehnik purposive sampling, perhitungan rumus besar sampel menggunakan rumus slovin sehingga didapatkan jumlah sampel 48 ibu nifas. Instrumen yang digunakan berupa lembar observasi efektivitas menyusui yang disusun berdasarkan Standar Operasional Prosedur (SOP) Teknik Menyusui yang Benar. Data dianalisis menggunakan uji Wilcoxon Signed Ranks Test. Hasil penelitian menunjukkan bahwa sebelum edukasi, seluruh responden (100%) berada pada kategori tidak efektif. Setelah edukasi, seluruhnya (100%) berubah menjadi kategori efektif. Uji Wilcoxon menunjukkan nilai p = 0,000 (p < 0,05), yang berarti terdapat perbedaan signifikan antara efektivitas menyusui sebelum dan sesudah edukasi . Oleh karena itu, intervensi ini dapat dijadikan salah satu program edukasi rutin di fasilitas kesehatan.
Mobilisasi Dini pada Ibu Nifas Berdasarkan Metode Persalinan dan Pemberian Dukungan Bidan: Early Mobilization of Post Partum Mothers Based on Delivery Method and Midwife Support Wahyuningsih, Putri; K, Diah Andriani; Ika Tristanti
Indonesian Journal of Midwifery (IJM) Vol. 8 No. 2 (2025): September 2025
Publisher : Universitas Ngudi waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35473/ijm.v8i2.4330

Abstract

Early mobilization is a treatment provided within hours of giving birth. A common problem in postpartum patients who have delivered by cesarean section (CS) or spontaneously is pain, leading to a fear of movement and a preference for bed rest. Lack of exercise can lead to muscle stiffness, which can lead to suboptimal uterine contractions, which is feared to lead to bleeding. At Ki Ageng Getas Pendowo Regional Hospital, 10% of postpartum mothers experienced bleeding and infection annually. The purpose of this study was to determine the relationship between early mobilization in postpartum women based on delivery method and midwife support. The study used an observational analytical design with a cross-sectional approach. A sample of 48 postpartum women was selected using purposive sampling. The instruments used were Standard Operating Procedure (SOP) sheets and observation sheets. Data analysis used the Chi-Square test. The results showed that the majority of postpartum women at Ki Ageng Getas Pendowo Gubug Regional Hospital who delivered spontaneously performed early mobilization well (p-value > α (0.551 > 0.05). The majority of postpartum women received supportive midwife support, which enabled them to perform early mobilization well (p-value < α (0.036 < 0.05). Conclusion: There is a significant relationship between early mobilization in postpartum women based on midwife support and early mobilization based on delivery method.   Abstrak Abstrak Mobilisasi dini adalah salah satu perawatan yang diberikan setelah beberapa jam melahirkan. Masalah yang sering terjadi pada pasien nifas  metode persalinan sectio caesarea (SC)/ spontan yaitu rasa sakit/ nyeri sehingga takut melakukan gerakan dan memilih untuk istirahat di tempat tidur. Apabila  daya gerak tidak dilatih dapat mengakibatkan otot-otot menjadi kaku sehingga kontraksi uterus tidak maksimal hal tersebut dikhawatirkan menyebabkan terjadi perdarahan. Di RSUD Ki Ageng Getas Pendowo periode setahun terdapat kejadian perdarahan dan infeksi pada ibu nifas (10%). Tujuan penelitian untuk mengetahui hubungan mobilisasi dini pada ibu nifas berdasarkan metode persalinan dan pemberian dukungan bidan. Penelitian menggunakan desain analitik observasional pendekatan cross sectional. Sampel sebanyak 48 ibu nifas dipilih secara purposive sampling. Instrumen yang digunakan berupa lembar Standar Operasional Prosedur (SOP) dan lembar observasi. Analisis data menggunakan uji Chi-Square. Hasil penelitian menunjukkan bahwa  mayoritas ibu nifas di RSUD Ki Ageng Getas Pendowo Gubug dengan metode persalinan spontan mampu melakukan mobilisasi dini dengan baik, diperoleh nilai p value > α (0,551 > 0,05) dan mayoritas ibu nifas diberikan dukungan bidan  yang mendukung sehingga mampu melakukan mobilisasi dini baik diperoleh nilai p value < α (0,036 <  0,05). Kesimpulan ada hubungan yang signifikan antara mobilisasi dini ibu nifas berdasarkan pemberian dukungan bidan dan ada hubungan yang signifikan antara mobilisasi dini berdasarkan metode persalinan.
Efektivitas Pijat Oksitosin terhadap Pengeluaran ASI pada Ibu Post Partum Normal dan SC: The Effectiveness of Oxytocin Massage on Breast Milk Production in Normal and SC Post Partum Mothers Kristanti, Yanuar; K, Diah Andriani; Tristanti, Ika
Indonesian Journal of Midwifery (IJM) Vol. 8 No. 2 (2025): September 2025
Publisher : Universitas Ngudi waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35473/ijm.v8i2.4382

Abstract

Breast milk (ASI) contains large amounts of immunity-boosting proteins and fungicides, so exclusive breastfeeding can reduce the risk of infant mortality. Breast milk is produced depending on the hormone prolactin while its release will be assisted by the hormone oxytocin. Oxytocin massage can be a solution in facilitating breast milk, namely by massaging the spine on the ribs 5-6 to the scapula with the hope of being able to induce the parasympathetic nervous system to stimulate the posterior pituitary in the process of producing the hormone oxytocin. The purpose of this study was to determine the effectiveness of oxytocin massage on breast milk production in normal and SC postpartum mothers at Ki Ageng Getas Pendowo Gubug Regional General Hospital. The research method used was a Quasy Experiment two group post test design. The study was conducted at Ki Ageng Getas Pendowo Regional General Hospital in May-June 2025. The independent variable in this study was the provision of oxytocin massage to postpartum mothers and the dependent variable was breast milk production. The population in this study was all mothers who had normal postpartum and SC at Ki Ageng Getas Pendowo Regional General Hospital, totaling 44 respondents. The sampling technique used purposive sampling. Data analysis using univariate and bivariate methods using the Independent T-Test obtained a p-value <0.05, indicating that oxytocin massage is effective in increasing breast milk production in mothers who had normal postpartum and SC.   Abstrak Air susu ibu mengandung protein peningkat imunitas dan fungisida dalam jumlah besar, sehingga pemberian ASI eksklusif dapat menurunkan risiko kematian bayi. ASI diproduksi tergantung dari hormon prolaktin semantara untuk mengeluarkannya akan dibantu oleh hormon oksitosin. Pijat oksitosin dapat menjadi solusi dalam memperlancar ASI, yakni dengan memijat bagian tulang punggung pada costa 5-6 hingga scapula dengan harapan mampu menginduksi kerja saraf parasimpatis untuk merangsang hipofise posterior dalam proses produksi hormon oksitosin. Tujuan penelitian ini yaitu untuk mengetahui Efektivitas Pijat Oksitosin Terhadap Pengeluaran ASI Pada Ibu Post Partum Normal dan SC Di RSUD Ki Ageng Getas Pendowo Gubug. Metode penelitian yang digunakan adalah Quasy Eksperiment two group post test design. Penelitian dilakukan di Rumah Sakit Umum Daerah Ki Ageng Getas Pendowo pada bulan Mei-Juni 2025. Variabel bebas dalam penelitian ini adalah pemberian pijat oksitosin pada ibu post partum dan variabel terikatnya adalah pengeluaran ASI. Populasi dalam penelitian ini adalah seluruh ibu post partum normal dan SC di Rumah Sakit Umum Daerah Ki Ageng Getas Pendowo sejumlah 44 responden. Teknik pengambilan sampel dengan cara purposive sampling. Analisa data dengan cara univariat dan bivariat  menggunakan uji T-Test Independen, didapatkan hasil nilai p value < 0,05 sehingga pijat oksitosin efektif dalam pengeluaran ASI pada ibu post partum normal dan SC.
Co-Authors ika tristanti Kristanti, Yanuar Putri Wahyuningsih Tristanti, Ika Yunita, Nurul Siska