scholarly journals Penggunaan Kontrasepsi Hormonal dan Produksi Air Susu Ibu di Puskesmas Poasia

Author(s):  
La Ode Alifariki ◽  
Adius Kusnan ◽  
Ida Mardhiah Afrini

Breast milk is the best natural nutrient for babies because it contains energy needs and substances needed during the first six months of a baby's life. If during lactation the mother uses hormonal contraception, the lactation hormone namely the hormone prolactin and oxytocin will be suppressed so that the process of egg maturation immediately occurs, the mother immediately enters the fertile period and the milk production is disrupted. The purpose of this study was to determine the relationship between hormonal contraception and breast milk production in nursing mothers at Poasia Community Health Center, Kendari City in 2019. This type of research was analytic descriptive using a cross sectional approach. The population in this study was all mothers who breastfeeded at the Poasia Community Health Center in Kendari City in October to November as many as 70 with a sample of 41 respondents. The statistical test used was Chi square at α = 0.05. The results showed that most were using 3 types of 3-month injectable hormonal contraceptives (46.3%), following the type of mini pills as many as 9 people (22.0%), implants as many as 6 people (14.6%), injecting 1 month as many as 5 people (12.2%) and the least is using a combination pill of 2 people (4.9%). The production of breast milk was 27 people (65.9%) and the current category was 14 people (34.1%). Statistical test results indicate that there was a relationship between the use of hormonal contraceptives and breast milk production in the work area of Poasia Community Health Center, Kendari City in 2019, with a p value of 0.004 <0.05. Keywords: hormonal contraception; breast milk production; breastfeeding mothers ABSTRAK ASI adalah nutrisi alami terbaik untuk bayi karena mengandung kebutuhan energi dan zat yang dibutuhkan selama enam bulan pertama kehidupan bayi. Jika selama menyusui ibu menggunakan kontrasepsi hormonal, hormone laktasi yaitu hormone prolaktin dan oksitosin akan ditekan sehingga proses pematangan telur segera terjadi, ibu segera memasuki masa subur dan produksi susu terganggu. Tujuan dari penelitian ini adalah untuk mengetahui hubungan antara kontrasepsi hormonal dan produksi ASI pada ibu menyusui di Pusat Kesehatan Masyarakat Poasia, Kota Kendari pada tahun 2019.Jenis penelitian ini adalah deskriptif analitik menggunakan pendekatan cross sectional. Populasi dalam penelitian ini adalah semua ibu yang menyusui di Pusat Kesehatan Masyarakat Poasia di Kota Kendari pada bulan Oktober hingga November sebanyak 70 dengan sampel 41 responden. Uji statistik yang digunakan adalah chi square pada α = 0,05. Hasil penelitian menunjukkan bahwa sebagian besar menggunakan 3 jenis kontrasepsi hormonal suntik 3 bulan (46,3%), mengikutijenispil mini sebanyak 9 orang (22,0%), implant sebanyak 6 orang (14,6%), suntik 1 bulan sebanyak 5 orang (12,2%) dan paling sedikitmenggunakanpilkombinasi 2 orang (4,9%). Produksi ASI adalah 27 orang (65,9%) dankategorisaatiniadalah 14 orang (34,1%). Hasil uji statistic menunjukkan bahwa ada hubungan antara penggunaan kontrasepsi hormonal dan produksi ASI di area kerja Puskesmas Poasia, Kota Kendari pada tahun 2019, dengan nilai p 0,004 <0,05. Kata kunci: kontrasepsi hormon; produksi asi; ibu menyusui

2019 ◽  
Vol 6 (2) ◽  
pp. 98-106
Author(s):  
Siti Nur Sholeha ◽  
Edi Sucipto ◽  
Nilatul Izah

Exclusive breastfeeding coverage in Indonesia is 61.33%, Central Java 54.40%, Tegal District is 44% and for Bojong Health Center is 68.85%, this figure is still far from the exclusive coverage of targeted breastfeeding. Based on the results of the initial interview, 6 out of 10 respondents of postpartum women interviewed they did not know how to care for the breast, the benefits of breast and during the puerperium there were problems that were nipples so the milk did not come out and after a few days later came out.The purpose of this study was to find out whether there was an effect of breast care on breast milk production in postpartum mothers. The design and type of this research is analytical cross-sectional. The population in this study were all postpartum mothers who had postpartum visits at Bojong Health Center, Tegal Regency. The sample technique uses accidental sampling, namely the number of samples used by 30 respondents. Primary data is obtained from filling out the questionnaire. Chi Square test was used to analyze bivariate in this study. The  results of this study showed that a p value of 0.002, which showed that breast care in postpartum mothers affected breast milk production.   Keywords: Breast Care, ASI Production, Puerperal Mother ABSTRAK                                                             Cakupan ASI Eksklusif di Indonesia sebesar 61,33%, Jawa Tengah 54,40%, Kabupaten Tegal sebesar 44% dan untuk Puskesmas Bojong sebesar 68,85%, angka ini belum sesuai dengan target pencapaian ASI eksklusif yaitu 90%. Berdasarkan hasil wawancara awal 6 dari 10 responden orang ibu nifas yang diwawancarai mereka tidak tahu cara perawatan payudara, manfaat payudara dan pada masa nifasnya ada masalah yang dialami yaitu puting susu tidak menojol/terbenam sehingga ASInya tidak keluar dan setelah beberapa hari kemudian baru keluar. Tujuan penelitian ini yaitu untuk mengetahui apakah perawatan payudara berpengaruh terhadap produksi ASI pada ibu nifas. Rancangan dan jenis penelitian ini adalah analitik secara cross sectional. Populasi pada penelitian ini adalah semua ibu nifas yang melakukan kunjungan nifasnya di Puskesmas Bojong Kabupaten Tegal. Acidental sampling digunakan sebagai teknik untuk pengambilan sampel yaitu jumlah sampel yang digunakan 30 responden. Data primer didapatkan dari pengisisan kuesioner. Uji Chi Square digunakan untuk menganalisis bivariat dalam penelitian ini.  Hasil penelitian menunjukkan bahwa nilai p sebesar  0,002, yang menunjukkan bahwa perawatan payudara pada ibu nifas berpengaruh terhadap produksi ASI.   Kata Kunci: Perawatan Payudara, Produksi ASI, Ibu Nifas


2019 ◽  
Vol 4 (1) ◽  
Author(s):  
Chelia Ercy Adnara ◽  
Dwi Retna Prihati ◽  
Henik Istikhomah

Background: Nursing mothers who do not want to get pregnant anymore need safe contraception, do not interfere with the breastfeeding process and do not affect breast milk production. Injection contraception is divided into two, namely combined injection family planning and progestin injection family planning. Combined injection family planning contains the hormone estrogen which can reduce the amount of breast milk production, while injectable progestin family planning contains the hormone prolactin which can stimulate the production of breast milk glands. One of the factors that influence the adequacy of breast milk is the use of contraception. Method: Type of observational research with cross sectional design. The sample in this study were all breastfeeding mothers who used injection contraception in the work area of ​​Sambirejo Health Center Sragen in September to November 2018 as many as 62 people. Total sampling technique, chi square analysis. Results: Characteristics of acceptor age, namely 20-35 years as many as 52 people (83.9%) education namely high school as many as 30 people (48.4%), occupations namely housewives as many as 46 people (74.2%) and parity is primipara 33 people (53.2%). The adequacy of breastfeeding in breastfeeding mothers who use combined injection contraception is mostly 16 people (25.8%) and not enough as many as 12 people (19.4%). The adequacy of breastfeeding in breastfeeding mothers who use the progestin injection contarction is mostly 32 people (51.6%) and not enough as many as 2 people (3.2%). The chi square test results p = 0.001 (p <0.05). Conclusion: There is a difference in the adequacy of breastfeeding between family planning injection acceptors combined with Progestin injections in breastfeeding mothers 0-6 months in the working area of ​​Sambirejo Sragen health center.


2022 ◽  
Vol 3 (1) ◽  
pp. 202-208
Author(s):  
Balqis Dwiyanti Haedar ◽  
Rauly Ramadhani ◽  
Andi Sitti Rahma

Exclusive breastfeeding is a condition in which infants are only given breast milk without the addition of other fluids and foods. until the baby reaches 6 months old. Breast milk strengthen the immune system in infants so they can avoid various diseases including diarrhea. This study aims to determine the relationship between exclusive breastfeeding and the incidence of diarrhea in infants aged 0-6 months in the Sudiang Community Health Center. This research is an analytical survey research with a cross-sectional design. This research was conducted at the Sudiang Health Center, Makassar City in the period November 1st to December 31st, 2019. The total respondents were 89 mothers with babies aged 0-6 months. The results showed that most of the respondents were mothers with male babies (61%), most of the mothers' education was high school graduates (46%), housewives (75%) with low economic background (56%). Exclusive breastfeeding related to the incidence of diarrhea in children aged 0-6 months in the Sudiang Community Health Center with a value of p <0.05 (p = 0.001). In addition, no significant relationship on maternal nipple hygiene to diarrhea in children aged 0-6 months p <0.05 (p = 0.075). In conclusion, this study showed there is a relationship between exclusive breastfeeding and the incidence of diarrhea in children aged 0-6 months in Sudiang Health Center. There is a relationship between hand hygiene and the incidence of diarrhea in children aged 0-6 months in Sudiang Health Center, Makassar.


2018 ◽  
Vol 8 (1) ◽  
Author(s):  
Tri Aprillia Tauriska ◽  
Farida Umamah

The correlation between baby’s suck and breast milk production in breastfeeding mothers in RSI Jemursari Surabaya. The mothers feel reluctant to breastfeed their babies even though the exclusive breastfeeding has become a government’s propaganda. The pre-data taken from 15 breastfeeding mothers inform that 60% had a low breast milk production. Purpose of this study was to find out the correlation between baby’s suck and breast milk production in breastfeeding mothers in RSI Jemursari Surabaya.The design of study was analytic-observational done by applying cross sectional approach. The population involved all breastfeeding mothers as imumnunization visiting the hospital with their babies, totally 18 people, in which 17 respondents were taken by using probability sampling technique. The instrument used for collecting the data was a checklist. The variables used in this study were baby’s suck and breast milk production. The data were analyzed by using Chi-Square test with the significance level α = 0.05.The result of study showed that nearly all of the babies (94.1%) sucked correctly, whereas nearly all of the mothers (88.2%) had sufficient breast milk production. Moreover, the result of statistic test showed that p = 0.018 with the significance level α = 0.05 so that p < α. It also meant that H0 was rejected. The conclusion of study often the babies suck correctly, breast milk is produced. Hence, the breastfeeding mothers to still maintaining for breastfeed their baby with train them how to breastfeed correctly to increase breast milk production.


Author(s):  
Wahyuni Herda ◽  
Insan Sosiawan A Tunru ◽  
Yusnita Yusnita

Tuberculosis is a disease of global concern. By 2015 six countries contributing to 60% of the global total are India, Indonesia, China, Nigeria, Pakistan and South Africa. China, India and Indonesia alone accounted for 45% of cases in the world.The World Health Organization (WHO)has recommended the Directly Observed Treatment Shortcourse (DOTS) strategy for TB control by involving Drug Supervisors (PMO). It aims to achieve patient recovery, prevent transmission, and avoid drug resistant cases. This study aims to determine the relation between the roles of treatment observers (PMO) with the success of tuberculosis treatment at community health center of Johar Baru Central Jakarta in 2016.This research was conducted by Cross-Sectional non-experimental quantitative method. Population and sample are the patient of adult pulmonary and extrapulmonary tuberculosis at community health center of Johar Baru Central Jakarta in 2016. Samples are selected by using Simple Random Sampling. The data were collected by interview using questionnaire. Data analysis using SPSS with Chi-Square test.There were 45 respondents (80,4%) succeed in TB treatment and respondent with PMO roles category were 40 (71,4%). Result of statistical test using Chi-Square test obtained P value = 1,000 (> 0,05).There is no relation between the roles of treatment observers (PMO) with the success of tuberculosis treatment at community health center of Johar Baru Central Jakarta in 2016.


2020 ◽  
Vol 2 (2) ◽  
pp. 15-23
Author(s):  
Rusmini Marslan Arsyad ◽  
Engelina Nabuasa ◽  
Enjelita M. Ndoen

DHF is one of the widespread  infectious diseases in Indonesia, with an increased infected number of sufferers. DHF case is closely related to environmental sanitation, wich causes the availability of breeding places for the Aedes aegypti mosquito vectors. The study was to determine the relationship between environmental sanitation behavior and the case of DHF in the working area of the Tarus Community Health Center in 2020. The study design was descriptive-analytical with a cross-sectional study approach. The sample was_99 respondents taken by simple random sampling technique. Data was collected from interviews and analyzed using the Chi-square test. The results showed that the varuabels of  knowledge (p = 0.000), attitudes (p = 0.021), and actions to environmental sanitation (p = 0.000) were related to the DHF case. The Tarus Community Health Center should increase outreach activities and family empowerment efforts related to the prevention and control of DHF.


2020 ◽  
Vol 7 (1) ◽  
pp. 16
Author(s):  
Nita Pujianti ◽  
Lia Anggraini

ABSTRAKPneumonia merupakan penyebab banyak kematian balita di dunia. Selama tahun 2016 terdapat 568.146 (65,27%) jumlah kasus pneumonia pada balita yang ada di Indonesia. Berdasarkan data Dinas Kesehatan Provinsi Kalimantan Selatan tercatat kasus pneumonia tahun 2017 sebesar 66,52%, data tertinggi pada Puskesmas Beruntung Raya dengan angka 105 kasus (10,80%) di tahun 2017. Tujuan penelitian ini adalah untuk menganalisis faktor-faktor yang berhubungan dengan kepatuhan penggunaan antibiotika pada orang tua pasien anak yang terdiagnosa pneumonia di wilayah kerja Puskesmas Beruntung Raya serta menganalisa faktor yang paling dominan mempengaruhi. Penelitian ini menggunakan rancangan observasional analitik melalui pendekatan cross sectional. Populasi dalam penelitian ini adalah semua orang tua yang memeriksakan anaknya dalam satu tahun terakhir di Puskesmas Beruntung Raya. Sampel dalam penelitian ini berjumlah 77 responden ditentukan dengan teknik purposive sampling dan berlangsung selama 3 (tiga) bulan. Analisa data menggunakan uji chi square dan regresi logistik biner dan kuisioner sebagai Instrumen penelitian. Hasil penelitian menunjukkan bahwa terdapat hubungan antara kedisiplinan (p-value= 0,001), sugesti sembuh (p-value= 0,012), dan komunikasi (p-value= 0,025). Variabel kedisiplinan merupakan yang paling berpengaruh dominan terhadap kepatuhan penggunaan antibiotika, sehingga pasien yang disiplin lakan lebih patuh dalam meminum obat antibiotika daripada pasien yang tidak disiplin.Kata-kata kunci: Kepatuhan, pneumonia, kedisiplinan, sugesti sembuh, komunikasiABSTRACTPneumonia is the cause of many under-five deaths in the world. During 2016 there were 568,146 (65.27%) of the number of pneumonia cases in children under five in Indonesia. From the data of the South Kalimantan Provincial Health Office recorded pneumonia cases in 2017 amounted to 66.52%, the highest data in Beruntung Jaya Community Health Center with a number of 105 cases (10.80%) in 2017. The purpose of this study was to analyze the factors related by adhering to the use of antibiotics in the parents of pediatric patients with diagnosed with pneumonia in the work area of Beruntung Jaya Community Health Center and analysis the most dominant factor influencing. This study uses an observational analytic design through a cross sectional approach. The population in this study were all parents who had their children examined in the past year at Beruntung Raya Health Center. The sample in this study amounted to 77 respondents determined by purposive sampling technique and lasted for 3 (three) months. Data analysis using chi square test and binary logistic regression and questionnaires as research instruments. The results showed that there was a relationship between discipline (p-value= 0.001), recovery suggestions (p-value= 0.012), and communication (p-value= 0.025). Disciplinary variable is the most dominant influence on adherence to the use of antibiotics, so that disciplined patients are more obedient in taking antibiotic drugs than patients who are not disciplined.Key words: Compliance, pneumonia, discipline, healing suggestion, communication


2019 ◽  
Vol 10 (2) ◽  
pp. 657-664
Author(s):  
Fitriani Ningsih ◽  
Rizki Muji Lestari

Latar belakang: Air Susu Ibu dapat memenuhi kebutuhan nutrisi bayi, imunologi dan psikologis. Walaupun ASI memiliki manfaat yang baik untuk bayi, namun faktanya masih banyak ibu yang tidak memberikan ASI secara ekslusif. Hal ini disebabkan karena beberapa alasan yaitu puting susu lecet, payudara bengkak, saluran susu tersumbat, mastitis, abses payudara, kelainan anatomi puting, atau bayi enggan menyusu sehingga membuat ibu tidak memberikan ASI secara eksklusifTujuan: Penelitian ini untuk melihat hubungan perawatan payudara dan frekuensi menyusui dengan produksi asiMetode: Desain penelitian ini menggunakan desain penelitian analitik dengan pendekatan cross sectional. Besar sampel pada penelitian sebanyak 30 responden ibu nifas yang ada di ruang Nifas RSUD dr. Doris Sylvanus Kota Palangka Raya. Pengambilan sampel menggunakan teknik purposive sampling dan pengujian statistik menggunakan uji statistik Chi-Square.Hasil: Berdasarkan hasil penelitian pada variabel perawatan payudara diperoleh nilai p = 0,048 (P Value a 0, 05) sehingga dapat disimpulkan bahwa ada hubungan perawatan payudara dengan produksi ASI dan pada variabel frekuensi pemberian ASI diperoleh nilai p = 0,009 (P Value a 0,05).Kesimpulan: ada hubungan perawatan payudara dan frekuensi pemberian ASI terhadap produksi ASI sehingga tindakan perawatan payudara yang baik dan secara rutin serta pemberian ASI sesering mungkin dapat membantu meningkatkan produksi ASI. Kata Kunci: Perawatan, Frekuensi, Menyusui dan Produksi ASIBackground: Breast milk can meet the nutritional needs of infants, immunology and psychological. Although breast milk has good benefits for babies, in fact there are still many mothers who do not exclusively breastfeed. This is due to several reasons, namely blisters nipples, swollen breasts, blocked milk ducts, mastitis, breast abscesses, anatomical abnormalities of the nipple, or the baby is reluctant to breastfeed so that the mother does not exclusively breastfeedObjective: This study is to look at the relationship between breast care and frequency of breastfeeding with breast milk productionMethod: The design of this study uses analytic research design with cross sectional approach. The sample size in the study were 30 postpartum mothers in the post-partum hospital RSUD dr. Doris Sylvanus Palangkaraya City. Sampling using purposive sampling techniques and statistical testing using the Chi-Square statistical test.Results: Based on the results of research on the variable breast care obtained p value = 0.048 (P Value a0.05) so it can be concluded that there is a relationship between breast care with breast milk production and on the variable frequency of breastfeeding obtained p value = 0.009 (P Value a 0.05).Conclusion: there is a relationship between breast care and the frequency of breastfeeding to the production of breast milk so that good and routine breast care measures and breastfeeding as often as possible can help increase milk production. Keywords: Care, Frequency, Breastfeeding and Breast Milk Production


Author(s):  
Putri Mufrida Rahmah

Tuberculosis (TB), infection disease caused by M. tuberculosis, is a global challenge in health. TB can damage socially by causing stigma and isolation society also inflict financial loss. About 75% TB patients is productive ages economically (15-50 years old) and is estimated would lose working times 3-4 months and thus would lose their incomes about 20-30%. This study aims to determine the relation between incomes with the success of tuberculosis in treatment at Community Health Center of Johar Baru Central Jakarta in 2016. This study was done by analytical survey with cross sectional design. Population and sample are adult patients at Community Health Center of Johar Baru in 2016. Samples are selected using Simple Random Sampling. The data were collected by using questionnaires and crosschecked by looking at TB03 Card. Data was analyzed by using Chi Square test. There were 45 patients (80,4%) succeed in TB treatment and 32 patients (78%) have low incomes (<Regional minimum wage).  Results from statistical tests using Chi Square test obtained P value = 0.115 (>0.05). There is no relation between incomes with the success of Tuberculosis treatment on Tuberculosis patients in Community Health Center of Johar Baru Central Jakarta in 2016.


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