Beberapa Faktor Yang Berpengaruh terhadap Praktik Pemberian ASI Oleh Ibu Menyusui Pertama yang Dirawat di Rumah Sakit Islam Sultan Agung Semarang (The Factors that Influence the Practice of First Breast Feeding by Mother Hospitalized at Sultan Agung Moslem Hospital in Semarang)

Abstract

The effort of breast feeding has often been done. Main barrier of its effort is lack of the right information about mother's milk and breast feeding on mothers. A hospital is one of child-birth facilities that influence the success of mothers in providing breast feeding. By providing the services of lactase management, health workers can assist mothers to be more successful in providing mothers milk. Some results of the previous research revealed that low of providing mothers milk which consisted of early providing of breast feeding and providing exclusive breast feeding was influenced by some factors. Those factors could be from facilities of heatth services namely a hospital or from a mother. Aim of this research was to analyze the influence of elucidation of breast feeding, guiding of breast feeding, joined care services, education, knowledge, and jobs towards the practice of breast feeding. This was observational research using quantitative method and cross-sectional approach. Sample was carried out by Accidental Sampling towards 55 mothers who had fulfilled inclusion criteria at Sultan Agung Moslem Hospital. Qualitative data were collected from health workers. Data were analyzed using Chi-Square test and Continuity Correction. Multivariate analysis used logistic regression. The result of this research shows that the variables which have a significant relationship with practice of breast feeding are elucidation of breast feeding (p=0.011), guiding of breast feeding (p=0.001), joined care services (p=0.008), and mothers knowledge (p=0.002). Otherwise, the variables which do not have a significant relationship with practice of breast feeding are mothers education (p=0.948) and mother's jobs (p=0.948). Based on multivariate analysis, the factors that influence the practice of breast feeding are the guiding of breast feeding (p=0.017) and mother's knowledge (p=0.011). To increase coverage of breast feeding practice on the hospitalized mother group, the hospital management should make Standard Operating Procedure for guiding of breast feeding, perform elucidation for mothers, and provide leaflets and brochures to improve mothers knowledge. Upaya pemberian ASI telah banyak dilakukan. liambatan utama pemberian ASI adalah kurang sampainya pengetahuan yang benar tentang ASI dan menyusui pada para ibu. Rumah sakit sebagai salah satu tempat melahirkan, turut mempengaruhi keberhasilan ibu dalam memberikan ASI. Dengan pelayanan manajemen laktasi petugas dapat mambantu ibu lebih berhasil dalam pemberian ASI. Beberapa penelitian menyimpulkan rendahnya pemberian ASI, balk pemberian ASI dini maupun pemberian ASI eksklusif yang disebabkan oleh banyak faktor.Faktor tersebut dapat berasal dad pelayanan kesehatan yang didapat dad rumah sakit maupun faktor ibu sendiri. Tujuan penelitian ini adalah mengetahui pengaruh faktor penyuluhan menyusui, bimbingan menyusui dan pelayanan Rawat Gabung, serta pendidikan, pengetahuan, pekerjaan dengan praktik pemberian ASI, Rancangan penelitian Cross Sectional, pengambilan sampel Accidental sampling pada 55 ibu menyusui, yang telah memenuhi kriteria inklusi di RSI SA Semarang. Metode kuantitatif dan kualitatif. Pengolahan data dengan diskriptif dan analitik. Hubungan dianalisa dengan chi square dengan koreksi Yates. Hubungan multivariat dengan logistik regression.Data kualitatif wawancara dad petugas . Hasilnya bahwa ada hubungan pelayanan penyuluhan menyusui ( P= 0,011), bimbingan menyusui (P=0,001), pelayanan Rawat Gabung (P=0,008), pengetahuan ibu (P= 0,002), dengan praktik pembedan ASI.Pendidikan ibu (P=0,948 ), pekeijaan ibu (P=0,948 ) tidak berhubungan dengan praktik pemberian ASI. Kesimpulan studi ini bahwa pelayanan bimbingan menyusui(p=0,017), pengetahuan ibu (p=0,011), memberikan pengaruh cukup besar dalam keberhasilan praktik pemberian ASI Untuk meningkatkan praktik pemberian ASI pada ibu, menejemen rumah sakit perlu menyusun standard operasional prosedur tentang pelayanan bimbingan menyusui. Dan untuk meningkatkan pengetahuan ibu tentang menyusui, perlu membuat brosur atau leaflet.