PERBANDINGAN PELAKSANAAN INISIASI MENYUSU DINI BERDASAR TINGKAT PENGETAHUAN IBU HAMIL

Abstract

Background The high number of Infant Mortality Rate (IMR) in Indonesia was still being one of health problems in Indonesia. Early breastfeeding was one of suitable intervention that can significantly reduce infant mortality. The failure of early breastfeeding were caused by several factors such as lack of knowledge of mothers about the importance of early breastfeeding. Therefore, It required a good exposure of information about early breastfeeding to increase the mother's knowledge so it would be adequate and early breastfeeding could also be implemented. Objective Comparing the performance of early breastfeeding in pregnant women with high levels of knowledge about early breastfeeding and pregnant women with low levels of knowledge about early breastfeeding. Methods This was a prospective cohort study. A total of 56 samples of pregnant women with gestational age> 28 weeks of pregnancy that check on the health center Ngesrep and health center Halmahera during March-June 2012 and met the inclusion criteria and became sample in this study. Samples were divided into high-knowledge group (n = 28) and low-knowledge group (n = 28). All samples were filled out questionnaires and were interviewed after delivery. Data analysis was performed with the chi-square test for bivariate analysis and multiple logistic regression for multivariate analysis. Result The level of knowledge has a significant relation with the implementation of the early breastfeeding with a significance of p=0.029 and an RR of 1.615, which means that the rate of implementation of the early breastfeeding in the group with high knowledge levels 1.6 times higher than those with low levels of knowledge. Conclusion Implementation of the IMD in the mother with high level of early breastfeeding knowledge were greater than the mother with low level of knowledge about early breastfeeding. Keyword Early initiation of breastfeeding, knowledge level, pregnant women, nursing mothers