MENINGKATKAN FREKUENSI MENYUSUI MEMPERCEPAT ONSET LAKTASI
Background:The administration of breast milk since early after birth is highly recommended because it provides many health benefits for mother and baby. In the first hour, a baby willlearn to get used to sucking nipples and this prepares the mother to start producingcolostrums. The open access to maternal and infant closeness and unlimited frequency offeeding the baby for the first days after birth are the beginning of the acceleration of milkproduction.
Objectives:To determine the postpartum mothers’ breastfeeding frequency, to determine theonset of lactation in primiparous postpartum mothers and to determine the effect ofbreastfeeding frequency on the onset of lactation on postpartum mothers in YogyakartaMunicipal Hospital.
Methods:This was an observational study with a prospective cohort design. The number ofsamples was 54 determined purposively. The collection of data used observation sheet andchecklist. The study was started immediately after birth and followed until the third day. Thebivariable analysis used chi-square test with significant level of p <0.05 and CI95%.
Results:The study found the majority of mothers had breastfed their babies with sufficientfrequency (72.2%) and with more rapid onset of lactation (64.8%) found in primiparouspostpartum mothers. There was a significant relationship between the frequency ofbreastfeeding and the onset of lactation, based on the analysis withp= 0.03, RR 2.3 andCI95% 0.95-4.23.
Conclusion:Mothers who breastfed their babies with sufficient frequency were likely to havea 2.3 time opportunity to not delay the onset of lactation.
Keywords: Breastfeeding frequency, onset of lactation, primiparous
Fraser DM. and Cullen L. (2006) Postnatal management and Breast-feeding. Obstetrics & Gynaecology; 16(2): 65–71.
Gupta A. Initiating breastfeeding with in in one hour of birth. World Breastfeeding Week (WBW); 2007.
Smith JW, Tully MR. Midwifery management of breastfeeding: usingthe evidence. J Midwifery Womens Health. 2001Nov-Dec;46 (6):423-38
Edmond M, Zandoh C, Quigley AM,Etego AS, Agyei OS, Kirkwood B.Delayed breastfeeding initiation increased risk of neonatal mortality.Pediatrics. 2006;117:380-6.
Gartner L, Morton J, Lawrence R, ale. Breastfeeding and the use ofhuman milk. American academy of pediatrics. 2005;115 (2):496-506.
Forster DA., Mc Lachlan HL., RaynerJ., Yelland J., Gold L and Rayner S. (2008).The early postnatal period: Exploring women's views, expectations and experiences of care using focus groups in Victoria, Australia. BMC Pregnancy and Childbirth,8:27.
Yanikkerem E, Tuncer R, Aslan M,Karadeniz G. Breastfeeding know-ledge and practices among motherin Manisa, Turkey. Midwifery. 2009;25:e19-e32.
Sakha K, Behbahan AGG. The onset time of lactation after delivery. Medical Journal of The Islamic Republic of Iran. 2005;19(2):135-9.
Labbok M. Effects of breastfeeding on the mother. Pediatr Clin North Am. 2001;48:143-58
Chapman DJ, Escamilla RP. Mater-nal perception of the onset of lactation is a valid, public health indicatorn of lactogenesis stage II.The Journal of Nutrition. 2000: 2972-80.
Hruschka DJ, Sellen DW, Stein AD,Martorell R. Delayed onset of lactation and risk of ending full breastfeeding early in rural Gua-temala. The Journal of Nutrition.2003:2592-9.
Rivers LAN, Chantry CJ, Peerson JM, Cohen RJ, Dewey KG. Delayed onset of lactogenesis among first-time mothers is related to maternal obesity and factors associated with in effective breastfeeding. Am J Clin Nutr. 2010; 92:574-84.
Dewey KG, Nommsen-Rivers LA,Heinig MJ, Cohen RJ. Risk factorsfor suboptimal infant breastfeeding behavior: Delayed onset of lactation,and excess neonatal weight loss. Pediatrics. 2003;112:607-19
Yamauchi Y,Yamanouchi I. Breast-feeding frequency during the first 24hours after birth in fullterm neo-nates. Pediatrics. 1990 Aug;86(2):171-5.
Giugliani, E.R.J., Santo, L.C.D.E.,Oliveira, L.D.D. & Aert, D. (2008) Intake of water, herbal teas and non-breast milks during the firstmonth of life: Associated factors andimpact on breastfeeding duration. Early Human Development,84:305-310.