WASPADAI KETERLAMBATAN ONSET LAKTASI PADA IBU OBESITAS

  • Eni Priska Dewi Silaban Stikes Jenderal Achmad Yani Yogyakarta
  • Dwi Susanti Stikes Jenderal Achmad Yani Yogyakarta

Abstract

Background: Efforts to increase exclusive breastfeeding have become a Global Action since 1990. However, exclusive breastfeeding in Yogyakarta in 2010 was still low at 40.57%, still far from the national target of 80%. Several studies have shown that the onset of lactation may be an obstacle of mothers in breastfeeding their babies exclusively. One cause in the delay of the onset of lactation is body mass index (BMI).

Objective: To determine the relationship of body mass index (BMI) to the onset of lactation in primiparous postpartum mothers in Panembahan Senopati Hospital of Bantul.

Methods: The study design was a prospective cohort with primiparous postpartum mothers as the study subjects. Sampling was done by purposive sampling technique with a sample size of 62 people. The data were collected using observation sheet instruments. The data were analyzed with univariable and bivariable analysis using Chi-square test with a significance level of p <0.05.

Results: Based on the results of the research, overweight BMI with a slow onset of lactation was 30.6%, and with a rapid onset of lactation was 3.2%. Normal BMI with a slow onset of lactation was 6.5%, and with a rapid onset of lactation was 59.7%. The result of Chi-square showed a significance of p value of 0.00 (p <0.05) and a value of contingency coefficient of 0.62.

Conclusion: There was a significant relationship between BMI and the onset of lactation in primiparous postpartum mothers in Panembahan Senopati Hospital of Bantul. It is recommended that pregnant women prepare themselves for pregnancy in order to keep their body mass index in the normal range to avoid the delay of the onset of lactation.

Keywords: Onset of lactation, body mass index, postpartum mothers

Author Biographies

Eni Priska Dewi Silaban, Stikes Jenderal Achmad Yani Yogyakarta

Jl. Ringroad Barat Ambarketawang Gamping Sleman Yogyakarta 0274 434 2000

Dwi Susanti, Stikes Jenderal Achmad Yani Yogyakarta

Jl. Ringroad Barat Ambarketawang Gamping Sleman Yogyakarta 0274 434 2000

References

Rokhanawati, D., Patria, S.Y. & Supar- yanti, R. (2006) Hubungan Karakteristik Ibu Bersalin dan Petugas Kesehatan de- ngan Praktik Menyusui Dini Di RSU PKU Muhammadiyah Yogyakarta. Jurnal Ke- bidanan dan Keperawatan, 2 (1), 1-10.

WHO/ UNICEF. (2006) Breastfeeding Definitions and Data Collection Periods. Canada: WHO and UNICEF.

Dewan, N., Wood, L., Maxwell, S., Cooper, C. & Brabin, B. (2002) Breast- feeding Knowledge and Attitudes of Tee- nage Mothers in Liverpool. Hum Nutr Dietet, 15, 33-37.

Dewey, K.G., Rivers, L.A.N., Heinig, M.J. & Cohen, R.J. (2003) Risk Factor for Suboptimal Infant Breastfeeding Beha- vior, Delayed Onset of Lactation, and Excess Neonatal Weight Loss. American Academy of Pediatrics, 112, 607-619.

Hruschka, D.J., Sellen, D.W., Stein, A.D. & Martorell, R. (2003) Delayed Onset of Lactation and Risk of Ending Full Breast- feeding Early in Rural Guatemala. The Journal of Nutrition, 133, 2592-2599.

Rivers, L.A.N., Chantry, C.J., Peerson, J.M., Cohen, R.J. & Dewey, K.G. (2010) Delayed Onset of Lactogenesis Among First-Time Mother Is Related to Maternal Obesity and Factors Associated with Ineffective Breastfeeding. Am J Clin Nutr, 92, 574-584.

Rasmussen, K.M. & Kjolhede, C.L. (2004) Prepregnant Overweight and Obesity Diminish the Prolactin Response to Suckling in the First Week Post- partum. American Academy of Pedia- trics, 113, e465.

Gordis, L. (2004) Epidemiologi, 3rd edi- tion. Pennsylvania: W.B. Elsevier Saun- ders.

Nursalam. (2011) Konsep dan Pene- rapan Metodologi Penelitian Ilmu Kepe- rawatan, Pedoman Skripsi, Tesis dan Instrumen Penelitian Keperawatan (Eds 2). Jakarta: Salemba Medika.

Susanto, N. (2010) Besar Sampel Dalam Penelitian Kesehatan. Yogyakarta: Digi- books.

Rivers, L.A.N., Mastergeorge, A.M., Hansen, R.L., Cullum, A.S. & Dewey, K.G. (2009) Doula Care, Early Breast- feeding Outcomes, and Breastfeeding Status at 6 Weeks postpartum Among Low-Income Primiparae. The Association of Women’s Health, Obstetric and Neo- natal Nurses, 38, 157-173.

Depkes RI. (2003) Strategi Nasional Pe- ningkatan Pemberian Air Susu Ibu Sam- pai Tahun 2005. Jakarta : Depkes RI.

Sugiyono. (2007). Statistik Untuk Pene- litian. Bandung : Cv Alfabeta.

Galletta, G. M. Obesity Causes. Diakses 8 Juli 2012. Available at :

Agoes, D. & Poppy, M. (2003) Mencegah dan Mengatasi Kegemukan Pada Balita. Jakarta: Puspa Swara.

Subardja, D. (2004) Obesitas Primer Pada Anak. Bandung: PT. Kiblat Buku Utama.

Notoatmodjo, S. (2003) Pengantar pen- didikan kesehatan dan ilmu perilaku. Jakarta : Rineka cipta.

Kristiyansari, W. (2009) ASI, Menyusui dan Sadari. Yogyakarta: Nuha Medika.

Dewey, K.G. (2001) Maternal and Fetal Stress Are Associated with Impaired Lactogenesis in Humans. The Journal of Nutrition, 131, 3012-3015.

Roesli, U. (2008) Inisiasi Menyusu Dini Plus ASI Eksklusif. Jakarta: Pustaka Bunda.

Proverawati, A. & Rahmawati, E. (2010) Kapita Selekta ASI dan Menyusui. Yogyakarta: Nuha Medika.

Ambarwati, E.R. & Wulandari, D. (2010) Asuhan Kebidanan Nifas. Yogyakarta: Nuha Medika.

Lain, K.Y. & Catalano, P.M. (2007) Metabolic Changes in Pregnancy. Clin Obstet Gynecol, 50, 938 – 948.

Clausen, T., Burski, T.K., Oyen, N., Godang, K., Bollerslev, J. & Henriksen, T. (2005) Maternal Anthropometric and Metabolic Factors in the First Half of Pregnancy and Risk of Neonatal Macro- somia in Term Pregnancies. A Prospec- tive Study. Eur J Endocrinol, 153, 887 – 894.

Ben-Haroush, A., Yogev, Y. & Hod, M. (2004) Epidemiology of Gestational Dia- betes Mellitus and Its Association with Type 2 Diabetes. Diabet Med, 21, 103 – 113.

Grajeda, R. & Escamilla, R.P. (2002) Stress During Labor and Delivery Is Associated with Delayed Onset of Lactation among Urban Guatemalan Women. The Journal of Nutrition, 132, 3055-3060.

Rasmussen, K.M. & Kjolhede, C.L. (2004) Prepregnant Overweight and Obesity Diminish the Prolactin Response to Suckling in the First Week Post- partum. American Academy of Pedia- trics, 113, e465.

Eglash, A., Montgomery, A. & Wood, J. (2008) Breastfeeding. Dis Mon, 54, 343- 411.

Lawrence, R. & Lawrence, R. (2008) Approach to Breast- Feeding. Dalam Dugan, C (Eds). Nutrition in Pediatrics. 4th edition. Hamilton, Ontario, Canada: BC Decker Inc.

WHO. (2009) Infant and Young Child Feeding: Model Chapter for Textbooks for Medical Students and Allied Health Professionals. Geneva: WHO.

Hurst, N.M. (2007) Recognizing and Treating Delayed or Failed Lactogenesis II. The America College of Nurse-Mid- wives, 52 (6), 588-594.

Rasmussen, K.M., Hilson, J.A. & Kjolhede, C.L. (2001) Obesity May Im- pair Lactogenesis II. The Journal of Nu- trition, 131, 3009-3011.

WHO dan IASO. (2000) The Asian – Pacific Perspective : Redefining obesity and Its Treatment. Australia : Health Communications Australia Pty Limited on behalf on the Sterring Committe.

Hilson, J.A., Rasmussen, K.M. & Kjolhede, C.L. (2004) High Prepregnant Body Mass Index Is Associated with Poor Lactation Outcomes among White, Rural Women Independent of Psycho- social and Demographic Correlates. J Hum Lact, 20 (1), 18-29.

Hatini, E.E. (2011) Pengaruh Onset Laktasi Terhadap Praktik Pemberian ASI Pada Neonatus Di Kota Palangka Raya. Tesis S-2, Program Pascasarjana, IKM. UGM. Yogyakarta.

Published
2019-10-25
How to Cite
1.
Dewi Silaban EP, Susanti D. WASPADAI KETERLAMBATAN ONSET LAKTASI PADA IBU OBESITAS. Media ilmu kesehatan [Internet]. 2019Oct.25 [cited 2024Nov.19];1(3):112-8. Available from: https://ejournal.unjaya.ac.id/index.php/mik/article/view/26