Hubungan Inisiasi Menyusu Dini dengan Kadar Oksitosin dan Involusi Uteri 2 Jam Post Partum di Klinik Bersalin Swasta Kabupaten Padang Pariaman Tahun 2014

Fatmi Nirmala Sari, Eryati Darwin, Emi Nurjasmi

Abstract

Abstrak

Angka Kematian Ibu (AKI) merupakan salah satu masalah kesehatan dunia. Penyebab AKI terbanyak adalah perdarahan. Inisiasi Menyusu Dini (IMD) merupakan titik awal yang penting untuk menyusui dan membantu merangsang produksi hormon oksitosin yang berperan dalam kontraksi uterus setelah melahirkan, sehingga akan membantu mengurangi pendarahan. Tujuan penelitian ini adalah menentukan hubungan IMD dengan kadar oksitosin dan involusi uteri 2 jam post partum. Jenis penelitian ini adalah observasional dengan pendekatan kohort. Penelitian ini dilaksanakan ± 3 bulan dengan jumlah subjek  36 orang. Pengolahan data dilakukan dengan komputerisasi. Data disajikan dalam bentuk distribusi frekuensi dan selanjutnya dilakukan independent t-test untuk mengetahui hubungan kedua variabel. Hasil penelitian didapatkan rerata kadar oksitosin ibu postpartum yang berhasil IMD adalah 58.47 ± 1.19pg/ml dan rerata tinggi fundus uteri ibu 2 jam postpartum yang berhasil IMD adalah 11.80 ± 0.73 cm. Hasil uji statistik didapatkan nilai (p<0,05). Kesimpulan penelitian yaitu terdapat hubungan yang bermakna antara IMD dengan kadar oksitosin dan involusi uteri 2 jam postpartum. Keberhasilan Inisiasi menyusu dini akan sangat berdampak positif bagi ibu postpartum.

Kata kunci: IMD, kadar oksitosin, involusi uteri 2 jam postpartum

 

Abstract

             Maternal Mortality Rate (MMR) is one of the world's health problems. The main cause of MMR is bleeding. Early Breastfeeding (EBF) is an important starting point for breastfeeding and also stimulate the production of the hormone oxytocin which plays a role in the contraction of the uterus after childbirth, so itt will help to reduce bleeding. The  objective of this study was to determine the relationship of EBF with levels of oxytocin and uterine involution 2 hours post partum. This research was observational cohort study. This research was conducted ± 3 months to 36 subjects. Data processing was performed with computerized. Data presented in the form of frequency distribution and then performed an independent t-test to determine the relationship between two variables. The results showed mean levels of oxytocin postpartum who successfully EBF was 58.47 ± 1.19pg / ml and the mean of height fundus 2 hours postpartum who successfully EBF was 11.80 ± 0.73 cm. Statistical test results obtained value (p< 0.05). There is a significant correlation between the EBF levels of oxytocin and uterine involution 2 hours postpartum. The success of early breastfeeding initiation will have a positive impact for postpartum mothers.

Keywords: EBF, levels of oxytocin, uterine involution 2 hours postpartum


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