AbstrakUpaya meningkatkan cakupan pemberian ASI eksklusif sudah banyak dilakukan, diantaranya dalam bentuk promosi kesehatan. Namun demikian hingga saat ini kegiatan tersebut belum menunjukkan hasil yang optimal terutama dalam hal penggunaan media. Tujuan penelitian ini adalah untuk mengetahui pengaruh media promosi kesehatan terhadap peningkatan pengetahuan menggunakan media leaflet dan media film. Ini merupakan penelitian eksperimen semu (quasi-experimental) dengan rancangan pretest-posttest group design. Dilaksanakan di wilayah kerja puskesmas Lubuk Begalung Padang tahun 2014. Subjek penelitian adalah ibu hamil sebanyak 42 orang yang dipilih dengan cara simple random sampling. Subjek dibagi menjadi dua kelompok, kelompok pertama menggunakan media leaflet dan kelompok kedua dengan media film. Data dianalisis dengan uji Wilcoxon Signed Rank Test untuk mengetahui perbedaan pengetahuan sebelum dan sesudah promosi kesehatan dan uji Mann-Whitney membandingkan kedua media promosi kesehatan. Rata-rata pengetahuan responden sebelum diberikan promosi kesehatan dengan media leaflet 8,71 dan setelahnya 11,52. Pada media film sebelum diberikan promosi kesehatan 7,90 dan setelahnya 13,19. Selisih nilai pengetahuan responden dengan media leaflet 2,81 dan media film 5,29. Ada peningkatan pengetahuan ibu sebelum dan sesudah diberi promosi kesehatan dengan media leaflet dan media film.Media film lebih efektif meningkatkan pengetahuan dibanding dengan media leaflet. Kata kunci: ASI eksklusif, leaflet, film AbstractVarious attempts have been taken to improve the granting of exclusive breastfeeding, one of them is health promotion. Nonetheless, the health promotion has not shown the optimal result especially on the use of media. The objective of this study was to determine the effect of health promotion regarding exclusive breastfeeding on the knowledge improvement of pregnant mothers either by using leaflet or film media. This was a quasi-experimental study with pretest-posttest group design. This study was conducted in the area of Lubuk Begalung health center Padang in 2014. The subjects were 42 pregnant women, choosen by using simple random sampling. The subject were divided into two categories. The first category was given a health promotion by using leaflet as the media and the second category was given by using film as the media.

Iron deficiency anemia (IDA) has a long-term impact on each life stage and remains worldwide a major public health problem. Eleven experts were invited to participate in a virtual meeting to discuss the present situation and the available intervention to prevent iron deficiency anemia in Indonesia. The experts consisted of obstetric gynecologists, pediatricians, nutritionists, midwives, a clinical psychologist, and an education expert. Existing interventions focus attention on preconception and early childhood stages. Considering the inter-generational effects of IDA, we call attention to expanding strategies to all life stages through integrating political, educational, and nutritional interventions. The experts agreed that health education and nutritional intervention should be started since adolescence. Further research to explore the effectiveness of these interventions would be important for many regions in the world. The outcome of this Indonesian consensus is applicable worldwide.

No abstract

AbstrakAngka 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

No abstract