Background: Exclusive breastfeeding's rate in Indonesia is still low. One of the causes of this failure is the prelacteal feeding in infants' early life. Prelacteal feeding can cause the infants reluctance to suckle their mothers' breasts, diarrhea, allergy, ear infections and respiratory disorders in infants. One of the efforts to prevent prelacteal feeding is providing lactation counselingto women in the third trimester of pregnancy. Objective: To assess the impact of lactation counseling to women in the third trimester of pregnancy toward prelacteal feeding to newborn infants. Method: This research design usedrandomized controlled trial (RCT) which is divided into treatment group (pregnant women class and individual lactation counseling) n=33 and control group (pregnant women class only) n=34. The subjects are woman in the third trimester of pregnancy in the work area of Puskesmas Sokaraja 1, Banyumas. The sampling technique is simple random sampling. Chi square, relative risk (RR) and logistic regression analysis is used for statistical analysis. Result and Discussion: Proportion mothers who did not give prelacteal feeding wassignificantly higher in intervention group than in control group, 69% vs 30% with RR = 1.69 (95% CI: 1.06 to 2.68) p = 0.01. Conclusion: Mothers who received counseling lactation in the third trimester of pregnancy had a 1.69 times greater chance to not give prelacteal than mothers who did not receive counseling lactation.

Background: Striae gravidarum is a common phenomenon that occurs in pregnant women and a marker of decrease in skin elasticity. Poor elasticity of the perineum can result perineal laceration in vaginal childbirth. This study was to determine the relationship of striae gravidarum perinenum with the occurrence lacerations in normal labor, and the factors that most influence the occurrence of mild and severe perineal lacerations.Method: Used a cross sectional design, with a sample of 188 respondents. Assessment striae gravidarum using Atwal et al (2006) which has been modified, assessment of perineal lacerations used RCOG (2006). Data collection was done during the months of April to July 2015 in the maternity room Panembahan Senopati Bantul Hospital. Result and Discussion:Factors that influence the occurrence of mild laceration were striae gravidarum moderate-severe (RP 1,230: CI 95% 1,23053-1,23066), primiparous (RP 1,2675: CI 95% 1,13709-1,41298). Factors that influence the occurrence of severe laceration were striae gravidarum moderate-severe (RP 1,676: CI 95% 1,246-2,255), primiparous (RP 1,117: CI 95% 1,1172-1,1175), the lithotomy position (RP 1,012: CI 95% 1,011-1,0629). Conclusion:Striae gravidarum is factor that influence the occurance of perineal laceration. Checking of striae gravidarum can be to estimate the severity of perineal laceration, the more scores striae gravidarum more severe perineal laceration that may be experienced by childbirth mothers. ABSTRAKLatar Belakang: Striae gravidarum adalah fenomena yang lazim terjadi pada ibu hamil dan merupakan penanda penurunan elastisitas kulit. Elastisitas perineum yang kurang baik dapat mengakibatkan laserasi perineum pada persalinan vaginal. Penelitian ini untuk mengetahui hubungan striae gravidarum dengan kejadian laserasi perinenum pada persalinan normal, dan faktor-faktor yang paling mempengaruhi terjadinya laserasi perineum ringan dan berat. Metode:Menggunakan cross sectional design, dengan sampel sebesar 188 responden. Penilaian striae gravidarum menggunakan metode Atwal et al (2006) yang telah dimodifikasi, penilaian laserasi perineum menggunakan metode RCOG (2006). Pengumpulan data dilakukan selama bulan April-Juli 2015 di kamar bersalin RSUD Panembahan Senopati Bantul. Hasil dan Pembahasan:Faktor-faktor yang mempengaruhi terjadinya laserasi ringan adalah striae gravidarum sedang-berat (RP 1,230: 95%IK 1,23053-1,23066), primipara (RP 1,2675: 95%IK 1,13709-1,41298). Faktor-faktor yang mempengaruhi terjadinya laserasi berat adalah striae gravidraum sedang-berat (RP 1,676: 95%IK 1,246-2,255), primipara (RP 1,117: 95%IK 1,1172-1,1175), posisi litotomi (RP 1,012: 95%IK 1,011-1,0629).Kesimpulan: Striae gravidarum merupakan salah satu faktor yang dapat mempengaruhi terjadinya laserasi perineum. Memeriksa striae gravidarum dapat untuk memperkirakan tingkat keparahan laserasi perineum, semakin banyak skor striae gravidarum semakin parah laserasi perineum yang mungkin dialami ibu bersalin.