Correlation Between Anxiety and Breast Milk Production Among Breastfeeding Mothers in Public Health Center of Jagir, Surabaya

Abstract

Background: The low coverage of exclusive breastfeeding in Indonesia is caused by several factors, one of which is anxiety. The mother feels anxious because she is unable to provide enough milk for her baby.Objectives: The purpose of this study is to analyze the correlation between anxiety and breast milk production among breastfeeding mother in Public Health Center of Jagir, Surabaya.Methods: The design of this study was observational analytic with the cross-sectional approach. The study population were all of breastfeeding mothers in Public Health Center of Jagir, Surabaya who met the inclusion and exclusion criteria. The sample of this study was recruited through purposive sampling as many as 67 mothers. Data were collected by using the State Anxiety Inventory Questionnaire and the breast milk production observational sheet. The results of Cronbach Alpha test for the State Anxiety Inventory Questionnaire was .619 and the breast milk production observational sheet was .711. Descriptive statistics and Spearmen Rank Test with significance value less than .05 were used to analyzed data.Results: The results showed: 1) most breastfeeding mothers experienced moderate anxiety (91.04%), 2) some breastfeeding mothers showed smooth milk production (61.19%), 3) There was a correlation between anxiety and breast production in breastfeeding mothers (p = 0.001).Conclusion: The more severe anxiety in nursing mothers, the production of breast milk becomes not smooth. Future studies are expected to analyze other factors that can affect breast milk production in breastfeeding mothers. Keywords: Anxiety, Breast Milk Production, Breastfeeding Mother

The Effectiveness of Hypnobreast feeding Massage on Anxiety and Breast Milk Production in Postpartum Mothers

“…Psychological conditions such as stress trigger an increase in cortisol and catecholamine, which can inhibit the release of prolactin and oxytocin (36,37). Suppose the opposite occurs, namely in the Hypno-breastfeeding induction stage.…”

“…Deep and regular relaxation during Hypno-breastfeeding increases the production of endorphins, leading to an enjoyable breastfeeding process for both mother and baby (26,39). Psychological conditions such as stress trigger an increase in cortisol and catecholamine, which can inhibit the release of prolactin and oxytocin (36,37). Suppose the opposite occurs, namely in the Hypnobreastfeeding induction stage.…”

Dukungan Sosial dan Tingkat Kecemasan Ibu Hamil pada Masa Pandemi COVID-19

“…Sedangkan pada ibu hamil multigravida sudah memiliki gambaran mengenai apa yang akan terjadi sehingga bisa lebih berhati-hati lebih bisa menekan rasa cemasnya. Hal ini sesuai dengan hasil penelitian Zamriati dengan p-value= 0,000 yang Septianingrum dkk diperoleh bahwa terdapat korelasi antara kecemasan dan produksi ASI pada ibu menyusui 30 . Upaya peningkatan ASI eksklusif telah diupayakan dengan membentuk konselor ASI di setiap puskesmas 31 32 .…”

Tingkat Kecemasan Ibu dan Pemberian ASI Eksklusif pada Masa Pandemi COVID-19

“…13 Berdasarkan penelitian Septianingrum dkk diperoleh bahwa terdapat korelasi antara kecemasan dan produksi ASI pada ibu menyusui (p-value < 0,001 dengan nilai r sebesar -0,381). 14 Selanjutnya Sulastri dan Sugiyanto menyatakan bahwa berdasarkan hasil uji chi-square diperoleh nilai p-value sebesar 0,004 (p-value < 0,05) sehingga disimpulkan ada hubungan antara kecemasan ibu dan pemberian ASI pada masa nifas. 15 Cakupan pemberian ASI eksklusif di Indonesia pada tahun 2019 mengalami penurunan dibandingkan dengan tahun 2018.…”

“…Hal ini memiliki keeratan hubungan yang termasuk dalam kategori rendah (r = -0,381). 14 Hasil penelitian sejalan dengan Sulastri dan Sugiyanto yang menunjukkan bahwa ada hubungan kecemasan ibu dengan pemberian ASI akan tetapi pada penelitiannya hubungan kedua variabel tersebut memiliki keeratan hubungan dalam kategori sedang dan dalam hubungan positif. 15 Lemahnya hubungan kecemasan ibu dengan pemberian ASI eksklusif dalam penelitian ini dimungkinkan karena terdapat pengaruh faktor lain yang dapat mempengaruhi pemberian ASI eksklusif seperti sikap dan pengetahuan ibu mengenai ASI eksklusif, dukungan suami dan dukungan tenaga kesehatan.…”