Onset Pengeluaran Kolostrum Persalinan Normal Lebih Cepat Daripada Persalinan Sectio Caesaria

Abstract

Background: Lactation onset is a term of multiplying breast milk until the release of breast milk for the first time. It is also perceived by mothers as a bit hard breast, inflammed, and full of breast milk or the release of colostrum. Colostrum is the first liquid secreted by breast milk gland since the first day until the fourth day of labour. One of the factors that influences lactation onset is labour methods. Mothers who undergo sectio caesaria surgery will experience pain and prolonged effects of anesthesia compared to mothers with normal labors.
 Objective: To investigate the difference of colostrum releasing onset in post partum mothers with normal labors and sectio caesaria in Panembahan Senopati General Hospital, Bantul.
 Method: This study was quantitative with cross sectional design. The number of samples were 80 respondents selected with purposive sampling technique. Study instrument was observational sheets. Data analysis applied Mann-Whitney test.
 Result: The majority of respondents who had normal labors and sectio caesaria experienced different colostrum onset. In normal labors, the time of colostrum release was 1 day. In sectio caesaria labors, the time of colostrum release was 2 days. The average duration of post partum mothers with normal labors was 13,6 hours and post partum mothers with sectio caesaria was 22,6 hours. The result of Mann-Whitney test was that there was a difference between colostrum release onset of post partum mothers with normal labors and sectio caesaria with p-value of 0,001 (p<0,05).
 Conclusion: Colostrum onsets were different in normal labors and sectio caesaria labors.
 Keyword: Colostrum, Normal labors, Sectio Caesaria labors.

The Influence of Knowledge About Breastfeeding Management in Reducing the Level of Anxiety in Women With Post Caesarean Delivery

“…Women who gave birth by cesarean had a tendency to experience breastmilk production disorders caused by the difficulty of early initiation of breastfeeding which resulted in reducing let down stimulation reflex from the baby's suction during the first breastfeeding, and less optimal prolactin levels (Zamzara, et.al, 2015). The reduced stimulation of let-down reflex causes a decrease in oxytocin hormone in post-cesarean women which has an impact on the process of breastfeeding, and women tend to delay breastfeeding (Kause, et. Al, 2016).…”

Efektivitas Pijat Oksitosin Dan Breast Care Pada Ibu Bersalin Terhadap Pengeluaran ASI Di Puskesmas Kamonji

“…memberikan rasa nyaman pada ibu sehingga mengurangi inhibisi pengeluaran oksitosin, namun tidak menstimulasi secara langsung pengeluaran hormon oksitosin sehingga pengeluaran air susu lebih relatif lebih lambat jika dibandingkan dengan breast care yang langsung memberikan stimulus untuk pengeluaran hormon oksitosin dan dilakukan langsung pada payudara.Hasil penelitian yang dilakukan oleh Kause, dkk tahun 2016 menyebutkan bahwa rata-rata durasi pengeluaran kolostrum pada ibu postpartum normal adalah 13,6 jam sedangkan pada ibu dengan persalinan section caesarea adalah 22,6 jam. Dalam penelitian ini, pemberian breast care terbukti dapat mempercepat pengeluaran ASI dimana rata-rata pengeluaran ASI adalah 5,57 jam.Pengeluaran ASI paling cepat kelompok breast care adalah 1,2 jam dan paling lama adalah 29,3 jam, dengan 93,3% responden bisa dikategorikan memiliki pengeluaran ASI yang cepat dan sisanya dalam kategori normal karena pengeluaran ASI terjadi pada hari kedua (>24 jam) 35. Selain pemberian pijat oksitosin dan breast care, dalam penelitian ini terdapat 2 karakteristik yang turut diamati, yaitu umur dan paritas sebagai faktor yang dikontrol langsung oleh peneliti untuk dibandingkan dalam masing-masing kelompok.…”