Articles

Exclusive breastfeeding: The role of midwives at pregnancy, childbirth and postpartum

Ni Kadek Neza Dwiyanti , Komang Ayu Kartika Sari, Dyah Pradnyaparamitha Duarsa

Ni Kadek Neza Dwiyanti
The Bali Province Health Institute. Email: nezhadwiyanthi@gmail.com

Komang Ayu Kartika Sari
Udayana University

Dyah Pradnyaparamitha Duarsa
Udayana University
Online First: December 01, 2019 | Cite this Article
Dwiyanti, N., Sari, K., Duarsa, D. 2019. Exclusive breastfeeding: The role of midwives at pregnancy, childbirth and postpartum. Public Health and Preventive Medicine Archive 7(2): 127-134. DOI:10.15562/phpma.v7i2.219


Background and purpose: The coverage of exclusive breastfeeding is reported to be low. The aim of this study was to explore the extent of the roles of midwives during pregnancy, childbirth and postpartum in efforts to increase exclusive breastfeeding.

Methods: This study used a qualitative approach with in-depth interviews using interview guidelines to explore the role of midwives in increasing exclusive breastfeeding during pregnancy, childbirth and postpartum. The study was conducted in the working area of Kuta I Public Health Center (PHC), Badung District, Bali Province from October 2017-July 2018. Interviews were conducted with 12 informants chosen purposively, namely three PHC midwives, two private practice midwives, one nutrition program manager, four mothers who managed to provide exclusive breastfeeding and two who did not. Data were analyzed with a thematic approach.

Results: This study shows that the roles of midwives are not optimal. The role that has been carried out during pregnancy is to provide information about breast care but not to practice breast care. During labor, the midwife facilitated the initiation of early breastfeeding except for mothers who experienced childbirth complications. During the postpartum period the midwife provides information about breastfeeding to working mothers and monitors exclusive breastfeeding at the integrated health services centers or in Indonesia called pos pelayanan terpadu (posyandu) until the infant reach the age of six months. Midwives provide information about breast care and how to overcome problems in breastfeeding, but do not facilitate the practice of both. All midwives do not make home visits for several reasons, namely distance to residents' homes, high burden of tasks and lack of human resources. Midwives also provide counselling at posyandu on maternal and child nutrition but do not focus on exclusive breastfeeding.

Conclusion: The roles of midwives in facilitating exclusive breastfeeding during pregnancy, childbirth and postpartum are still superficial and not in accordance with the guidelines for obstetric care. The roles of midwives need to be enhanced to increase exclusive breastfeeding.

References

Kemenkes, RI. 2012. Peraturan Pemerintah Republik Indonesia Nomor 33 Tahun 2012 Tentang Pemberian Air Susu Ibu Eksklusif. Pusat Data dan Informasi Kesehatan.

Setiawati, E., Mukhtar, M. and Maslani, N. 2014. Hubungan Sikap dan Peran Bidan Terhadap Program Pemberian ASI Ekslusif di Wilayah Kerja PHC Jambu Burung Kabupaten Banjar. Public Health, 6, 1.(dissertation).Banjarmasin:Poltekkes Kementerian Kesehatan.

Retnani, D. A. 2016. Hubungan Peran Petugas Kesehatan dengan Motivasi Ibu dalam Pemberian ASI Eksklusif di Desa Wonorejo Kecamatan Kencong Kabupaten Jember (tesis). Jember :Universitas Jember.

Prayogo, D. 2013. Hubungan Peran Bidan dan Dukungan Suami dengan Pemberian ASI Eksklusif di Wilayah Kerja PHC Colomadu I (tesis).Surakarta: Universitas Muhammadiyah.

Hadi Nur Pratiwi, E. 2015. Hubungan Peran Bidan dengan Perilaku Pemberian ASI Eksklusif Pada Ibu yang memiliki Bayi Usia 0-6 Bulan di Kelurahan Bawen Kecamatan Bawen Kabupaten Semarang (karya tulis ilmiah). Semarang :Sekolah Tinggi Ilmu Kesehatan Ngudi Waluyo Ungaran.

Budi, B. 2014. Profil Ibu dan Peran Bidan dalam Praktik Inisiasi Menyusu Dini dan ASI Eksklusif. Jurnal Kesehatan Masyarakat, 10 No. 1, 53–63. (tesis). Semarang : Universitas Negeri Semarang.

Dinkes Provinsi Bali. 2016.Profil Kesehatan Provinsi Bali Tahun 2015. Dinas Kesehatan Provinsi Bali.

Kemenkes,RI., & JICA. 1997. Buku Kesehatan Ibu dan Anak 2016. Second Edition. Jakarta: Kesehatan Ibu dan Anak. p. 1-17

Fitriani, N. 2015. Peran Bidan Terhadap Keberhasilan Pemberian ASI Ekslusif di PHC Sruwohrejo Kecamatan Butuh Kabupaten Purworejo (karya tulis ilmiah). Yogyakarta : Sekolah Tinggi Ilmu Kesehatan Jenderal Achmad Yani.

Titrawati Dian, N. W. 2017. Peran Bidan Praktik Swasta dalam Pemberian ASI Eksklusif di Wilayah Kerja PHC Abiansemal Kabupaten Badung Tahun 2017 (tesis). Denpasar : Universitas Udayana.

Dinkes Kabupaten Badung. 2017.Profil Kesehatan Kabupaten Badung Tahun 2017. Dinas Kesehatan Kabupaten Badung.

Whaisna Switaningtyas, Tanto Hariyanto, Ragil Catur Adi W. 2017. Hubungan Perawatan Payudara Antenatal dengan Percepatan Sekresi Kolostrum pada Ibu Post Partum di RSIA MW Malang. Nursing News, 1, 3.(dissertation).Malang :UniversitMalanas Tribhuwana Tunggadewi.

Najat.2014. Perawatan Payudara Sebagai Intervensi dalam Mengatasi Masalah Ketidakefektifan Pemberian ASI pada Keluarga Bapak RM, Kelurahan Sukatani (Karya Tulis Ilmiah).Depok: Universitas Indonesia.

Diana Puspita, S. 2017. Asuhan Keperawatan dengan Penerapan Breastcare untuk Meningkatkan Produksi ASI pada Pasien Post SC di Ruang Bougenvil RSUD Dr. Soedirman Kebumen (Karya Tulis Ilmiah).Kebumen: Sekolah Tinggi Ilmu Kesehatan Muhammadiyah Gombong.

Farida Alhadar., Irawati Umaternate. 2017. Pengaruh Perawatan Payudara pada Ibu Hamil terhadap Peningkatan Produksi ASI di Wilayah Kerja PHC Kota Kecamatan Kota Ternate Tengah (Karya Tulis Ilmiah).Maluku Utara:Polteknik Kesehatan Kementrian Kesehatan Ternate.

Ruby Angeline Pricilla, Kirubah Vasandhi David, Rajeswari Siva, T. Jeni Christal Vimala, Sajitha Parveen MF Rahman, and Nancy Angeline.2017. Quality of Antenatal Care Provided by Nurse Midwives in an Urban Health Centre with Regard to Low-Risk Antenatal Mothers. Public Health, 42 (1).(journal).India: Department of Community Medicine

Heather A. Grimes, RM, BHSc, GradDipClinEd, MMid., Della A. Forster, Dip App Sci., Michelle S. Newton, Dip App Sci. 2014.Sources of Information Used by Women During Pregnancy to Meet their Information Needs. Public Health (journal). Australia:journal homepage: www.elsevier.com/midw

Mufdlilah, Prof. Dr. dr. A.A. Subijanto, M.S., Dr. H. Endang Sutisna, dr., M.Kes., FISPH.,FISCM., Prof. Dr. Muhammad Akhyar, M.Pd. 2017. Buku Pedoman Pemberdayaan Ibu Menyusui pada Program ASI Eksklusif. Yogyakarta

Widiastuti Yuni Puji, S. Kep., Ns., M. Kep., Dr. Sri Rejeki, S.Kep., Ns., M. Kep., Sp., Mat Nur Khamidah, S.Kep., Ns. 2013. Faktor-Faktor yang Mempengaruhi Pelaksanaan Inisiasi Menyusu Dini di Ruang Mawar Rumah Sakit Umum Daerah Dr. H. Soewondo Kendal. Jurnal Keperawatan Maternitas . Volume 1, No. 2, November 2013; 142-146. Kendal : Sekolah Tinggi Ilmu Kesehatan Kendal

Mujiati, Novianti. 2015. Faktor Pendukung Keberhasilan Praktik Inisiasi Menyusu Dini di RS Swasta dan Rumah Sakit Pemerintah di Jakarta. Public Health.(dissertation).Jakarta: Pusat Teknologi Intervensi Kesehatan Masyarakat, Badan Litbang Kementerian Kesehatan RI

Roesli, Utami. 2008. Inisiasi Menyusu Dini Plus ASI Eksklusif. Pustaka Bunda, Jakarta.

Umul Faizah.2014. Pengaruh Konseling Teknik Menyusui Yang Benar Pada Ibu Postpartum Terhadap Motivasi Ibu Dalam Pemberian ASI di RSU PKU Muhammadiyah Bantul (Karya Tulis Ilmiah).Yogyakarta: Sekolah Tinggi Ilmu Kesehatan Aisyiyah Yogyakarta.

Nuryanti, Wiwin D.2014. Hubungan Tingkat Pengetahuan Tentang Penyimpanan ASI dengan Pemberian ASI Eksklusif pada Ibu Bekerja di Wilayah Kerja PHC Bantul II Yogyakarta (Karya Tulis Ilmiah). Yogyakarta : Sekolah Tinggi Ilmu Kesehatan Aisyiyah Yogyakarta.

Jeniawaty.S, Sri Utami, Queen Khoirun Nisa’ Mairo. 2016. Asuhan Keperawatan Psikososial pada Ibu Postpartum dalam Menghadapi ASI Belum Keluar pada 0-3 Hari Pascasalin. Jurnal Ners. Volume 11, No. 2 Oktober 2016; 261-268. Surabaya: Poltekkes Kemenkes Surabaya.

Septaningrum, E., Jati, S., Suparwati, A. 2016. Faktor-Faktor yang Mempengaruhi Motivasi Bidan Pelaksana dalam Pelayanan Ibu Postpartum di Wilayah Kabupaten Blora. (tesis). Semarang: Universitas Diponegoro.

Yonemoto Naohiro , Dowswell Therese , Nagai Shuko , Mori Rintaro . 2017. Schedules for home visits in the early postpartum period. Cochrane Database of Systematic Reviews 2017, Issue 8. Art. No.: CD009326. Japan.

Akunga Daniel., Menya Diana and Kabue Mark. 2014. Determinants of Postnatal Care Use in Kenya Daniel. African Population Studies Vol. 28, No. 3, 2014. Kenya.


No Supplementary Material available for this article.
Article Views      : 195
PDF Downloads : 101