Pengaruh Inisiasi Menyusu Dini (IMD) Terhadap Involusi Uterus Pada Ibu Bersalin Di BPS Kota Padang Tahun 2013

Abstract

One of changes that occur in puerperal (post-partum is involution . uterus Involution or uterine contraction is a process uterus back into shape before pregnant . Uterine involution can also be regarded as the return of the uterus to its original state or condition before becoming pregnant. There are several factors that affect uterine involution including postpartum gymnastics. early mobility for maternal mothers, Early breastfeeding initiation, nutrition status, psychological age and parity factors. Early initiation of breastfeeding (Inisiasi Menyusui dini or IMD) is a breastfeeding process immediately after birth for 1 h . The purpose of research is to study influence of implementation early breastfeeding initiation (IMD) on the maternal uterine involution in BPS Padang. This type of research is the study cohort analytic design Prospektive . Population and sample in this research is maternal in BPS Padang in 2013 with techniques samples is concecutive sampling . The variables studied in this research is dependent and independent variables . dependent variable studied were uterine involution while independent variables were early breastfeeding initiation (IMD). Quantitative data analysis include univariable and bivariate analysis with using t test. The results showed that average Height of uteri Fundus on day 6 postpartum that give Early Breastfeeding initiation (IMD) is 10,54 cm with standard deviation of 1.103 cm while Height of Fundus uteri in mother don;t give IMD is 13.33 with standard deviation 1,129 . based on statistical tests found an average difference both of them is p value of 0.000 with 95 % CI 2.143 to 3.440. There is a significant fundus height difference between mother that give IMD and who does not in BPS Padang . Health workers, particularly midwife are expected to be able to perform delivery assistance with IMD . Keywords : Early breastfeeding Initiation (IMD) , uterus involution Abstrak Salah satu perubahan yg terjadi di masa nifas (post partum) pada alat reproduksi yaitu terjadi involusi. Involusi uterus atau pengerutan uterus merupakan suatu proses dimana uterus kembali ke kondisi sebelum hamil. Involusi uteri dapat juga dikatakan sebagai proses kembalinya uterus pada keadaan semula atau keadaan sebelum hamil. Ada beberapa faktor yang mempengaruhi involusi uterus antara lain senam nifas, mobilitas dini ibu post partum, inisiasi menyusu dini, gizi, psikologis dan faktor usia serta faktor paritas. Inisiasi menyusu dini (IMD) adalah proses bayi menyusu segera setelah dilahirkan selama 1 jam. Tujuan penelitian adalah diketahui pengaruh pelaksanaan inisiasi menyusu dini (IMD) terhadap involusi uterus pada ibu bersalin di BPS Kota Padang. Jenis penelitian ini adalah penelitian analitik dengan disain Kohort Prospektive. Populasi dan Sampel dalam penelitian ini adalah ibu bersalin di BPS Kota Padang tahun 2013 dengan teknik pengembilan sampel dengan concecutive sampling. Variabel-variabel yang dipelajari dalam penelitian ini adalah variabel terikat dan variabel bebas. Variabel terikat yang diteliti adalah Involusi uterus Variabel bebas yang diteliti adalah inisiasi menyusu dini (IMD). Penelitian ini menggunakan analisis data secara kuantitatif yaitu: analisis univariabel dan analisis bivariabel dengan menggunakan uji t (t test). Hasil penelitian