THE RELATIONSHIP OF EARLY BREASTFEEDING INITIATION WITH POSTPARTUM MATERNAL PROLACTIN LEVELS

Abstract

Breastfeeding (ASI) is the best way to meet the nutritional needs for growth and development of infants. The scope of exclusive breastfeeding in the city of Padang in West Sumatra province in 2014 reached 72.2%. This level is still far below the national target of 80% in 2015. No secretion of breast milk in the first days after birth has led to the failure executive of not breastfeeding ekskusif. One of the ways that support successful breastfeeding is Early Initiation of Breastfeeding (IMD). The first hour after the baby was born is a golden opportunity to will determine the success of a mother to breastfeed her baby because the baby had been trained optimally instinctively find their own mother's nipple. The purpose of this study was to determine the influence of IMD against postpartum maternal prolactin levels. The decrease of breast milk production and milk ejection after delivery could be caused by a lack of stimulation of prolactin and oxytocin hormone which has an important role in production and ejection of breast milk. The purpose of this study was to the correlation of IMD on postpartum maternal prolactin levels.  This study was an analytical study with the cross-sectional study. It was conducted at a midwifery clinic in Padang and at the Biomedical laboratory of Andalas University in August 2014 to November 2016 with 50 postpartum subjects (each group was 25 subjects). The result of this study showed that the mean prolactin level in the successful early breastfeeding group was 314,88 ± 40,38 ng/ml, while prolactin level in unsuccessful early breastfeeding group was 144,481 ± 28,101 ng/ml (p = 0,000). It is concluded that there is a significant correlation between Early Breastfeeding Initiation (IMD) with prolaktin postpartum.