Bertalina Bertalina Bertalina, Endang Sri Wahyuni, Keke Bela Martina

Teknik Menyusui Berhubungan dengan Keberhasilan ASI Eksklusif

Introduction

Teknik menyusui berhubungan dengan keberhasilan asi eksklusif. Studi di Bandar Lampung: Teknik menyusui berhubungan signifikan dengan keberhasilan ASI eksklusif. Edukasi teknik menyusui penting bagi ibu hamil dan menyusui untuk optimalkan ASI.

Abstract

ABSSTRACT Breast milk is the best nutrition for optimal growth and development in infants. It is essential for a child's growth and intelligence. Infants who are not exclusively breastfed until the first six months of life are at risk of developing infectious diseases such as severe diarrhea. This study was descriptive with a cross-sectional approach. The sample size was 38 respondents. The study was conducted in Bumi Waras Village, Bumi Waras District, Bandar Lampung City. Data collection took place in April 2024. Data analysis used chi square test. The results of the study showed that 10.5% of babies received exclusive breastfeeding. Mother who had low knowledge of exclusive breastfeeding was 63.2%, received rooming in care were 34.2%, carried out early breastfeeding initiation were 50%, found history difficulty in breastfeeding were 92.1%. Chi square test showed that there were no significant relationship between exclusive breastfeeding and early breastfeeding initiation (p = 0.113), rooming in (p = 0.207), mothers' knowledge (p = 0.788). There was a significant relationship between breastfeeding techniques exclusive breastfeeding and exlusive breastfeeding (p = 0.02). The Community Health Center can provide education to pregnant women to choose health facilities that provide Rooming In and Early Breastfeeding Initiation (IMD). Health workers should provide education on exclusive breastfeeding and breastfeeding techniques to mothers from pregnancy through integrated health posts, pregnancy classes, and community health centers. ABSTRAK Air Susu Ibu (ASI) merupakan nutrisi terbaik bagi pertumbuhan dan perkembangan optimal bayi. Air susu ibu sangat diperlukan untuk pertumbuhan dan kecerdasan anak. Bayi yang tidak diberikan ASI eksklusif hingga usia enam bulan pertama kehidupan akan berisiko terkena diare yang parah dan fatal. Jenis penelitian ini adalah jenis deskriptif dengan pendekatan cross sectional. Sampel berjumlah 38 responden. Lokasi penelitian ini dilaksanakan di Kelurahan Bumi Waras Kecamatan Bumi Waras Kota Bandar Lampung. Pengumpulan data dilaksanakan pada bulan April 2024. Analisis data menggunakan chi square. Hasil penelitian menunjukkan bahwa bayi yang mendapatkan ASI eksklusif 10,5% . Pengetahuan ibu tentang ASI eksklusif dengan kategori cukup 63,2%, Ibu yang mendapatkan perawatan rooming in 34,2%, melakukan Inisiasi Menyusu Dini (IMD) sebesar 50%, ditemukan riwayat kesukaran pada saat menyusui sebesar 92,1%. Hasil uji chi square didapat tidak ada hubungan yang signifikan antara ASI eksklusif dengan IMD (p= 0.113), rooming in (p= 0.207), pengetahuan ibu ( p= 0,788). Teknik menyusui berhubungan dengan ASI eksklusif (p= 0.02). Puskesmas dapat memberikan edukasi kepada ibu hamil untuk memilih fasilitas kesehatan yang menyediakan Rooming In dan Inisiasi Menyusu Dini (IMD). Petugas kesehatan agar dapat memberikan edukasi tentang ASI eksklusif dan teknik menyusui kepada ibu sejak kehamilan melalui posyandu dan kelas ibu hamil serta puskesmas.

Review

This study aimed to investigate factors influencing exclusive breastfeeding success in Bumi Waras Village, Bandar Lampung City, employing a descriptive cross-sectional design with a sample of 38 respondents. The findings reveal a concerningly low rate of exclusive breastfeeding, with only 10.5% of infants receiving it. While the study explored several factors, including early breastfeeding initiation (IMD), rooming-in care, and maternal knowledge, none of these showed a significant statistical relationship with exclusive breastfeeding in this sample. Crucially, the analysis identified a significant association between breastfeeding techniques and the achievement of exclusive breastfeeding (p=0.02), suggesting a direct link between proper technique and successful exclusive breastfeeding practices. Despite its timely focus on a critical public health issue, the study is significantly hampered by methodological limitations. The extremely small sample size of 38 respondents severely restricts the generalizability of the findings and compromises the statistical power to detect meaningful relationships, particularly with a Chi-square test. A notable inconsistency in the abstract regarding maternal knowledge ("low knowledge" in English vs. "sufficient knowledge" in Indonesian for 63.2% of mothers) introduces ambiguity and affects the interpretation of results concerning this variable. Furthermore, the reported 92.1% incidence of mothers experiencing difficulty in breastfeeding is striking and suggests a widespread problem that warrants deeper exploration, which this study's design and limited scope may not fully capture beyond identifying technique as a related factor. Nevertheless, the identification of breastfeeding technique as a significant correlate provides a clear actionable insight for public health interventions. The study's recommendations for Community Health Centers to educate pregnant women on choosing appropriate health facilities and for health workers to provide comprehensive education on exclusive breastfeeding and techniques are well-placed. Future research should address the limitations by employing larger, more representative sample sizes to validate these findings and explore other potential determinants with greater statistical robustness. Qualitative studies could also prove invaluable in understanding the nuances behind the high reported difficulties and specific knowledge gaps, thereby informing more effective and targeted support programs for mothers.

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