Early Initiation of Breastfeeding Can Accelerate Uterine Involution in Postpartum Women
DOI:
https://doi.org/10.30829/contagion.v5i3.17550Abstract
Maternal Mortality Rate (MMR) in Indonesia is still high with the main causes of pre-eclampsia and postpartum hemorrhage, this occurs due to endometritis, congenital coagulation disorders as well as residual conception products, subinvolution of blood vessels at placental implantation. Therefore, efforts are needed to increase uterine contractions in the first minute after birth by stimulating the release of the hormone oxytocin so that the uterus contracts adequately with early initiation of breastfeeding (EIB). This study aims to determine the effect of EIB on uterine involution in postpartum mothers in Bengkulu Regency, Bengkulu Province. Design of research is cross sectional with independent variable of EIB, dependent variable of uterine involution. External variables measured include early mobilization, age and parity. The sample in this study were postpartum mothers on day 7, a total of 54 people selected by purposive sampling. The research site was located in Central Bengkulu Regency, Bengkulu Province. Data were analyzed univariate, bivariate with Mann Whitney and multivariate with ancova. There is an effect of EIB with uterine involution p=0.000. There is no relationship between parity and uterine involution p=0.100. There is a relationship between age and uterine involution p=0.00. There is a relationship between early mobilization and uterine involution p=0.00. EIB is the dominant factor affecting uterine involution in postpartum mothers. EIB is the dominant factor affecting uterine involution. Health care providers should perform EIB within the first hour after the birth of the baby to prevent sub involution in postpartum women. Keywords: Breastfeeding, Early, Initiation, Involution, UterineReferences
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Antonio, L., Ciampo, D., & Lopes, I. R. (2018). Breastfeeding and the Benefits of Lactation for Women’s Health Aleitamento materno e seus benefÃcios para a saúde da mulher. Rev Bras Ginecol Obstet, 40, 354–359.
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Colin, V., Keraman, B., & Sundari, Dwi, A. (2019). Pengaruh Senam Nifas Terhadap Penurunan Tinggi Fundus Uteri Pada Ibu Post Partum Di BPM Bidan Susi Irma Navia, S.ST Kota Bengkulu. Jurnal Sain Kesehatan, 26(1), 70–78.
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Delli Carpini, G., Morini, S., Papiccio, M., Serri, M., Damiani, V., Grelloni, C., Clemente, N., & Ciavattini, A. (2019). The association between childbirth, breastfeeding, and uterine fibroids: an observational study. Scientific Reports, 9(1), 10117. https://doi.org/10.1038/s41598-019-46513-0
Diba Faisal, A., Serudji, J., & Ali, H. (2020). Pelaksanaan Program Inisiasi Menyusu Dini Di Wilayah Kerja Puskesmas Lubuk Buaya Kecamatan Koto Tangah. Jurnal Kesehatan Andalas, 8(4), 1–9. https://doi.org/10.25077/jka.v8i4.1092
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Liabsuetrakul, T., & Peeyananjarassri, K. (2018). Mechanical dilatation of the cervix during elective caesarean section before the onset of labour for reducing postoperative morbidity. Cochrane Database of Systematic Reviews, 2018(11). https://doi.org/10.1002/14651858.CD008019.pub3
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Ningsih, R. (2021). Analysis of Factors Affecting the Acceleration of Uterine Involution in the Postpartum. Proceedings of the First International Conference on Health, Social Sciences and Technology (ICoHSST 2020), 521(ICoHSST 2020), 224–229. https://doi.org/10.2991/assehr.k.210415.047
Paliulyte, V., Drasutiene, G. S., Ramasauskaite, D., Bartkeviciene, D., Zakareviciene, J., & Kurmanavicius, J. (2017). Physiological Uterine Involution in Primiparous and Multiparous Women: Ultrasound Study. Obstetrics and Gynecology International, 2017, 1–10. https://doi.org/10.1155/2017/6739345
Pangemanan, L., Prabantoro, B. T. R., & Susan, S. (2020). Early Breastfeeding Initiation And Exclusive Breastfeeding Impact On Growth Of Baby From One To Six Months Of Age. Jurnal Widya Medika, 6(2), 111–120.
Pradana, M. A. R. A., & Asshiddiq, M. R. F. (2021). Hubungan Antara Paritas Dengan Kejadian Perdarahan Postpartum. Jurnal Ilmiah Kesehatan Sandi Husada, 10, 327.
Purwati, Y. (2019). The Effect of Postpartum Exercise to Uterine Involution. SSRN Electronic Journal. https://doi.org/10.2139/ssrn.3494312
Putri, R. H., Surmiasih, S., Kameliawati, F., & Afifah, H. (2020). Inisiasi Menyusu Dini dan Pencapaian Involusi Uterus pada Ibu Postpartum. Faletehan Health Journal, 7(03), 149–154. https://doi.org/10.33746/fhj.v7i03.136
RI, K. K. (2021). Profil Kesehatan Indonesia Tahun 2020. In Kementerian Kesehatan RI. https://doi.org/10.1524/itit.2006.48.1.6
Rohmawati, I., Kholidati, R., Masruroh, E., Afrian Nuari, N., Widayati, D., Rodli, F., Adhi Prasnowo, M., Rizki Amalia, E., Sugiarto, A., & Heru Romadhon, A. (2019). The Factors Affecting Uterine Involution in Post SC Mothers. Journal of Physics: Conference Series, 1175(1). https://doi.org/10.1088/1742-6596/1175/1/012284
Rosdiana, R., Anggraeni, S., & Jamila, J. (2022). Pengaruh Senam Nifas Dan Mobilisasi Dini Terhadap Involusi Uterus Pada Ibu Post Partum. Jurnal Ilmu Keperawatan Dan Kebidanan, 13(1), 98. https://doi.org/10.26751/jikk.v13i1.1276
Schrey-Petersen, S., Tauscher, A., Dathan-Stumpf, A., & Stepan, H. (2021). Diseases and Complications of the Puerperium. Deutsches Ärzteblatt International, 118(25), 436–446. https://doi.org/10.3238/arztebl.m2021.0168
Supriani, N. N. (2021). Manfaat Penyuluhan Dengan Media Video Terhadap Peningkatan Pengetahuan Ibu Hamil Trimester III Tentang Inisiasi Menyusu Dini. Jurnal Ilmiah Kebidanan (The Journal Of Midwifery), 9(2), 123–131. https://doi.org/10.33992/jik.v9i2.1529
World Health Organisation. (2023). Maternal mortality 22. February, 6–11.
Wray, S., Prendergast, C., & Wallace, H. (2021). Physiology of the Puerperium and Lactation. The Global Library of Women’s Medicine. https://doi.org/10.3843/GLOWM.415293
Yorita, E., Yanniarti, S., & Istiarika, I. (2023). Oxytocin Massage Can Increase Breastfeeding Production in Postpartum Mothers. Contagion: Scientific Periodical Journal of Public Health and Coastal Health, 5(2), 673. https://doi.org/10.30829/contagion.v5i2.15428
Al Sabati, S. Y., & Mousa, O. (2019). Effect of Early Initiation of Breastfeeding on the Uterine Consistency and the Amount of Vaginal Blood Loss during Early Postpartum Period. Nursing & Primary Care, 3(3). https://doi.org/10.33425/2639-9474.1108
Amelia, R., Masrul, M., & Sriyanti, R. (2019). The Effect of Breastfeeding on The Uterine Involution Post Partum Mothers. World Journal of Research and Review, 8(1), 1–3. https://doi.org/10.31871/WJRR.8.1.3
Antonio, L., Ciampo, D., & Lopes, I. R. (2018). Breastfeeding and the Benefits of Lactation for Women’s Health Aleitamento materno e seus benefÃcios para a saúde da mulher. Rev Bras Ginecol Obstet, 40, 354–359.
Badan Pusat Statistik Provinsi Bengkulu. (2022). Katalog :Profil Kesehatan Ibu Dan Anak Provinsi Bengkulu 2022.
Balitbangkes RI. (2018). Laporan Riskesdas 2018 Nasional.pdf. In Lembaga Penerbit Balitbangkes.
Cholifah, N., & Siswanti, H. (2021). Factors Related to the Speed of the Uterus Involution in Post Partum Mothers. Developing a Global Pandemic Exit Strategy and Framework for Global Health Security, 862–867. https://doi.org/10.26911/ICPHmaternal.FP.08.2021.25
Colin, V., Keraman, B., & Sundari, Dwi, A. (2019). Pengaruh Senam Nifas Terhadap Penurunan Tinggi Fundus Uteri Pada Ibu Post Partum Di BPM Bidan Susi Irma Navia, S.ST Kota Bengkulu. Jurnal Sain Kesehatan, 26(1), 70–78.
Declercq, E., & Zephyrin, L. (2020). Maternal Mortality in the United States. Commonwealthfund.Org.
Delli Carpini, G., Morini, S., Papiccio, M., Serri, M., Damiani, V., Grelloni, C., Clemente, N., & Ciavattini, A. (2019). The association between childbirth, breastfeeding, and uterine fibroids: an observational study. Scientific Reports, 9(1), 10117. https://doi.org/10.1038/s41598-019-46513-0
Diba Faisal, A., Serudji, J., & Ali, H. (2020). Pelaksanaan Program Inisiasi Menyusu Dini Di Wilayah Kerja Puskesmas Lubuk Buaya Kecamatan Koto Tangah. Jurnal Kesehatan Andalas, 8(4), 1–9. https://doi.org/10.25077/jka.v8i4.1092
Dixon, L., Skinner, J., & Foureur, M. (2013). The Emotional and Hormonal Pathways of Labour and Birth: Integrating Mind, Body and Behaviour. New Zealand College of Midwives Journal, 48, 15–23. https://doi.org/10.12784/nzcomjnl48.2013.3.15-23
Erickson, E. N., Carter, C. S., & Emeis, C. L. (2020). Oxytocin, Vasopressin and Prolactin in New Breastfeeding Mothers: Relationship to Clinical Characteristics and Infant Weight Loss. Journal of Human Lactation, 36(1), 136–145. https://doi.org/10.1177/0890334419838225
Fahriani, M., Ningsih, D. A., Kurnia, A., & Mutiara, V. S. (2020). The Process of Uterine Involution with Postpartum Exercise of Maternal Postpartum. Jurnal Kebidanan, 10(1), 48–53. https://doi.org/10.31983/jkb.v10i1.5460
Hadianti, D. N., & Sriwenda, D. (2019). The Effectiveness of Postpartum Exercise and Oxytocin Massage on Uterus Involution. Open Journal of Nursing, 09(03), 231–238. https://doi.org/10.4236/ojn.2019.93023
Horwood, G., Opondo, C., Choudhury, S. S., Rani, A., & Nair, M. (2020). Risk factors for maternal mortality among 1.9 million women in nine empowered action group states in India: secondary analysis of Annual Health Survey data. BMJ Open, 10(8), e038910. https://doi.org/10.1136/bmjopen-2020-038910
Kementrian Kesehatan RI. (2018). Survei Demografi dan Kesehatan Indonesia Tahun 2017.
Lestari, G. I., & Azizah, L. N. (2022). Uterus Involution And Psychological Adaptation In Postpartum Mothers. Jurnal Kebidanan Malahayati, 8(2), 469–477. https://doi.org/10.33024/jkm.v8i2.6400
Liabsuetrakul, T., & Peeyananjarassri, K. (2018). Mechanical dilatation of the cervix during elective caesarean section before the onset of labour for reducing postoperative morbidity. Cochrane Database of Systematic Reviews, 2018(11). https://doi.org/10.1002/14651858.CD008019.pub3
Mudlikah, S. (2022). Hubungan Paritas Dan Mobilisasi Dini Dengan Percepatan Involusio Uteri Pada Ibu Nifas. Indonesian Journal of Midwifery Today, 2(1), 35–40. https://doi.org/http://dx.doi.org/10.30587/ijmt.v2i01.5608
Ningsih, R. (2021). Analysis of Factors Affecting the Acceleration of Uterine Involution in the Postpartum. Proceedings of the First International Conference on Health, Social Sciences and Technology (ICoHSST 2020), 521(ICoHSST 2020), 224–229. https://doi.org/10.2991/assehr.k.210415.047
Paliulyte, V., Drasutiene, G. S., Ramasauskaite, D., Bartkeviciene, D., Zakareviciene, J., & Kurmanavicius, J. (2017). Physiological Uterine Involution in Primiparous and Multiparous Women: Ultrasound Study. Obstetrics and Gynecology International, 2017, 1–10. https://doi.org/10.1155/2017/6739345
Pangemanan, L., Prabantoro, B. T. R., & Susan, S. (2020). Early Breastfeeding Initiation And Exclusive Breastfeeding Impact On Growth Of Baby From One To Six Months Of Age. Jurnal Widya Medika, 6(2), 111–120.
Pradana, M. A. R. A., & Asshiddiq, M. R. F. (2021). Hubungan Antara Paritas Dengan Kejadian Perdarahan Postpartum. Jurnal Ilmiah Kesehatan Sandi Husada, 10, 327.
Purwati, Y. (2019). The Effect of Postpartum Exercise to Uterine Involution. SSRN Electronic Journal. https://doi.org/10.2139/ssrn.3494312
Putri, R. H., Surmiasih, S., Kameliawati, F., & Afifah, H. (2020). Inisiasi Menyusu Dini dan Pencapaian Involusi Uterus pada Ibu Postpartum. Faletehan Health Journal, 7(03), 149–154. https://doi.org/10.33746/fhj.v7i03.136
RI, K. K. (2021). Profil Kesehatan Indonesia Tahun 2020. In Kementerian Kesehatan RI. https://doi.org/10.1524/itit.2006.48.1.6
Rohmawati, I., Kholidati, R., Masruroh, E., Afrian Nuari, N., Widayati, D., Rodli, F., Adhi Prasnowo, M., Rizki Amalia, E., Sugiarto, A., & Heru Romadhon, A. (2019). The Factors Affecting Uterine Involution in Post SC Mothers. Journal of Physics: Conference Series, 1175(1). https://doi.org/10.1088/1742-6596/1175/1/012284
Rosdiana, R., Anggraeni, S., & Jamila, J. (2022). Pengaruh Senam Nifas Dan Mobilisasi Dini Terhadap Involusi Uterus Pada Ibu Post Partum. Jurnal Ilmu Keperawatan Dan Kebidanan, 13(1), 98. https://doi.org/10.26751/jikk.v13i1.1276
Schrey-Petersen, S., Tauscher, A., Dathan-Stumpf, A., & Stepan, H. (2021). Diseases and Complications of the Puerperium. Deutsches Ärzteblatt International, 118(25), 436–446. https://doi.org/10.3238/arztebl.m2021.0168
Supriani, N. N. (2021). Manfaat Penyuluhan Dengan Media Video Terhadap Peningkatan Pengetahuan Ibu Hamil Trimester III Tentang Inisiasi Menyusu Dini. Jurnal Ilmiah Kebidanan (The Journal Of Midwifery), 9(2), 123–131. https://doi.org/10.33992/jik.v9i2.1529
World Health Organisation. (2023). Maternal mortality 22. February, 6–11.
Wray, S., Prendergast, C., & Wallace, H. (2021). Physiology of the Puerperium and Lactation. The Global Library of Women’s Medicine. https://doi.org/10.3843/GLOWM.415293
Yorita, E., Yanniarti, S., & Istiarika, I. (2023). Oxytocin Massage Can Increase Breastfeeding Production in Postpartum Mothers. Contagion: Scientific Periodical Journal of Public Health and Coastal Health, 5(2), 673. https://doi.org/10.30829/contagion.v5i2.15428
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