THE EFFECTIVENESS COMBINATION OF HYPNOBREASTFEEDING AND BREAST EXERCISES ON BREAST MILK PRODUCTION TIME IN THIRD TRIMESTER PREGNANT WOMEN

Dian Puspita Reni, Rezki Puspitaningsih, Ratna Wati, Evy Nurachma
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Abstract

Background : Global Breastfeeding Scorecard report that evaluates breastfeeding data from 194 countries, the percentage of infants under six months who are exclusively breastfed is only 9.79% (9 countries). Meanwhile, in Indonesia exclusive breastfeeding for 0-6 months is only 50.67%. Several factor inhibiting exclusive breastfeeding such as lack of breast care during antenatal and physiological conditions of the breast before or during breastfeeding. Pregnant women have difficulty expressing breast milk on the first day until third day after giving birth. One of the alternative method to speed up the breast milk production time is using hypnobreastfeeding and breast exercises.Methods: Quasi Experiment with Static Group Comparison design. Hypnobreastfeeding and breast exercises are independent variables. Breast milk production time is the dependent variable. The research sample was third trimester pregnant women whose breast milk has not come out at the Clinic Samarinda City. Total sample are 38 respondents and used purposive sampling. Samples were selected by according to inclusion and exclusion criteria. Technique analysis data bivariate used Chi-Square.Result: ρvalue (0.016) < α (0.05). The relative risk (RR) is 5,152.Conclusion: The combination of hypnobreastfeeding and breast exercises is effective on breast milk production time in third trimester pregnant women at the Clinic Samarinda City. Researchers suggest that health workers can provide training on hypnobreastfeeding and breast exercises to pregnant women whose breast milk has not come out (from 28-36 weeks of gestation), training can be done from 36 weeks of gestation. 
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催眠母乳喂养结合乳房运动对妊娠晚期产妇产乳时间的影响
背景:全球母乳喂养记分卡报告评估了194个国家的母乳喂养数据,6个月以下婴儿纯母乳喂养的百分比仅为9.79%(9个国家)。与此同时,印度尼西亚0-6个月纯母乳喂养的比例仅为50.67%。抑制纯母乳喂养的几个因素,如产前缺乏乳房护理和母乳喂养前或期间乳房的生理状况。孕妇在分娩后的第一天直到第三天都很难分泌母乳。另一种加快母乳分泌时间的方法是使用催眠母乳喂养和乳房运动。方法:采用静态组比较设计进行准实验。催眠母乳喂养和乳房锻炼是独立的变量。母乳分泌时间是因变量。研究样本是在萨玛林达市诊所,母乳还没有流出的妊娠晚期孕妇。样本总数为38人,采用目的性抽样。根据纳入标准和排除标准选取样本。技术分析数据采用双变量卡方。结果:ρ值< α(0.05)。相对危险度(RR)为5152。结论:在萨玛林达市诊所,催眠母乳喂养与乳房运动相结合对妊娠晚期孕妇的泌乳时间有较好的效果。研究人员建议,卫生工作者可以向母乳尚未排出的孕妇(妊娠28-36周)提供催眠母乳喂养和乳房锻炼方面的培训,培训可以从妊娠36周开始进行。
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