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"Kualitas ikatan dan adaptasi psikososial postpartum memiliki peranan penting dalam hubungan antara ibu dengan bayi. Perencanaan kehamilan memengaruhi ibu beradaptasi setelah kelahiran dan kualitas ikatan antara ibu dan bayi. Di Indonesia, banyak wanita usia subur tidak merencanakan kehamilannya. Hal ini terbukti dari wanita di Indonesia yang tidak konsisten menjalankan program KB. Penelitian ini bertujuan untuk mengetahui gambaran adaptasi psikososial postpartum dan kualitas ikatan antara ibu dan bayi berdasarkan perencanaan kehamilan. Penelitian ini merupakan penelitian deskriptif. Sampel penelitian ada ibu nifas berusia 3-6 minggu. Hasil penelitian menunjukan bahwa mayoritas adaptasi negatif terjadi pada ibu tanpa perencanaan kehamilan. Namun, baik ibu dengan perencanaan kehamilan dan tanpa perencanaan kehamilan pada penelitian ini memiliki kualitas ikatan yang baik dengan bayinya.

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The quality of bonding and postpartum psychosocial adaptation have an important role in the relationship between mother and baby. Planning for pregnancy affects the mothers adaptation after birth and the quality of the bond between mother and baby. In Indonesia, many women in reproductive age do not plan their pregnancies. In fact, some women in Indonesia inconsistent in running family planning programs. This study aims to describe the postpartum psychosocial adaptation and the quality of the bond between mother and baby based on pregnancy planning. This research is a descriptive research. The study sample included postpartum mothers aged 3-6 weeks. The results showed that most negative adaptations occur in mothers without planning for pregnancy. However, both mothers with planning for pregnancy and without planning for pregnancy in this study had good bond quality with their babies."

"Ikatan antara ibu dan bayi memengaruhi kesejahteraan bayi dan ibu. Penelitian cross-sectional ini bertujuan untuk mengidentifikasi hubungan antara kondisi psikososial dan kepuasan terhadap pelayanan persalinan dengan ikatan ibu dan bayi. Teknik consecutive sampling dilakukan untuk memilih 246 ibu postpartum. Hasil penelitian menunjukan bahwa sebagian besar kondisi psikososial ibu tidak berisiko (76.4%), puas terhadap pelayanan persalinan (62.6%) dan ikatan ibu dan bayi baik (73.2%). Terdapat hubungan antara kondisi psikososial dengan ikatan ibu bayi (p=0.000; OR=54.765; 95% CI=22.987-130.475), antara kepuasan terhadap pelayanan persalinan dengan ikatan ibu dan bayi (p=0.000; OR= 6.7; 95% CI=3.594-12.489). Faktor dominan yang memengaruhi ikatan adalah kondisi psikososial (OR= 45.904; 95%CI=15.351-137.272). Ikatan ibu dan bayi dapat ditingkatkan dengan melibatkan aspek psikososial ibu dalam asuhan dan memfasilitasi ibu untuk mendapatkan kepuasan terhadap pelayanan persalinan.

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The mother and baby bonding attachment affect wellness of both. This study aimed to identify the relationship between postnatal psychosocial and the satisfaction of intrapartum care with the mother-baby bonding attachment. This cross sectional study involved 246 postpartum women selecting by consecutive sampling.

The results showed that majority of the psychosocial conditions was not at risk (76.4%), satisfied with the intrapartum care (62.6%) and the mother-baby bonding attachment was good (73.2). There were relationship between psychosocial conditions with the mother-baby bonding attachment (p=0.000; OR=54.765; 95% CI =22.987-130.475), satisfaction of intrapartum care with the mother-baby bonding attachment (p=0.000; OR= 6.7; 95% CI=3.594-12.489) and the dominant factor was psychosocial condition (OR= 45.904; 95% CI=15.351-137.272). This bonding attachment can be enhanced by involving of psychosocial aspects in care and facilitate the mothers to achieve intrapartum satisfaction."

"Menyusui merupakan hak seluruh ibu dan bayi, termasuk bagi ibu postpartum dan bayinya. Menyusui sangat dianjurkan pada ibu postpartum karena memiliki banyak manfaat yaitu untuk boanding serta mencegah komplikasi pasca melahirkan. Ibu postpartum post SC kelahiran pertama usia 24 tahun pada studi ini menjalani perawatan Covid-19 dengan perawatan bayi yang terpisah sehingga pasien tidak dapat menyusui secara langsung, pasien mendapatkan medikasi anti virus remdesivir. Pemisahan antara ibu dan bayi mengakibatkan masalah dimana terhambatnya boanding yang mana berdampak pada pengeluaran ASI, pada pasien juga ditemukan adanya nyeri payudara serta kesulitan mengeluarkan ASI. Terhambatnya boanding turut berkontribusi dalam penurunan hormone oksitosin yang merupakan hormone pelepasan ASI. Perawatan pada pasien postpartum dengan covid dan rawat pisah antaera ibu dan bayi dalam mengatasi permasalahan keperawatan hambatan menyusui dilakukan dengan melakukan virtual boanding selama perawatan di rumah sakit dengan memvasilitasi videocall antara ibu yang dirawat di rumah sakit serta bayi yang berada dirumah, serta intervensi konseling laktasi dengan menerapkan masase payudara meningkatkan oksitosin dalam memperlancar pengeruaran ASI. Hasil penulisan ini mengambarkan hasil pengelolaan ibu postpartum dengan covid-19 rawat terpisah, dengan pelaksaan virtual boanding dan masase payudara dalam mengatasi hambatan pengeluaran ASI.

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Breastfeeding is the right of all mothers and babies, including postpartum mothers and their babies. Breastfeeding is highly recommended for postpartum mothers because it has many benefits, such as boanding and preventing postpartum complications. The paient in this stuty is post-SC postpartum mother at the age of 24 years, with her first born underwent Covid-19 treatment with separate baby care so that the patient could not breastfeed directly, the patient received the anti-viral medication remdesivir. The separation between mother and baby caused problems where delayed boanding which has an impact on the release of breast milk, the patient is also have breast pain and difficulty expressing milk. The inhibition of boanding also contributes to the decrease in the hormone oxytocin which needed to releases breast milk. Nursing care for post partum patients with Covid 19 and separated care between mother and baby in overcoming nursing problems with interuppeted breastfeeding is carried by facilitating virtual boarding during hospital care by facilitating videocalls between mothers who are hospitalized and babies who are at home, as well as lactation counseling interventions. by applying breast massage to increase oxytocin in facilitating the released of breast milk. The results of this study shows the results of the management of post-partum mothers with COVID-19 in separate care, by implementing virtual boanding and breast massage to overcome nuring diagnosis interrupted breast feeding"

"Kondisi kesehatan mental maternal kurang menjadi perhatian pada pelayanan kesehatan. Kepedulian terhadap aspek psikologis maupun sosial masih jarang diperhatikan bila dibandingkan dengan aspek fisik. Hasil temuan pada studi ini diketahui lebih dari seperempat ibu hamil memiliki kondisi psikososial ibu postpartum yang berisiko. Penelitian ini bertujuan untuk mengidentifikasi hubungan antara prenatal distress dengan kondisi psikososial ibu postpartum. Desain penelitian yang digunakan yaitu desain deskriptif analitik dengan pendekatan cross sectional pada 162 ibu hamil di kabupaten Cianjur yang dipilih dengan teknik two stage cluster sampling. Analisis menggunakan chi square, t-test, dan regresi logistik. Hasil penelitian menunjukkan adanya hubungan antara prenatal distress dengan kondisi psikososial ibu postpartum p=0,001. Ketidaknyamanan fisik saat hamil merupakan faktor yang paling berhubungan dengan kondisi psikososial ibu postpartum OR=4.65; 95 CI, 2.0; 10.8. Ibu yang tidak nyaman saat hamil berpeluang sebesar 4.65 kali mengalami psikososial ibu postpartum yang berisiko dibandingkan dengan ibu yang nyaman saat hamil setelah dikontrol oleh prenatal distress dan perencanaan kehamilan. Petugas kesehatan direkomendasikan untuk melakukan skrining prenatal distress dan kondisi psikososial postpartum pada ibu sejak awal kehamilan. Tindakan keperawatan juga diperlukan jika diketahui ada risiko gangguan prenatal distress sehingga tidak menambah masalah pada kondisi psikososial ibu postpartum.

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Mental health condition of maternal less attention to health service. Concern for both psychological and social aspects is rarely noticed when compared to the physical aspect. The findings of this study found that more than a quarter of pregnant women had a risky postpartum psychosocial condition. The aim of this study was to identify the relationship between prenatal distress with postpartum psychosocial condition.

The research design was analytic descriptive with cross sectional approach. The sampels were 162 pregnant women in Cianjur District, selected by two stage cluster sampling technique. The analysis used chi square, t test, and logistic regression.

The results showed a significant correlation between prenatal distress with postpartum psychosocial condition p 0,001 . Pregnancy physical discomfort is the most influential factor on the occurrence of postpartum psychosocial conditions risk OR 4.65 95 CI, 2.0 10.8 . Pregnancy discomfort are 4.65 times more likely to have psychosocial postpartum women rsquo s at risk than comfortable pregnant women after being controlled by prenatal distress and pregnancy planning.

Health care workers are recommended to perform prenatal distress screening and postpartum psychosocial conditions in the mother since early pregnancy. Nursing intervention is also necessary if there is known to be a risk of prenatal distress disorder so as not to increase the problem on the psychosocial condition of the postpartum period."

"Kualitas hidup ibu yang baik pada periode postpartum merupakan solusi yang penting terhadap kesehatan ibu dan anak. Penelitian ini bertujuan untuk mengidetifikasi hubungan breastfeeding self-efficacy dan dukungan keluarga dengan kualitas hidup ibu postpartum. Desain penelitian ini adalah analitik korelasi dengan pendekatan cross sectional, melibatkan 101 ibu postpartum 0-42 hari yang dipilih secara kuota. Kualitas hidup ibu postpartum diukur menggunakan instrument Postpartum Quality of Life Questionnaire. Hasil penelitian menunjukkan tidak terdapat hubungan antara breastfeeding self-efficacy dengan kualitas hidup ibu postpartum. Namun terdapat hubungan bermakna antara dukungan keluarga dengan kualitas hidup ibu postpartum p value 0,002,OR = 3,89,CI=95 . Edukasi dan konseling yang melibatkan keluarga pada ibu postpartum dibutuhkan untuk meningkatkan kualitas hidup ibu postpartum.

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High maternal quality of life in the postpartum period is an important solution to maternal and child health. This study aimed to identify breastfeeding self efficacy and family support with the quality of life of postpartum mothers. The design of this study was analytic correlation with cross sectional approach, involving 101 postpartum mothers 0 42 days, selected by quota technique. The quality of life of postpartum mothers was measured using the Postpartum Quality of Life Questionnaire instrument. The results showed no correlation between breastfeeding self efficacy and quality of life of postpartum mothers. However there was a significant correlation between family support and quality of life of postpartum mother p value 0,002, OR 3,89, CI 95 . This study recommended to provide education and counselling involving families in women during postpartum period."

"Latar Belakang: Hipertensi pada kehamilan diketahui menyebabkan morbiditas dan mortalitas ibu dan bayi. Banyak faktor yang memengaruhi, diantaranya asam urat, walau masih banyak perdebatan diantara para ahli. Peneliti ingin mengetahui hubungan luaran ibu dan bayi dengan kadar asam urat darah ibu pada kehamilan dengan gangguan hipertensi. Metode: Studi analitik observasional dengan desain potong lintang. Subjek adalah ibu hamil dengan gangguan hipertensi di Rumah Sakit Umum Pusat Persahabatan, periode Januari 2014 sampai Desember 2018. Luaran ibu adalah tingkat keparahan gangguan hipertensi pada kehamilan dan derajat hipertensi. Luaran bayi adalah usia gestasi saat kelahiran, berat badan lahir bayi berdasarkan kurva Lubchenco dan skor APGAR menit pertama. Hubungan luaran ibu dan bayi dengan kadar asam urat darah ibu diketahui dengan uji Kruskal Willis dan Mann Whitney. Hasil: Sebanyak 704 subjek memenuhi kriteria penelitian dari 880 pasien ibu hamil dengan gangguan hipertensi. Didapatkan perbedaan bermakna kadar asam urat darah ibu (p<0,001) antarkelompok keparahan gangguan hipertensi pada kehamilan (preeklamsia gejala berat 5,7 (2,2–16,0) mg/dL, preeklamsia tanpa gejala berat 5,18 + 1,54 mg/dL, dan hipertensi kronik/hipertensi dalam kehamilan 4,8 (2,2-8,0) mg/dL). Didapatkan perbedaan bermakna kadar asam urat darah ibu antarkelompok derajat hipertensi (hipertensi derajat I 4,8 (2,2–8,0) mg/dL, hipertensi derajat II 5,7 (2,2–16,0) mg/dL, dan krisis hipertensi 5,4 (2,6–9,8) mg/dL). Kelompok usia gestasi aterm saat kelahiran menunjukkan kadar asam urat darah ibu 5,0 (2,2–9,8) mg/dL, lebih rendah bermakna (p<0,001) dibandingkan usia gestasi preterm saat kelahiran 6,3 (2,7–16) mg/dL. Tidak didapatkan perbedaan bermakna antarkelompok berat lahir bayi maupun skor APGAR menit pertama. Simpulan: Didapatkan hubungan bermakna antara luaran ibu yaitu tingkat keparahan gangguan hipertensi dan derajat hipertensi, dan luaran bayi yaitu usia gestasi saat kelahiran, dengan kadar asam urat darah ibu. Tidak didapatkan hubungan bermakna antara berat badan lahir bayi dan skor APGAR menit pertama, dengan kadar asam urat darah ibu.

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Background: Hypertensive disorders in pregnancy is known to cause maternal and perinatal morbidity and mortality. Many factors influence, including uric acid, although there is still a lot of debate among experts. This study aims to find out the relationship between mother and baby outcomes with mother’s uric acid level, in pregnancy with hypertensive disorders.

Method: Observational analytic study with cross sectional design. Subjects were pregnant women with hypertensive disorders at Persahabatan General Hospital, from January 2014 to December 2018. Maternal outcomes were the severity of hypertensive disorders in pregnancy and the degree of hypertension. The perinatal outcomes were the gestational age at birth, the baby's birth weight based on the Lubchenco curve, and the first minute APGAR score. The relationship between maternal and perinatal outcome and maternal blood uric acid levels was questioned by the Kruskal Willis and Mann Whitney test.

Result: A total of 704 subjects met the criteria of the study of 880 pregnant women with hypertensive disorders. There were significant differences of maternal blood uric acid level (p <0.001) between groups of severity of hypertension (preeclampsia with severe features 5.7 (2.2–16.0) mg/dL, preeclampsia without severe features 5.18 + 1.54 mg/dL, and chronic hypertension / gestational hypertension 4.8 (2.2-8.0 mg/dL). There was a significant difference in maternal blood uric acid level between groups of hypertension stage (hypertension stage I 4.8 (2.2–8.0) mg/dL, hypertension stage II 5.7 (2.2–16.0) mg/dL, and a hypertensive crisis 5.4 (2.6–9.8) mg / dL). The group of term gestational age at birth showed maternal blood uric acid level 5.0 (2.2–9.8) mg/dL, significantly lower (p <0.001) than preterm gestational age at birth 6.3 (2.7–7). 16) mg/dL. There were no significant differences between groups of birth weight and first minute APGAR scores.

Conclusion: There is a relationship between maternal outcomes (the severity of hypertensive disorders and the degree of hypertension) and perinatal outcomes (gestational age at birth) with maternal blood uric acid level. There is no relationship between birth weight and first minute APGAR score with maternal blood uric acid level."

"Prevalensi berat bayi lahir rendah (BBLR) dan panjang lahir pendek di Indonesia masih cukup tinggi. BBLR dan panjang lahir pendek dapat memengaruhi pertumbuhan dan perkembangan bayi serta dapat meningkatkan risiko penyakit degeneratif saat dewasa, oleh sebab itu pemahaman hubungan antara antropometri ibu sebelum hamil, usia ibu, dan usia kehamilan dengan berat dan panjang lahir bayi menjadi sangat penting. Tujuan penelitian ini adalah mengetahui adanya hubungan antara antropometri ibu sebelum hamil, usia ibu, dan usia kehamilan dengan berat dan panjang lahir bayi di Jakarta, sehingga dapat diperkirakan tindakan preventif dalam rangka menurunkan angka morbiditas penyakit degeneratif dan angka mortalitas pada neonatus dan bayi di masa yang akan datang. Metode potong lintang digunakan untuk mengetahui hubungan antara pengukuran antropometri ibu sebelum hamil, usia ibu saat melahirkan, dan usia kehamilan dengan berat dan panjang lahir bayi di Jakarta berdasarkan data sekunder dari penelitian berjudul Longitudinal Study on the Effect of Multiple Micronutrients Supplementation on Haemoglobin Level of 8 to 22 Month-old Indonesian Children. Populasi terjangkau ibu dan bayi baru lahir dengan jumlah sampel sebesar 179. Pengolahan data meliputi analisis univariat Kolmogorov Smirnov dan bivariat dengan uji Chi Square dan uji korelasi Pearson dengan menggunakan perangkat lunak Stastistical Program for Social Science (SPSS) 20. Hasil utama penelitian ini memperlihatkan bahwa terdapat hubungan bermakna dengan kekuatan korelasi sangat rendah antara berat lahir bayi dengan usia kehamilan (r=0,199; p=0,008), berat badan ibu sebelum hamil (r=0,165; p=0,028), dan indeks massa tubuh (IMT) ibu sebelum hamil (r=0,172; p=0,022). Selain itu, terdapat hubungan bermakna dengan kekuatan korelasi rendah antara panjang lahir bayi dengan usia kehamilan (r=0,257; p=0,001). Berdasarkan hasil penelitian dapat disimpulkan bahwa terdapat hubungan bermakna antara usia kehamilan, berat badan dan IMT ibu sebelum hamil dengan berat dan panjang lahir bayi. Sedangkan, tinggi badan dan usia ibu tidak memiliki hubungan bermakna dengan berat dan panjang lahir bayi.

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The prevalences of low birth weight (LBW) and short birth length in Indonesia are still quite high. LBW and short birth length can affect the growth and development of infants and increase the risks of degenerative diseases as adult, therefore an understanding of the relationship between maternal anthropometry before pregnancy, maternal age, and gestational age with birth weight and length is very important.

The purpose of this study was to determine the relationship between maternal anthropometry before pregnancy, maternal age at delivery, and gestational age with birth weight and length in Jakarta, so that preventive measures can be estimated in order to reduce the morbidity of degenerative diseases and mortality rates in neonates and infants in the future.

The cross-sectional method was used to determine the relationship between maternal anthropometry before pregnancy, maternal age, and gestational age and length of birth in Jakarta based on secondary data from a study entitled Longitudinal Study on the Effect of Multiple Micronutrients Supplementation on Hemoglobin Level of 8 to 22-Month-old Indonesian Children. Covered population of mothers and newborns with samples of 179. Data processing included univariate analysis of Kolmogorov Smirnov and bivariate with Chi Square test and Pearson correlation test using the Statistical Program for Social Science (SPSS) 20 software.

The main results of this study show that there are significant relationships with very low correlation between birth weight and gestational age (r=0,199; p=0,008), maternal body weight before pregnancy (r=0,165; p=0,028), and maternal body mass index (BMI) before pregnancy (r=0,172; p=0,022). In addition, there is also a significant relationship with a low correlation between birth length and gestational age (r=0,257; p=0,001).

Based on the results of this study, it can be concluded that there are significant relationships between gestational age, maternal body weight and BMI before pregnancy with birth weight and length. Meanwhile, maternal height and age do not have a significant relationship with birth weight and length."

"Suami menjadi orang terdekat bagi ibu postpartum usia remaja. Peran suami diperlukan dalam melakukan perawatan bayi karena ibu postpartum usia remaja memerlukan adaptasi dalam menjalankan peran barunya sebagai ibu. Penelitian ini bertujuan untuk mengetahui gambaran pengetahuan dan sikap tentang perawatan bayi pada suami ibu postpartum usia remaja di wilayah kerja Puskesmas Pancoran Mas dan Sukmajaya. Penelitian ini menggunakan desain deskriptif, cross sectional secara consecutive sampling dengan sampel sebanyak 43 responden. Hasil penelitian dengan analisis univariat menunjukkan bahwa sebanyak 60,5% responden memiliki pengetahuan baik, sedangkan pada variabel sikap sebanyak 60,5% responden memiliki sikap yang tidak mendukung terhadap perawatan bayi. Peningkatan peran tenaga kesehatan dalam memberikan informasi mengenai perawatan bayi khususnya bagi suami perlu ditingkatkan kembali.

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A husband is the closest person to an adolescent postpartum mother. The role of the husband is crucial in performing infant care because adolescent postpartum mother needs to adapt to her new role as a mother. This study aims to describe the knowledge and attitudes about infant care of the husbands of postpartum adolescent mothers in Puskesmas Pancoran Mas and Sukmajaya?s working area. This study uses a descriptive cross sectional design where the sample amounting 43 respondents were taken by consecutive sampling method. Results of research using univariate analysis showed that 60.5% of respondents had adequate knowledge about infant care, and 60.5% of them had unfavorable attitudes that were counterproductive in the context of infant care. It is crucial for health professionals to provide more information regarding infant care, especially to husbands."

"Tidur merupakan aspek substansial dalam tumbuh kembang anak, mulai dari aspek kesehatan hingga fungsi sehari-hari anak. Salah satu faktor yang diduga memengaruhi adalah kualitas bonding ibu-anak. Penelitian ini bertujuan untuk mengidentifikasi kualitas bonding ibu-anak terhadap kualitas tidur anak usia batita (0-36 bulan) serta mencari proporsi kedua variabel tersebut. Penelitian ini menggunakan desain potong lintang dengan subjek penelitian yaitu ibu beserta anak usia batitanya. Sebanyak 63 ibu beserta anak usia batitanya ikut dalam penelitian ini. Pemilihan subjek penelitian sampel secara konsekutif melalui kesediaan ibu untuk mengikuti penelitian ini. Penelitian ini menggunakan dua buah kuesioner dalam bahasa Indonesia yaitu, Mother-Infant Bonding Scale (MIBS) untuk menilai bonding ibu-anak dan Brief Infant Sleep Questionnaire (BISQ) untuk menilai kualitas tidur anak usia batita. Pengisian kuesioner dilakukan oleh ibu. Analisa data dilakukan dengan uji korelasi Spearmans melalui SPSS versi 23. Proporsi anak dengan gangguan kualitas tidur sebesar 33,3%. Pada bonding ibu-anak, ditemukan adanya rasa takut atau panik pada sebagian besar ibu dengan kadar yang berbeda. Meskipun terdapat perasaan negatif terhadap anak, 100% responden ingin melindungi anaknya. Selain itu, ditemukan korelasi berbanding lurus dengan kekuatan korelasi lemah pada bonding ibu-anak dan kualitas tidur anak p<0,05; r=0,392). Dari penelitian ini dapat disimpulkan bahwa gangguan kualitas tidur pada anak memiliki prevalensi cukup tinggi. Ibu dengan nilai MIBS tinggi memiliki risiko gangguan tidur pada anak batitanya.

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Sleep is a substantial aspect in a childs development which is reflected in their health and daily functions. Mother-child bonding quality has been said to influence the quality of sleep. This research aims at identifying how the quality of mother-child bonding influences toddlers sleep quality and at analyzing the proportion of the two variables.

The cross-sectional study that analyzes data from a representative subset is adopted in this research with mothers and their toddlers (0-36 months) as the subjects. A group of 63 mother-toddler pairs from consecutive sampling participated in the study.

Two sets of questionnaires in Bahasa Indonesia which are Mother-Infant Bonding Scale (MIBS) to assess the mother-child bonding, and Brief Infant Sleep Questionnaire (BISC) to assess the sleep quality of toddlers were used. The questionnaires were completed by the mothers. Spearmans correlation test was used in the analysis using SPSS v.23. The findings of the study indicate that the proportion of toddlers with sleep problem was 33.3%.

In the mother-child bonding analysis it was found that the majority of mothers experienced various levels of fear and panic attack during parenting. However, despite the negative feelings towards the child, 100% of the respondents are determined to protect their children. The mother-child bonding was found to be significantly correlated with sleep quality of the child. And although there is a statistically weak relationship between the two variables, the direction is positive where stronger bonding between mothers and their toddlers results in higher quality of the children sleep (p<0.05; r=0.392). It can also be concluded that there is a high prevalence of toddlers sleep quality problem and that toddlers of mothers with high MIBS are susceptible to sleeping problem risks."

"[ABSTRAKTesis ini membahas pelaksanaan program KB pascapersalinan danpascakeguguran di Provinsi DKI Jakarta yang diatur dalam Peraturan KepalaBKKBN Nomor : 146 Tahun 2009 dilihat dari Komunikasi, Sumber Daya danSikap Pengelola dan Pelaksana Program KB.Penelitian ini merupakan penelitian kualitatif dengan desain penelitian deskriptifanalitik.Penelitian ini menemukan bahwa komunikasi dari tingkat pengelola masih belummemiliki jalur koordinasi yang terprogram, selain itu perubahan kebijakan dariJampersal ke JKN sangat mempengaruhi komitmen pelaksana program. Masihkurangnya tenaga bidan dan dokter terlatih sehingga program belum dapatdilaksanakan secara optimal. Disamping itu edukasi yang disampaikan kepadamasyarakat belum fokus pada pelayanan KB MKJP. Belum adanya PeraturanDaerah tentang pelayanan KB MKJP pascapersalinan dan pascakeguguran di DKIJakarta. Sebab masih kurangnya komitmen dari pengelola dan pelaksana programdalam memprioritaskan KB MKJP pascapersalinan/pascakeguguran di DKIJakarta.Oleh karena itu, perlu adanya komitmen yang kuat dari pemerintah daerah untukmenjadikan Program KB MKJP pascapersalinan/ pascakeguguran menjadiprogram prioritas di Provinsi DKI Jakarta.

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ABSTRACT"This thesis discussed about the implementation of postpartum and post abortion""family planning programs in DKI Jakarta Province based on The Head of National Family Planning Board (BKKBN) Regulation Number : 146/2009, focusing on communications, resources and attitudes of Family Planning (FP) Program Managers and Implementers.""This study was a qualitative research with descriptive analytic study design.""The study found that the communication from the management level still has no programmed coordination. In addition, policy changes from Jampersal to National Health Insurance (JKN) greatly affected the commitment of the program managers. There were still a lot of midwives and doctors not trained yet so that the program can not be implemented optimally. In addition, public education submitted was not focused on Long Acting Methods (LAM) family planning program. The absence of a Local Regulation on postpartum and post abotion LAM family planning services in Jakarta, was caused by a lack of commitment from Program Managers and Implementers in prioritizing Postpartum and Post Abortion LAM Program in DKI Jakarta.""Therefore, a strong commitment from the government is needed to make the postpartum and post abortion LAM FP Program be a priority program in DKI Jakarta.";"This thesis discussed about the implementation of postpartum and post abortion""family planning programs in DKI Jakarta Province based on The Head of National Family Planning Board (BKKBN) Regulation Number : 146/2009, focusing on communications, resources and attitudes of Family Planning (FP) Program Managers and Implementers.""This study was a qualitative research with descriptive analytic study design.""The study found that the communication from the management level still has no programmed coordination. In addition, policy changes from Jampersal to National Health Insurance (JKN) greatly affected the commitment of the program managers. There were still a lot of midwives and doctors not trained yet so that the program can not be implemented optimally. In addition, public education submitted was not focused on Long Acting Methods (LAM) family planning program. The absence of a Local Regulation on postpartum and post abotion LAM family planning services in Jakarta, was caused by a lack of commitment from Program Managers and Implementers in prioritizing Postpartum and Post Abortion LAM Program in DKI Jakarta.""Therefore, a strong commitment from the government is needed to make the postpartum and post abortion LAM FP Program be a priority program in DKI Jakarta.", "This thesis discussed about the implementation of postpartum and post abortion""family planning programs in DKI Jakarta Province based on The Head of National Family Planning Board (BKKBN) Regulation Number : 146/2009, focusing on communications, resources and attitudes of Family Planning (FP) Program Managers and Implementers.""This study was a qualitative research with descriptive analytic study design.""The study found that the communication from the management level still has no programmed coordination. In addition, policy changes from Jampersal to National Health Insurance (JKN) greatly affected the commitment of the program managers. There were still a lot of midwives and doctors not trained yet so that the program can not be implemented optimally. In addition, public education submitted was not focused on Long Acting Methods (LAM) family planning program. The absence of a Local Regulation on postpartum and post abotion LAM family planning services in Jakarta, was caused by a lack of commitment from Program Managers and Implementers in prioritizing Postpartum and Post Abortion LAM Program in DKI Jakarta.""Therefore, a strong commitment from the government is needed to make the postpartum and post abortion LAM FP Program be a priority program in DKI Jakarta."]"