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"Mahasiswa profesi keperawatan yang merupakan calon praktisi keperawatan sudah seharusnya mempunyai kemampuan dalam mendukung pemberian ASI kepada bayi. Penelitian ini bertujuan untuk mengetahui gambaran tingkat pengetahuan dan sikap mengenai ASI dan menyusui pada mahasiswa profesi ilmu keperawatan. Desain penelitian ini adalah deskriptif sederhana dengan menggunakan sampel sebesar 112 responden dari mahasiswa profesi keperawatan di Universitas Indonesia, Universitas Islam Negeri Syarif Hidayatullah, dan Universitas Muhammadiyah Jakarta yang dipilih dengan teknik sampel acak. Instrumen yang digunakan adalah kuesioner hasil modifikasi dari kuesioner Marzalik. Hasil penelitian menunjukkan mayoritas responden memiliki tingkat pengetahuan cukup dengan jumlah sebesar 56,3% dan sikap yang positif dengan jumlah sebesar 52,7%. Evaluasi pembelajaran di kelas maupun klinis mengenai ASI dan meyusui perlu dilakukan untuk meningkatkan kemampuan mahasiswa dalam praktik pemberian ASI.

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In the future, clinical nursing students are nursing practitioners who supposed to have the ability to support breastfeeding. This study aimed to describe the level of knowledge and attitudes of breastfeeding among clinical student nursing.

This research design was simple descriptive with 112 participants from the clinical nursing students of Universitas Indonesia, Universitas Islam Negeri Syarif Hidayatullah, and Universitas Muhammadiyah Jakarta. Participants were selected by random sampling technique. The instrument used was a modified version of Marzalik's questionnaire.

The results showed the majority of participants have sufficient knowledge level (56.3%) and a positive attitude (52.7%). Evaluation of clinical and classroom learning about breastfeeding is needed to improve the ability of students in the practice of breastfeeding."

"Air Susu Ibu (ASI) merupakan sumber energi utama yang mencukupi untuk bayi sampai usia 6 bulan. Berbagai kendala dapat timbul dalam upaya memberikan ASI eksklusif, salah satunya adalah ibu merasa ASI tidak cukup untuk memenuhi kebutuhan bayi sehingga pertumbuhan bayi tidak optimal. Setiap ibu harus mengetahui pola menyusui bayi ASI secara optimal untuk mendukung keputusan menyusui dan menghindari pemberian asupan yang tidak sesuai. Energi ASI sebanyak 50% berasal dari lemak. Lemak merupakan komponen ASI yang sangat bervariasi dan dapat berubah tergantung asupan ibu, irama sirkardian, tingkat laktasi, antar payudara, paritas, umur, dan antar individu. Tujuan dari penelitian ini adalah untuk mengetahui korelasi antara kadar lemak dalam ASI dan pola menyusui dengan pertumbuhan bayi ASI eksklusif usia satu bulan. Penelitian potong lintang dilakukan di RSIA Budi Kemuliaan pada bulan September– November 2014. Sampling dilakukan secara consecutive. Kriteria inklusi adalah bayi aterm, berat lahir 2500 -4000 g, sehat. Lemak ASI diperiksa dengan pemeriksaan creamatocrit. Terdapat 50 ibu dan bayi yang masuk dalam penelitian. Bayi usia satu bulan memiliki pertumbuhan yang baik dengan indikator pertumbuhan untuk Z-scores BB/PB, BB/U PB/U dan LK/U sebagian besar berada pada kategori ≥-2 SD s/d ≤2 SD. Pola menyusui subjek tergolong baik dengan frekuensi menyusui 12 kali per hari (84%) dan durasi menyusui <20 menit (58%). Pada pemeriksaan creamatocit didapatkan rerata kadar lemak dalam ASI termasuk kategori tinggi (6,6±1,9 gram/dl). Korelasi lemak ASI dengan BB/U, PB/U, BB/TB adalah berkisar antara 0,03–0,013. BB/U, PB/U, BB/PB, LK/U mempunyai korelasi <0,2 dengan frekuensi dan durasi menyusui. Pertambahan BB, PB, LK per hari mempunyai korelasi <0,25 dengan frekuensi menyusui dan durasi menyusui. Penelitian ini menunjukkan tidak terdapat korelasi antara kadar lemak dalam ASI dan pola menyusui dengan pertumbuhan bayi usia satu bulan.

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Breast milk is the main source of energy that is sufficient for infant up to 6 months old. Various breastfeeding problems can come in providing exclusive breastfeeding, one of the problem is mother perceived of her ability to meet the infant’s needs for optimal growth. Every mother should know about the pattern of optimal breastfeeding infant to support breastfeeding decisions and avoid improper feeding. Lipid is providing 50% of total breastmilk energy. Lipid is a component of breast milk that highly variable, depending on maternal intake, circadian rhythm, level of lactation, between breasts, parity, age, and between individuals.

The purpose of this study is to correlate between the levels of lipid in breastmilk and breastfeeding pattern with growth of one month old infants. The study used a cross-sectional study design at RSIA Budi Kemuliaan from September to November 2014. Sampling was taken with consecutive. Inclusion criteria were full-term infant, birth weight 2500–4000 g, healthy. Breast milk lipid was estimated with creamatocrit procedure. There were 50 mothers and infants who entered the study.

This study showed that subjects one month old infants have normal growth. The majority result of growth indicators for WHZ, WAZ, HAZ and HCAZ are between ≥-2 SD until ≤2 SD. Breastfeeding patterns have good result with frequency 12 times per day (84%) and duration <20 minutes (58%). Creamatocit examination showed average levels of lipid in the breastmilk is high (6.6±1.9 g/dl). Correlation of breastmilk lipid with WHZ, WAZ, HAZ is ranged from 0.03–0.013. WHZ, WAZ, HAZ and HCAZ has a correlation <0.2 with the frequency and duration of breastfeeding. Weight, height and head circumference increment per day correlated <0.25 with breastfeeding frequency and duration of breastfeeding.This study conclude that there was no correlation between breastmilk lipid and breastfeeding patterns with growth of one month old infants."

"Breastmilk is the best nutrition for infant but giving only breastmilk for preamature infants older than 2 weeks could not comply the needs and has to be fortified Human milk fortifier HMF is very recommended to fortify breastmilk In west Sumatera including DR M Djamil Hospital HMF was unreachable and expensive At certain hospital in Africa and several Hospital in United States they exclusively use fortified breastmilk with Post Discharge Formula PDF Objective To compare the weight gain among premature infants receiving fortified breastmilk with PDF and premature formula milk and also to observe the adverse event Methods A 4 weeks experimental study on premature infants gestational age ge 28 until 37 weeks who receive fortified breastmilk with PDF and some of them received premature formula milk acted as a control from March until December 2015 in DR M Djamil Hospital West Sumatera Results Data was obtained from 30 sample for each group intervention and control Sample baseline characteristic such as sex gestational age GA birth weight and previous illness history was indifferent statistically The mean of birth weight in control group was 1643 grams the mean of weight at the initial study was 1631 grams and the mean of birth weight at the end of study 4 weeks was 2573 grams The mean of birth weight in intervention group was 1682 grams the mean of weight at the initial study was 1722 grams and the mean of birth weight at the end of study 4 weeks was 2775 grams The mean of time to reach full feed condition initial study in control group was 14 days and 18 days in intervention group The mean of weight gain during 4 weeks was 958 grams in control group and 1053 grams in intervention group p 0 22 There was no adverse event found in infants received both breastmilk fortified with PDF and premature formula milk Conclusion It appears that weight gain of premature infants who receive breastmilk fortified with PDF is indifferent statistically compared with premature infants who receive formula milk There is no adverse event found in this study"

"Latar belakang: Air susu ibu ASI sangat bermanfat bagi bayi baru lahir, dari aspek komponen nutrisi maupun proteksi. Respon imun innate dan adaptif pada NKB diketahui masih imatur, diantaranya pada saluran cerna adalah antimikrobial peptide termasuk di dalamnya adalah human defensin 2 hBD2 . Pemberian nutrisi pada bayi prematur masih menjadi problematika karena belum semua NKB bisa mendapatkan ASI saja, sementara ASI kaya akan hBD2. Metode: Penelitian ini merupakan penelitian deskriptif analitik menggunakan rancangan studi cross sectional. Dilakukan di ruang neonatologi Rumah Sakit Umum Pusat Nasional Cipto Mangunkusumo Jakarta pada bulan November 2016 ndash; April 2017. Pemeriksaan laboratorium dilakukan di Laboratorium Prodia. Populasi target NKB dengan usia gestasi 28-34 minggu. Terbagi 4 kelompok ASI, predominan ASI, predominan susu formula dan susu formula saja. Dilakukan pada 44 neonatus kurang bulan. Menggunakan metode ELISA, pemeriksaan radiologis dan pengecekan kadar PCT,CRP dan IT rasio. Metode statistik dengan one way ANOVA. Hasil: Kadar defensin pada masing-masing kelompok terdapat perbedaan yang signifikan dimana rerata kadar defensin terendah pada kelompok ASI sebesar 91,84 diikuti kelompok 2 221,52, kelompok 4 249,46 dan kadar tertinggi tercatat pada kelompok 3 sebesar 344,86 p=0,004 . Pada pemeriksaan Kadar procalcitonin ,CRP dan It rasio tidak terdapat beda yang signifikan. Klebsiella paling rendah populasinya pada kelompok ASI. Kesimpulan: hBD 2 kadarnya ditemukan rendah pada kelompok ASI dan tinggi pada kelompok predominan susu formula dan susu formula saja. Hal ini menunjukkan tingginya proses inflamasi pada kelompok yang mendapat susu formula. Air Susu Ibu masih yang terbaik bagi saluran cerna dengan bukti rendahnya Klebsiela pada Kelompok ASI.

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Background: Breast milk is highly beneficial for newborns, due to its nutritional aspects and protective properties. Innate and adaptive immune responses in preterm newborns are still immature, including the ones in the gastrointestinal system, namely antimicrobial peptide called human defensin 2 hBD2. Nutrition for preterm babies is still a problem because not all of them can get exclusive breast milk, while breast milk is rich in hBD2.

Method: This study is an analytic descriptive study with cross sectional design. This study was done in the neonatology room in National Central General Hospital of Cipto Mangunkusumo Jakarta, on November 2016 ndash April 2017. Laboratory examination was performed in Prodia Laboratory. The target population was preterm newborns with gestational age of 28 34 weeks, divided into 4 groups, namely the breast fed group, predominant breast fed group, predominant formula fed group, and exclusively formula fed group. This study was performed in 44 preterm newborns using ELISA method, radiological examinations, and measuring the level of PCT, CRP dan IT ratio. The statistical analysis method used for this study is one way ANOVA.

Result: There were significant differences in defensin level among the groups, in which the mean defensin level was lowest in breast fed group 91,84 , followed by the second group 221,52 , the fourth group 249,46 , and the highest in the third group 344,86 p 0,004 . There were no significant differences among groups in IT ratio and procalcitonin and CRP levels. Breastmilk is the best protection for preterm gut which Klebsiella was lowest in breastmilk group.

Conclusion: The level of hBD2 was found to be low in breast fed group and high in predominant formula fed group and also in exclusively formula fed group. This showed the high inflammation process happening in the group fed with formula."

"ASI merupakan makanan terpenting bagi bayi. Persentase ibu yang menyusui mengalami penurunan meskipun sudah diketahui bahwa ASI banyak manfaatnya. Penelitian sebelumnya telah meneliti mengenai faktor-faktor yang mempengaruhi lama pemberian ASI pada ibu bekerja, namun hasil penelitian tersebut dirasa belum konklusif. Ibu bekerja sebagai salah satu golongan ibu yang memberikan ASI mempunyai masalah tersendiri yang mempengaruhi lama pemberian ASI. Penelitian ini bertujuan mengetahui proporsi ibu bekerja sebagai pegawai swasta yang berhubungan dengan lama pemberian ASI serta faktor-faktor yang berhubungan.Penelitian ini menggunakan metode potong lintang dengan wawancara melalui pengisian kuesioner. Subyek yang diteliliti adalah ibu-ibu yang bekerja sebagai pegawai negeri swasta di beberapa perusahaan swasta di Jakarta dalam jangka waktu Mei 2009 hingga Juni 2009. Penelitian ini melibatkan delapan puluh delapan subyek yang memenuhi kriteria penelitian. Lalu dilakukan uji statistik Chi-Square yang menunjukan adanya hubungan antara variabel lama pemberian ASI dengan variabel dukungan suami (p=0,001). Serta dilakukan uji statistik Kolmogorov-Smirnov yang menunjukan adanya hubungan antara lama pemberian ASI dengan faktor pengetahuan ibu mengenai ASI (p=0,005).Disimpulkan bahwa terdapat hubungan antara faktor dukungan suami dan faktor pengetahuan ibu mengenai ASI dengan lama pemberian ASI pada ibu pegawai swasta di beberapa perusahaan di Jakarta.

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Breastmilk is the best food for babies. Although the advatages of breastmilk are well known, the percentage of breastfeeding mother keep on declining. Prior research had assess factors that could affect breastfeeding period in working mother, but that research was not adequate. The purpose of this research is to know the association between husband support and mother's knowledge about breastfeeding with the length of breastfeeding periode.

The method used in this research is cross-sectional with interview through questionnaire. The samples taken was private employee working mother in some companies in Jakarta from May to June 2009. This research involving 88 subjects that meet the criteria. Researcher test those samples using chi square statistical test to asses the association between breastfeeding periode with husband supports (p=0,001). Researcher using Kolmogorov-Smirnov test that show there is an association between breastfeeding period with mothers knowledge (p=0,005).

Researcher concludes that there is an association between husband support and mother's knowledge about breastfeeding with the length of breastfeeding periode in civil servant mothers in some companies in jakarta."

"Salah satu upaya pemerintah dalam meningkatkan pemberian ASI diIndonesia adalah dengan memberikan konseling menyusui di pelayanankesehatan. Penelitian perlu dilakukan untuk mengevaluasi pelaksanaankonseling menyusui di Kota Jambi dengan mengeksplorasi komponen in-put, activity, output, dan outcome. Penelitian ini merupakan penelitian kuali-tatif menggunakan strategi studi kasus. Penelitian dilakukan di empatpuskesmas Kota Jambi pada bulan Desember 2013 sampai denganFebruari 2014. Pengumpulan data dilakukan dengan studi dokumen, ob-servasi pelaksanaan konseling menyusui dan sarana prasarana, wawan-cara mendalam, serta focus group discussion. Analisis data yang digunakanadalah analisis tematik. Hasil penelitian menunjukkan bahwa komponen in-put dan activity kurang optimal seperti kurangnya sumber daya manusia,keterbatasan sarana prasarana, belum ada petunjuk teknis pelaksanaankonseling menyusui, belum ada pemantauan pascapelatihan, kurangnyakomitmen personal konselor, belum ada penegasan program, serta lemah-nya pengawasan. Komponen output masih kurang baik, terlihat pada belumterdapat data jumlah klien yang diberi konseling menyusui dan jumlah moni-toring/supervisi. Komponen outcome menunjukkan bahwa kepuasan klienkonseling menyusui kurang. Pelaksanaan konseling menyusui di KotaJambi masih kurang optimal. Terlihat dari komponen input masih kurangmemadai, komponen activity belum berjalan optimal, sedangkan komponenoutput dan komponen outcome belum mencapai hasil yang diharapkan.The government?s efforts in improving breastfeeding in Indonesia is to pro-vide breastfeeding counseling services in health care especially at primaryhealth care centre. Therefore it is necessary to evaluate the implementationof breastfeeding counseling in the City of Jambi by exploring its input, ac-tivity, output, and outcomes components. This study was a qualitative re-search using case study strategy. The study was conducted in four healthcenters City of Jambi during December 2013 to February 2014. Data werecollected through document study, breastfeeding counseling and executioninfrastructure observation, in-depth interviews, and focus group discussion.Data analysis includes transcription, reduction, coding, categorizing,themes, and interpretation of research results. The results showed that thecomponent inputs and activity were not done optimally due to a lack of hu-man resources, infrastructure limitations, unavailability of technical guide-lines, non-existence of post training monitoring or supervision, lack of coun-selor?s personal commitment, lack of program clarity, as well as poor mana-gement and supervision of the health department. A service output were notalso good as indicated by data unavailability of clients served and none ofmonitoring has been conducted. Outcome component showed that therewere still a lack of client satisfaction and resolved breastfeeding problemsafter acquiring breastfeeding counseling as an conclusion, implementationof breastfeeding counseling in the City of Jambi is still less than optimal,seen from the input components is still inadequate, activity components arenot yet optimal, while the outputs and outcomes components not achievingthe expected."

"Menyusui merupakan cara terbaik untuk menyediakan makanan ideal bagi pertumbuhan dan perkembangan bayi. Sikap ibu merupakan salah satu faktor yang dapat diubah dalam memengaruhi pemberian ASI pada bayi. Dukungan dari orang terdekat termasuk ayah juga dapat memengaruhi pemberian ASI. Penelitian ini bertujuan untuk mengidentifikasi perbedaan sikap terhadap menyusui antara ibu dan ayah. Metode penelitian ini menggunakan desain studi komparatif melalui pendekatan cross sectional dengan jumlah sampel 105 responden pasangan suami istri yang memiliki bayi berusia maksimal enam bulan, dan menggunakan teknik consecutive sampling. Instrumen yang digunakan Iowa Infant Feeding Attitude Scale (IIFAS) versi Bahasa Indonesia. Analisis data yang digunakan yaitu analisis univariat dan bivariat dengan uji Chi Square. Hasil penelitian menunjukkan bahwa adanya perbedaan sikap antara ibu dan ayah terhadap menyusui dengan nilai p value 0,000 (p value ≤ 0,05). Pendidikan kesehatan mengenai ASI eksklusif perlu melibatkan seorang ayah agar dapat meningkatkan pemahaman ayah terkait ASI eksklusif.

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Breastfeeding is the best way to provide ideal food for babys growth and development. Maternals attitude is one of the factors that can be changed in influencing breastfeeding in infant. Support from the closest people including fathers can also influence breastfeeding. This research was conducted to identify differences in attitudes toward breastfeeding between maternal and father. The methodology of this research is comparative study design with a cross sectional approach with a sample of 105 respondents husband and wife who have babies up to six months old by using consecutive sampling technique. The instrument used are Iowa Infant Feeding Attitude Scale (IIFAS) in Indonesian version. Data analysis used is univariate and bivariate with Chi Square test. The result of this research shows that there were differences in attitudes between maternal and father towards breastfeeding with a p value of 0,000 (p value ≤ 0,05). Health education about exclusive breastfeeding needs to involve a father so that improve fathers knowledge about exclusive breastfeeding."