Peran Intervensi Dalam Meningkatkan Pemahaman Tentang Dinamika Menyusui

Abstract

Introduction: WHO has not achieved its 50% exclusive breastfeeding target. To understand the causes, two different studies were conducted. Study 1: Performed a worldwide literature review of various breastfeeding reports, indexing: obtained through electronic media (International Breastfeeding Journals, Google Scholars) using guided keywords (breastfeeding, attitude, experience, intervention). Twenty articlesrepresenting countries with varying information were selected. Result: Breastfeeding was not properly understood.Study 2A: a one-shot case study design was performed on 110 pre-or several day post-natal women, who received verbal, written (reading a booklet), or verbal+written information. Subjects were contacted by mail approximately a year later to complete a quantitative and qualitative questionnaire, 45 responded. Result: 88.9% succeeded in breastfeeding longer than six months. No significant differences in knowledge attainment between the three methods of intervention were found. Qualitatively it was shown that the importance of breastfeeding was not sufficiently understood. Subjectshadbetter understanding after intervention, became more motivated, and experienced physical, psychological, and social wellbeing. Study also showed thatbreastfeeding was not actively promoted by the medical team and environment. Study 2B:a one-group pre-post-test design, performed on 30 pregnant and 30 post-natal women, each divided in three sub-groups. Each sub-group received either verbal, written, or verbal+written information. Result: all interventions had a larger influence on pregnant compared to post-natal women. Discussion and Conclusions: verbal and written intervention have positive effect on breastfeeding knowledge and attitude. Health Promotion should be actively performed or promoted, especially on pregnant women, ideally by a competent motivator for the welfare of family and nation as well.

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