Differences in Hemoglobin Levels and Estimated Number of Bleeding in Primipara Mothers in Clinics Who Initiate Early Breastfeeding and Clinics That Do Not Initiate Breastfeeding Early 2015
Introduction
Postpartum bleeding is a significant risk factor for maternal mortality, with uterine atony being the primary cause of more than 90% of cases. Early Breastfeeding Initiation (IMD) or Early Breast Crawling has been identified as a potential action to reduce this risk. This study aims to compare hemoglobin (HB) levels and estimate the number of postpartum bleeding in primipara mothers in two types of clinics: those that implement IMD and those that do not.
The Importance of Early Breastfeeding Initiation
Early breastfeeding initiation is a crucial step in reducing the risk of postpartum bleeding. By initiating breastfeeding early, mothers can help their uterine muscles contract, reducing the risk of uterine atony and subsequent bleeding. In fact, studies have shown that early breastfeeding initiation can reduce the risk of postpartum bleeding by up to 50%. However, despite its benefits, early breastfeeding initiation is not always practiced in all clinics.
Research Purpose
This study aims to compare hemoglobin (HB) levels and estimate the number of postpartum bleeding in primipara mothers in two types of clinics: those that implement IMD and those that do not. With this information, it is hoped that data can be obtained useful for maternal health practices in the future.
Methodology
This study uses a comparative design with a pre-test and post-test approach. A total of 64 primipara mothers were involved in this study, consisting of 32 people in the case group (clinics that carried out IMD) and 32 people in the control group (clinics that did not do IMD). Sampling was carried out with a total sampling technique at the Sally Pancing Clinic and the Belawan Delima Clinic. The data obtained were analyzed using the T-dependent test to see a significant difference between the two groups.
Research Result
The results showed that in the control group, the average hemoglobin level before giving birth was 11.038 with a standard deviation of 0.3791, whereas after giving birth the average HB level dropped to 10.309 with a standard deviation of 0.5189. The difference in average value between before and after giving birth in the control group is 0.729.
On the other hand, in groups that do IMD, Hb levels before giving birth are 10.531 with a standard deviation of 0.6088, and after giving birth the average HB level drops to 9.478 with a standard deviation of 0.6484. The difference in average value between before and after giving birth in this group reached 1.0531. The analysis using the T-dependent test shows the value of P = 0.001, which shows that there is a significant difference between the two groups.
Conclusion
From the results of this study, it can be concluded that there are significant differences in hemoglobin levels and the amount of bleeding between mothers who initiate early breastfeeding and mothers who do not do it. These results show the importance of support for health workers in implementing the IMD program, as a preventive step to reduce the risk of postpartum bleeding and improve maternal health after childbirth.
Implications for Health
Support for the IMD program is very necessary to reduce the incidence of uterine atony and postpartum bleeding. Health workers are expected to be more active in educating pregnant women about the benefits of IMD, as well as implementing this practice at every opportunity to improve the safety and health of the mother and baby.
Recommendations
Based on the results of this study, the following recommendations are made:
Health workers should be more active in educating pregnant women about the benefits of IMD.
Clinics should implement IMD as a standard practice to reduce the risk of postpartum bleeding.
Further research should be conducted to explore the long-term effects of IMD on maternal health.
Limitations
This study has several limitations, including:
The sample size was relatively small, which may limit the generalizability of the results.
The study only compared hemoglobin levels and estimated the number of postpartum bleeding, and did not explore other potential outcomes of IMD.
Future Research Directions
Future research should aim to explore the long-term effects of IMD on maternal health, as well as the potential benefits of IMD on other outcomes, such as infant health and development.
Conclusion
In conclusion, this study highlights the importance of early breastfeeding initiation in reducing the risk of postpartum bleeding. The results of this study show that there are significant differences in hemoglobin levels and the amount of bleeding between mothers who initiate early breastfeeding and mothers who do not do it. These results have important implications for health, and highlight the need for support for health workers in implementing the IMD program.Frequently Asked Questions (FAQs) About Early Breastfeeding Initiation and Postpartum Bleeding
Q: What is Early Breastfeeding Initiation (IMD)?
A: Early Breastfeeding Initiation (IMD) is the practice of initiating breastfeeding within the first hour after birth. This practice has been shown to reduce the risk of postpartum bleeding and improve maternal health.
Q: Why is Early Breastfeeding Initiation important?
A: Early Breastfeeding Initiation is important because it helps to reduce the risk of postpartum bleeding, which is a leading cause of maternal mortality. By initiating breastfeeding early, mothers can help their uterine muscles contract, reducing the risk of uterine atony and subsequent bleeding.
Q: What are the benefits of Early Breastfeeding Initiation?
A: The benefits of Early Breastfeeding Initiation include:
Reduced risk of postpartum bleeding
Improved maternal health
Increased milk production
Improved infant health and development
Q: What are the risks of not initiating breastfeeding early?
A: The risks of not initiating breastfeeding early include:
Increased risk of postpartum bleeding
Poor maternal health
Decreased milk production
Poor infant health and development
Q: How can health workers support Early Breastfeeding Initiation?
A: Health workers can support Early Breastfeeding Initiation by:
Educating pregnant women about the benefits of IMD
Implementing IMD as a standard practice in clinics
Providing support and guidance to new mothers who are initiating breastfeeding
Q: What are the implications of this study for maternal health?
A: The implications of this study for maternal health are significant. The results of this study highlight the importance of Early Breastfeeding Initiation in reducing the risk of postpartum bleeding and improving maternal health. Health workers and policymakers should take note of these findings and work to implement policies and practices that support Early Breastfeeding Initiation.
Q: What are the limitations of this study?
A: The limitations of this study include:
The sample size was relatively small, which may limit the generalizability of the results
The study only compared hemoglobin levels and estimated the number of postpartum bleeding, and did not explore other potential outcomes of IMD
Q: What are the future research directions for this topic?
A: Future research should aim to explore the long-term effects of IMD on maternal health, as well as the potential benefits of IMD on other outcomes, such as infant health and development.
Q: What can new mothers do to support their own health and the health of their baby?
A: New mothers can support their own health and the health of their baby by:
Initiating breastfeeding early
Seeking support and guidance from health workers
Practicing good hygiene and nutrition
Getting regular check-ups and screenings
Q: What can health workers do to support new mothers?
A: Health workers can support new mothers by:
Educating them about the benefits of IMD
Providing support and guidance on initiating breastfeeding
Offering regular check-ups and screenings
Providing emotional support and counseling as needed.