INISIASI MENYUSU DINI PADA SEKSIO SESAREA: STUDI MIXED METHODS PADA DUA RUMAH SAKIT SWASTA SAYANG IBU DAN ANAK DI JAKARTA DAN BEKASI

Abstract

Background: Early initiation of breastfeeding (EIB) for all
babies is recommended globally and nationally as a part of
Baby Friendly Hospital Initiatives. Caesarean section (C-section)
has been identified as an obstacle to EIB implementation
Objectives: (1) To measure the proportion of EIB among
babies born by C-section, and (2) To explore the barriers of
EIB in C-section.
Methods: This study used a mixed-methods study, in which
the qualitative study embedded to the quantitative study. A
cross sectional design was applied to measure the proportion
of EIB in all babies born by C-section in two baby friendly
hospitals during two months of observation. In-depth
interviews were conducted among two pediatricians, two
anesthesiologist, two obstetricians, two nurses and two
managers. Qualitative data was analyzed by content analysis.
Result: Of 68 babies born by C-section, none were performed
for adequate EIB. Variations of knowledge on EIB procedure,
lack of cooperation among SC team, lack of infrastructure and
policy, as well as other obstacle from patients’ side were
among the barriers.
Conclusion: EIB is not adequately implemented in the two
baby friendly hospitals. Standards of EIB practice should be
established and disseminated to C-section team and patients
in the hospitals.
Keywords: early initiation of breastfeeding, caesarean
section, baby friendly hospital initiative, hospital practices