CASE STUDY IMPLEMENTATION OF EARLY INITIATION BREASTFEEDING AND BOUNDING ATTACHMENT ON MOTHER POST PARTUM PHASE AT DINOYO HEALTH CENTER OF MALANG CITY

Victor Bima Octoclev
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Abstract

The bounding process on newborns is needed to establish a bond between mother and child that enhances the connection between mother and child at birth and afterwards by giving the mother an Initiation of Early Breastfeeding (IMD). The purpose of this research is for know the bounding attachment on post partum mother by doing IMD immediately after the baby is born. This research using case study type with participative observational methods using two research subjects with focus study of successful infants and IMD infants who are not successful. Interviews and observations are performed using anecdotal record instruments, checklists and ordinal dimension assessment scales. Conducted by doing qualitative analysis, the data presented in the form of narration. The results of the case study showed that, when the IMD the bounding observation on subjects 1 (Mrs. S parietas G9P8Ab000) whose baby successfully performed IMD within 47 minutes with a score of 5, was observed until the third day of post partum got score 7, range score 5-7 (the need for support for bounding is extra) the closeness of the mother and baby is still lacking and needs to be improved. While the bounding observation when the IMD on subject 2 (Mrs. C parietas G3P2Ab000) whose baby failed to perform IMD until 90 minutes with a score of 8, observed until the third day of post partum was score 9, range score 8-10 (requirement of support for bounding is ordinary) that is good mother and baby closeness and need to be keep up. The conclusion of a successful baby and a non-successful baby doing an IMD does not affect the bounding attachment process of the post partum mother. Discussion for further researcher is a similar study focus by adding maternal knowledge criteria and support of health workers when they facilitating IMD maternal parietas multi/grandemultipara against bounding attachment.
马琅市迪诺约保健中心实施早期母乳喂养和产后母亲依恋的个案研究
新生儿的束缚过程是建立母亲和孩子之间的纽带所必需的,通过让母亲开始早期母乳喂养(IMD),在出生时和出生后加强母亲和孩子之间的联系。本研究的目的是通过在婴儿出生后立即进行IMD来了解产后母亲的束缚依恋。本研究采用案例研究法和参与式观察法,采用两种研究对象,重点研究成功婴儿和不成功的IMD婴儿。访谈和观察使用轶事记录工具,检查表和序数维度评估量表进行。通过做定性分析,将数据以叙事的形式呈现出来。个案研究结果显示,当被试1 (S parietas夫人G9P8Ab000)的婴儿在47分钟内成功完成IMD,得分为5分时,观察到产后第3天,得分为7分,范围为5-7分(需要额外的支持),母婴亲密度仍然缺乏,需要改善。而当受试者2 (Mrs. C parietas G3P2Ab000)的IMD直到90分钟都没有进行IMD,得分为8分时,观察到产后第三天为9分,范围为8-10分(支持要求一般),母婴亲密良好,需要保持。一个成功的婴儿和一个不成功的婴儿做IMD的结论不影响产后母亲的边界依恋过程。进一步研究人员讨论的是类似的研究重点,即增加孕产妇知识标准和卫生工作者在促进IMD孕产妇多/大多para对抗束缚依恋时的支持。
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