Literature review and Hypothesa A. Hyper uricemia
greatly influence breastfeeding success. The peri-partum hospital experience
should include adequate support, instruction and care to ensure the
successful early initiation of breastfeeding. Such management is part
of continuum of care and education begin during the pre-natal period that
promotes breastfeeding as the optimal method of infant feeding and includes
information about maternal and infant benefits.
15
Though, it is important to initiate breast feeding to new born baby within 1
Method
The quasi- experimental study was hour of delivery, yet no studies have
been done so far in the Institute to see the effect of initiation of breast feeding
within 1 hour of delivery on maternal- infant bonding. WHO recommends that
breast feeding should be initiated within 1 hour of delivery. So, the need aroused
to conduct the study and assess the effect of initiation of breast feeding
within 1 hour of delivery on maternal- infant bonding and produce research
based evidence.
All the mothers with normal vaginal delivery period of gestation 36 weeks
conducted with the mothers and their and above
who were willing to new born babies in the obstetric unit
Mohamad Djamil Hospital Padang Indonesia in September
– Oktober 2014. participate in the study were considered
eligible and included in the study except the mothers and new born babies in the
Purposive sampling technique was exclusion criteria.
And the mothers employed to select sample from the
having the problem i.e medical surgical population. During first phase the
disease which intervered with the mothers were conductes after one hours
of the delivery and asked weather they have initiated breast feeding to their
baby. If the breast feeding was not initiated within one hour of the delivery,
mother-infant dyads was considered in the experimental group. During the
second phase, the mother were conducted within one hour of the
delivery and breast feeding was initiated within one hour of delivery using
developed protocol i.e mother infant dyad were considered in the
experimental group. Protocol of the initiation of breast feeding was
developed by consulting the experts and review the literatur.
Result and Analysis
Thirty mother – infant dyads were
enrolled for the study and considered for analysis. Each group control and
initiation of breast feeding, post partum haemorrage and post partum psychosis,
twin pregnancy, eclampsia. The newborn babies with the problem a.e.
pre term less than 36 weeks of gestation, birth weight less than 1800 gr, APGAR
score less than 7 at 1 and 5 minutes, congenital malformations which
interfered with the breast feeding, babies shifted with the breast feeding, babies
shifted to neonatal intensive care units NICU, babies with medical surgical
problems where direct breast feeding is contraindicated were excluded from this
study.
mother – infant dyads. Analysis of
gathered data was done using differential and inferential statistics.
experimental comprised of thirty
1274
Table 1. Socio-demographic profile of the subjects. Socio-demographic profile
Control Group f
N = 30 Experimental
Group f
N = 30
Age
- -
- -
20 years 21
– 25 years 26
– 30 years 31 years
02 06.7 15 50.0
10 33.3 03 10.0
01 03.3 14 46.7
10 33.3 05 16.7
Educational self
- -
- -
Till 6
th
SD 7
th
– 9
th
SMP 10
th
– 12
th
SMA 13
th
03 10.0 05 17.0
15 50.0 07 13.0
04 13.0 04 13.0
17 57.0 05 17.0
Occupation self
- -
House-wife Employed
16 53.0 14 47.0
17 57.0 13 43.0
Place habitat
- -
Rural Urban
17 47.0 13 53.0
16 53.0 14 47.0
Per Capita Income
- -
- -
IDR.600.000 IDR. 600.000
– IDR. 1.200.000 IDR. 1.200.000
– IDR. 1.800.000 IDR. 1.800.000
13 43.3 10 33.3
06 20.0 01 03.4
10 33.3 12 40.0
06 20.0 02 06.7
Type of Family
- -
Joint Nuclear
16 53.0 14 47.0
18 60.0 12 40.0
Majority of the subjects were in the age group of 21-25 years. Age of the study
subjects mothers in the control group ranged between 19 to 38 years. Per
capita income of subjects ranged between IDR 450.000- IDR 2.100.000-
per month. 13 43.3 subjects from group had per capita income of IDR
600.000
– whereas 12 40.0, subjects from experimental groups had per capita
income IDR 600.000- IDR 1.200.000- per month.
Educational of subjects ranged between till 6
th
SD - 16
th
post graduated, 15 50.0 subjects from
control group had educational 10
th
– 12
th
1275 SMA
– whereas 17 57.0, subjects from experimental groups had
educational 10
th
– 12
th
SMA. In the control group, educational ranged
between till 6
th
SD - 16
th
post graduated. More than half of the
subjects i.e. 57.0 from experimental group and 53.0 from control group
were house wives. More than half 47.0 of subjects from control group
and 53.0 from experiment group were from rural background. More than
half type of family 53.0 of subjects from control group and 60.0 from
experiment group were joint family.
Table 2. Gravida status, gestation period and sex of baby of the subjects Variables
Control Group f
N = 30 Experimental
Group f
N = 30
Gravida
- -
Primi Gravida Multi Gravida
17 57.0 13 43.0
15 50.0 15 50.0
Period of Gestation in weeks
- -
- 36
– 37 37
– 40 40
– 42 05 17.0
23 77.0 02 07.0
04 13.0 24 80.0
02 07.0 Sex of baby
- -
Boy Girl
11 37.0 19 63.0
20 67.0 10 33.0
More than half of the study subjects were primigravida i.e. 50.0 from
control group and a half i.e 57.0 from experimental group. Majority of the
control group of study subjects i.e 77 delivered between 37 to 40 weeks
groups and control group 80. In the control group, 11 37.0 subjects, had
baby boy 19 63.0 had baby girl while in experimental group, 20 67.0
subjects, had baby boy and 10 33.0 had baby girl.
period of gestation and experimental
Table 3. Maternal – infant bonding score at 24 and 48 hours
Maternal – Infant bonding score
Control Group Experimental Group
Value of TIME
N = 30 N = 30
t Mean + S.D
Range Mean + S.D
Range
After 24 73.4 + 9.0 44.3
– 87.2 80.1 + 5.3
62.2 – 90.1
-7.401 hours of
delivery p=0.002
After 48 74.2 + 8.7 44.3
– 91.2 82.3 + 5.3
61.7 – 91.2
-8.891 hours of
delivery The comparison of maternal-infant
bonding was done at 24 and 48 hours of the delivery and the scores were
compared. In control group, mean bonding score on maternal-infant
attachement scale at 24 hours of delivery ranged from 44.3 - 87.2 with mean score
73.3 + 9 and at 48 hours the score ranged from 44.3-91.2 with mean + S.D
score 74.2 + 8.7. In the experimental group. Mean bonding score and range in
maternal-infant attachment scale at 24 hours of the delivery between 62.2 -
1276 p=0.001
90.1 with mean score 80.1 + 5.3 and while at 48 hours it ranged from 61.7 -
91.2 with mean score 82.3 + 5.3. The t test for equality of means was applied to
asses maternal-infant bonding at both 24 and 48 hours was -7.401 and -8.891,
respectively p = 0.002 at both 24 hours and p = 0, 001 for 48 hours, this shows
that there was significant difference in bonding score in the control and
experimental group both at 24 hours and 48 hours of the delivery.