Pengaruh Inisiasi Menyusu Dini terhadap Waktu Pengeluaran dan Perubahan Warna Mekonium Serta Kejadian Ikterik Fisiologis

Abstract

One of the government’s efforts through the Millennium Development Goals (MDGs) in 2010 in reducing the infant
mortality rate in Indonesia is improving infants nutrition and promote exclusive breastfeeding early breastfeeding
initiation. Early initiation of breastfeeding has many benefits for both mother and baby. This study aimed to compare
meconium spending time and meconium color change and the incidence of physiologic jaundice in infants who
received and did not receive early breastfeeding initiation (IMD). This study was a cross sectional analytical study
conducted at the Achmad Mochtar Hospital Bukittinggi. Forty-two maternity patients divided into two groups that
provide IMD and unprovide IMD group to her baby. In each group assessed first meconium spending time in minutes,
the time change meconium original colour of dark green to yellow and counted since birth in hours and the incidence
of physiologic jaundice in infants. All babies kept getting breastfeeding. There were no significant differences in the
mean time the first meconium spending time in both groups (131.42 minutes and 163.33 minutes, p> 0.05). There are
significant differences in the mean time meconium colour changes from dark green to yellow (50.14 hours and 94.36
hours, p <0.05). Early initiation of breastfeeding also lowers the incidence of physiological jaundice were significantly
(p <0.05). Early initiation of breastfeeding did not affect spending time first meconium but accelerate meconium
color changes from dark green to yellow. Early initiation of breastfeeding also lowers the incidence of neonatal
jaundice.