Keberhasilan Inisiasi Menyusu Dini Dengan Involusi Rahim, Pelepasan Plasenta Dan Perdarahan Kala IV Persalinan

Abstract

Background: The labor process starts from the first stage until the fourth stage, can occur normally or abnormally. The main complication after childbirth that often arises is bleeding. The facts show that bleeding is the main cause of maternal death by 45% -50%. Early breastfeeding initiation is one effort that can reduce post partum hemorrhage. Not all deliveries carry out IMD. This study aims to analyze the relationship between the success of IMD of uterine involution, placental detachment and prevention of bleeding in fourth stage of labor. Method: This research used observational analytic study with a cross sectional design. The independent variable is the success of early breastfeeding initiation and the dependent variable is bleeding in the fourth stage of labor. The sample in this study was a portion of mothers giving birth at PMB Ny. "W" Magetan in the period April - August 2018. Sample size of 100 respondents obtained by simple random sampling. Data were analyzed using descriptive and multivariate tests with logistic regression. Result: The results showed there was a relationship between the success of IMD with uterine involution, placental detachment and the amount of fourth stage bleeding. Conclusion: There is an effect of the success of IMD with uterine involution and IV stage of labor. It is recommended to improve the implementation of IMD and commitment of midwives so as to reduce the maternal mortality rate due to bleeding. Conduct research with more respondents and a wider research area Keywords: Early breastfeeding initiation; uterine involution; placental detachment; fourth stage of labor.