Abstract
On lactation a mother can experience a variety of health complaints or disorders that require the use of the medicine, so many mothers who are breastfeeding using drugs that can give undesirable effects on the baby's feedings. Some drugs with certain characteristics can be mixed into the breast milk. The characteristics referred to, among others, is a drug that is easily soluble in fats, a drug that has the weight of small molecules, ionized drugs, and drugs that bind weakly with plasma proteins. The level of knowledge of nursing mothers will drug safety is a crucial factor to safeguard the safety of the baby. When nursing mothers have a good level of knowledge will be drug safety throughout lactation, so baby can escape from the dangers of drug side effects. This research is a survey research with cross-sectional design against 100 people respondents in Sumbersari Clinics at Jember Regency. The sample of respondents is selected using a purposive sampling technique. Before the questionnaires distributed to respondents, first conducted the test validity and reliability tests. Category level of knowledge of nursing mothers about the safety of the drugs are divided into 3 categories, namely low, medium, and high. Reference to that category, taken from the average rating ± SD knowledge of nursing mothers. Descriptive analysis shows average values ± SD i.e of 6.5 ± 2.4, so for a value of between 4.1-8.9 are included in the category of being. Values smaller than 4.1 fall into the low category and values greater than 8.9 fall into the high category. The results showed that breastfeeding mothers who have low knowledge level of 20%, the level of knowledge being of 57% and a high level of knowledge of 23%. Research results also showed that based on the security level of drug use in accordance with the WHO is a year of 2003, drugs consumed by nursing mothers is made up of the drug with a security level of category one (amoxicillin, mefenamic acid, dextromethorphan HBr, ibuprofen, paracetamol, and tetracycline), drugs with a security level of category two (acetylsalicylic acid and ephedrine HCl), as well as a drug with a security level of category three (chlorphenamine).
Highlights
On lactation a mother can experience a variety of health complaints or disorders that require the use of the medicine, so many mothers who are breastfeeding using drugs that can give undesirable effects on the baby's feedings
The results showed that breastfeeding mothers who have low knowledge level of 20%, the level of knowledge being of 57% and a high level of knowledge of 23%
Drugs during pregnancy and lactation (treatment options and risk assessment)
Summary
Menyusui menurut World Health Organization (WHO) merupakan suatu proses yang normal untuk bayi karena Air Susu Ibu (ASI) mengandung nutrisi yang dibutuhkan untuk pertumbuhan dan perkembangan bayi. Kandungan nutrisi dalam ASI, terdiri atas laktosa sebesar 77 g/L, lemak 45 g/L, dan protein 11 g/L.40 WHO telah mengkaji bahwa waktu optimal pemberian ASI eksklusif adalah sejak bayi lahir sampai berusia 6 bulan. Pada saat seorang ibu sedang berada dalam masa menyusui melalui pemberian ASI, seorang ibu dapat mengalami berbagai keluhan atau gangguan kesehatan yang membutuhkan penggunaan obat. Banyak ibu yang sedang menyusui menggunakan obat yang dapat memberikan efek yang tidak dikehendaki pada bayi yang disusui.. Obat yang bersifat basa lemah di plasma akan lebih banyak dalam bentuk tidak terionisasi serta mudah menembus membran alveoli dan kapiler payudara. Apabila obat dengan karakteristik tersebut diminum oleh ibu menyusui dan masuk ke dalam ASI, maka penumpukan obat di dalam tubuh bayi dapat terjadi dan dapat memberikan beberapa efek seperti efek terapeutik, efek toksik, dan efek samping. Ibu menyusui yang mengalami beberapa kondisi seperti depresi dan infeksi, berisiko menggunakan obat yang dapat terekskresi melalui ASI. Melalui penelitian ini diharapkan dapat menambah informasi dan pengetahuan bagi ibu menyusui tentang pentingnya keamanan penggunaan obat pada masa menyusui serta memberikan informasi kepada tenaga kesehatan dan masyarakat mengenai pentingnya memberikan informasi terkait penggunaan obat yang aman bagi ibu menyusui
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