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Hasil analisis menemukan bahwa sebagian besar ibu di wilayah perkotaan tidak memberikan ASI eksklusif kepada bayinya dan ibu yang mengalami kehamilan tidak diinginkan cukup tinggi. Setelah dikontrol oleh variabel umur ibu, statuspekerjaan ibu, jumlah anak, pelayanan antenatal dan pemberian ASI segera, ibuyang mengalami kehamilan tidak diinginkan cenderung tidak memberikan ASIeksklusif pada kelompok umur 20-35 tahun, tidak bekerja, dan pelayanan antenatal sesuai K4, sedangkan cenderung memberikan ASI eksklusif pada kelompok umur kurang dari 20 dan lebih dari 35 tahun, bekerja, dan pelayanan antenatal tidak sesuai K4.
Kata kunci : Kehamilan tidak di inginkan, ASI eksklusif, perkotaan
Exclusively breastfeeding have an important role to maintain health and thesurvival of the infant. However, the prevalence of exclusively breastfeeding inIndonesia particularly in the urban areas is quite low. Meanwhile, the incidence ofunintended pregnancy in Indonesia is quite high. This research aims to know thedescription of unintended pregnancy and its association to exclusively breastfeeding. Research is using cross sectional design study which use thesecondary data analysis of National Basic Health Research 2010.
Results of theanalysis found that most of the mothers in urban areas were not exclusively breastfeed their baby and the incidence of unintended pregnancy is quite high.After controlled by maternal age, maternal employment status, parity, antenatalcare, and immediate breastfeeding, mothers with unintended pregnancy were lesslikely to breastfeed their baby if their age were under 20 and above 35 years old,unemployed, and did not access adequate antenatal care, whereas mothers weremore likely to breastfeed if their age were 20-35 years old, employed, and did notaccess antenatal care.
Keywords : Unintended pregnancy, exclusively breastfeeding, urban areas
Maternal mental health problem is a major challenge in global public health problems. Women are generally more at risk for depression during pregnancy because of hormonal changes and their role changes in life. Untreated antenatal depression can increase the risk of postpartum depression and other complications for both mother and baby. Some symptoms of antenatal depression are similar to discomfort in pregnancy experienced by pregnant women so that these symptoms are often considered as normal discomfort in pregnancy. The absence of depression screening assessment instruments in pregnancy also makes mental health services for pregnant women not performed by midwives when conducting antenatal care in primary health facilities. This study aims to design an antenatal depression detection system in website-based mental health services for pregnant women. This research was conducted at the UPT Puskesmas Rawat Inap Panjang Bandar Lampung using a prototyping system development method. The results of this study indicate that mental health services for pregnant women have not been carried out in integrated antenatal care services. The final result of this research is a prototype of an information system that is able to detect the risk of depression in pregnant women and assess the risk factors that might be the cause of depression in pregnant women. By knowing these risk factors, midwives can provide appropriate interventions in reducing antenatal depression.
