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Many mothers who give birth to Sectio Caesarea (SC) do not Initiate Early Breastfeeding (IMD), which fails exclusive breastfeeding. This study aimed to determine the effect of IMD management in postpartum SC mothers on nutritional status, speed of milk production, and quality of breast milk protein. Method: quantitative research with quasi approach experiment. The research design used was a pre-post-test control non-equivalent control group. A sampling of this study used the Consecutive method sampling with a sample of 20 mothers who gave birth by cesarean section (SC). Hypothesis testing uses the independent t-test and the Mann-Whitney test. The study results showed an influence on the management of IMD in postpartum SC mothers on the speed of ASI production (p-value=0.004) and nutritional status (p-value=0.028). There was no effect of IMD management on postpartum SC mothers on the quality of breast milk protein (p-value = 0.543). This study recommends that the hospital implement an IMD promotion program before the abdominal wall is closed as a form of intervention to increase milk production and maternal nutritional status


Early breastfeeding initiation (IMD) Nutritional Status ASI production

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How to Cite
Syukur, N. A., & Purwanti, S. (2020). Penatalaksanaan IMD pada Ibu Postpartum Sectio Caesarea Mempengaruhi Status Gizi dan Kecepatan Produksi ASI : Management of Early Breastfeeding Initiation (IMD) in Post Sectio Caesarea Mother Affecting Nutritional Status and Speed Production of Breast Milk. Jurnal Bidan Cerdas, 2(2), 112-120.


  1. World Health Organization. The World Health Organization Report 2002: Reducing Risks, Promoting Healthy Life. WHO Libr Cat Publ Data. 2002;232.
  2. Righard L, Alade MO. Effect of Delivery Room Routines on Success of First Breast-Feed. Lancet (London, England). 1990 Nov;336(8723):1105–7.
  3. Fikawati S, Syafiq A. Study on Policy and Implementation of Exclusive and Early Initiation of Breastfeeding in Indonesia. Makara J Heal Res. 2011;14(1):17–24.
  4. UNICEF. The Millennium Development Goals They Are About Children.
  5. Essa RM, Abdel Aziz Ismail NI. Effect of Early Maternal/Newborn Skin-to-Skin Contact After Birth on the Duration of Third Stage of Labor and Initiation of Breastfeeding. J Nurs Educ Pract. 2015;5(4):98–107.
  6. Kementerian Kesehatan R.I. Profil kesehatan Indonesia 2018. Jakarta: Kementerian Kesehatan R.I.; 2018.
  7. Widström AM, Brimdyr K, Svensson K, Cadwell K, Nissen E. Skin-to-Skin Contact the First Hour After Birth, Underlying Implications and Clinical Practice. Acta Paediatr Int J Paediatr. 2019;108(7):1192–204.
  8. Marmi. Etika Profesi Bidan. 3rd ed. Vol. II. Yogyakarta: Pustaka Pelajar; 2014. 28–30 p.
  9. Kirchengast S, Hartmann B. Impact of Maternal Age and Maternal Somatic Characteristics on Newborn Size. Am J Hum Biol. 2003;15(2):220–8.
  10. Taufan N. ASI dan tumor payudara. Yogyakarta: Nuha Medika; 2011. 140 p.
  11. Pujiastuti N. Korelasi antara Status Gizi Ibu Menyusui dengan Kecukupan ASI di Posyandu Desa Karang Kedawang Kecamatan Sooko Kabupaten Mojokerto. J Keperawatan. 2010;1(2):126–37.
  12. Guelinckx I, Devlieger R, Beckers K, Vansant G. Maternal Obesity: Pregnancy Complications, Gestational Weight Gain and Nutrition. Obes Rev. 2008;9(2):140–50.
  13. Spong CY, Berghella V, Wenstrom KD, Mercer BM, Saade GR. Preventing the First Cesarean Delivery: Summary of A Joint Eunice Kennedy Shriver National Institute of Child Health And Human Development, Society for Maternal-Fetal Medicine, and American College of Obstetricians and Gynecologists Workshop. Obstet Gynecol. 2012;120(5):1181–93.
  14. Oxorn, Harry ; William R F. Ilmu Kebidanan: Patologi & Fisiologi Persalinan (Human Labor and Birth). Andi, editor. Yayasan Essentia Medica (YEM); 2010.
  15. Cantrill RM, Creedy DK, Cooke M, Dykes F. Effective Suckling In Relation to Naked Maternal-Infant Body Contact in The First Hour of Life: an Observation Study. BMC Pregnancy Childbirth. 2014;14(1).
  16. Tri Aprilia T; FU. Hubungan Antara Isapan Bayi dengan Produksi ASI pada Ibu Menyusui di Rumah Sakit Islam Jemursari Surabaya. J Heal Sci. 2015;08(1):15–21.
  17. Moore ER, Anderson GC, Bergman N, Dowswell T. Early Skin-to-Skin Contact for Mothers and Their Healthy Newborn Infants. Cochrane Database Syst Rev. 2014;5:1–75.
  18. Evans KC, Evans RG, Royal R, Esterman AJ, James SL. Effect of Caesarean Section on Breast Milk Transfer to the Normal Term Newborn Over the First Week of Life. Arch Dis Child Fetal Neonatal Ed. 2003;88(5):380–2.
  19. Yenie H, Mugiati. Hubungan Inisiasi Menyusu Dini (IMD) dengan waktu pengeluaran ASI pada ibu Post Partum. 2014;XI(2):299–304.
  20. Sri Purwanti H. Konsep Penerapan ASI Eksklusif. Jakarta: EGC; 2004. 11 p.
  21. Ghosh S, Spielman K, Kershaw M, Ayele K, Kidane Y, Zillmer K, et al. Nutrition-Specific and Nutrition-Sensitive Factors Associated with Mid-Upper Arm Circumference as a Measure of Nutritional Status in Pregnant Ethiopian Women: Implications for Programming in the First 1000 Days. PLoS One. 2019;14(3):1–14.
  22. Assefa N, Berhane Y, Worku A. Wealth Status, Mid Upper Arm Circumference (MUAC) and Ante Natal Care (ANC) are Determinants for Low Birth Weight in Kersa, Ethiopia. PLoS One. 2012;7(6).
  23. Kramer MS. Determinants of Low Birth Weight: Methodological Assessment and Meta-Analysis. Bull World Health Organ. 1987;65(5):663–737.
  24. Rahfiludin MZ, Pangestuti DR. Lactoferrin Association with Maternal Nutritional Status and Lactation Stages. Curr Res Nutr Food Sci J. 2020;8(1):174–81.
  25. Edmond KM, Zandoh C, Quigley MA, Amenga-Etego S, Owusu-Agyei S, Kirkwood BR. Delayed Breastfeeding Initiation Increases Risk of Neonatal Mortality. Pediatrics. 2006;117(3).
  26. Varney H, Kriebs MJ, Gegor LC. Buku Ajar Asuhan Kebidanan. Jakarta: EGC; 2007.