Hasil Pencarian  ::  Simpan CSV :: Kembali

"

Infeksi Daerah Operasi (IDO) merupakan penyebab utama dalam meningkatkan biaya perawatan, perpanjangan lama rawat inap serta perpanjangan waktu pemulihan pada ibu yang telah menjalani operasi sesar. Angka kejadian IDO di negara berkembang lebih tinggi dibandingkan dengan negara maju. Ibu yang melakukan operasi sesar memiliki peluang hingga 20 kali lebih tinggi terkena morbiditas infeksi dibandingkan dengan wanita yang melahirkan melalui vagina. Oleh sebab itu penelitian ini bertujuan untuk mengidentifikasi angka kejadian dan faktor risiko IDO pasca operasi sesar serta kaitannya dengan upaya peningkatan kualitas pelayanan kesehatan. Pertanyaan penelitian dijawab dengan studi literature review dan sintesis data dilakukan secara naratif. Pencarian studi pustaka menggunakan basis data ProQuest, PubMed, BJOG, Science Direct, Springer Link, Garuda RISTEKBRIN antara 2010 hingga 2020. Studi yang memiliki fokus penelitian faktor penyebab infeksi daerah operasi pasca operasi sesar digunakan dalam penelitian ini. Terdapat 43 studi yang dimasukkan dalam penelitian ini. Faktor risiko Infeksi Daerah Operasi (IDO) pasca operasi sesar yang diidentifikasi yaitu usia ibu, skor ASA ≥ 3, anemia, diabetes, obesitas, hipertensi, merokok, penggunaan tembakau, lokasi penduduk, jumlah pemeriksaan vagina lebih dari 3 kali, ketuban pecah dini, persalinan lama, usia kehamilan, indikasi operasi sesar (operasi sesar sebelumnya, paritas, penelusuran persalinan) korioamnionitis, lama rawat inap pra dan pasca operasi, antibiotik profilaksis, durasi operasi yang berkepanjangan, operasi darurat, transfusi darah, tingkat kontaminasi luka ≥ 3, jenis sayatan kulit vertikal atau garis tengah, teknik penutupan kulit, teknik anestesi dan tingkat petugas kesehatan bedah. Berdasarkan faktor penyebab terjadinya IDO pasca operasi sesar yang telah diidentifikasi, maka sejumlah upaya dapat dilakukan oleh rumah sakit untuk meningkatkan kualitas layanan operasi sesar.

---

Surgical site infection (SSI) is a major cause increased medical costs, increased length of stay and extended recovery time for women who had a cesarean section. The incidence of SSI in developing countries is higher than in developed countries. Mothers who had done cesarean section surgery have a chance up to 20 times higher of developing morbidity of infection compared to vaginal birth. Therefore this study aims to identify the incidence and risk factors of SSI postoperative cesarean also the relationship with improving the quality of health services. The research question was answered with a literature review research and results were summarized narratively. A literature search using databases from ProQuest, PubMed, BJOG, Science Direct, Springer Link andGaruda RISTEKBRIN between 2010 and 2020. The literature on risk of surgical site infection after cesarean surgery was discussed. In total, 43 studies were included in this review. Risk factor for surgical site infection (SSI) after cesarean section identified in this study were maternal age, ASA score ≥ 3, anaemia, diabetes, obesity, hypertension, smoking, tobacco use, residence, number of vaginal examinations > 3, premature rupture of membranes, prolonged labor, gestational age, indications of cesarean section (previous cesarean section, parity, arrest of labor), chorioamnionitis, length of pre and postoperative hospital stay, prophylactic antibiotics, prolonged duration of surgery, emergency surgery, blood transfusion, wound class ≥ 3, vertical or midline abdominal incision, skin closure technique, anesthetic technique and type of surgeon. Based on the risk factors of SSI after cesarean section that has been identified, several efforts can be made by hospitals to improve the quality of cesarean section services.

"

"Dengan kemajuan dalam bidang kedokteran yang terus menerus melakukan peningkatan perbaikan layanan demi kepuasan dan keselamatan pasien yang lebih baik. ERACS (Enhanced Recovery After Cesarean Section) merupakan suatu kemajuan dalam layanan kedokteran terutama dalam bidang obstetric, dimana pendekatan multimodal dalam persiapan pre operasi, intra operasi, dan juga pasca operasi. ERACS merupakan kolaborasi multidisplin yang sangat menentukan keberhasilan luaran dari ERACS, kolaborasi anatar dokter spesialis obgyn, dokter spesialis anastesi, perawat/bidan, dan juga pasien itu sendiri. ERACS juga telah dilaksakan di RSIA Kemang Medical Care sejak November 2021 dan masih menjadi pilihan layanan untuk pasien yang akan melahirkan secara operasi terencana/elektif sampai dengan saat ini. Untuk itu dalam upaya untuk menjamin mutu pelayanan di RSIA Kemang Medical Care, maka perlu untuk mengukur efektivitas (length of stay, nyeri, dan biaya) dari penerapan protocol ERACS di RSIA Kemang Medical Care tahun 2022. Penelitian ini menggunakan pendekatan studi kuantitatif cross sectional. Dimana data yang diambil merupakan data sekunder untuk melihat kepatuhan penerapan protocol ERACS yang dilihat berdasarkan daftar tilik ERACS RSIA Kemang Medical Care. Selain itu juga melihat kepatuhan masing-masing tenaga kesehatan yang terlibat begitu juga dengan kepatuhan pasien yang menjalankan proyokol ERACS. Wawancara dilakukan kepada beberapa pihak manajemen sebagai pemangku kebijakan untuk memperkuat hasil penelitian. Berdasarkan hasil analisis statistik, dinyatakan bahwa terdapat hubungan yang signifikan (p value 0,04) antara kepatuhan penerapan protocol ERACS terhadap efektivitas ERACS di RSIA Kemang Medical Care. Dimana setiap kepatuhan penerapan protocol ERACS akan berpengaruh sebesar 8 kali terhadap efektivitas ERACS di RSIA Kemang Medical Care pada tahun 2022.

---

With advances in the medical field, we are continuously improving services for better patient satisfaction and safety. ERACS (Enhanced Recovery After Cesarean Section) is an advancement in medical services, especially in the field of obstetrics, where there is a multimodal approach in pre-operative, intra-operative and also post-operative preparation. ERACS is a multidisciplinary collaboration that really determines the success of ERACS outcomes, collaboration between ob-gyn specialists, anesthesiologists, nurses/midwives, and also the patients themselves. ERACS has also been carried out at RSIA Kemang Medical Care since November 2021 and is still the service of choice for patients who are going to give birth via planned/elective surgery until now. For this reason, in an effort to guarantee the quality of service at RSIA Kemang Medical Care, it is necessary to measure the effectiveness (length of stay, pain and costs) of implementing the ERACS protocol at RSIA Kemang Medical Care in 2022.

This research uses a quantitative cross sectional study approach. Where the data taken is secondary data to see compliance with the implementation of the ERACS protocol which is seen based on the RSIA Kemang Medical Care ERACS checklist. Apart from that, it also looks at the compliance of each health worker involved as well as the compliance of patients who carry out the ERACS procedure. Interviews were conducted with several management parties as policy makers to strengthen the research results. Based on the results of statistical analysis, it was stated that there was a significant relationship (p value 0.04) between compliance with the implementation of the ERACS protocol and the effectiveness of ERACS at RSIA Kemang Medical Care. Where every compliance with the implementation of the ERACS protocol will have an impact of 8 times on the effectiveness of ERACS at RSIA Kemang Medical Care in 2022"

"Latar belakang: Perubahan fungsi seksual perempuan pascapersalinan berkisar 23% - 86% dan mempunyai dampak yang signifikan dalam keharmonisan keluarga. Berbagai studi dan penelitian tentang fungsi seksual perempuan pascapersalinan banyak dilakukan dengan hasil yang berbeda karena adanya perbedaan alat ukur, waktu pengukuran serta pengontrolan variabel perancu. Penelitian ini sebagai konfirmasi dari penelitian sebelumnya serta belum adanya data yang pasti terutama di Jakarta dan Indonesia umumnya. Tujuan: mengetahui perbandingan dorongan, bangkitan, orgasme, nyeri dan kepuasan fungsi seksual perempuan 3 bulan pascapersalinan spontan dengan seksio sesaria di Rumah Sakit Cipto Mangunkusumo Jakarta. Metode: Penelitian observasional, subyek kelompok persalinan spontan dan seksio sesaria, pengukuran fungsi seksualnya 3 bulan pascapersalinan menggunakan kuisioner Female Sexual Function Index (FSFI) desain penelitian cross sectional (potong lintang), pengambilan sampel consecutive sampling. Analisis komparatif katagorik tidak berpasangan dengan chi square atau uji fisher. Analisis variabel perancu dilakukan analisis multivariat regresi logistik. Hasil: Dari 150 responden 3 bulan pascapersalinan spontan dan seksio sesaria didapatkan 43,3% disfungsi seksual dengan 52 % spontan dan 34 % seksio sesaria. Analisa bivariat terjadinya disfungsi seksual 3 bulan pascapersalinan spontan 1,5 kali lebih besar (IK 95% 1,02-3,19) dibandingkan seksio sesaria. Gangguan hasrat/dorongan seksual 2 kali lebih besar (IK 95% 1,17-3,40) dibandingkan seksio sesaria, sedangkan gangguan orgasme 8 kali lebih besar (IK 95% 1,90-3,58) dengan variable perancu adanya robekan perineum. Gangguan bangkitan seksual, lubrikasi, kepuasan seksual dan nyeri tidak berbeda secara bermakna pada persalinan spontan dengan seksio sesaria. Analisa multivariat variabel persalinan spontan bermakna secara statistik untuk disfungsi seksual pasien 3 bulan pascapersalinan pada variabel disfungsi dorongan seksual dan pencapaian orgasme, dengan nilai p=0,008, RR 2,716 dan p=0,031 RR 6,952, sedangkan variabel usia lebih dari 30 tahun bermakna secara statistik pada disfungsi seksual pada variabel bangkitan seksual dengan p=0,021 dan RR 2,601. Kesimpulan: persalinan spontan bermakna secara statistik untuk terjadinya disfungsi seksual 3 bulan pascapersalinan, terutama variabel dorongan seksual dan tercapainya orgasme. Sedangkan variabel usia lebih dari 30 tahun merupakan variabel yang berpengaruh pada disfungsi seksual terutama pada variabel bangkitan seksual.

---

Background: The alteration of postpartum sexual function on female is about 23%-86% and has a significant impact in a family?s tranquility. Many studies and research regarding postpartum sexual function on female were performed by various comparison variables such as Glasner, Barret, Thomson and Rochelle with different results because of the difference of measuring instruments, time of measurement and the control of confounding variables.

Objective: To know the comparison of encouragement, stimuli, orgasm, pain and satisfaction of female sexual function at 3 months post partum between spontaneous and cesarean section in Cipto Mangunkusumo National General Hospital in Jakarta.

Methods: This was an observational research involving subjects starting from identification of spontaneous and cesarean section group, and then their sexual function was measured at three months postpartum with Female Sexual Function Index (FSFI) questionnaire. The study design used was cross sectional with consecutive sampling. Analysis for non-paired of category comparative were chi square or fisher analysis. Analysis for confounding variables with multivariate logistic regression.

Results: From 75 respondents of spontaneous and Cesarean Section 43,3% have sexual dysfunction with 52% of spontaneous and 34% of cesarean section. Bivariate analysis of happening of sexual dysfunction at three months spontaneous was 1.5 times higher (IPK 95% 1,02-3,19) compared with cesarean section. Sexual encouragement shows a twice higher value (IPK 95% 1,17-3,40) compared to cesarean section. However, orgasm disturbance was 8 times higher (IPK 95% 1,90-3,58) with confounding variable of perineum rupture. Disturbance of sexual stimuli, satisfaction and pain were not significantly different between spontaneous and cesarean section. Multivariate analysis of vaginal labor was statistically significant for sexual dysfunction at three months postpartum in patient with sexual encouragement dysfunction and orgasm accession, with value of p=0,008, RR 2,716 and p=0,031 RR 6,952. However, more than 30 years old of age variable was statistically significant in sexual dysfunction variable with value of p=0,021 and RR=2,60.

Conclusion: Spontaneous labor is statistically significant for sexual dysfunction at three months postpartum, especially for sexual encouragement variable and orgasm accession. Meanwhile, the variables with the age of 30 years old or older."

"Seksio sesarea merupakan operasi kebidanan terbanyak di RS dr.Suyoto pada tahun 2012 sampai 2014 dengan proporsi 48% dengan indikasi adalah bekas seksio sesarea yaitu sebesar 26,20% kasus. Hasil wawancara diketahui belum adanya clinical pathway seksio sesarea dengan indikasi bekas seksio sesarea di RS dr.Suyoto PUSREHAB KEMHAN. Clinical pathway merupakan salah satu instrumen yang dapat digunakan untuk peningkatan mutu pelayanan, keamanan dan efisiensi pembiayaan. Penilitian ini dilakukan dengan riset operasional deskriptif analitik yang mengidentifikasi aktifitas perjalanan pasien mulai dari karakteristik, administrasi, pra operasi, operasi, pasca operasi, dan outcome pembedahan seksio sesarea.Hasil penelitian didapatkan variasi gambaran karakeristik, aktifitas administrasi, pra operasi, operasi, paska operasi, dan outcome pembedahan seksio sesarea. Berdasarkan hasil penelitian disusun desain awal clinical pathway seksio sesarea dengan indikasi bekas seksio sesarea.

---

Caesarean section is the most surgery of obstetric in dr.Suyoto from 2012 to 2014 with the proportion of 48%. Indication majority of 48% of cases cesarean section is previous cesarean section that is 26,20% of cases. Result of interviews, it has not been any clinical pathway of cesarean section with the indication previous cesarean section in dr.Suyoto PUSREHAB KEMHAN hospital. Clinical pathway is one of the instruments that can be used for improvement of service quality, safety and efficiency of financing. This research is done with descriptive analytical operational research to identify activities from the characteristics of patient journey, administration, presurgery, surgery, post-surgery, and surgical outcomes caesarean section.

The results showed variations in the characteristics, administrative activities, pre-surgery, surgery, post-surgery, and surgical outcomes caesarean section with the indications for cesarean section."

"Latar belakang: Operasi sesar merupakan salah satu tindakan yang paling seringdilakukan dibidang obstetrik bahkan hingga dalam satu rumah sakit. Angka kejadianinfeksi daerah operasi sesar sangat bervariasi pada seluruh dunia berkisar pada 3-15%.Proses terjadinya IDO merupakan suatu proses multifaktorial yang meliputi mulai daripersiapan perioperatif, kondisi pasien, jenis operasi, jenis kuman dan lain-lain.Tujuan: Mengetahui karakteristik pasien, pola kuman, dan faktor risiko kejadianinfeksi daerah operasi (IDO) di RSCM tahun 2016-2018.Metode: Penelitian ini merupakan penelitian observasional dengan metode cohortretrospective. Subyek penelitian ini merupakan pasien yang menjalani operasi sesar diRSCM pada tahun 2016-2018 yang direkrut menggunakan metode consecutivesampling. Dari data yang didapatkan dilakukan analisis bivariat dan multivariat untukmenentukan faktor risiko terjadinya IDO pasca operasi sesarHasil: Didapatkan sebanyak 2.052 kasus yang memenuhi kriteria inklusi penelitian.Sebanyak 85 kasus infeksi daerah operasi (IDO) didapatkan dari 2.052 tindakan yangdilakukan (4,14%). Sebanyak 85 kelompok kasus IDO dan 1.967 kelompok kasuskontrol diikutsertakan dalam analisis faktor risiko. Kuman paling sering didapatkanpada kultur kasus infeksi daerah operasi pasca operasi sesar adalah Staphylococcusaureus (16,5%), Klebsiella pneumoniae (12,9%), Escherischia coli (9,4%),Enterococcus faecalis (9,4%), dan lainnya (21,2%). Variabel yang berpengaruhterhadap kejadian IDO pasca secar adalah gawat janin (p=0,002 ;AOR = 2,265 IK95% 1,350-3,801) dan IMT ≥30 kg/m2 (p=0,028; AOR 1,824 IK95% 1,066-3,121).Kesimpulan: Faktor yang berpengaruh terhadap kejadian IDO pasca SC adalah gawatjanin (p=0,002 ;AOR = 2,265 IK95 % 1,350-3,801) dan IMT ≥30 kg/m2 (p=0,028;AOR 1,824 IK95% 1,066-3,121).

---

Background: Caesarean section is one of the most performed operations in the fieldof obstetrics and even in hospital. The incidence of infections in cesarean section variesgreatly around the world at 3-15%. Surgical site infection is a multifactorial processthat starts from the perioperative preparation, the patient, the type of surgery, the typeof germ and other factors.Objective: To determine the characteristics of patients, bacterial patterns, and riskfactors for the incidence of surgical site infection (SSI) in Cipto MangunkusumoNational General Hospital in 2016-2018.Method: This study was an observational study using a retrospective cohort method.The subject of this study were patients undergoing cesarean section in CiptoMangunkusumo National General Hospital in 2016-2018 recruited using consecutivesampling method. Based on the data obtained, bivariate and multivariate analysis wereconducted to determine the factors affecting after caesarean section SSIResult: A total of 2.052 subjects were included in the study. There were 85 cases ofsurgical site infection (SSI) out of 2.052 operations (4.14 %). A total of 85 SSI casegroups and 1.967 control groups were included in the risk factor analysis. Bacteriamost commonly found in surgical site infection culture were Staphylococcus aureus(16,5%), Klebsiella pneumoniae (12,9%), Escherischia coli (9,4%), Enterococcusfaecalis (9,4%), and others (21,2%). Variable associated with SSI in this study is fetaldistress (p=0,002 ;AOR = 2,265 CI 95 % 1,350-3,801) and BMI ≥30 kg/m2 (p=0,028;AOR 1,824 CI 95% 1,066-3,121).Conclusion: Factors influencing the incidence of SSI after SC was fetal distress(p=0,002 ;AOR = 2,265 CI 95 % 1,350-3,801) and BMI ≥30 kg/m2 (p=0,028; AOR1,824 CI 95% 1,066-3,121)."

"Trends of cesarean section trend in Indonesia (2007-2012) have doubled the risk of long-term and short-term health problems. This study was aimed to determine relation between antenatal care provider and cesarean section. This quantitative study used cross-sectional design with a total sample of 5,143 women aged 15-49 years who gave birth to the last child through cesarean section or not as in urban areas selected in samples of 2012 Indonesia Demographic and Health Survey. Logistic regression multivariate analysis was used to determine relation between antenatal care provider and section cesarean, which was controlled by maternal age, antenatal care facility, parity, and place of birth. Results showed that antenatal care at obstetrician was 6.6 times higher, while antenatal care at obstetrician and midwife was 2.1 times higher for cesarean section compared to women who had antenatal care at midwife after controlled by maternal age, antenatal care facility, parity, and place of birth. There is interaction between socioeconomic status and obstetrician for a cesarean section. Regulation on cesarean section by health authority, as well as protective and preventive labor applied towards on the high economic class community may reduce unnecessary cesarean section. Trends of cesarean section trend in Indonesia (2007-2012) have doubled the risk of long-term and short-term health problems. This study was aimed to determine relation between antenatal care provider and cesarean section. This quantitative study used cross-sectional design with a total sample of 5,143 women aged 15-49 years who gave birth to the last child through cesarean section or not as in urban areas selected in samples of 2012 Indonesia Demographic and Health Survey. Logistic regression multivariate analysis was used to determine relation between antenatal care provider and section cesarean, which was controlled by maternal age, antenatal care facility, parity, and place of birth. Results showed that antenatal care at obstetrician was 6.6 times higher, while antenatal care at obstetrician and midwife was 2.1 times higher for cesarean section compared to women who had antenatal care at midwife after controlled by maternal age, antenatal care facility, parity, and place of birth. There is interaction between socioeconomic status and obstetrician for a cesarean section. Regulation on cesarean section by health authority, as well as protective and preventive labor applied towards on the high economic class community may reduce unnecessary cesarean section."

"This research aimed to identify risk factors of fatigue in workers and it is aquantitative research using cross sectional study design. The population werelaundry and kitchen workers with a sample of 125 people. The study wasconducted from October to May 2015 by using instruments such as CIS-20questionnaire, seca scales, microtoice, and bloodpressure monitors. The resultsshowed that 40.8% of respondents experiencing fatigue. The analysis showed thatthere was a significant relationship between shift work, workload, health status,and quantity of sleep with fatigue. While there was no significant associationbetween rest period, age, nutritional status, and commuting time with fatigue.!Therefore, it is necessary to do training on fatigue and the risk factor as well asreview on the shift schedule.

---

Penelitian ini bertujuan untuk mengetahui faktor risiko kelelahan padapekerja dan merupakan penelitian kuantitatif yang menggunakan desain studicross sectional. Populasi penelitian ini adalah pekerja bagian penatu dan dapurdengan sampel sebanyak 125 orang. Penelitian dilakukan pada Bulan Oktober2014 ? Mei 2015 dengan menggunakan instrumen berupa kuesioner CIS-20,timbangan seca, microtoice, dan tensimeter. Hasil penelitian menunjukkan bahwa40.8% responden mengalami kelelahan. Hasil analisis menunjukkan bahwaterdapat hubungan yang bermakna antara shift kerja, beban kerja, statuskesehatan, dan kuantitas tidur dengan kelelahan. Sedangkan tidak ada hubunganyang bermakna antara waktu istirahat, umur, status gizi, dan waktu perjalanandengan kelelahan. Oleh karena itu perlu dilakukan sosialisasi tentang kelelahanserta faktor risikonya dan peninjauan kembali jadwal shift kerja."

"Seksio Sesaria merupakan prosedur rutin yang sering dilakukan di bidang obstetri. Tingginya angka seksio sesaria di RSAU dr. Esnawan Antariksa (80%) dibandingkan dengan tandar WHO (15%), dapat berdampak terhadap luaran pasien, khususnya meningkatkan peluang terjadinya infeksi dan lama rawat. Tujuan penelitian ini adalah mencari hubungan kelengkapan pengisian Surical Safety Checklist (SSC) pada seksio sesaria terhadap Infeksi Luka Operasi (ILO) pasca seksio sesaria. Karakterisik demografis dan klinik diperoleh dari rekam medis. Pasien yang dilakukan seksio sesaria diikuti sampai 30 hari dan ditelusuri terjadinya ILO. Desain penelitian ini berupa kuantitatif kohort retrospektif, hubungan dianalisis dengan regresi logistik. Ditemukan bahwa kejadian ILO pasca SC sebesar 3,2% (31 pasien). Kelengkapan pengisian SSC mayoritas sudah lengkap (n=978). Kelengkapan pengisian SSC fase sign in, time out dan sign out yaitu 92,1%, 82,2% dan 92,4%. Tidak terdapat hubungan antara kelengkapan pengisian SSC fase sign in dan time out dengan ILO pasca seksio sesaria serta terdapat hubungan berlawanan arah yang signifikan secara statistik antara kelengkapan SSC fase sign out, dengan ILO (P=0,026). Kesimpulannya mayoritas kelengkapan pengisian SSC di RSAU dr. Esnawan Antariksa sudah lengkap, ada hubungan berlawanan arah antara kelengkapan pengisian SSC fase sign out pada seksio sesaria dengan ILO di RSAU dr. Esnawan Antariksa.

---

Caesarean section is an routine obstetrics procedure. Number of cesarean sections at RSAU dr. Esnawan Antariksa (80%) was higher than WHO standard (15%).That phenomena impact to patient outcomes, particularly increasing the probability of infection and length of stay. The purpose of This study purposes to find correlation between the completeness of the Surical Safety Checklist (SSC) and surgical site infection (SSI) after cesarean section. Patients who underwent cesarean section were followed up for 30 days and traced SSI. This was retrospective quantitative cohort study. We found SSI prevalence was 3.2% (31 patients). The majority of SSC completion were complete (n=978). The completeness of filling in SSC phases of sign in, time out and sign out are 92.1%, 82.2% and 92.4%. There was no association between the completeness of the SSC filling in the sign-in and time-out phases with SSI following cesarean section and there was a statistically significant opposite correlation between the completeness of the SSC in the sign-out phase and SSI (P=0.026). In conclusion, although the majority of the completeness of SSC filling in RSAU dr. Esnawan Antariksa was complete, and there was opposite association between the completeness of filling out the SSC in the sign out phase, SSC recommended used as maintenance patient safety quality standar."

"Jejaring sosial merupakan salah satu media informasi yang saat ini sudah digunakan sebagai sarana edukasi ASI.Tujuan penelitian ini untuk menilai pengaruh edukasi ASI melalui jejaring sosial terhadap status ibu postpartum seksio sesarea dalam memberikan ASI eksklusif.Metode penelitian ini adalah kasus kontrol dengan purposive sampling, jumlah sampel sebanyak 116 orang, 58 kasus dan 58 kontrol. Kuesioner disebarkan secara online melalui twitter Asosiasi Ibu Menyusui Indonesia, dan melakukan kunjungan rumah berdasarkan data yang diperoleh dari RS Pasar Rebo.Hasil dari uji Chi- Square didapatkan hasil terdapat perbedaan yang bermakna antara perilaku pemberian ASI eksklusif pada kelompok kasus dan kontrol (p= 0,000, OR= 4,213; 1,940-9,150). Edukasi ASI melalui jejaring sosial dapat lebih ditingkatkan untuk pencapaian target ASI eksklusif di Indonesia.

---

Social networking on the status of exclusive breastfeeding among Caesarean section postpartum mothers in the area of West Jakarta.This study was a case control study with purposive sampling of 116 mothers, 58 cases and 58 controls. Questionnaires were distributed online via twitter account of Indonesian Breastfeeding Mothers Association and home visits were conducted.Results of Chi-Square test showed a significant difference between the behavior of exclusive breastfeeding in the case and control groups (p = 0.000, OR = 4.213; 1.940- 9.150). Breastfeeding education through social networks can be further improved to achieve the exclusive breastfeeding target in Indonesia."