EFFECTS OF BREASTFEEDING COUNSELING SELF-EFFICACY (BSE) IN PREGNANT WOMEN TOWARDS IMMEDIATE BREASTFEEDING AND GIVING THE COLOSTRUM IN INDEPENDENT PRACTICE MIDWIVES, PEMATANGSIANTAR

Abstract

Breast milk is the best food for babies. The success of breast feeding is influenced by environmental factors, physical, social, economic, political, and psychological. The psychological factor is related to the attitude of mothers towards breastfeeding process which is influenced by confidence about the ability of mothers to breastfeed is described as self-efficacy. This quasi experimental research a prospective cohort study, aims to analyze the effect of BSE on counseling pregnant women trimester III towards immediate breastfeeding and feeding of colostrum. Sampling is determined by means of consecutive sampling, divided into two groups who received counseling BSE and not given individual counseling reponden. 44. Analysis of the wear test bivariat chi-square (χ2), with a level of significance of 0.05 and p < CI (95%) while the multivariate analysis using multiple logistic regression. Bivariat analysis results showed that parity is associated with immediate breastfeeding with a value of p = 0.005; RR: 1.67; CI = 1.10-2.53 and administering colostrum with value p = 0,038; RR = 1.54; CI = 0.98-2.44. BSE is associated with immediate breastfeeding with a value of 0.001 p <; RR = 2.36; CI = 1.36-4.08 and administering colostrum with value p = 0,013; RR: 1,77; CI = 1.04-2.99. Results of the multivariate analysis indicates that BSE is the most dominant variable influenced by immediate implementation of breastfeeding with a value of 0.001 p <; RR = 8,26; CI = 2.78-24,51 and so is by administering colostrum with value p = 0,019; RR = 3,17; CI = 1.21-8.34. The midwife is expected to provide more intensive counseling about should BREAST FEED and ought to follow training about counseling of exclusive breast milk. Braest milk counselor to become so as to enhance the achievement of exclusive BREAST MILK