Kontraindikasi Inisiasi Menyusui Dini

Oleh :

dr.Saphira Evani

Kontraindikasi inisiasi menyusui dini dapat dibedakan berdasarkan kondisi ibu dan bayi saat atau segera setelah kelahiran.

Kontraindikasi IMD pada ibu adalah sebagai berikut:

Kondisi hemodinamik atau kardiorespiratorik ibu yang tidak stabil

Ibu menderita eklampsia atau preeklampsia berat

Ibu menderita kanker payudara yang sedang menjalani kemoterapi

Ibu dengan infeksi human T-cell lymphotropic virus tipe 1 atau tipe 2 aktif

Ibu dengan lesi herpes simpleks atau varicella di payudara yang belum diobati

Ibu dengan tuberkulosis paru aktif yang belum mendapatkan terapi

Ibu yang menggunakan obat-obatan terlarang, seperti kokain atau phencyclidine[14-16]

Referensi

7. Yilmaz E, Ocall FD, Yilmaz ZV, Ceyhan M, Kara OF, Kucukozkan T. Early initiation and exclusive breastfeeding: Factors influencing the attitudes of mothers who gave birth in a baby-friendly hospital. Turk J Obstet Gynecol. 2017;14:1-9.
8. Dewey KG, Nommsen-Rivers LA, Heinig MJ, Cohen RJ. Risk factors for suboptimal infant breastfeeding behaviour, delayed onset of lactation and excess neonatal weight loss. Pediatrics. 2003;112:607-619.
9. Scott JA, Binns CW, Graham KI, Oddy WH. Temporal changes in determinants of breastfeeding initiation. 2006;33:37-45.
10. Kalisa R, Malande O, Nankunda J, Tumwine JK. Magnitude and factors associated with delayed initiation of breastfeeding among mothers who deliver in Mulago hospital, Uganda. Afr Health Sci. 2015;15(4):1130-1135.
14. ACOG Committee on Obstetric Practice Breastfeeding Expert Work Group. Optimizing support for breastfeeding as part of obstetric practice. Obstetrics & Gynecology. 2018;132(4):e187-e196.
15. American Academy of Pediatrics. Breastfeeding. https://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/Breastfeeding/Pages/Benefits-of-Breastfeeding.aspx#:~:text=The%20only%20true%20contraindications%20to,human%20immunodeficiency%20virus%20(HIV).
16. Centers for Disease Control and Prevention. Contraindications to breastfeeding or feeding expressed breast milk to infants. https://www.cdc.gov/breastfeeding/breastfeeding-special-circumstances/contraindications-to-breastfeeding.html
17. Kemenkes RI. Pedoman bagi ibu hamil, bersalin, nifas, dan bayi baru lahir di era pandemi COVID-19. Revisi 1. 2020. http://kesga.kemkes.go.id/images/pedoman/Pedoman%20bagi%20Ibu%20Hamil,%20Bersalin,%20Nifas%20dan%20BBL%20di%20Era%20Pandemi%20COVID%2019.pdf
18. Davanzo R. Controversies in breastfeeding. Front Pediatr. 2018;6:278.
19. Phillips R. Uninterrupted skin-to-skin contact immediately after birth. NAINR. 2013;13(2):67-72.
20. United Nation Children's Fund - World Health Organization. Early initiation of breastfeeding: The best start for every newborn. 2018. https://www.unicef.org/publications/files/UNICEF_WHO_Capture_the_moment_EIBF_2018.pdf
21. World Health Organization. Counselling for Maternal and Newborn Health Care: A Handbook for Building Skills. Geneva: WHO; 2013.
22. United Nations Children's Fund United Kingdom. Skin-to-skin contact. https://www.unicef.org.uk/babyfriendly/baby-friendly-resources/implementing-standards-resources/skin-to-skin-contact/

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