ROLE PROVIDER IN GIVING PAIN COMFORTABLE TO MOTHER POST
SECTION CAESAREA (SC) IN THE IMPLEMENTATION OF EARLY
INITIATION OF BREASTFEEDING

Sestu Retno Dwi Andayani1*, Nursalam 2, Budi Santoso 3, Rachmat Hargono4
Page No. 46-60

Introductions: The implementation of early breastfeed initiation is strongly influenced by the
method of delivery. Labor with section Caesarea (SC) is one of the difficulties implementation of
early breastfeed initiation. It is associated with pain due to surgical wounds, the effects of
anesthesia, discomfort mother, and yet the milk discharge after surgery (Prior, 2012). Barriers of
early breastfeed initiation than caused by the helplessness of the patient can also be caused by a
lack of the role of the health care team (doctor specialist anesthetist, pediatrician, obstetrics and
gynecology specialists, nurses, and midwives). This is supported by studies in Rio de Janeiro
(2014), which showed that mothers who had just given birth have little or no autonomy in the
decision to perform of early breastfeed initiation in the first hour of delivery. Purpose: The purpose
of this study to determine the role of providers (nurses and midwives) to provide comfort to women
with section Caesarea (SC) in the implementation of the early breastfeed initiation. Material and
Methods: The design of explanation with a population of women in the post section Caesarea (SC)
in Jombang and Madiun General Hospital in February to May 2016. The sample sizes were 282
with total sampling technique. Results: all the exogenous variables affected the endogenous
variables. The biggest influence was the influence of the nursing intervention provider, with a value
of 0.943. Conclusions: The factor of provider influenced on nursing intervention. Provider also
affected the comfort factor and factor Early initiation of Breastfeeding either directly or indirectly.
Recommendation: it needed to be an act of providers to facilitate the implementation of the early
breastfeed initiation in women who with Section Caesarea (SC) so that the mother can carry early
breastfeed initiation.
Keywords : Provider, Section Caesarean, Nursing Intervention, comfort, Early initiation of
breastfeeding.