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"ABSTRAKKepuasan pengalaman persalinan merupakan harapan bagi ibu bersalin, namun hal tersebut tidak selalu menjadi kenyataan dikarenakan terdapat beberapa ibu yang mengalami ketidakpuasan pengalaman persalinan. Penelitian ini bertujuan untuk mengetahui perbedaan kepuasan pengalaman persalinan pada Ibu multipara yang dilakukan episiotomi dan tidak dilakukan episiotomi. Penelitian ini termasuk jenis penelitian deskriptif dengan menggunakan desain studi komparatif dan pengambilan sampel menggunakan teknik convenience sampling dengan jumlah besar sampel yang digunakan yaitu 107 ibu postpartum. Pengumpulan data dilakukan dengan menggunakan kuesioner The Statisfaction with Childbirth Experience (SWCBE) versi Bahasa Indonesia. Analisis univariat kepuasan pengalaman persalinan menggunakan nilai mean. Analisis bivariat menggunakan uji T-Independen. Hasil penelitian menunjukkan nilai p value < 0,05 yang menandakan adanya perbedaan yang signifikan rata-rata kepuasan pengalaman persalinan pada ibu multipara yang dilakukan episiotomi dan tidak dilakukan episiotomi. Hasil penelitian ini menguatkan bahwa tindakan episiotomi cukup dilakukan jika terdapat indikasi yang kuat untuk dilakukannya. Jika hal tersebut dilakukan pada saat yang tidak tepat nantinya berdampak negatif bagi kesehatan ibu dan sebagai salah satu penyumbang ketidakpuasan pengalaman persalinan. Maka dari itu, perlu adanya pengajaran kesiapan persalinan bagi ibu bersalin sejak masa kehamilan, sehingga ibu merasa siap dengan persalinannya dan memberikan pengalaman yang positif bagi setiap ibu bersalin dimasa mendatang.

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ABSTRACT

A satisfaction of childbirth experience is a hope for mothers giving birth. In fact, it cannot be happened easily as they wished for because there are some mothers who dissatisfaction in childbirth experience. This research aims to determine the differences about satisfaction of childbirth experience in multiparous mother that had been done with and without episiotomy. This descriptive research is using comparative study and sample technique using non probability sampling with total sample of 107 postpartum mother. Data collection has been done by using Indonesian version of The Satisfaction with Childbirth Experience (SWCBE). Univariate analysis of childbirth experience satisfaction is using mean score. Bivariate analysis using independent t-test. The result showed p value < 0,05 which indicates there was a significant differences in the average level of satisfaction of the experience of childbirth in multiparous mothers who had an episiotomy and who did not do an episiotomy. The results of this study reinforce that episiotomy is enough if there are strong indications to do. If this is done at the wrong time, it will have a negative impact on maternal health and as a contributor to dissatisfaction with the childbirth experience. Therefore, there is a need to teach the readiness of childbirth experience for mothers during pregnancy, that mothers feel ready with childbirth and provide a positive experience for every maternity mother in the future."

"Background: Postpartum blues is a mild mental disorder in postpartum mothers. infant feeding methods may affect the reciprocal of the postpartum blues or postpartum maternal mental health, and these symptoms can lead to successful breast-feeders (breast milk) exclusively Results in 2010 in lndonesia RISKESDES feeding patterns in infants < 1 month was 55.1% partially, and in the province of Bengkulu in 2010 52.9% prelakteal feeding. Prevalence of postpartum blues in several countries between 40-60% while the incidence of postpartum blues in Bengkulu not yet been reported. Research Goals: to determine the relationship breast-feeders pad infants aged < 10 days with symptoms of postpartum blues. Methods: This research is a type of observational research with cross sectional design studt. Large sampIe of 97 postpartum women with accidental sampling technique. Analysis of the data used is univariabIe, bivariable, and multivariable. Results: univariable analysis found that breast-feeders in infants less than 10 days almost all partial breastfeeding (48.45%) and only a fraction of full breastfeeding (19.59%), and almost half mothers experience symptoms of postpartum blues (29.90%). Bivariable analysis showed that there is a significant association between breast-feeders in infants age < 10 days, parity and social support to the symptoms of postpartum blues. But there is no relationship between type of labor with symptoms of postpartum blues. Results: Results of logistic regression analysis showed a significant association between early feeding patterns in infants with symptoms of postpartum blues (OR = 4.47, 95% CI: 1.03 to 10.43), which means non-breastfeeding mothers who have a risk 4.47 times more likely to experience postpartum blues than women full breastfeeding. Conclusion: non breastfeeding mothers who have a risk 4.47 times more likelyto have symptoms than women postpartum full breastfeeding blues. So need to improve the delivery of information, education and communication (IEC) on the importance of breast­feeders alone since the first hour of birth to age 6 months in the mother on an ongoing basis from now on antenatal care, delivery, and postpartum by involving her husband and close family"