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World Breastfeeding Week 2018: The Strategic Role of Midwives

Thursday, 30/08/2018

Jakarta. 30 August 2018 - One of the professions or health workers who play an important role in Indonesia is a midwife who plays a major role in the efforts of maternal and child health. In addition to helping with the birth process, midwives also help control the development of the health of pregnant women from the beginning of pregnancy until delivery.


In addition the role of midwives to convey the benefits of breast milk (ASI) is very strategic because midwives have a lot of direct contact with postpartum mothers. Then the midwife becomes one of the axis of education to a mother for her baby, from starting a diet.

In harmony with this, Dr. Kirana Pritasari, MQIH, Director General of Public Health, KEMENKES RI revealed that, "The role of midwives shows that we also have to understand the feeding of infants and children, so it is not only a nutrition task," he concluded. Because in recent times many infants and children have diabetes due to feeding on children.

"Regarding to the issue of sweetened condensed milk, it is very important to understand, encouraging obesity due to sugar levels," he said.

Chairperson of the Central Indonesian Midwives Association (IBI) Dr. Emi Nurjasmi M. Kes, in the Midwife Forum, Thursday, August 30 2018 in Jakarta explained that Midwives have a very important and strategic role as a "spearhead" in advancing and improving the health status of pregnant women, infants and children under age five years (toddlers) especially in supporting the role of mothers to prioritize breastfeeding to their children.


"ASI is very important for the growth and development of children, ASI is as much as possible given to the new ones born" explained Emi.


Added breastfeeding and nutrition at 1000 HPK (270 days during pregnancy and 730 days / the first two years of a child's life), nutrition received by the baby while in the womb and receiving ASI has a long-term impact on life at adulthood.


Meanwhile Dr. Eni Gustina, MPH, as Director of Family Health, Directorate of Public Health of the Ministry of Health of the Republic of Indonesia revealed many problems that could hinder the implementation of Early Breastfeeding Initiation (IMD) including lack of awareness of the importance of Early Breastfeeding Initiation, Lack of counseling by health workers and lack of Early Breastfeeding Initiation practice.


"The family's strong belief that mothers need adequate rest after childbirth and breastfeeding is difficult to do and public trust does not allow mothers to breastfeed early before their breasts are cleaned," Eni explained.


Eni hopes that these obstacles can be eliminated by the role of midwives from the central to remote levels to convey appropriate information regarding the use of ASI.


He explained when the baby began to show an attempt to suckle, he would start licking his mother's skin. Good bacteria in the mother's skin enter the body, multiply to form colonies in the baby's intestines, rival bad bacteria from the environment. When the baby succeeds in sipping the same colostrum
with it swallowing thousands of body defense cells in colostrum. Colostrum is the first immunization for babies.


Meanwhile, the Chairperson of the Abhipraya Cendikia Indonesia Foundation (YAICI) Arif Hidayat in his remarks alluded to the presence of YAICI in the field, especially in rural mothers who have problems with their ASI and the difficulties in breastfeeding, giving sweetened condensed milk (SKM) for babies, just because they are consumed by misleading advertising and the price is relatively cheap compared to other milk.

"Advertisements for SKM in the media portray as nutritious milk drinks for children. This has shaped the wrong perception of the mother. "I think that SKM can be given to children who are toddlers," explained Arif.


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