ABSTRK

 Secara Nasional target angka cakupan ASI Eksklusif di Indonesia sebesar

80% dengan cakupan IMD tahun 2020 sebesar 77,6%. Prevalensi Di wilayah Jakarta

pada tahun 2021 sebesar 98% menurun dibandingkan tahun 2020 yaitu 100,25%.

Proses Pelaksanaan IMD dapat mempengaruhi keberhasilan ASI salah satunya

disebabkan dari pelekatan skin to skin pada satu jam pertama dan durasi menyusui

sehingga meningkatkan keberhasilan ASI Eksklusif. Selain itu juga membentuk

bounding dari interaksi antara ibu dan bayi saat menyusui. Tujuan menganalisis

hubungan antara IMD, Bounding ibu dan bayi dengan Jenis-jenis pemberian ASI

terhadap keberhasilan ASI Eklusif. Desain penelitian adalah cross-sectional dengan

Teknik pengambilan sampel menggunakan sampling purposive dengan subjek yang

diperlukan 62 responden dan waktu penelitian dilakukan juli 2024 di Puskesmas

Kecamatan Cempaka Putih dengan menggunakan kuisioner ASI Eksklusif, IMD, dan

Bounding yaitu kusioner EPDS (Edinburgh Postnatal Depression Scale) yang

didapatkan melalui wawancara secara langsung dan pengisian kuisioner. Hasil

penelitian menunjukan mayoritas ibu melakukan proses IMD secara baik (69,4%)

sehingga membentuk bounding ibu dan bayi yang kuat sebanyak (85,5%)

mempengaruhi keberhasilan ASI Eksklusif dengan pengujian chi-square dan

pemberian ASI Eksklusif lebih banyak secara Direct Breastfeeding sebanyak (56,5%)

dengan pengujian uji spearman. Hasil analisis hubungan menunjukan bahwa terdapat

hubungan antara IMD (p-value = 0,001, OR = 8,1), Bounding ibu dan bayi (p-value =

0,004, OR = 6,7) dan jenis pemberian ASI (p-value= 0,001, r = 0,583) terhadap

keberhasilan ASI Eksklusif. Kesimpulan penelitian menunjukan adanya keterkaitan

antara proses IMD, pembentukan bounding antara ibu dan bayi serta jenis pemberian

ASI yang tepat mempengaruhi keberhasilan ibu dalam memberikan ASI Eksklusif.

Kata kunci : Bounding ibu dan bayi, Inisiasi Menyusui Dini, Jenis Pemberian ASI,

Keberhasilan ASI Eksklusif

ABSTRACT

 Nationally, the target for exclusive breastfeeding coverage in Indonesia

is 80% with IMD coverage in 2020 of 77.6%. Prevalence in the Jakarta area in 2021

was 98%, down from 100.25% in 2020. The IMD implementation process can affect

the success of breastfeeding, one of which is due to skin-to-skin attachment in the first

hour and the duration of breastfeeding, thereby increasing the success of exclusive

breastfeeding. In addition, it also forms a bounding from the interaction between

mother and baby while breastfeeding. The aim of analyzing the relationship between

IMD, mother and baby bonding with types of breastfeeding on the success of exclusive

breastfeeding. The research design is cross-sectional with a sampling technique using

purposive sampling with 62 respondents required and the research time was conducted

in July 2024 at the Cempaka Putih District Health Center using the Exclusive

Breastfeeding, IMD, and Bounding questionnaires, namely the EPDS (Edinburgh

Postnatal Depression Scale) questionnaire obtained through direct interviews and

filling out questionnaires. The results of the study showed that the majority of mothers

carried out the IMD process well (69.4%) so that it formed a strong mother and baby

bonding (85.5%) influencing the success of Exclusive Breastfeeding with chi-square

testing and giving Exclusive Breastfeeding more through Direct Breastfeeding

(56.5%) with Spearman test testing. The results of the relationship analysis showed

that there was a relationship between IMD (p-value = 0.001, OR = 8.1), Mother and

Baby Bounding (p-value = 0.004, OR = 6.7) and type of breastfeeding (p-value =

0.001, r = 0.583) to the success of Exclusive Breastfeeding. The conclusion of the

study showed a relationship between the IMD process, the formation of bonding

between mother and baby and the right type of breastfeeding influencing the success

of mothers in giving Exclusive Breastfeeding.

Keywords: Mother and baby bonding, Early initiation of breastfeeding, Types of

breastfeeding, Success of exclusive breastfeeding