Judul Tesis : Pengaruh Pemberian ASI Eksklusif terhadap Lama

Kembalinya Menstruasi pada Ibu di Desa Purwodadi

Kecamatan Sunggal Kabupaten Deli Serdang Tahun
2017

Nama Mahasiswa : Loise Juliyanti Siagian

Nomor Induk Mahasiswa : 147032215
Program Studi : S2 Ilmu Kesehatan Masyarakat
Peminatan : Kesehatan Reproduksi

Menyetujui
Komisi Pembimbing :

(Dr. Asfriyati, S.K.M, M.Kes ) (Prof. Dr. Ir. Evawany Y Aritonang, M.Si)
Ketua Anggota

Ketua Program Studi S2 Dekan

(Ir. Etti Sudaryati, M.K.M, Ph.D) (Prof. Dr. Dra. Ida Yustina, M.Si)

Tanggal Lulus :

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 DAFTAR ISI

Halaman
ABSTRAK............................................................................................................ i
ABSTRACT.......................................................................................................... ii
KATA PENGANTAR............................................................................................ iii
RIWAYAT HIDUP................................................................................................. iv
DAFTAR ISI.......................................................................................................... vii
DAFTAR TABEL.................................................................................................. ix
DAFTAR GAMBAR............................................................................................. xii
DAFTAR LAMPIRAN.......................................................................................... xiii
DAFTAR ISTILAH .............................................................................................. xiv

BAB 1. PENDAHULUAN.................................................................................. 1

1.1 Latar Belakang................................................................................. 1

1.2 Permasalahan ................................................................................... 8
1.3 Tujuan Penelitian.............................................................................. 8
1.4 Manfaat Penelitian............................................................................ 9

BAB 2. TINJAUAN PUSTAKA........................................................................ 11

2.1 ASI Eksklusif................................................................................... 11

2.1.1 Pengetian ASI Eksklusif.......................................................... 11
2.1.2 Manfaat ASI............................................................................ 12
2.1.3 Komposisi Dalam ASI............................................................. 13
2.1.4 Tanda Bayi Cukup ASI............................................................ 17
2.1.5 Faktor-faktor yang Mempengaruhi Produksi ASI................... 18
2.1.6 Faktor yang dapat Mempengaruhi Pemberian ASI................. 24
2.1.7 Pola Pemberian ASI................................................................ 25
2.2 Menstrusi.......................................................................................... 47
2.2.1 Pengertian Menstruasi............................................................. 47
2.2.2 Usia Normal Menstruasi.......................................................... 48
2.2.3 Proses Terjadinya Menstruasi.................................................. 48
2.2.4 Lama Menstruasi..................................................................... 48
2.2.5 Tanda dan Gejala Menstruasi.................................................. 49
2.2.6 Siklus Menstruasi................................................................... 50
2.2.7 Hormon yang Mempengaruhi Menstruasi............................... 51
2.2.8 Faktor yang Mempengaruhi Menstruasi................................. 54
2.2.9 Gangguan atau Kelainan Haid................................................. 61
2.3 MAL................................................................................................. 65

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 2.3.1 Definisi Metode MAL.............................................................
............................................................................................65
2.3.2 Keuntungan dan Kerugian Metode MAL................................
............................................................................................67
2.3.3 Hal yang Perlu Diperhatikan oleh Ibu yang Menggunakan
Metode MAL..........................................................................
............................................................................................69
2.5 Landasan Teori ................................................................................ 70
2.6 Kerangka Konsep ............................................................................ 72
2.7 Hipotesa Penelitian .......................................................................... 73

BAB 3. METODE PENELITIAN..................................................................... 74

3.1 Jenis Penelitian................................................................................. 74

3.2 Lokasi Penelitian dan Waktu Penelitian........................................... 74
3.2.1 Lokasi Penelitian.....................................................................
............................................................................................74
3.2.2 Waktu Penelitian......................................................................
............................................................................................74
3.3 Populasi dan Sampel........................................................................ 75
3.3.1 Populasi................................................................................... 75
3.3.2 Sampel..................................................................................... 75
3.4 Metode Pengumpulan Data.............................................................. 76
3.4.1 Data Primer.............................................................................
............................................................................................76
3.4.2 Data Sekunder.........................................................................
............................................................................................76
3.5 Metode Pengukuran......................................................................... 77
3.5.1 Pengukuran Variabel Dependen..............................................
............................................................................................77
3.5.2 Pengukuran Variabel Independen............................................
............................................................................................78
3.6 Metode Analisis Data....................................................................... 78

BAB 4. HASIL PENELITIAN........................................................................... 80

4.1 Gambaran Umum Lokasi Penelitian................................................ 80

4.2 Karakteristik Responden.................................................................. 80
4.3 Hasil Penelitian................................................................................ 82
4.3.1 Analisis Univariat....................................................................
............................................................................................82
4.4 Analisis Bivariat............................................................................... 84

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 4.4.1 Pemberian ASI Eksklusif dengan Lama Kembalinya
Menstruasi .............................................................................
............................................................................................85
4.4.2 Hubungan Frekuensi Pemberian ASI dengan Lama
Kembalinya Menstruasi .........................................................
............................................................................................86
4.4.3 Hubungan Jarak Menyusui dengan Lama Kembalinya
Menstruasi .............................................................................
............................................................................................87
4.4.4 Hubungan Cara Menyusui dengan Lama Kembalinya
Menstruasi .............................................................................
............................................................................................87
4.5 Analisis Multivariat.......................................................................... 88

BAB 5. PEMBAHASAN.................................................................................... 90

5.1 Hubungan Pemberian ASI Eksklusif dengan Lama Kembalinya

Menstruasi .......................................................................................
......................................................................................................90
5.2 Hubungan Frekuensi Pemberian ASI dengan Lama Kembalinya
Menstruasi .......................................................................................
......................................................................................................94
5.3 Hubungan Jarak Menyusui Dengan Lama Kembalinya Menstruasi
......................................................................................................98
5.4 Hubungan Cara Menyusui dengan Lama Kembalinya Menstruasi..
....................................................................................................100

BAB 6. KESIMPULAN DAN SARAN............................................................. 104

6.1 Kesimpulan......................................................................................
....................................................................................................104
6.2 Saran.................................................................................................
....................................................................................................105

DAFTAR PUSTAKA........................................................................................... 105

LAMPIRAN

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 DAFTAR TABEL

No. Judul Halaman

2.1 Kandungan Kolostrum, ASI Transisi, dan ASI ......................................... 17

3.1 Variabel dan Definisi Operasional.............................................................

...............................................................................................................76

4.1 Karakteristik Responden di Desa Purwodadi Kecamatan Sunggal Tahun

2018...........................................................................................................
...............................................................................................................81

4.2 Distribusi Frekuensi Pemberiaan ASI Eksklusif di Desa Purwodadi

Kecamatan Sunggal Tahun 2018...............................................................
...............................................................................................................82

4.3 Distribusi Frekuensi Pemberiaan ASI Eksklusif di Desa Purwodadi

Kecamatan Sunggal Tahun 2018...............................................................
...............................................................................................................82

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4.4 Distribusi Frekuensi Jarak Pemberian ASI di Desa Purwodadi
Kecamatan Sunggal Tahun 2018...............................................................
...............................................................................................................83

4.5 Distribusi Frekuensi Cara Menyusui di Desa Purwodadi Kecamatan

Sunggal Tahun 2018..................................................................................
...............................................................................................................83

4.6 Distribusi Frekuensi Lama Kembalinya Menstruasi pada ibu yang

Mempunyai Bayi 6-24 Bulan di Desa Purwodadi Kecamatan Sunggal
Tahun 2018................................................................................................
...............................................................................................................84

4.7 Hubungan Pemberian ASI Eksklusif dengan Lama Kembalinya

Menstruasi pada Ibu yang Mempunyai Bayi 6-24 Bulan di Desa
Purwodadi Kecamatan Sunggal Tahun 2018.............................................
...............................................................................................................85

4.8 Hubungan Frekuensi Pemberian ASI Eksklusif dengan Lama

Kembalinya Menstruasi pada Ibu yang Mempunyai Bayi 6-24 Bulan di
Desa Purwodadi Kecamatan Sunggal Tahun 2018....................................
...............................................................................................................86

4.9 Hubungan Jarak Menyusui dengan Lama Kembalinya Menstruasi pada

Ibu yang Mempunyai Bayi 6-24 Bulan di Desa Purwodadi Kecamatan
Sunggal Tahun 2018..................................................................................
...............................................................................................................87

4.10 Hubungan Cara Menyusui dengan Lama Kembalinya Menstruasi pada

Ibu yang Mempunyai Bayi 6-24 Bulan di Desa Purwodadi Kecamatan
Sunggal Tahun 2018..................................................................................
...............................................................................................................88

4.11 Hasil Analisis Multivariat Uji Regresi Logistik Berganda........................ 89

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 DAFTAR GAMBAR

No. Judul Halaman

2.1 Kerangka Teori.......................................................................................... 72

2.2 Kerangka Konsep....................................................................................... 76

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 DAFTAR LAMPIRAN

No. Judul Halaman

1. Kuesioner Penelitian........................................................................................ 110

2. Master Data..................................................................................................... 112

3. Output SPSS.................................................................................................... 115

4. Surat Ijin Penelitian......................................................................................... 1

xiii
5. Surat Balasan Penelitian.................................................................................. 130

DAFTAR ISTILAH

AAP : American Academy of Pediafrics

AKDR : Alat Kontrasepsi Dalam Rahim

ASI : Air Susu Ibu

CO : Karbon Monoksida

FSH : Folikel Simulating Hormone

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GnRH : Gonadotropin Releasing Hormon

IgG, Ig A dan IgM : Immunoglobulin G, Immunoglobulin A, Immunoglobulin M

IMD : Inisiasi Menyusu Dini

IUD : Intra Uterine Device

KemenKes : Kementrian Kesehatan

LH : Luteinizing Hormone

MAL : Metode Amenorea Laktasi

MP-ASI : Makanan Pendamping Air Susu Ibu

RCT : Randomized Controled Trial

Riskesdas : Riset Kesehatan Dasar

WHO : World Health Organitation

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