Putri Naula, Abbas and Musa, Ghufron and Nur Mujaddidah, Mochtar and Syaiful, Rochman
The Relationship of Bupivacaine and Ropivacaine with The
Smoothness of Breast Milk in Maternity Patients at
Muhammadiyah Gresik Hospital.
ICMHS, Prosiding Seminar Internasional, p. 124.
Abstract
Introduction: Breast milk is the most important nutrient source before the baby can digest solid
food, in which there are important substances to the child's immunity from various diseases. On the
other side, in Indonesia people ignore the importance of breast milk.
Pain during childbirth is still an issue that should still be sought for completion. Pain during
childbirth is very disturbing for the psychiatric of the mother too will result in disruption of the
production of breast milk.
The medical world always seeks to find the right method to reduce pain during childbirth, one of
which is by the Intrathecal Labor Analygesia (ILA) method. In this method one of them is to use a
choice of compounds bupivacain and ropivacain.
Considering the importance of breast milk, besides in the effort to relieve pain in the mother while
undergoing childbirth, so it is necessary to do analysis and evaluation of the risk of disruption to
the smooth breast milk caused by the use of Bupivacain or Ropivacain in the Intrathecal Labor
analyzers (ILA) method.
Purpose: Analyzing the relationship of bupivacain and ropivacain compounds to the smoothness
of breast milk in maternity patients at Muhammadiyah Gresik Hospital.
Method: Using an observational quantitative analysis. The subject of research was taken by simple
random sampling method in 32 maternity patients from 198 childbirth in a month at
Muhammadiyah Gresik Hospital. The subject were given analgesia using Bupivacain and
Ropivacain . The subject is observed of the smooth breast milk within 24 hours post childbirth.
Result: Obtained significance value of 0.298 (P < 0.05) with the value of the coefficient of
contigence of 0.181 in the Chisquare test to see the relationship of Bupivacain and ropivacain to
the smooth breast milk. The results of the analysis showed a very low relationship on the
compound administration Bupivacain and ropivacain to the smooth breast milk.
Conclusion: There is no relationship on Bupivacain and ropivacain to the smooth breast milk in
maternity mothers who given the Intrathecal Labor Analythesia (ILA) method.
Keywords: bupivacaine, ropivacaine, breast milk, maternity
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