The Role of Early Initiation of Breastfeeding in the Duration of the Third Stage of Delivery and the Amount of Blood Loss in the Fourth  Stage in Spontaneous Vaginal Delivery

Sarma Lumbanraja; Wardy Susanto Marpaung; Teuku Mohammad Ichsan; Ichwanul  Adenin; Roy Yustin Simanjuntak

doi:10.3889/oamjms.2021.6471

Authors

Sarma Lumbanraja Department of Obstetrics and Gynecology, Medical Faculty, University of Sumatera Utara, H. Adam Malik General Hospital, Medan, Indonesia https://orcid.org/0000-0002-5447-5402
Wardy Susanto Marpaung Department of Obstetrics and Gynecology, Medical Faculty, University of Sumatera Utara, H. Adam Malik General Hospital, Medan, Indonesia
Teuku Mohammad Ichsan Department of Obstetrics and Gynecology, Medical Faculty, University of Sumatera Utara, H. Adam Malik General Hospital, Medan, Indonesia
Ichwanul Adenin Department of Obstetrics and Gynecology
Roy Yustin Simanjuntak Department of Obstetrics and Gynecology

DOI:

https://doi.org/10.3889/oamjms.2021.6471

Keywords:

3rd stage of delivery, 4th stage of delivery, Bleeding, Early initiation of breastfeeding

Abstract

Aims: To determine the effect of Early Initiation of Breastfeeding (EIBF) in the third stage of labor and the amount of blood loss in the forth stage of delivery.

Methods: An experimental study comparing the duration of 3^rd stage and the amount of blood loss in 4^th stage in Early Initiation of Breastfeeding (EIBF), oxytocin administration, and Early Initiation of Breastfeeding (IBF) given oxytocin at spontaneous vaginal delivery in delivery room of H. Adam Malik General Hospital, Dr. Pirngadi Hospital, Sundari Hospital and Universitas Sumatera Utara Hospital starting from March 2019 until the minimum sample was met.

Results: The data analysis results of the comparison of duration demonstrated p-value of 0.001The comparison among groups with post hoc analysis showed a meaningful comparison in this analysis with p value of 0.001, while duration of the3^rd stage in group B compared to group C statistically did not show any significant difference with p value of 1.00. The mean of amount of blood loss among groups A, B, and C respectively were 139 ± 11.8, 141.8 ± 12.4 and 132.1 ± 14.4 with p value 0.048.

Conclusions: It is concluded that the amount of blood loss in the fourth stage among the groups was not significantly different in each group. Comparisons of the amount of bleeding in group A vs. B, A vs. C and B vs. C are indicated by the p value of each group i.e. 1.0; 0184 and 0.059.

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