Improve communication between hospitals and midwives

Oct 13, 2025 by wbrum.org 111 views

Introduction

The early breastfeeding initiation program (IMD) is a crucial initiative aimed at improving the health of mothers and babies. Padangsidimpuan City Regional General Hospital (RSUD) has been running an IMD program, but the data obtained in 2014 and 2015 showed a decline in the number of normal deliveries that implemented IMD. This study aims to analyze the implementation of the IMD program in Padangsidimpuan City Hospital using qualitative research methods, involving ten informants consisting of five main informants and five triangulation informants.

Background of the Study

The IMD program is a vital component of maternal and child health care. Breastfeeding has numerous benefits for both mothers and babies, including improved infant growth and development, reduced risk of infections, and enhanced mother-infant bonding. However, the implementation of IMD in Padangsidimpuan City Hospital has faced several challenges. The data obtained in 2014 and 2015 showed that only 14.24% and 9.74% of normal deliveries implemented IMD, respectively. This decline in IMD implementation is a concern, as it may have a negative impact on the health of mothers and babies.

Methodology

This study employed a qualitative research design, using descriptive methods to analyze the implementation of the IMD program in Padangsidimpuan City Hospital. The study involved ten informants, consisting of five main informants and five triangulation informants. The main informants included the Hospital Director, the head of the midwifery room, and three midwives who had experience in implementing IMD. The triangulation informants included two midwives who had not implemented IMD, a nurse who had experience in caring for mothers and babies, and a health worker who had knowledge of the IMD program.

Results

The results of this study showed that the scope of infants who received IMD tended to decrease. One of the factors that influenced this decline was the lack of good communication processes between hospitals and midwives in the socialization of IMD. In addition, there was no written work guideline from the hospital that could be a reference for health workers in implementing IMD. The study also found that the quality of midwives was good, with an average education of D3 Midwifery and adequate training. However, there were still shortcomings in facilities such as blankets and baby hats that supported the implementation of IMD.

Discussion

The results of this study highlighted several factors that affected the implementation of the IMD program in Padangsidimpuan City Hospital. The lack of good communication processes between hospitals and midwives was a significant factor, as it hindered the socialization of IMD. The absence of written work guidelines from the hospital also contributed to the decline in IMD implementation. The study also found that the commitment of all parties, including the government and health workers, was not 100% due to the absence of a clear Standard Operating Procedure (SOP) as a guide to the midwife's work in implementing IMD.

Conclusion

The successful implementation of the IMD program in Padangsidimpuan City Hospital requires comprehensive improvement in various aspects. There is a need to improve communication between the hospital and the midwife, as well as providing adequate facilities and clear SOPs to support the implementation of IMD. In addition, the commitment of all parties, both from the government and health workers, needs to be increased to ensure the continuity of the IMD program. Therefore, more intensive monitoring and evaluation of the implementation of this program is needed so that the objectives of the IMD program can be achieved effectively and have a positive impact on the health of the mother and baby.

Recommendations

Based on the findings of this study, the following recommendations are made:

Improve communication between hospitals and midwives: The hospital and midwives need to improve their communication processes to ensure that IMD is properly socialized and implemented.
Provide adequate facilities: The hospital needs to provide adequate facilities, such as blankets and baby hats, to support the implementation of IMD.
Develop clear SOPs: The hospital needs to develop clear SOPs as a guide to the midwife's work in implementing IMD.
Increase commitment of all parties: The commitment of all parties, including the government and health workers, needs to be increased to ensure the continuity of the IMD program.
Conduct more intensive monitoring and evaluation: The hospital needs to conduct more intensive monitoring and evaluation of the implementation of the IMD program to ensure that the objectives of the program are achieved effectively.

Limitations of the Study

This study had several limitations, including:

Small sample size: The study involved only ten informants, which may not be representative of the entire population.
Qualitative research design: The study employed a qualitative research design, which may not provide generalizable results.
Limited data collection: The study only collected data from the hospital and midwives, which may not provide a comprehensive understanding of the IMD program.

Future Research Directions

Future research should focus on:

Conducting a larger-scale study: A larger-scale study should be conducted to provide more generalizable results.
Using a mixed-methods research design: A mixed-methods research design should be used to provide a more comprehensive understanding of the IMD program.
Collecting data from multiple sources: Data should be collected from multiple sources, including the hospital, midwives, and mothers, to provide a more comprehensive understanding of the IMD program.

Conclusion

In conclusion, the implementation of the early breastfeeding initiation program (IMD) in Padangsidimpuan City Hospital has faced several challenges. The study found that the lack of good communication processes between hospitals and midwives, the absence of written work guidelines, and the commitment of all parties were significant factors that affected the implementation of the IMD program. Therefore, more intensive monitoring and evaluation of the implementation of this program is needed so that the objectives of the IMD program can be achieved effectively and have a positive impact on the health of the mother and baby.

Introduction

The early breastfeeding initiation program (IMD) is a crucial initiative aimed at improving the health of mothers and babies. In our previous article, we discussed the challenges faced by Padangsidimpuan City Regional General Hospital (RSUD) in implementing the IMD program. In this Q&A article, we will address some of the frequently asked questions (FAQs) related to the implementation of the IMD program.

Q: What is the early breastfeeding initiation program (IMD)?

A: The IMD program is a healthcare initiative aimed at promoting early breastfeeding initiation among mothers and babies. The program aims to improve the health of mothers and babies by providing them with the necessary support and resources to initiate breastfeeding within the first hour of birth.

Q: What are the benefits of early breastfeeding initiation?

A: Early breastfeeding initiation has numerous benefits for both mothers and babies, including improved infant growth and development, reduced risk of infections, and enhanced mother-infant bonding.

Q: What are the challenges faced by Padangsidimpuan City Regional General Hospital (RSUD) in implementing the IMD program?

A: The hospital faces several challenges in implementing the IMD program, including the lack of good communication processes between hospitals and midwives, the absence of written work guidelines, and the commitment of all parties.

Q: How can the hospital improve communication between hospitals and midwives?

A: The hospital can improve communication between hospitals and midwives by providing regular training and education on the IMD program, establishing clear channels of communication, and encouraging open dialogue between healthcare providers and midwives.

Q: What are the benefits of providing adequate facilities for the IMD program?

A: Providing adequate facilities for the IMD program can improve the comfort and well-being of mothers and babies, reduce the risk of complications, and enhance the overall quality of care.

Q: How can the hospital develop clear Standard Operating Procedures (SOPs) for the IMD program?

A: The hospital can develop clear SOPs for the IMD program by establishing a multidisciplinary team to develop and implement the SOPs, providing regular training and education on the SOPs, and encouraging open dialogue between healthcare providers and midwives.

Q: What is the role of the government in supporting the IMD program?

A: The government plays a crucial role in supporting the IMD program by providing funding, resources, and policy support to healthcare institutions and healthcare providers.

Q: How can the hospital increase the commitment of all parties in implementing the IMD program?

A: The hospital can increase the commitment of all parties in implementing the IMD program by establishing clear goals and objectives, providing regular training and education, and encouraging open dialogue between healthcare providers and midwives.

Q: What are the future research directions for the IMD program?

A: Future research should focus on conducting larger-scale studies, using mixed-methods research designs, and collecting data from multiple sources to provide a more comprehensive understanding of the IMD program.

Conclusion

In conclusion, the implementation of the early breastfeeding initiation program (IMD) in Padangsidimpuan City Hospital has faced several challenges. However, by addressing these challenges and providing adequate support and resources, the hospital can improve the health of mothers and babies and achieve the objectives of the IMD program.

Frequently Asked Questions (FAQs)

Q: What is the early breastfeeding initiation program (IMD)? A: The IMD program is a healthcare initiative aimed at promoting early breastfeeding initiation among mothers and babies.
Q: What are the benefits of early breastfeeding initiation? A: Early breastfeeding initiation has numerous benefits for both mothers and babies, including improved infant growth and development, reduced risk of infections, and enhanced mother-infant bonding.
Q: What are the challenges faced by Padangsidimpuan City Regional General Hospital (RSUD) in implementing the IMD program? A: The hospital faces several challenges in implementing the IMD program, including the lack of good communication processes between hospitals and midwives, the absence of written work guidelines, and the commitment of all parties.

Glossary

Early breastfeeding initiation: The practice of initiating breastfeeding within the first hour of birth.
IMD program: The early breastfeeding initiation program, a healthcare initiative aimed at promoting early breastfeeding initiation among mothers and babies.
Standard Operating Procedures (SOPs): Written guidelines that outline the steps and procedures for implementing the IMD program.
Multidisciplinary team: A team of healthcare providers and midwives who work together to develop and implement the IMD program.

References

[1] World Health Organization. (2018). Early initiation of breastfeeding. Retrieved from https://www.who.int/nutrition/topics/early_breastfeeding/en/
[2] United Nations Children's Fund. (2019). Early initiation of breastfeeding. Retrieved from https://www.unicef.org/earlyinitiationofbreastfeeding
[3] Padangsidimpuan City Regional General Hospital. (2020). Early breastfeeding initiation program. Retrieved from https://www.rsudpadangsidimpuan.go.id/early-breastfeeding-initiation-program