Legal Protection for Health Workers Towards the Implementation of Government Regulation No. 33 of 2012 concerning Exclusive Breastfeeding on Infants with Post Sectio Caesarea Mothers

Article history: Received: 31 October 2021 Accepted: 29 November 202


INTRODUCTION
Health development is carried out to fulfil the rights of the community, one of which is to obtain health services thoroughly and evenly.
Health is a human right which is obtained to improve the level of health of community, groups and individuals including mother and child. Maternal health is a priority so mothers can give birth to a healthy and intelligent generation. This is stated in Article 126 Getting the highest degree of health is the basic right of mother and child. The right of a mother is stipulated in Article 49 Paragraph 2 of Law No. 39 of 1999 on Human Rights states that "Women are entitled to special protection in the implementation of their work or profession towards matters that may threaten their safety and/or health with respect to women's reproductive functions" [2].
Likewise, the right of the child is stipulated in Article 62 states that "Every child is entitled to proper health and social security services, in accordance with his or her physical and mental spiritual needs." Physical needs are not only needed by the child but the mother also needs it to meet the needs of the foetus conceived if the mother is pregnant. One of the physical needs of the mother that must be met is the fulfilment of quality and balanced nutrition before pregnancy, during pregnancy, childbirth and postpartum. In the course of pregnancy that initially takes place normally can lead to abnormal if not supported with good physical and psychological needs. It is not uncommon for labour to end with a Sectio Caesarea (SC). SC is the last alternative in terminating a pregnancy to save both mother and child.
At the beginning of the Health Social Security Organizing Agency hereinafter referred to as BPJS, many health workers especially midwives who refer patients to the hospital on the grounds that BPJS claims are too cheap while the risk in helping childbirth is very high. Not only from the health workers who encourage the increasing labour with SC but from the patient or the mother herself.
Mother has the desire to try, because she believes it has been covered by BPJS so that it does not become a heavy burden anymore [3].
The World Health Organization referred to as WHO has set an average standard in a country of 5-15% per 1.000 birth worldwide [4]. However, according to WHO (1) because of large babies, one (1) due to bleeding, one (1) due to hypertension, and one (1) at their own request and all infants receive formula. Post SC mother just start trying to breastfeed on the second day. Out of 11 post SC, 10 mothers who gave formula having the reason that breast milk was still too little so the baby was fussy and crying and the mother was still in pain if sitting for a long time. One (1) mother because of a flat nipple.
In Articles 6 and 7 of Government Regulation No. 33 of 2012 on Exclusive Breastfeeding stated that every mother who gives birth must give exclusive breast milk to the newborn, unless there is a medical indication, the mother is not present or the mother is separated from the baby [8].
Breast milk that is not smooth out or too little will make the baby fussy and not met his needs. Breast milk that is not able to meet the needs of the baby will certainly affect the growth and development of the baby. "The protection and patient safety is that the implementation of medical practice not only provides health services, but must be able to provide improved level of health while maintaining the protection and patient safety" [14].   Table 2 showed that out of 60 respondents, the largest proportion born were female babies at 53.33% while the smallest proportion of babies born were male at 41.67%. Table 3 shows that all respondents use a lumbar type of anaesthetic by 100%.

Based on Early Breastfeeding
Initiation Table 4 shows that all respondents did not perform an early breastfeeding initiation by 100%.    there are also mothers who still want to give breast milk even though the mother still feels pain in the scars of surgery the breast milk given is actually enough but the mother always complains that the milk that comes out only a little so they choose to give formula. All in the article it is explained that every mother who gives birth to a baby must refuse to give infant formula and/ or other products such as porridge rice, bananas and even water [8].

Based on the causative Factors of Sectio Caesarea
Further to verse 2 it is explained that if the mother who gave birth to the baby dies so that she cannot give breast milk then the family can refuse it.
In view of the perspective of human rights, getting breast milk is a baby's right.
Many regulations have been made by the government to support exclusive breastfeeding as one of the rights of children. Workplace. In this regulation is addressed to mothers who work outside the home and to the mother's workplace to give the opportunity to the mother to give exclusive breast milk and the baby gets exclusive breastfeeding rights [8]. In addition, the mother's workplace must provide a room as a place to provide breast milk.
The room as a place to breastfeed at work is called lactation corner.