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The nutritional health status of the prospective bride is a reflection of the physical well-being of the prospective bride due to the fulfillment of nutritional needs in the body. The prospective bride's nutrition can influence reproductive health to prepare for reproduction from preconception, pregnancy, childbirth and postpartum. Knowledge about nutrition plays an important role in fulfilling a person's nutritional adequacy. The aim of this research was to determine the relationship between knowledge of balanced nutrition and the nutritional status of prospective brides and grooms at the Kemalaraja OKU Community Health Center UPTD. This type of research is descriptive research with a cross sectional approach carried out in June - July 2024. The sample size of 17 female catins was determined using a total sampling technique. Data analysis in this study used univariate and bivariate analysis using the chi-square test to determine the relationship between nutritional knowledge and the nutritional status of prospective brides and grooms at the Kemalaraja OKU Health Center UPTD. The results of univariate analysis showed that the average age range was 24-28 years (47.1%), good nutritional knowledge (64.7%), normal nutritional status (70.6%). There is a relationship between knowledge of balanced nutrition and catin nutritional status (p = 0.000). From this research, it can be concluded that there is a relationship between knowledge of balanced nutrition and catin nutritional status in the working area of ​​the Kemalaraja OKU Public Health Center UPTD. It is recommended that prospective brides and grooms increase their nutritional knowledge by looking for information about balanced nutrition.

Sectio caesarea is a solution for handling births with complications, Sectio Caesaria in Indonesia every year deliveries with sectio caesaria are increasing. Surgical procedures such as Sectio Caesaria are actions that cause tension (stress) because this action involves removing the fetus through the abdomen (Laparotomy) which requires an incision into the uterus (Hysterotomy). The aim of this research is to find out the relationship between pain intensity and breast milk production in post-cesarean section mothers at RSUD. Data analysis using univariate, bivariate analysis. The results of this study show that there is a significant relationship between pain intensity and breast milk production in post-cesarean mothers at the Bandarkar Subdistrict, Simalungun District Trade Hospital in 2022. It can be used as a source of information for mothers who are about to give birth and postpartum mothers to know about description of the intensity of pain in mothers post Sectio Caesaria at the Trade Hospital which causes disruption in breast milk production.

Based on the 2018 Riskesdas results, the proportion of breastfeeding patterns for babies aged 0-5 months in Indonesia is 37.3% exclusive breastfeeding, 9.3% partial breastfeeding and 3.3% predominant breastfeeding. Predominant breastfeeding is breastfeeding the baby but giving a little water or a water-based drink, for example tea, as a prelacteal food/drink before the milk comes in. Meanwhile, partial breastfeeding is breastfeeding a baby and giving artificial food other than breast milk such as formula milk, porridge or other food before the baby is 6 months old, whether given continuously or as prelacteal food. North Sumatra Province Nutrition Program Data in 2018. The percentage of exclusive breastfeeding for babies 0-6 months in North Sumatra in 2018 was 65.57 percent, an increase compared to the percentage of exclusive breastfeeding in 2017, namely 54.4 percent (Sumatra Provincial Health Service, 2017). 2018). In the breastfeeding process, problems sometimes arise that can prevent giving breast milk to babies. Problems that mothers often experience when breastfeeding include inverted nipples, swollen breasts, sore and painful nipples, blocked milk ducts, breast inflammation and insufficient milk production (Purwoastuti, 2015). There are many non-pharmacological methods that can help postpartum mothers increase breast milk production, ranging from marmet massage, oxytocin massage, Woolwich massage to areola and rolling massage. Currently, based on the results of related research, there are non-pharmacological methods that are cheaper, easier, non-invasive and acceptable to respondents and without side effects. Nursing interventions that can be applied to help increase lactation in post partum mothers are the SPEOS method (Endorphin, Oxytocin and Suggestive Massage Stimulation).

Mobilization is a basic human need required by individuals to carry out daily activities in the form of joint movement, posture and gait in order to meet activity needs and maintain health. The World Health Organization (WHO) says that births by caesarean section are around 10-16% of all births in developing countries, in the last 30 years the incidence of caesarean sections has increased very rapidly, for many reasons but some also don't have the right reasons, just because the patient wants the operation or the doctor wants an easy way, in Australia around 16% to 20% of the reason for the high number of caesareans in the United States is because most obstetricians. The aim of the research was to analyze the relationship between early mobilization post cesarean section and the surgical wound healing process in the postpartum room at Kartika Pulomas Hospital. The type of research used is qualitative analytic with a cross sectional approach design. The sampling technique uses accidental sampling. The number of samples used was 61 people. There is a relationship between early mobilization post cesarean section and the surgical wound healing process in the postpartum room at Kartika Pulomas Hospital. The paired sample t-test showed a value of p = 0.002, meaning p<0.05. Recommendations for hospitals need to have a policy for early mobilization of patients after caesarean section. Early mobilization accelerates wound healing and shortens the period of hospital treatment, so that it is a promotion for the hospital, namely: establishing independent hospitals as the main choice with quality services.  

Background : Childbirth is accompanied by perineal wounds in Indonesia as much as 75%. In 2022, there will be 12,145 cases of mothers experiencing perineal wounds in Central Java. In 2021, there were 255 cases of mothers experiencing perineal wounds in Boyolali (59.4%) from 429 deliveries. The process that occurs during normal delivery can cause perineal tears. Treatment of perineal wounds often uses binahong leaves to speed up healing of perineal wounds and prevent infection. Objective: To determine the effect of perineal wounds before and after being given boiled water from binahong leaves during the postpartum period. Method: Descriptive with application to 2 respondents. Respondents were given boiled water from binahong leaves from the first day to the eighth day post partum in a row. Results: After applying boiled water from binahong leaves for 8 consecutive days, the results showed a decrease in the rate of healing of perineal wounds in both respondents, there was a decrease in scores in Mrs. U and Mrs. A is 0 (good wound healing). Conclusion: There is an effect of giving boiled water from binahong leaves which can accelerate the healing of perineal wounds.

Post partum is the period after giving birth or also known as the postpartum period, namely the period needed for the uterine organs to recover to their pre-pregnancy state, the postpartum period starts from the birth of the baby and lasts for 6 weeks or 42 days (Saudah & Certainlya, 2023). The purpose of this writing is to find out and provide nursing care to Mrs. A with spontaneous post partum in the Nusa Indah room at Dr. RSUD. Soeselo, Tegal Regency. The methods used are descriptive methods and data collection methods. From the case review, it was found that the client's main complaint was that there were no complaints of occasional pain. There were two nursing diagnoses found, namely risk of infection and knowledge deficit. Interventions are structured based on theory on the SDKI, SLKI, and SIKI as well as on the client's condition and can be implemented.

The post partum period is divided into three, namely early puerperium (immediate puerperium) or recovery period 0-24 hours after delivery, immediate puerperium (later puerperium) or recovery period 1-7 days after delivery and remote puerperium (later puerperium) or the period to recover and be completely healthy (Rohmah et al, 2022). The purpose of this paper is to find out and provide nursing care to Mrs. S with postpartum in the Nusa Indah ward, dr. Soeselo Hospital, Tegal Regency according to nursing standards. The method used is a descriptive method in the form of interviews, observations, documentation studies, library studies and literature. From the case review, it was found that the patient’s main complaint was pain in the stitches in the birth canal, P: pain when moving, Q: pain like being pressed, R: pain in the stitches in the birth canal, S: pain scale 5, T: intermittent. There were 2 diagnoses found, namely labor pain and knowledge deficit. Interventions are designed based on the theories in SDKI, SLKI and SIKI as well as on the client’s condition and can be implemented.

Using chemical drugs to relieve pain after caesarean section surgery can cause dangerous side effects when used for a long time. The aim of this research is to provide nursing care for postpartum mothers and caesarean section mothers including: assessment, diagnosis, planning, implementation and evaluation. In writing this scientific work, the author used methods including: observation, interviews, documentation, and literature study. There are 5 analytical methods used, namely: assessment, nursing diagnosis, nursing intervention, nursing implementation, and nursing evaluation. During the assessment, pain and sleep disturbances were found. The nursing diagnosis showed that there was a wound in the lower abdomen from the operation. Nursing intervention by providing health education materials and media so that knowledge increases. Implement health care by removing the dressing slowly, cleaning with NaCl fluid, and monitoring for signs of infection. Nursing evaluation found that cleaning the wound and changing the dressing had no complaints and the wound on the stomach was dry, there was no redness and there were no signs of infection. The application can provide good nursing care for caesarean-section mothers and increase knowledge about parenting patterns for mothers who have had caesarean-section operations.

Background: Breast Milk (ASI) is a fatty emulsion in lactose protein and inorganic salts secreted by the mother's mammary gland, useful as food for infants. Breast milk is difficult to achieve because one of them is breast milk that does not come out or does not run smoothly. One of the non-pharmacological arrangements to help smooth the release of breast milk can be done by oxytocin massage. Objective: Knowing the results of the implementation of oxytocin massage to breast milk production at the Cempaka Ward of dr. Soehadi Pridjonegoro Sragen Hospital. Method: This study is a descriptive study in the form of a case study conducted on 2 postpartum mother respondents by massage oxytocin for 2 consecutive days with a frequency of 2x a day for 10-15 minutes. Result: The study of oxytocin massage in both postpartum mothers on the first day has not changed breast milk production. Then on the second day of breast milk production, the two respondents showed an increase, evidenced by the increase in breast milk, empty breasts after catching up, and the breasts looked full before breastfeeding. Conclusion: There is an increase in breast milk production before and after giving oxytocin massage to postpartum mothers in the Cempaka Room of dr. Soehadi Prjonegoro Sragen Hospital.

Background : Breast milk is a substance produced by the body naturally by the breast glands. Breast milk is an emulsion of fat in a solution of protein, lactose, and organic salts, white blood cells secreted by the breast glands so that breast milk is the perfect food for growth and development and immunity of the baby. Breast milk production that is small or not smooth can interfere with exclusive breastfeeding, so efforts are needed to increase breast milk production by treating non-pharmacological techniques, one of which is breast care. Breast care is an action in maintaining the health and cleanliness of the mother's breasts, flexing and strengthening the nipples to stimulate the body to secrete lactogen and prolactin hormones, improve blood circulation, prevent obstruction of milk release so that breast milk production increases. Objective: to determine the results of the implementation of breast care techniques on breast milk production of postpartum women in the Cempaka Room of RSUD dr. Soehadi Prijonegoro Sragen. Method: This research is a case study research conducted on 2 postpartum mother respondents by doing breast care for 2 days with a frequency of 2 times a day for 30 minutes. Results: From the results of observations on both respondents there was a development of breast milk production from before and after breast care from the first and second days experienced a significant increase. Conclusion: There is an increase in breast milk production and before and after breast care from not smooth to smooth.    

Breast milk dam is a swelling of the breast due to an increase in venous and lymph flow, causing breast milk dam. Data (SDKI) showed that 42% of mothers experienced breast milk dams. Breast milk dams are caused by discontinuous breastfeeding, the baby has not breastfed properly, improper breastfeeding position, wearing BH that is too tight, nipple abnormalities, absence of breast care before and after childbirth and lack of maternal knowledge about breast care. The aim is to determine the relationship between breastfeeding position and breast care with the incidence of breast milk dam in the working area of Sei.Langkai Health Center, Batam City 2023. The method in this study used quantitative research with analytical descriptive research and used a Cross Sectional research design, the sample in this study was 65 postpartum women, statistical tests using Chi-Square, purposive sampling technique. The distribution of breastfeeding positions was not correct as many as 36 postpartum women (55.4%), postpartum women did not perform breast care as many as 55 postpartum women (84.6%), the majority of postpartum women who experienced breast milk dams were 36 postpartum women (55.4%). The results of statistical analysis with Chi-Square found that there was no relationship between breastfeeding position and the incidence of breast milk dam with a value (P-Value) = 0.099 where (P < ?) = 0.05, and there was a relationship between breast care and the incidence of breast milk dam with a value (P-Value) = 0.030 where (P < ?) = 0.05. The conclusion is that there is no relationship between breastfeeding position and the incidence of breast milk dam and there is a relationship between breastfeeding position and breast milk dam. it is hoped that midwives and other health workers can teach mothers directly during breastfeeding how to do the correct breastfeeding position and breast care technique.

High risk pregnancy is a condition that can affect the condition of the mother and fetus in the pregnancy she is facing (Manuaba, 2012). Pregnant women who experience medical disorders or health problems will be included in the high risk category, so that the need for implementing care during pregnancy becomes greater (Robson and Waugh, 2012). others include miscarriage, obstructed labor, antepartum bleeding, fetal death in the womb (Intra Uterine Fetal Death), poisoning in pregnancy, babies born under term, and low birth weight babies. The impact of high-risk pregnancies can be prevented through regular prenatal care (antenatal care) which aims to keep the mother healthy during pregnancy, childbirth and postpartum as well as ensuring that the baby is born healthy, containing possible pregnancy risks, and optimal management planning. against high-risk pregnancies and reducing maternal and infant morbidity and mortality. Antenatal services can detect and handle high risk cases adequately, provide clean and safe delivery assistance, affordable obstetric/perinatal services and referrals

Comprehensive Care is continuous care from pregnancy to Family Planning (FP). Comprehensive care aims to provide quality services and prevent maternal and child mortality. The purpose of this case study is to provide comprehensive care to mothers from pregnancy, childbirth, postpartum, and newborn care using the documentation of the Seven Steps of Varney and SOAP. This assessment was conducted from January to April 2024 through data collection methods, interviews, and observations. Pregnancy care included three visits with the first day of the last menstrual period on July 12, 2023, and the expected delivery date on April 19, 2024. During the first, second, and third visits, the general condition of the mother was found to be good. Labor care was provided on April 24, 2024, at 11:30 AM when the mother came to the Midwife's Independent Practice, accompanied by her husband, complaining of abdominal pain since 08:00 AM and discharge mixed with blood. An internal examination revealed 4 cm dilation. At 4:00 PM, labor management was carried out. The delivery process was normal with the 60 Steps of Active Management of the Third Stage of Labor (AMTSL), the baby was born normal, male, weighing 2500 grams, with a length of 47 cm, and immediate newborn care was performed. Postpartum and newborn care proceeded smoothly without complications for both mother and baby.

Mother and Child Health (MCH) requires efforts through a holistic approach known as Continuity of Care (COC). Continuity is essential throughout a woman's life cycle, including during pregnancy, childbirth, and the postpartum period. To achieve COC, it can be implemented through monitoring and services such as ANC, INC, PNC, and Newborn Care, as well as connecting health care facilities to ensure prompt and accurate handling of emergencies. The aimofthis research is to provide comprehensive midwifery care for pregnant women in the third trimester, during labor, postpartum, care for the newborn, neonates, and family planning. The study was conducted from April to May 2024 at the Special Regional Hospital for Mother and Child, Pertiwi, Makassar. The caremethod in this research involves interviews, observations, and management of the subject 'scare. The subject in this care is Mrs. “N," a woman in her second pregnancy, who has givenbirth once, is currently at 37 weeks and 6 days gestation. The results of comprehensive midwifery care for Mrs. "N" during the third trimester of pregnancy showed well-preparedness for childbirth. Normal delivery occurred, followed by normal care for the newborn and neonatal care. The conclusion of this research is that comprehensive care allows for data collection, determination of actual and potential diagnoses, and timely referral or collaboration with other health care providers in case of issues.

Improper care of the umbilical cord can lead to premature detachment and increase the risk of umbilical cord infection (neonatal tetanus). As long as the umbilical cord has not detached naturally, it needs to be properly cared for. Failure to do so can result in infection characterized by moisture, pus, and a foul odor around the umbilical cord. This review aims to determine the influence of mothers' knowledge on the care of the umbilical cord in newborns. This review aims to investigate the impact of mothers' knowledge on the care of the umbilical cord in newborns. This study utilizes a literature review method, utilizing journal articles obtained from Google Scholar, SINTA, and Garuda databases, published between 2019 and 2023, with full text available in the Indonesian language. Based on the reviewed journals, it was found that 7 journals discovered the influence of maternal knowledge on umbilical cord care in newborns, while 4 journals stated that there are still mothers who perform umbilical cord care incorrectly according to the procedure. Based on the literature review of 10 research journals, respondents' characteristics among postpartum mothers can be classified based on age, educational level, and occupation. All these factors significantly impact a mother's knowledge regarding the care of the umbilical cord in newborns, highlighting the importance of health education in enhancing maternal knowledge.

Pregnancy with breech presentation is where the fetus lies longitudinally in the uterus while the head is at the fundus uteri and in the buttocks position below the uterine cavity (Putri and Ningrum, 2019). Cases of breech presentation both mother and fetus experience a large increase in risk and for labor with breech location have high mortality and morbidity (Putra 2015). The maternal mortality rate (MMR) according to WHO 2021 is 32.9/100,000 KH. ASEAN 2021 MMR is 235/100,000. Indonesian Ministry of Health 2021 AKI 7,389 people, Central Java Health Office 2023 AKI as much as 485. Data from the Brebes Health Office 2022 as many as 50 cases while from the kaliwadas puskesmas area in 2022 there was 1 case of death. Researchers implement comprehensive midwifery care using Varney and SOAP documentation. This study uses descriptive qualitative methods through direct approaches, interviews, observation and documentation. The main informant is Mrs.H while for additional informants there are village midwives, puskesmas midwives, husbands and Mrs.H's family. Based on the results of research obtained from the care of pregnancy, childbirth, postpartum, LBW and family planning, problems were found in the form of pregnancy with breech presentation and cesarean delivery for indications of failed induction.

Background: Based on world data, there have been 2.7 million cases of perineal rupture in mothers giving birth. This figure is estimated to reach the highest number collected until 2050, which is 6.3 million. Perineal rupture in Asia also often occurs in society, which is around 50%. According to data from the Indonesian Demographic Health Survey (SDKI), 75% of mothers who give birth in Indonesia experience perineal tears or perineal rupture. Objective: To describe the results of measuring the pain scale using the cold compress method. Method: This study method uses a case study method with a descriptive design and uses a Numeric Rating Scale (NRS) pain measurement sheet, in the cold compress method, the variable measured is perineal wound pain that has been given intervention 3 times a day in a span of 5-10 minutes for 3 days. Results: After cold compresses were given to two respondents who experienced perineal wounds, there was a change in the pain scale which was included in the mild pain category. Conclusion: The application of cold compresses can reduce the scale of perineal wound pain in postpartum patients.    

The postpartum period is a recovery period, postpartum care is needed so that mothers can make psychological adaptations in the postpartum period, Postpartum depression is depression that occurs in women after giving birth, which occurs within a period of 4 (four) weeks, several months or even several years if not treated, the purpose of this community service is to provide education to pregnant women and postpartum mothers regarding the prevention of the dangers of postpartum depression, this activity is to increase mothers' understanding of the dangers of postpartum depression. This community service activity was attended by pregnant women and postpartum mothers at the Kassi-Kassi Health Center which was attended by 18 people. This activity method was carried out twice by providing a pre-test, lecture and continued post-test by filling out a questionnaire. In the evaluation, interviews were conducted with pregnant women and postpartum mothers to determine the dangers of postpartum depression. The results achieved in community service activities at the Kassi-Kassi Health Center were that postpartum mothers gained knowledge about the dangers of postpartum depression and there was an increase in knowledge about the dangers of postpartum depression. The pre-test results were 58.82%, there was an increase in the post-test which showed post-test knowledge of 82.35%. The conclusion is that education for pregnant and post-partum mothers can prevent post-partum depression.

Breastfeeding technique is a factor that affects milk production, wrong breastfeeding technique will cause problems in breastfeeding such as sore nipples, less milk production. This is caused by a lack of knowledge and attitudes of mothers about proper breastfeeding techniques. To increase the knowledge and attitudes of mothers, it is necessary to provide health education about breastfeeding techniques using a modeling approach. The purpose of this study was to analyze the effectiveness of health education with a modeling approach to the knowledge and attitudes of postpartum mothers regarding breastfeeding techniques. The research design is a Quasi-Experimental Pre-Test-Post-Test. The sample in this study were 30 nursing mothers aged 0-6 months using the Total Sampling technique. Data were analyzed using the Wilcoxon test. The results of the study obtained a p value of 0.000 so that the modeling approach was effective in increasing the knowledge and attitudes of postpartum mothers regarding breastfeeding techniques. The conclusion of this study is the effectiveness of health education with a modeling approach to increasing the knowledge and attitudes of postpartum mothers regarding breastfeeding techniques in Panggungjati Village.  

Background: According to (WHO) in 2020, there were 2.7 million cases of perineal rupture in mothers giving birth, it is estimated that this will reach 6.3 million in 2050.Childbirth and the postpartum period are processes that are vulnerable to various complications that can endanger the mother. Vaginal delivery will be more susceptible to tearing of the perineum to varying degrees. Virgin Coconut Oil (VCO is rich in vitamin E which plays a role in cell retention mechanisms in cell organs which significantly increases the activity of antioxidant enzymes. Objective: to determine changes in wound healing before and after being given Virgin Coconut Oil (VCO) Method: This application uses a case study method. This method with application to 2 respondents,given Virgin Coconut Oil (VCO) applied 3 times/day for 5 consecutive days. Results: After applying Virgin Coconut Oil (VCO) for 5 consecutive days, the result was a decrease in the rate of wound healing in both respondents. decrease in score for Mrs. F 0 (good wound healing) and Mrs. Conclusion: There were changes and differences in the level of wound healing before and after administering Virgin Coconut Oil (VCO) to the two respondents.