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Serotinus is one of the obstetric complications that needs to be watched out for and there is a high risk of caesarean section during delivery. These complication will be made worse if the mother experiences anemia which can cause uterine atony, post partum bleeding and even lead to maternal death. According to WHO (2021), the Maternal Mortality Rate (MMR) is 329,000 per 100,000 live births, data from the Brebes Health Office in 2022 is 105 cases, and data from the Paguyangan Community Health Center (2021) is 4 cases. Researchers implemented comprehensive midwifery care using Varney and SOAP documentation. This research uses a qualitative descriptive method with a case study approach. Data collection used interview methods, observation, physical examination, supporting examinations, medical records, KIA books and other literature. The main informant is Mrs. A, while additional informants were midwives, general practitioners, obstetricians, nutrition officers, laboratory officers, husbands and families. Based on the results of pregnancy, childbirth, newborn, postpartum and family planning care, there were only problems in pregnancy at the age of 29+1, namely breech and oblique presentation and mild anemia with HB 9.6 g/dL and at the gestational age of 31+3, namely underestimation of fetal weight.

Background: Unpreparedness physically, psychologically, mentally and spiritually in facing this period will make mothers experience problems related to involution and postpartum pain. Many things are risk factors for failure of involution and lactation. These factors include mobilization, nutrition, lactation, environmental, cultural and family factors. Objective: To determine the effect of effleurage massage on reducing the pain scale due to uterine involution in postpartum mothers on day 1. Research Location: UPT Buay Pemaca Health Center. Research Method: Quantitative research type with a pre-experimental design type one group pretest and posttest. Results: Almost all postpartum mothers before being given effleurage massage experienced uterine involution pain on a moderate pain scale of 19 people (95%), more than half of postpartum mothers after being given effleurage massage experienced uterine involution pain on a moderate pain scale of 12 people (60 %), there is an influence of the Effluurge Massage Technique on Reducing the Pain Scale of Uterine Involution in Post Partum Mothers on Day 1. Conclusion: Effleurage massage can reduce the level of uterine involution pain in postpartum mothers.

Umbilical cord care is care carried out on the umbilical cord to avoid infection in the baby's umbilical cord. Try to keep the umbilical cord dry, make sure it is not wet or damp because damp conditions trigger the growth of germs that cause infection. The high morbidity and mortality rate of newborns throughout the world is caused by infection, so correct and good umbilical cord care is needed to reduce the risk of infection and reduce IMR. The aim of this research was to determine the relationship between postpartum mothers' knowledge of umbilical cord care. From the research results, it is known that good umbilical cord care with a length of umbilical cord removal <1 week is as many as 16 respondents (88.9%) while a length of time to remove the umbilical cord is >1 week, namely as many as 2 respondents (11.1%). Poor umbilical cord care with umbilical cord removal time <1 week was 7 respondents (50%) while cord removal time was >1 week, namely 7 respondents (50%). The results of the analysis of the relationship between umbilical cord care and length of umbilical cord removal using the formula x2 (chi square) with p value = 0.015 (P < 0.05). So it can be concluded that there is a relationship between the umbilical cord and the length of time the umbilical cord falls off.

Background: Sixty percent of all maternal deaths occur during the postpartum period and 45% of these cases occur within the first 24 hours postpartum (WHO, 2018). Steps that can prevent postpartum bleeding management include active third stage, administration of uterotonics and early initiation of breastfeeding. Oxytocin hormone levels will increase in the third stage after separation of the placenta and when early initiation of breastfeeding is carried out because the pituitary gland releases the oxytocin hormone through the baby's stomping, touching and licking of the mother's skin so that it can prevent postpartum bleeding and speed up the expulsion of the placenta naturally. Objective: To determine the effect of early initiation on the number of post-delivery events at the Griya Mazaya midwifery clinic in 2023. Method: The research method uses analytical observational analysis with case control. The research design used a retrospective approach with a sample size of 44 respondents divided into 22 groups of respondents who did IMD and did not do IMD with a data processing test using Mann Whitney. Results: The results of Mann Whitney data processing showed a p value of 0.000, which means p value < sig (0.05) thus proving that there is a difference in the incidence of post-delivery bleeding. Mothers who did IMD had less bleeding than mothers who did not do IMD. Conclusion: Management of early initiation of breastfeeding immediately after the new baby is born can significantly reduce the rate of postpartum hemorrhage.

Background: Colostrum is the type of breast milk that is richest in protein and provides extra protection against germs that attack the baby's digestive tract. Colostrum is the first immunization that babies receive which contains up to 17 times more anti-infective substances than other breast milk. How to stimulate colostrum production can be done with maternal nutrition. Giving honey to mothers is beneficial because honey contains nutrients (energy, carbohydrates, protein) which function as energy for the posterior pituitary to produce the hormones oxytocin and prolactin. Research Objective: To determine the effect of giving honey on colostrum production in primiparous postpartum mothers at Asy Syifa' Sambi General Hospital, Boyolali Regency. Research Method: Pre-experimental research type with posttest only with control group design. The population of this study was all post patum primiparous mothers on day 1 from 5 May 2023 to 28 June 2023 at RSU Asy Syifa' Sambi, Boyolali Regency, totaling 39 respondents. The sampling technique used consecutive sampling technique, the sample in this study was 16 respondents per group. The data analysis technique used is the Mann Whitney test. Research Results: The time to expel colostrum in primiparous postpartum mothers who were not given honey at Asy Syifa' Sambi General Hospital, Boyolali Regency had a mean of 3.31 hours, a median of 3.25 hours. The time to expel colostrum in primiparous postpartum mothers who were given honey had a mean of 0, 84 hour median 0.75 hours and standard deviation 0.25. There is an effect of giving honey on colostrum production in primiparous post partum mothers (0.000<0.05). Conclusion: There is an effect of giving honey on colostrum production in primiparous post partum mothers.

Background: Black cumin as one of the spices containing lactagogum. This spice in the form of black seeds has been known thousands of years ago and is widely used by the people of India, Pakistan and the Middle East to treat various kinds of diseases. to determine the effect of Habatussauda on milk production in postpartum mothers at the UPT Buay Pemaca Health Center in 2023. Methods: This study used a quasi-experimental design using the Pretest Posttest two Group Design research design for all postpartum mothers at the UPT Buay Pamaca Health Center who were born in June 2023 as many as 42 people were selected as samples with consecutive sampling technique which determined a sample of 30 people. The statistical test used was Mann Whitney. Results: All milk production before and after the intervention was given at a volume of <50 ml in 15 people (100%). In the intervention group for milk production with a volume of 50-89.9 ml, there were 11 people (73.3%) and 2 people (13.3%) in the control group. Meanwhile, in the production of breast milk with a volume of <50 ml, there were 4 people (26.7%) in the intervention group and 13 people (86.7%) in the control group. Conclusion: There is an effect of Black Seed extract on postpartum mother's milk production.

Background: The postpartum period is a very complex period experienced by a woman, especially for those who have given birth for the first time. The problem that we often encounter in the early postpartum period is the discomfort of mothers breastfeeding their babies because they are bothered by the presence of stitches for mothers who experience perineal lacerations. Objective: to determine the effect of VCO administration on perineal wound healing in postpartum women at Hospital Mother and Child Kasih Fatima Kotamobagu Methods: Quasi experimental design with post-test only with nonequivalent groups with Mann-Whitney test with 34 respondents and divided into 2 groups of cases and controls Results: Based on the statistical test output, it is known that the Asymp Sig (2-tailed) value is 0.000 <0.05, so it can be concluded that the hypothesis is accepted. Thus it can be said that there is an effect of VCO administration on perineal wounds with perineal wound healing. Conclusion: There is an effect of giving VCO with healing perineal wounds in postpartum women at RSIA Kasih Fatimah Kotamobagu, with this research it is hoped that VCO administration can be applied by health workers for wound healing, especially pernieal wounds.

Background: A survey in Indonesia reported that 38% of mothers stopped giving breast milk due to a lack of milk production.Oxytocin massage is one of the solutions to overcome the irregularity of milk production. Oxytocin massage is massage along the spine (vertebrae) to the fifth-sixth costae and is an attempt to stimulate the hormones prolactin and oxytocin after childbirth. Oxytocin massage is done to stimulate the oxytocin reflex (milk ejection) or the let down reflex (flow reflex). Purpose: the purpose of this study was to determine the effect of oxytocin massage by husbands on increasing milk production in postpartum mothers in Ngrukuh Village, Klaten Regency. Methods: This research was conducted in June 2023. This type of research uses a case study research design. Samples were 2 (two) postpartum mothers. Measuring the adequacy of breast milk in the oxytocin massage procedure with the length of time the intervention was carried out for ± 15 minutes and the frequency of giving therapy 1-2x a day for 14 days. Data analysis was carried out by looking at the breastfeeding adequacy observation sheet. Results: The results of the study showed that the level of milk production before the oxytocin massage was carried out, namely that milk production did not include signs of sufficient milk supply and after being given oxytocin massage, the level of milk production included signs of sufficient milk supply. Conclusion: There is a significant influence between the level of milk production experienced by postpartum mothers before and after being given oxytocin massage.

Pregnancy is a period when pregnant women experience physiological and psychological changes. Physical changes that occur during pregnancy can cause complaints or discomfort during pregnancy, which include physical discomfort during pregnancy including back pain, low back pain, difficulty sleeping at night/insomnia, and leg cramps. Meanwhile, psychological discomfort that can occur in pregnant women is anxiety and fear of facing the birth process. Anxiety is one of the psychological changes in the third trimester because it is getting closer to the birth process. Resulting in excessive anxiety during pregnancy can trigger abortion, premature birth, low birth weight, fetal defects, fetal growth retardation, and postpartum depression. Three out of five third trimester pregnant women who were encountered experienced anxiety approaching labor, namely sleep disturbances. Practicing yoga during pregnancy is a useful solution as a self-help medium that will reduce discomfort during pregnancy and help with the birthing process. When pregnancy enters the third trimester, the mother will experience increasingly serious and intense anxiety in dealing with the birth process.

Giving breast milk to babies is very important to support the baby's growth and development, and breast milk contains the best nutrition for newborn babies and is the only healthy food that babies need in the first month of life. However, not all mothers can provide exclusive breast milk for their babies, this is due to the mother's inability to overcome breastfeeding problems in the early period due to several factors that influence breast milk production including socio-cultural changes, psychological factors, physical factors of the mother, increasing promotion of formula milk, staff factors. health, mother's diet, baby's birth weight, use of contraception. One method of care that can be given to mothers to support smooth breastfeeding is an Oxytocin massage during home care services. The research aims to determine the effect of oxytocin massage on breast milk production in postpartum mothers, Bulukumba Regency. The design used in this research was Case Control and the sample in this research was 10 respondents. And the measuring instrument in this research uses a measuring cup. The results showed that breast milk production before the oxytocin massage treatment was 0% smooth and after the oxytocin massage treatment the average increase in breast milk production was 0.4 with the amount of smooth breast milk being 100%. Meanwhile, in the control group there was no increase in breast milk production. The results of the statistical test using the dependent t-test showed that the value was p=0.003, meaning there was a significant difference before the oxytocin massage and after the oxytocin massage. Conclusion There is an effect of Oxytocin Massage on breast milk production in postpartum mothers in Bulukumba Regency.

Sectio is a surgical operation to help pregnant women give birth by making an incision in the abdominal wall (laparotomy) and uterus (hysterectomy). Compared with regular births, which only cause about 9% more suffering, births by cesarean section cause about 27.3% more pain. Pharmacology and non-pharmacology can be used together to treat pain. Within 24 hours after a caesarean section, patients can experience a five times greater reduction in pain thanks to lavender aromatherapy. There are no risks associated with using the main active components of lavender oil, linalyl acetate, and linalool, which may provide a calming effect. When lavender aromatherapy is inhaled, the compounds it contains trigger the hypothalamus to produce endorphins which can calm and soothe. Lavender aromatherapy also has properties that make it antibacterial, analgesic, antidepressant and antispasmodic. By offering and using lavender aromatherapy, this research approach is descriptive and takes the form of a case report. The aim of this research is to determine whether the use of lavender aromatherapy can help patients after giving birth by caesarean section reduce their discomfort. After receiving lavender aromatherapy, the research findings changed from a scale of 7 to 3. Research findings show that the use of lavender aromatherapy can help postpartum patients undergoing cesarean section reduce their discomfort.

Background: The coverage of infants receiving exclusive breastfeeding in Lampung Province in 2020 is 70.1%, which is still below the expected target of 80%. One of the foods that can facilitate the production of breast milk is dates, dates contain galactogogues which are capable of inducing lactation with dopamine pressure, resulting in an increase in prolactin production. Dates contain a hormone similar to the hormone oxytocin, which is a hormone produced by the neurohypophysia so that it stimulates the mammary glands to produce breast milk. Objective: To determine the effect of giving dates on the smooth production of breast milk in postpartum mothers. Methods: This type of research is a Quasy Experiment Design with a Non Equivalent Control Group Design study with a sample of 40 subjects. The instruments used in this study were SOP sheets for giving dates and observation sheets for signs of assessing the smoothness of breastfeeding. The intervention of giving dates was given 7 eggs per day which were consumed for 4 days. Results: All respondents before being given treatment experienced breastfeeding difficulties as many as 20 respondents (100%) and after being given the date palm treatment the respondents were in the smooth category as many as 18 respondents (90%). Conclusion: There is an Effect of Giving Dates on the Smooth Production of Breast Milk for Postpartum Mothers.

Afterpains are a common physiological complaint experienced by mothers during the postpartum period due to uterine contractions that occur after childbirth. This pain can disrupt comfort, inhibit the involution process, and affect the mother's physical and psychological well-being. Non-pharmacological treatment efforts such as the Effleurage Massage technique are an effective alternative because they can increase relaxation and stimulate the release of endorphins that play a role in reducing pain perception. This study aims to determine the effect of the Effleurage Massage technique on the level of afterpains in postpartum mothers at Midwife Sulastri, Percut Sei Tuan District, Deli Serdang Regency in 2022. The research design used was a quasi-experimental design with a one-group pretest-posttest without a control group. The study sample consisted of 45 postpartum mothers selected using the total sampling technique. Data were collected through observations with a numeric pain scale and analyzed using the Wilcoxon Signed Rank Test. The results showed that there was a significant decrease in pain levels after Effleurage Massage with a p value = 0.000 (<0.05). These findings demonstrate that the Effleurage Massage technique is effective in reducing the intensity of postpartum afterpains. Consequently, this massage can be used as a complementary therapy in postpartum midwifery care to increase comfort and accelerate the mother's recovery process.

Perineal rupture is a common complication of normal delivery, especially in primigravida mothers, which can cause postpartum hemorrhage and increase the risk of maternal morbidity. One non-pharmacological method that can be used to prevent perineal rupture is perineal massage, which functions to soften the pelvic floor muscle tissue and increase the elasticity of the birth canal. This study aims to analyze the effect of perineal massage on the incidence of perineal rupture in third-trimester pregnant women. This type of research is quantitative with a Quasi Experiment design using a post-test only approach with a control group design. The study was conducted at the Penawar Bidan Yulidina Clinic, Central Aceh Regency from April to June 2022 with a sample of 30 third-trimester pregnant women divided into two groups, namely the intervention group and the control group. Data analysis used the Mann Whitney test with a 95% confidence level. The results showed a p-value = 0.020 (p <0.05) which means there is a significant effect of perineal massage on the incidence of perineal rupture. Most mothers in the intervention group did not experience perineal rupture after routine perineal massage. These results indicate that perineal massage is effective in reducing the risk of perineal rupture and can be recommended as a preventive obstetric intervention to prepare pregnant women for a safe and comfortable delivery.

Prenatal class is a group learning facility about health for pregnant women in a face-to-face form which aims to increase the knowledge and skills of pregnant women regarding pregnancy, childbirth, postpartum, and this includes caring for newborns and exclusive breastfeeding. Participating in prenatal class activities is highly recommended for pregnant women, and then proceed to antenatal classes and breastfeeding learning classes. During pregnancy, every pregnant woman experiences various discomforts caused by hormonal changes that occur in the body due to pregnancy. During pregnancy, pregnant women experience physical, psychological and hormonal changes in the body. These changes will have an impact on discomfort during pregnancy. The prevalence of discomfort during pregnancy is around 3-17%, in developed countries 10% and in developing countries 25%, in Indonesia the incidence of discomfort during pregnancy is around 28.7%. This extension activity uses leaflet media which consists of opening, implementation and closing. The results of the service show from the evaluation stage that participants play an active role in activities, can answer questions by expressing opinions. Know about prenatal classes and the activities carried out in prenatal classes and know about discomforts during pregnancy and their handling.

The coverage of exclusive breastfeeding in Indonesia has not reached 80%. One of the causes of low breastfeeding coverage is the support of the closest people, especially the husband's knowledge. Efforts that can be made to provide smooth breastfeeding for postpartum mothers include oxytocin massage performed by health workers and husbands. The type of research used is an analytical type of research, namely a study that involves data collection activities to determine whether there is a relationship between two or more variables. This study uses a cross-sectional approach by conducting observations or data collection. Of the 30 respondents, the husband's knowledge at TPMB Turasmiyati, most of them have good knowledge of oxytocin massage. There is a relationship between husband's knowledge of oxytocin massage and age, there is a significant relationship between husband's knowledge of oxytocin massage and education, but there is no significant relationship between level of knowledge and work. It is recommended to all related parties, both health workers and family members, to work together so that exclusive breastfeeding can be fulfilled.

The puerperium is a period of recovery, starting from completion of labor until the obstetrical devices such as pre-pregnancy, the length of the puerperium is 6-8 weeks. Breastfeeding is a skill that is learned by both mother and baby, both of which require time and patience to fulfill nutrition in infants for 6 months. Knowledge is one of the influencing factors, the formation of a person's attitude. Based on experience and research, if a person has good nowledge then he will also have good behavior. Based on this thought, a study is needed that aims to find out the Knowledge Analysis of Postpartum Mothers Regarding Correct Breastfeeding Positions at the Pattallassang Health Center in 2023. The type of research used is a quantitative descriptive research method, namely researchers will only describe certain variables and are presented in a frequency distribution table. Sampling of this study using total sampling technique, namely the technique of determining the sample when all members of the population are used as samples, the sample size is 26 people with the Frequency Distribution formula. The results showed that the mother's knowledge of the correct breastfeeding position, that is, of the 26 mothers in the study, the frequency of mothers who had good knowledge of the correct breastfeeding position was 6 people (23.0%). Counseling was increased effectively and continuously regarding equipped with media counseling in the form of posters and advertisements and always continuing education and increasing knowledge so that they can be more skilled in providing health services to clients.

Background; Effleurage massage is a form of massage using the palms of the hands that apply gentle pressure to the surface of the body in a circular direction repeatedly. The number of mothers giving birth in the Ponek room (Maternity Room) with January 01, 2021 - July 31, 2023 amounted to 1047 patients and 15 patients gave birth normally. Objective; To determine the results of implementation in the application of Effleurage Massage techniques to reduce the pain scale in postpartum mothers in the Ponek Room of Dr. Moewardi Surakarta Hospital. Method; This type of research is descriptive in the form of a case study. The approach taken uses a nursing care approach, planning, implementation and evaluation. The application instrument uses the Numeric Rating Scale (NRS) and checklist sheet as a measuring tool to determine the level of pain scale. Results; The results of the application using Effleurage Massage techniques found that respondents had a pain scale of 4 (moderate pain) down to 0 (none pain). Conclusion; There is a difference in pain scale before and after Effleurage Massage at Dr. Moewardi Surakarta Hospital.

The perperium or postpartum period begins after parturition from 6-48 hours, and from 3-28 days until it ends approximately 29-42 days after delivery. The research design is a two group pretest post test design. The population in this study were all postpartum mothers who were selected from the Halilulik Health Center in Belu Regency based on the average deliveries per month with estimated days of birth (HPL) June-July 2019 which is 75. A sample of at least 10 postpartum women is added 20% of the sample size, namely 2 to 12 to anticipate samples that drop out. The results showed that there was a significant difference in the milk production of postpartum mothers before and after oxytocin massage and breast care with a p-value of 0.000. In conclusion, oxytocin massage is more effective than breast care in increasing the milk production of postpartum mothers with a p-value of 0.000.

Breastfeeding-related problems such as breast milk dams, mastitis, nipple blisters and others are widely experienced by breastfeeding mothers. Factors that can cause breast swelling and inhibition of ASi, one of which is the feeling of anxiety or stress felt by postpartum mothers.  Breast care has tremendous benefits, especially for postpartum mothers in the process of breastfeeding their babies. The benefits of breast care are that mothers understand how to keep breasts clean, make nipples stronger and flexible, care for flat or inverted nipples, and facilitate the release of breast milk. To find out the results of breast care implementation in the cempaka ward of RSUD dr. Soehadi Prijonegoro Sragen. This study used quasi-experiment, one group with pretest-posttes Without Control Group Design with 2 respondents postpartum mothers. The instrument used is a Checklist containing six-point engorgement scale (SPES) and Breast Care Procedure.: the  results of the application of breast care carried out 3 days in a row obtained the value of the Six Point Engorgement Scale questionnaire there was a decrease in scores, namely 2 and 1 from the original values of 5 and 4 which means there was a decrease in breast swelling. there was a significant difference in the Six Point Engorgement Scale (SPES) score in postpartum maternal patients between before and after breast care every 30 minutes for 3 days.