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Pregnant women are prone to anemia, because during pregnancy, especially at the end of pregnancy, the process of hemodilution occurs. This process is due to the increase in blood plasma volume in the body which is not proportional to the increase in red blood cell volume, resulting in a decrease in hemoglobin levels in the blood (Ali, 2020). A decrease in hemoglobin levels during pregnancy will cause a decrease in oxygen transport to the body and result in anemia (Percy, et al., 2017). Anemia during pregnancy has long-term and short-term impacts. In the short term, a fetus with an anemic mother in the first trimester is at risk of small for gestational age (SGA) and fetal distress. In Trimester II, the fetus is at risk for macrosomia (Sun et al., 2021), and in Trimester III in the long term it will have an impact on neurocognitive in childhood. Long-term effects include autism, schizophrenia, brain structural abnormalities, impaired thinking memory, and delays in responding to things (Georgieff, 2020; Malinowski et al., 2021). The impact of anemia on mothers during pregnancy in the short term includes infectious shock during inpartum and postpartum (Getahun, et al., 2017), cardiac decompensation (Stephen et al., 2018), and postpartum hemorrhage (Getahun, et al., 2017). In the long term, postpartum hemorrhage leads to death. Meanwhile, postpartum hemorrhage is the first cause of high maternal mortality rates (MMR) in Indonesia in 2020.

In Indonesia, there were 35,985 postpartum mothers who experienced ASI dams or (15.60%) postpartum mothers, and in 2015 postpartum mothers who experienced ASI dams were 77,231 or (37.12%). The increasing incidence of ASI dams is one of the health problems in Indonesia. Where this greatly affects the postpartum period, namely the failure to provide breast milk to infants and one of the failures to achieve coverage of exclusive breastfeeding. This study aims to determine the determinants that influence the occurrence of breast milk dams in postpartum mothers in Bulukumba Regency. This research is a quantitative descriptive study with a population of 30 postpartum mothers using total sampling. The results showed that the nipple length was the most influential factor among the five factors causing breast milk dams in the working area of ​​the Ujung Loe Health Center, Bulukumba Regency. This is based on a simple linear regression test obtained a p value of 0.04. Conclusion: From the results of the research conducted, it is known that all respondents who experienced breast milk retention were 19 mothers and 11 mothers who did not experience breast milk retention. After statistical tests were carried out using a simple linear regression test, it was found that there was a significant relationship between the causal factors, namely the nipples being too long and the occurrence of breast milk dams with a p value of 0.001.    

Measurement of haemoglobin (Hb) is a standard examination in pregnant women at the first prenatal visit that is used to evaluate physical status and anemia. One of the health conditions that often occurs and is important to note in reducing maternal and perinatal morbidity and mortality is anemia in pregnancy, which can increase the risk of infection, preeclampsia, postpartum hemorrhage, low birth weight babies, preterm birth, to death for both mother and child. fetus. This cross-sectional study aims to determine the difference in mean haemoglobin levels with the incidence of mild preeclampsia, severe preeclampsia and eclampsia which were selected according to the criteria by total sampling using medical record data in the period January 2020 - December 2020. The variables in this study consisted of the basic characteristics of the respondents (age mother and parity status), gestational age (weeks), and medical condition of the mother divided into three groups (mild, severe preeclampsia, and eclampsia). Statistical analysis using the Kruskall Wallis test. This study included 190 respondents with an average maternal age of 32 years and an average haemoglobin level of 10.86 with medical conditions dominated by severe preeclampsia (85.3%). The results of the study found that there was no significant difference in mean hemoglobin levels between the three groups of pregnant women (p-value: 0.235). To improve the quality of life of the mother and fetus, it is recommended that primary health services should be strengthened, prevention, early diagnosis and treatment of anemia in pregnancy should be prioritized.    

Childbirth is a series of events when a baby is released from the mother's womb, followed by the release of the placenta and fetal membranes from the mother's body (Fitriana and Nurwiyandani, 2018). Experimental research method with a design that is Control group pre test-Post test. The population in this study were all primigravid postpartum patients without complications during the first active phase in the working area of ​​the Halilulik Health Center, Naitimu Village, West Tasifeto District, East Nusa Tenggara, Using a purposive sampling technique, a sample of 16 people was obtained with a distribution of 8 people for the back rubbing massage treatment using the Power Massager (group 1) and 8 people for the back rubbing massage treatment using the hands (group 2). The results showed that the back rubbing massage treatment using a power massager obtained an average decrease in pain of 2.375, while the treatment of back rubbing massage using hands obtained an average decrease in pain of 1.250, obtained P count of 0.0013 P <0.05, So it can be concluded that back rubbing massage using a power massager is more effective than using hands in reducing pain in primigravida in parturient patients in the active phase 1. In conclusion, back rubbing massage using a power massager is more effective in reducing pain in primigravid patients in labor in the first active phase.

A perineal tear is a tear that occurs at the time the baby is born either spontaneously or with a tool or action. The impact of perineal tears can result in continuous bleeding and infection of suture wounds in the birth canal, slow treatment can cause death in postpartum mothers to find out the relationship between the old partus and the baby's birth weight with perineal tears in pregnant women at the Wara Health Center, Palopo City in 2021. This study is a quantitative analytical research with a "cross sectional study" design. The population in this study is maternity mothers in the working area of the Wara Health Center, Palopo City. Sampling in this study uses a total sampling technique. Data collection uses questionnaires. The data that has been collected is then processed and analyzed using a laptop using Microsoft excel programs and statistical programs (SPSS). Data analysis includes univariate analysis by looking for frequency distribution and bivariate analysis with chi square test with significance level (.05). There was a relationship between the old partus and the incidence of perineal tears (p=0.020) and there was a relationship between the baby's birth weight and the incidence of perineal tears (p=0.007). There is a relationship between the old partus and the baby's birth weight with perineal tears in pregnant women at the Wara Health Center, Palopo City in 2021. for midwives in observing childbirth using a partograph is expected to be carried out well and be able to identify quickly and accurately to further increase vigilance in carrying out childbirth help so that perineal tears do not occur.

Anemia is one of the conditions in which the body lacks enough red blood cells or hemoglobin to meet its physiological needs depending on the person's age, gender, age, pregnancy stage and breastfeeding stage because at the breastfeeding stage, the mother is susceptible to experiencing anemia due to iron depletion during breastfeeding and the occurrence of postpartum blood loss. Beetroot (Beta Vulgaris) is a fruit that contains quite high iron and has many nutrients. Beetroot can be used as an alternative to anemia treatment and can also be used as a prevention of anemia. The purpose of this community service activity is to give beets to breastfeeding mothers, namely to increase the knowledge of breastfeeding mothers about the benefits of beets in preventing and treating anemia. The method used in this activity is counseling by means of socialization first then followed by observation using questionnaires and blood sampling for hemoglobin examination. This activity took place at the Posyandu Sukasari Kaler Village, Majalengka Regency on April 14 – 21, 2023. Based on the results of community service activities, we can know that consuming beets for 7 days can prevent anemia and increase hemoglobin levels in breastfeeding mothers.

Indicators to measure the quality of health services in an area can be seen from the Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR). One of the ways that can be done to reduce maternal mortality (MMR) and infant mortality (IMR) is by implementing continuous care. The purpose of this continuous midwifery care is to be able to provide comprehensive midwifery care to Mrs. "S" from pregnancy to family planning in accordance with midwifery care standards. Case study research method. The results of the implementation of midwifery care on an ongoing basis (Continuity of Care) on Mrs. "S" G1P0A0 age 24 years starting from the gestational age of 30 weeks 3 days to the age of 38 weeks. At the first pregnancy visit there was a problem in the mother, namely pregnancy with breech location. At the second visit the baby's position was in a normal position. The delivery process ended by cesarean section because the baby had an Early Rupture of Membranes. The baby was born at Budi Kemuliaan Hospital with a weight of 3000 gr Body Length : 48 cm Head Circumference: 33 cm, Chest Circumference: 32 cm. In the postpartum period, physiological complaints were found such as pain in the suture wound but not accompanied by signs of suture wound infection. Mrs. "S" chose to use 3-month injectable birth control. The conclusion of this assessment is that midwives are expected to be able to provide comprehensive care from pregnancy to family planning services and apply care in accordance with midwifery service standards.

Breastfeeding is one of the important roles for mothers and baby because apart from having great benefits for mothers and babies it also has the side effect of improving uterine involution. The Objective of research was to analyze the relationship between exclusive breastfeeding and uterine involution in Telaga Health Center. This research is a type of quantitative research with a cross sectional approach. The sampling technique used the total sampling technique. The statistical test results obtained the value of Chi-Square p = 0.038 with ? ? 0.05. the benefits of breastfeeding help mothers recover from the birth process. Breastfeeding during the first few days makes the uterus contract quickly and slows down bleeding (sucking on the nipples stimulates the release of natural oxytocin which will help uterine contractions). Breastfeeding is an important way for mothers to express love to their babies and make them feel comfortable. Thus, it can be concluded, there is a relationship between exclusive breastfeeding and uterine involution in the Telaga Health Center Work Area. It is expected the Telaga Health Center will provide data or information from this research to provide and improve the quality of services for pregnant/postpartum women in preventing uterine subinvolution.    

The labor period causes physiological, physical, and psychological changes in the patient that can affect the quality of life, such as vaginal delivery or caesarean section, skin contact, breastfeeding, and the psychological state after childbirth. Treatment by health facilities must include the level of safety, effectiveness, timeliness, organization, feasibility, and approach to patients from the external side that will affect the patient. Health services must be efficient; on the other hand, poor or unqualified health services will decrease the quality of life of postpartum patients. This review contains information on how postpartum patient satisfaction affects the quality of life in the delivery room.

Pregnancy is a physiological and natural condition that occurs in women. There are various complaints experienced by pregnant women during their pregnancy, one of the most common complaints is dizziness. Objective: LTA provides comprehensive midwifery care to pregnant, maternity, postpartum, BBL, neonate and family planning women using a midwifery management approach for Mrs "P" who complained of dizziness. Method: Care in this LTA is through interviews, observation and care management. The subject in this care is Mrs "P" at the Pratama Riyyan Kabanjahe Clinic. Results: results of comprehensive midwifery care for Mrs "N" during pregnancy in the second trimester and third trimester with dizziness, in normal labor, spontaneously without complications, in the postpartum period with normal puerperium, in BBL with BBLN, in patients.                                                                    

High maternal and infant mortality rates are a major health problem in Indonesia. The author contributes by providing comprehensive midwifery care for pregnancy, maternity, postpartum, newborns, and family planning to promote better health. The author has provided direct midwifery care and has real experience. An observational case study was conducted at the Pratama Kita Clinic, Kec. Berastagi from February to June 2016. to provide comprehensive care to Mrs. K, who is 36 years old, experienced pregnancy, childbirth, postpartum, newborn and caesarean section. Interviews, observations, examinations and documentation are used to collect data. Case study analysis is used to transform data into easy-to-understand information. After Mrs. K started pregnant in the third trimester, the author implemented and provided comprehensive midwifery care.    

               The postpartum period (puerperium) is the period after the release of the placenta until the reproductive organs recover as before pregnancy and normally the postpartum period lasts for 6 weeks or 40 days. . This study aims to determine the relationship between early mobilization and decreased uterine fundal height for postpartum women at BPM Susiyanti in 2022. This type of research is an analytic survey with a cross sectional approach. The number of samples used was 32 people. The data analysis technique uses the Chi Square test. the results obtained from 32 respondents, there is a relationship between early mobilization and acceleration of fundal height reduction in post partum mothers on the first and second days at the Independent Practice Midwife (BPM) Susiyanti.

Background : The period of breastfeeding in children aged 0-6 months is one part of the first 1,000 days of life (golden period). Exclusive breastfeeding aims to guarantee the right to exclusive breastfeeding up to the age of 6 months by taking into account the growth and development of the baby. Some mothers find it difficult to express breast milk because more and more mothers are influenced by myths. When a mother is concerned about her baby's ability to breastfeed, the hormone oxytocin decreases, causing her to stop producing and eventually breastfeed soon after birth. One way to stimulate the mother's prolactin and oxytocin hormones after giving birth is breastfeeding massage. Writing purpose : To determine the effectiveness of the combination of consumption of smoothy spinach and oketani massage to increase the amount of milk production in postpartum mothers in the UPT area dcomparison of giving snakehead fish extract and smoothy spinach to increasing hemoglobin levels in pregnant women in the UPT Puskesmas Kalri Karawang area in 2023. Research methods : This type of research used is quantitative research. This research method is experimental with the type of Quasy Experimental (pseudo-experimental) with a post test only design approach.This research was conducted in the UPT Kalri Health Center, Karawarang December 2022 to January 2023. The population in this study were all postpartum mothers at the Mukoyurli Buol Hospital with a total of 63 people. Samples were taken using non-probability sampling method with purposive sampling technique. The number of samples in this study were 32 research samples. Research result : The results of the independent statistical test sample T test obtained a value of p = 0.000 (p <0.05), which means that the combination of smoothy spinach and massage oketani has a significant effect on milk production. Conclusion : There is a significant relationship between the combination of smoothy spinach and oketani massage on milk production.It is hoped that health workers (doctors, midwives, nurses) can assist postpartum mothers in communicating providing information and education about the benefits of a combination of smoothy spinach and oketani massage in helping patient families to provide oxytocin reflex massage to postpartum mothers.

Backgrounds : The puerperium is the period after childbirth, which is counted from after the placenta has come out, the puerperium is also called the recovery period, where the uterine devices will recover as before. Providing information about breast massage techniques to the public, especially to postpartum mothers is very important. Therefore efforts to provide information about breast massage techniques can be done through health promotion efforts. The results of a preliminary study conducted by researchers at the Gempol Health Center on 5 postpartum mothers using a questionnaire, of the 5 questions asked, 5 postpartum mothers answered that they did not know how to increase milk with breast massage techniques. Research Objectives : To find out the effectiveness of video media and leaflets on knowledge about breast massage techniques for postpartum women at the Gempol Health Center in 2022 Research Methods:This type of research is quantitative with a quasi-experimental research design and a pretest-posttest group design. The pop ulation in this study was 117 postpartum mothers who were at the Gempol Health Center. The sample in this study were 54 respondents. Bivariate analysis using the Wilcoxon test. Research results : The description of postpartum mothers' knowledge about breast massage techniques after being given leaflet media was mostly lacking as many as 32 people (59.3%). Postpartum mothers' knowledge about breast massage techniques after being given video media was mostly as good as many as 44 people (81.5%). Conclusions and Suggestions : It can be concluded that video media is more effective for increasing knowledge about breast massage techniques in postpartum mothers than media leaflets. It is recommended that managing midwives facilitate mothers in receiving health counseling/education especially for postpartum mothers regarding breast massage techniques during the postpartum period.

The postpartum period is a crisis for mothers due to various changes that occur physically, psychologically, and in family structures that require an adaptation or adjustment process. From the records of the Jepara District Health Office in 2021, data obtained from 127 of 392 maternity mothers (32.4%) experienced postpartum blues symptoms between the ages of 17 and 19. This study aimed to determine the relationship of adolescent postpartum mothers to the incidence of postpartum blues in the District of Nalumsari Jepara. This study used an analytical design with a cross-sectional approach. The population in this study were teenage mothers who gave birth in July 2022 at the Nalumsari Health Center Jepara. The sample is 35 respondents utilizing total sampling. The research instrument used the EPDS questionnaire and was analyzed using the Chi-Square statistical test. The results showed that (1) most of the respondents, as many as 20 people (57.1%), were in their late teens (16-19). (2) The incidence of Postpartum Blues in postpartum mothers who did not experience postpartum blues was 14 people (40%), mild postpartum blues were nine people (25.7%), and severe postpartum blues were 12 people (34.3%). (3) the results of the bivariate analysis showed that there was no relationship between postpartum teenage mothers and the incidence of postpartum blues in the District of Nalumsari Jepara (p-value 0.254 > 0.05). The result showed that age was not the main factor in the incidence of postpartum blues; however, it was caused by other factors such as social, psychological, and emotional factors. In addition, a person's maturity level cannot be determined merely by age. It is suggested that mothers who will undergo childbirth should enrich their knowledge about postpartum period psychological adaptation and factors influencing the incidence of postpartum blues by carrying out activities during antenatal care so that there is preparation to undergo the delivery process until postpartum care and baby care appropriately.   Keywords: Teenage postpartum mother, Postpartum Blues Occurrence

It is estimated that 60% of deaths in pregnancy occur after delivery and 50% of deaths postpartum within the first 24 hours. After the baby is born, the uterus which during labor contracts and retracts will become hard so that it can close the large blood vessels that lead to the former implantation of the placenta. If the involution process does not go well, a condition called uterine sub involution will arise. If the sub involution of the uterus is not handled properly, it will result in bleeding, for that the mother needs certain exercises that can accelerate the process of involution. According to several studies, to speed up the process of uterine involution, one of the recommended exercises is postpartum gymnastics, an integration model of relaxation techniques and exercises for the 'Otaria' abdominis muscles. The purpose of this study was to determine whether postpartum exercise model integration of relaxation techniques and 'Otaria' abdominis muscle exercises had an effect on the speed of uterine involution in post partum mothers at PKM Sayung 2, Demak Regency. This study uses a quantitative approach, the method used in this study is a quasi-experimental or quasi-experimental. The design used in this study was Post-test Only Control Group Design. Data analysis used univariate analysis and bivariate analysis. The results showed that respondents who did puerperal exercise 'otaria' experienced uterine involution faster than respondents who did postpartum exercise with a value of (p-value <0.05) at TFU and (p-value <0.05) at lochia.   Keywords: Otaria Postpartum Gymnastics, Uterine Involution Speed

Pospartum merupakan masa enam minggu sejak bayi lahir sampai organ-organ reproduksi wanita kembali kebentuk normal seperti sebelum hamil.. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang mempengaruhi kejadian postpartum blues Di Puskesmas Simpang Jaya Kabupaten Nagan Raya Tahun 2022. Jenis Penelitian ini merupakan penelitian dengan survei analitik dengan pendekatan metode cross sectional. Jumlah sampel yang digunakan adalah 35 orang. Teknik analisis data menggunakan uji Chi Square.  hasil yang diperoleh dari 35 responden, Ada pengaruh usia ibu terhadap postpartum blues dengan nilai p yaitu 0,000<0,05.  Ada pengaruh status kehamilan ibu terhadap postpartum blues dengan nilai p yaitu 0,008<0,05. Ada pengaruh pekerjaan ibu terhadap postpartum blues dengan nilai p yaitu 0,000<0,05.  Ada pengaruh dukungan suami terhadap postpartum blues  dengan nilai p yaitu 0,001<0,05.

Anemia pada ibu hamil meningkatkan risiko terjadinya perdarahan postpartum, bila anemia terjadi sejak awal kehamilan dapat mengakibatkan terjadinya persalinan prematur. Penelitian ini bertujuan untuk mengetahui Hubungan Pengetahuan Dan Paritas Ibu Dengan Anemia Pada Ibu Hamil TrimestER III Di Puskesmas Suka Makmur Kabupaten Aceh Tenggara Tahun 2022. Jenis Penelitian ini merupakan penelitian dengan survei analitik dengan pendekatan metode cross sectional. Populasi adalah seluruh ibu hamil Trimester III Di Puskesmas Suka Makmur Kabupaten Aceh Tenggara yaitu sebanyak 58 Orang. Jumlah sampel yang digunakan adalah 58 orang yang diperoleh dengan menggunakan teknik Total sampling. Teknik analisis data menggunakan chi square. hasil yang diperoleh dalam penelitian ini adalah dari 58 responden, ada pengaruh antara pengetahuan ibu  dengan Kejadian Anemia Pada Ibu Hamil Trimester III dengan nilai p= 0,010, ada pengaruh antara paritas ibu  dengan Kejadian Anemia Pada Ibu Hamil Trimester III  dengan nilai p= 0,038. Disarankan kepada pihak puskesmas untuk meningkatkan pengetahuan ibu hamil untuk meningkatkan penyuluhan terkait kejadian anemia pada ibu hamil Trimester III. 

Background : Early Initiation of Breastfeeding (IMD) is the process of placing a newborn on the mother's chest or stomach so that the baby can naturally find its own source of breast milk or breast milk and start breastfeeding. The baby will get immunity. IMD is beneficial for mothers because it can help speed up the postpartum recovery process Research purposes : To find out the relationship between parity, type of delivery and the age of the mother to the provision of early breastfeeding initiation (IMD) at the Lemahduhur Health Center in 2022 Research methods : The type of research used in this research is quantitative with a cross sectional research design. The population in this study is168 mothers giving birth. The sample in this study were 63 mothers giving birth using the accidental sampling technique. Bivariate analysis using the chi-square test. Research result : The distribution of the frequency of parity descriptions of mothers giving birth at the Lemahduhur Health Center in 2022 is partly 1-4 times as many as 45 people (71.4%). The distribution of the frequency of descriptions of the types of maternal deliveries at the Lemahduhur Health Center in 2022 is mostly normal, with 41 people (65.1%). The frequency distribution of the description of the age of mothers giving birth at the Lemahduhur Health Center in 2022 is mostly 20-40 years, with 36 people (57.1%). The distribution of the frequency of giving Early Breastfeeding Initiation (IMD) at the Lemahduhur Health Center in 2022 is mostly yes, as many as 42 people (66.7%). Conclusion : Can be concluded thatthere isthe relationship between parity, type of delivery and the age of the mother to the provision of early breastfeeding initiation (IMD) at the Lemahduhur Health Center in 2022.

Health is a basic right of all people. The main priority at this time is health services for pregnant women. The selection of birth attendants for pregnant women is something that must be considered. Prior to the tripartite partnership, many people chose to give birth with the help of a dukun than to give birth with a health worker. The process of forming a tripartite partnership, namely collaboration between cadres, traditional birth attendants and midwives, began with the signing of the MoU which was directly supervised by the camat, babinsa and lurah. The existence of cadres and traditional birth attendants who continuously accompany pregnant women makes them trust them to use the services of health workers and give birth at health facilities. There was an increase in the number of birth mothers assisted by midwives who partnered with traditional birth attendants at Poskesdes with an average increase of 2. 8% for the past 2 years. The obstacles in implementing this tripartite partnership are the very low level of education of cadres and traditional birth attendants, the remote location of health services and the financial capacity of postpartum mothers.