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Background​ Pregnancy risk tall is dangerous pregnancy​ life Mother or the baby she was carrying . Furthermore number pain or death mother and fetus during pregnancy , childbirth and the postpartum period will happens to everyone pregnancy with factor high risk .​ Pregnancy risky tall can influenced by factors medical and non- medical . Pregnancy risk tall is something pregnancy Where soul and health mother and or baby can threatened . Purpose For  know the influencing factors pregnancy risk high at the Evie sub-district clinic babalan regency step 2024. Method Research design used​​  in  study  This  is  Descriptive analytic   with  Retrospective approach . Deep sample  study  This  is all over Mother  pregnant women with risk data  tall as many as 55 mothers  pregnant. Analysis data using analysis univariate and bivariate . From the statistical test results obtained The p value is 0.22 (p<0.005) which is significant There is meaningful relationship​ between Education and pregnancy risk tall . From the statistical test results obtained The p value is 0.000 (p<0.005) which is significant There is meaningful relationship​ between Knowledge with pregnancy risk tall . From the statistical test results obtained The p value is 0.980 (p<0.005) which means None meaningful relationship​ between Attitude with pregnancy risk tall.

Excessive fear, anxiety, stress or anger can cause slow labor progress. Feelings of tiredness, fear and hopelessness are the result of pre-labor or a prolonged latent phase. Women who are not supported emotionally, or have had difficulties in previous births, can feel anxious and afraid to face labor, resulting in labor without significant progress and labor that is very painful. Age that is too young and too old, too much parity and knowledge is suspected to increase anxiety in mothers. The aim of this research is to determine the factors related to postpartum maternal anxiety during childbirth at RSU Vina Estetica Medan in 2023. This type of research is analytical observational with cross-sectional. The population in this study was all postpartum mothers who gave birth at RSU Vina Estetica Medan for the January-April 2023 period, namely 116 people. The sample taken based on the Slovin formula was 54 people. Data analysis was carried out using statistical tests using chi-square, to see the relationship between the independent variable and the dependent variable. The results of the research show that there is a relationship between age and knowledge of postpartum mothers and anxiety during labor at RSU Vina Estetica Medan in 2023. There is no relationship between parity and anxiety of postpartum mothers during labor. It is recommended that health workers at RSU Vina Estetica Medan provide regular counseling to mothers about childbirth starting at the beginning of the pregnancy check-up, in order to reduce postpartum maternal anxiety..

Excessive fear, anxiety, stress or anger can cause slow labor progress. Feelings of tiredness, fear and hopelessness are the result of pre-labor or a prolonged latent phase. Women who are not supported emotionally, or have had difficulties in previous births, can feel anxious and afraid to face labor, resulting in labor without significant progress and labor that is very painful. Age that is too young and too old, too much parity and knowledge is suspected to increase anxiety in mothers. The aim of this research is to determine the factors related to postpartum maternal anxiety during childbirth at RSU Vina Estetica Medan in 2023. This type of research is analytical observational with cross-sectional. The population in this study was all postpartum mothers who gave birth at RSU Vina Estetica Medan for the January-April 2023 period, namely 116 people. The sample taken based on the Slovin formula was 54 people. Data analysis was carried out using statistical tests using chi-square, to see the relationship between the independent variable and the dependent variable. The results of the research show that there is a relationship between age and knowledge of postpartum mothers and anxiety during labor at RSU Vina Estetica Medan in 2023. There is no relationship between parity and anxiety of postpartum mothers during labor. It is recommended that health workers at RSU Vina Estetica Medan provide regular counseling to mothers about childbirth starting at the beginning of the pregnancy check-up, in order to reduce postpartum maternal anxiety..

With a scar from a caesarean section operation sectio caesarea cause pain to the patient so the patient tends to just lie down, therefore postpartum mothers with a history sectio caesarea early mobilization care is needed. On mother sectio caesarea allowed to get out of bed no later than 24-48 hours after giving birth. one way to reduce pain in mothers after surgery sectio caesarea is by doing reflexology massage therapy. The purpose of this case study is to find out adaptation of pain levels in post-mothers sectio caesarea after reflexology massage therapy. The method used in this case study case study design with a nursing care process approach. The subjects in this case study were 2 patients, obtained from inclusion and exclusion criteria, data collection using Numerik rating scale (NRS). The case study results show that on average pain level of the two patients after being given therapeutic intervention reflexology massage for 2x8 hours, namely experiencing changes from severe pain to moderate pain and the patient looks more comfortable and relaxed. The conclusion of this case study shows that there are changes that occur after it is given reflexology therapy intervention for the two patients and experienced a decrease in the pain scale so that both patients are able to adapt to the pain what they feel.

Comprehensive midwifery care is a complete examination provided with simple examinations and counseling for pregnancy, childbirth, postpartum, and newborn care. The goal of continuous midwifery care given to Mrs. "N" at the Special Hospital for Mother and Child Siti Fatimah is to assess the condition of the mother and her fetus. This study was conducted from April 14, 2023, to July 9, 2023. Midwifery care methods use midwifery management based on the 7 steps of Verney from 38 weeks of pregnancy until deciding to use a 3-month contraceptive injection. The results of prenatal care include two antenatal visits during pregnancy. In the third trimester, Mrs. "N" complained of back pain, which was already manageable by the mother, so throughout the pregnancy, Mrs. "N" remained in good and normal condition. In conclusion, Mrs. "N" gave birth normally, assisted by a midwife and following the established care plan. The baby was born spontaneously with the head presenting, female, birth weight: 2,900 grams, birth length: 46 cm. Postpartum care for Mrs. "N" proceeded smoothly, and there were no complications for both the mother and the baby. The midwife provided communication, information, and education (CIE) during the care process, and during the postpartum period, the mother decided to use a 3-month contraceptive injection after 42 days of the postpartum period.

Preeclampsia is a hypertensive disorder in pregnancy. This situation can be pregnancy emergency if this don’t received proper treatment, which is bring a risk for the mother and her fetus. This risk can be continue in birthing period and the postpartum period. The preeclampsia’s signs likes hypertension and proteinuria is a frequently encountered. Other signs of symptoms include edema (especially on the face and around the eyes and hands), weight gain, nauseous and vomiting, stomach pain spreads to the upper limbs, headaches and visual disturbances (blurred vision), tachypnea and anxiety. In community, Edema in pregnant usually considered common and commonplace, however this is sign of preeclampsia. Health education about getting a pregnancy check-up at the health service needs. This community dedication service aims to increasing the knowledge of pregnant women about the signs, symptoms and prevention of preeclampsia and it is hoped that they can prevent this at the start of pregnancy, so the mother and baby are healthy. The counseling method have be used, the sub topic are the signs, symptoms and prevention of preeclampsia. Counseling participants were pregnant women in the Lebaksiu Kidul area, Tegal Regency.

Postpartum mothers with HIV who have problems breastfeeding their babies are at risk of experiencing breast pain and swelling caused by milk dams. Breast care intervention is an important action for postpartum mothers with HIV who have problems breastfeeding. The aim of the intervention is to clean and improve blood circulation around the breasts, prevent breast swelling, and reduce discomfort in the breasts. This research method is a case study with pre-post intervention. The sample of this study was postpartum mothers with HIV on the first day. The measurement instrument uses a Numeric Rating Scale (NRS) measuring instrument to measure the pain scale. Breast care intervention was carried out for 3 days when the patient was hospitalized 2-3 times/day and observations were made to find out complaints of pain and swelling in the breasts. The results showed that there was a decrease in the pain scale from a scale of 5 (moderate) to a scale of 2 (mild) after 3 days of intervention. In conclusion, breast care interventions are effective in reducing the discomfort of pain and swelling in the breasts of postpartum mothers with HIV who have problems breastfeeding.

Postpartum discomfort is a nursing problem that is often experienced by mothers in the postpartum period. One of them is caused by breast enggorgement. The symptoms experienced are pain and the mother's breasts harden making it difficult to breastfeed. Breast care intervention for problems of postpartum discomfort ‘caused by breast enggorgement. A case study that aims to describe the application of breast care to clients with nursing problems of postpartum discomfort with breast enggorgement. The number of respondents in this case study research amounted to 2 mothers post second day sectio caesaria surgery. Breast swelling assessment using the Six Point Self-rated Engorgement Scale (SPES) with a score of 1-6. In addition, breast care interventions used standard operating procedures and action observation forms. The results of the case study showed that both patients who performed breast care experienced a decrease in the ix Point Self-rated Engorgement Scale (SPES) score from 4 to 3, with breast criteria still enggogerment but pain level was reduced. Breast milk (ASI) becomes smooth and breastfeeding the baby becomes easier. The implementation of breast care can reduce pain and swelling in the breast.for mother wirh discomfort after birth.

Background: Sectio Caesarea is a method of giving birth to a fetus by making an incision in the uterine wall through the front wall of the abdomen (Amru Sofian, 2013). Giving birth by cesarean can drain more energy on the body and the recovery process takes longer. To speed up the recovery process, early mobilization exercises are needed. However, there are several factors that prevent mothers from doing early mobilization For this reason, it is important that efforts to increase early mobilization are carried out in order to speed up the healing process. Objective: To describe the description of nursing care in post sectio caesarea patients in practicing early mobilization. Research Methods: This study uses a literature review method in a journal that discusses early mobilization in post sectio caesarea mothers. Research Results: The results of the research from the literature review that the authors obtained through 10 journals, namely the mobilization efforts of post-SC postpartum mothers in carrying out early mobilization are influenced by pain in the surgical wound, knowledge/experience, motivation and beliefs. These results are relevant to the case managed by the author, namely Mrs. K was reluctant to do early mobilization because of pain and fear. Conclusion: From the results of the literature study above, it can be concluded that early mobilization of post sectio caesarea mothers can be improved by implementing pain management nursing, motivation, education and support from families and health workers

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.

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.

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.

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.

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.

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.

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.

The post partum period is a sensitive period for mothers which will affect newborn care. Mother's anxiety and fear because she is afraid of stitches that arise causes her not to mobilize early. The most important thing at this time is that midwives provide support on an ongoing basis according to the mother's needs to reduce physical and psychological tension during the postpartum period. This study aims to prove the anxiety level of perineal suture pain in post partum mothers regarding mobilization. This study used an analytic survey with a cross-sectional research design. The data collection technique was carried out by observation, namely data collection on anxiety levels was taken using the Hamilton Rating Scale for Axsiety (HRS-A) while data for perineal suture pain was obtained from a pain level questionnaire. The population was taken with a total of 37 post partum mothers and a total sample of 22 post partum mothers.