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The postpartum period (puerperium) is the period that begins after 2 hours postpartum and ends when the uterus returns to its pre-pregnancy state, lasting 6 weeks. The postpartum period is an important thing to pay attention to in order to reduce maternal mortality. Perineal rupture is a tear caused by spontaneous birth of a baby, either by using a tool or action. Perineal wound care is important to prevent infection of the reproductive organs, one method of perineal wound care is non-conventional therapy using red betel leaf (Piper crocatum) boiled water which contains flavonoids, alkaloids, polyphenolic compounds, tannins and essential oils which are known to has antibacterial activity. The purpose of this study was to determine the effectiveness of red betel (Piper crocatum) cooking water for perineal wound healing in postpartum mothers. This research is a quantitative study with a population of all postpartum mothers with perineal wounds at PMB Rica Merdekawaty with a total sample of 30 respondents consisting of the intervention group and the control group. The data that was collected was then analyzed using the chi square statistical test (p value = 0.029). Based on the chi square analysis, it showed that red betel leaf boiled water was effective in healing perineal wounds in postpartum mothers.

Colostrum is also a thick viscous fluid with a yellowish color that is yellower compared to mature milk. Colostrum is the first fluid secreted by the breast glands, containing tissue debris and residual material found in the alveoli and ducts of the breast glands before and after the puerperium. The IMD approach currently recommended is the breast crawl method (crawling looking for the breast) after the baby The baby is immediately placed in the mother's stomach and left to crawl to find the mother's nipple herself and finally sucks it without help. Many post-natal mothers do not give breast milk or colostrum to their babies. This is due to many factors. One of them is ignorance, making mothers neglect the importance of giving breast milk to babies. Apart from that, most mothers don't understand how colostrum is very beneficial for babies. Research to determine the factors associated with giving colostrum to post partum mothers is very necessary, so that future efforts can be made to ensure that all newborn babies are given colostrum. This study aims to analyze the factors of giving colostrum to post partum mothers at the Kabanjahe District Health Center. Karo. The type of research used in this research is analytical with a cross sectional design. There were 29 research respondents. By collecting secondary and primary data. From the results of statistical tests using Chi-Square, it shows that p = 0.005, which means Ho is accepted (p value < 0.05), so it can be concluded that there is a significant relationship between the knowledge category and colostrum provision. From the results of statistical tests using Chi-Square, it shows that p = 0.005, which means Ho is accepted (p value < 0.05), so it can be concluded that there is a significant relationship between the role categories of health workers in providing colostrum. At the Kabanjahe district health center. Karo in 2023.

Mortality and morbidity in pregnant women is a serious problem for the world. The causes of maternal death are quite complex problems, which can be classified based on reproductive factors, obstetric complications, health services and economics. The government program, namely early initiation of breastfeeding or breastfeeding after giving birth for the first time, can provide many benefits for babies and mothers so that maternal and infant mortality rates can be reduced with the early initiation of breastfeeding program. This study aims to determine the effect of early initiation of breastfeeding on stopping post partum bleeding at the Tiganderket District Health Center. Tiganderket, Karo Regency. This type of research is quantitative research using a pre-designed experiment with a statistical comparison group approach / control group design only post test, and analyzed using an independent t test. Data collection uses primary and secondary data. The respondents of this research were 16 mothers who gave birth at the Tiganderket District Health Center. Tiganderket, Karo Regency The results of this study show that the average number of fourth stage blood deliveries between mothers who were given early breastfeeding initiation and mothers who were not given early breastfeeding initiation was obtained where p=0.000 so p<0.005, then Ho was rejected and Ha was accepted ..The conclusion is that there is an effect of early initiation of breastfeeding on stopping post partum bleeding at the Tiganderket District Health Center. Tiganderket, Kab. Karo in 2023

One of changes that occur in puerperal ( post- partum is involution . uterus Involution or uterine contraction is a process uterus back into shape before pregnant . Uterine involution can also be regarded as the return of the uterus to its original state or condition before becoming pregnant. There are several factors that affect uterine involution including postpartum gymnastics. early mobility for maternal mothers, Early breastfeeding initiation, nutrition status, psychological age and parity factors. Early initiation of breastfeeding ( Inisiasi Menyusui dini or IMD ) is a breastfeeding process immediately after birth for 1 h. The purpose of research is to study influence of implementation early breastfeeding initiation ( IMD ) on the maternal uterine involution in BPS flora. This type of research is the study cohort analytic design Prospektive. Population and sample in this research is maternal in BPS flora in 2013 with techniques samples is concecutive sampling . The variables studied in this research is dependent and independent variables ,dependent variable studied were uterine involution while independent variables were early breastfeeding initiation (IMD). Quantitative data analysis include univariable and bivariate analysis with using t test. The results showed that average Height of uteri Fundus on day 6 postpartum that give Early Breastfeeding initiation ( IMD ) is 10,54 cm with standard deviation of 1.103 cm while Height of Fundus uteri in mother don;t give IMD is 13.33 with standard deviation 1,129 . based on statistical tests found an average difference both of them is p value of 0.000 with 95 % CI 2.143 to 3.440. There is a significant fundus height difference between mother that give IMD and who does not in BPS Flora . Health workers, particularly midwife are expected to be able to perform delivery assistance with IMD.

Postpartum hemorrhage is a frequent cause of death in mothers with 1,280 cases. One of the causes of postpartum bleeding is a uterus that does not contract or is called uterine atony. Uterine atony keeps the blood vessels open so that blood continues to flow. Efforts to make the uterus contract are by uterine massage. Uterine massage helps make the blood vessels close and stimulates contractions so that the height of the fundus decreases, indicating that the uterus is slowly shrinking. Research objective: to determine the effect of uterine massage on reducing the height of the uterine fundus as an effort to prevent post-partum bleeding. Method: This research uses a quasi-experimental design, namely post test control group design. The sample in this study was part of normal postpartum mothers at BPM. The sample was divided into a treatment group and a control group. The sampling technique uses purposive sampling. Data were analyzed using the unpaired sample t test. The results of the independent t test obtained a p value of 0.071 (p > 0.05). This means that there is no effect of uterine massage on reducing the height of the uterine fundus.  

Service quality can be measured by comparing perceptions between the expected service and the service received and felt by the patient. Patient satisfaction is the level of patient feelings after comparing with his expectations. If a patient is satisfied with the value provided by a product or service, it is very likely that they will become a customer for a long time. The aim of this research is to analyze the relationship between service quality in the registration section and patient satisfaction for pregnant women at the Highlands Assistant Health Center, Highlands District, Binjai City in 2023. The type of research used in this study is analytical with a cross-sectional approach with the research sampling technique being non-probability sampling. or non-random sampling was carried out at PMB Tuti Khairina, Serdang Bedagai Regency with a sample of 32 KF 1 post partum mothers from February to May 2023. The results of the chi-square test obtained a p value = 0.001 (p <0.05). This means that there is The Relationship between Early Initiation and the Smooth Expenditure of Breast Milk in Post Partum KF 1 Mothers in PMB Tuti Khairina Serdang Bedagai Regency in 2023    

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.

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: breastfeeding counseling is an effort made by the counselor to the client to help solve a problem that has been experienced by the client without coercion which contains the basics of breastfeeding and knowledge that is very useful for mothers. Objective: To analyze the influence of breastfeeding counseling on the correct way of breastfeeding in post partum mothers. Methodology: Quasi-Experimental research (quasi-experimental). The research design used one-group pretest-posttest, the research was conducted in the Siti Hajar room of RSU Islam Klaten with 30 respondents. The instrument uses a maintenance assessment sheet. The data obtained was then tested for normality using the Shapirro-Wilk test, the data was then processed using the Wilcoxon-Test. Result: the wilcoxon test results showed that the z count was 4.799 greater than the z table, while the p value was 0.000 (p<0.05). Conclusion: There is an influence between breastfeeding counseling on the correct way of breastfeeding at RSU Islam Klaten.

Background: The post partum period is the period in the mother which starts from the day of birth up to 6 weeks after birth during this time the mother is obliged to provide breast milk to the baby. WHO data shows that 46% of post partum mothers do not give exclusive breastfeeding during the first 6 months because of problems with milk insufficiency. The problem of failure to give exclusive breastfeeding to babies that needs attention is because mothers who experience breast milk are not smooth. Efforts that can be made to increase the smoothness of breast milk production can be by oxytocin massage by the husband. Objective: To find out the results of implementing oxytocin massage on the smoothness of breastfeeding in post partum mothers in Kebakkramat District, Karanganyar Regency. Method: This type of research is descriptive in the form of a case study. Results: The smooth expulsion of breast milk before the application of Oxytocin Massage by the husband shows that breast milk is not smooth. The smoothness of breastfeeding after an oxytocin massage by the husband for the two respondents showed smooth breastfeeding. There was a smooth development of ASI during the 3 days of applying oxytocin massage. There was a change in the smoothness of milk production in the two respondents after the application of Oxytocin Massage or Increased Breast Milk. Conclusion: There was a change in the smoothness of breastfeeding before and after the oxytocin massage was performed on the two post partum mother respondents.

Background;The post partum period is the period passed by mother giving birth starting from the first day of the birth to 6 weeks of birth. In this period every mother gives birth obliged to give her baby exclusive milk, sufficient amounts of breast milk are the best food for babies and can meet their nutritional needs for the first 6 months and thus reach optimum growth. The world’s exclusive coverage is 41% whereas the world’s exclusive who breast fund target is 70% and the coverage rate for breastfeeding in Indonesia is 37.7% in Central Java Province in 2018 in infants aged 0-6 months of 32.7%, the data is still below the national target of exclusive breastfeeding, which is 80%, so management is needed to assist post partum mothers in expressing breast milk more effectively, namely by using the guinea pig technique Objective; This application aims to know the effects of marmet technique to improve and promote breastfeeding production for the post partum in RSUD Dr.Soeratno Gemolong Method; this implemention use case studies Results; this implemention shows the results of breastfeeding post partum with 1 day intervension, 3 times treatmen and 15 minutes duration, suggests that marmet techniques that could solve the breastfeeding problems. Summary; there are differences in development before and after being given the guinea pig technique in post partum mothers

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.

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.

Introduction: Exclusive breastfeeding is a global strategy to improve the growth, development, health and survival of babies. One effort to increase breast milk supply is by improving the quality of food which has a direct effect on milk production, namely katuk leaves. Objective: aims to determine the effect of katuk leaf extract on the adequacy of breast milk production in post partum mothers at Midwife Misniarti. Method: This research is a quasi experiment with a two group posttest only design. This research method is a quasi-experimental design with a nonequivalent control group design. The sample in this study was 30 people consisting of 15 experimental groups and 15 control groups. Data collection uses an observation sheet. Univariate analysis uses central tendency distribution and bivariate analysis uses paired t test. The results showed that the mean sufficiency of breast milk in the experimental group before giving katuk leaves was 6.80 and after giving katuk leaves was 8.47. The conclusion is that giving katuk leaves has proven to be effective for the adequacy of breast milk (ASI) in breastfeeding mothers.

Breastfeeding is the process of giving milk to infants or small children with breast milk (ASI) from the mother's breast. Breast milk is a type of food that is sufficient for all elements of a baby's physical, psychological, social and spiritual needs. Breast milk contains nutrients, hormones, immune elements, growth factors, anti-allergic and anti-inflammatory. Anti-infective substances contained in breast milk help protect babies against disease. So the purpose of this activity is to increase knowledge and skills about good and correct breastfeeding techniques for post partum mothers and to motivate mothers to give exclusive breastfeeding. The method used is the provision of accurate and updated information about breastfeeding and activities carried out in Paenre Lompoe Village, Bulukumba Regency. The main target in this community service is post partum mothers, totaling 20 people. The results of the community service carried out illustrate that there is an increase in knowledge and attitudes of post partum mothers regarding good and correct breastfeeding techniques

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

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.

Lactation management is needed to support the successful management of breastfeeding. Failure of the breastfeeding process is often caused by some mothers who do not understand the correct way to breastfeed. Based on UNICEF data, only 30% of post partum primiparous mothers provide exclusive breast milk, this shows that babies in Indonesia still receive non-exclusive breast milk. The aim of this service is to increase knowledge about lactation management which consists of how to breastfeed, the benefits of breastfeeding, the correct breastfeeding position. The activity was carried out at the Bara Baraya Community Health Center, Makassar City on December 9 2022. The method used in this service was lecture and question and answer which began with a pre-test then providing information and then a post-test with a total of 7 participants. The results of the activity showed that those who had good knowledge before the counseling were carried out were 3 people (42.85%) and after the counseling it increased to 7 people (100%), this shows that the counseling was effective in lactation management for Primiparous Postpartum Mothers..

Puerperal gymnastics is a series of body movements performed by maternal postpartum that aims to restore and maintain muscle strength associated with childbirth. Results of preliminary studies commencing on January to April 2016, there are six post-partum mothers experience postpartum hemorrhage. A puerperal gymnastics counseling to postpartum mothers has been done but not all postpartum mothers doing gymnastics parturition. This is due to postpartum mothers are not unaware that puerperal gymnastics will affect the muscles needs for oxygen, blood flow becomes smooth so it can help the process of health recovery after childbirth. The purpose of this study is to find the effect of puerperal gymnastics to involution of uterus to primipara maternal in Majalaya Hospital Bandung District in 2016. The type of research is a quasi-experimental design with posttest only non-equivalent control group method. Sampling technique in this study using purposive sampling with the number of sample in this study as many as 20 people. From the results, it is found that an average reduction of TFU intervention group is 6.3 cm while the control group is 9.6 cm. Statistical test results of T-Independent Samples Test are t count = 8.222, t table = 1.734 which means t count > t table and sig.t count ρ Value (0.000<0.05) and there are differences in the effect of puerperal gymnastics to the involution of uterus to the primipara maternal in Rose Room of Majalaya Hospital 2016, seen from the decline of TFU between the puerperal gymnastics intervention group and the control group that does not given puerperal gymnastics. Advice for the health workers in the Rose Room is to make SOP of puerperal gymnastics and implement puerperal gymnastics by implementing puerperal gymnastics programs of postpartum mothers which is beneficial to the healing process of self-postpartum.