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The Maternal Mortality Rate (AKI) is still a problem for maternal and child health in Indonesia. The high maternal mortality rate shows that the health of mothers and children is still low. Risk factor detection is one of the efforts to capture how a mother in pregnancy has an influence on her health during pregnancy, childbirth and the postpartum period. The purpose of this service is to empower pregnant women in carrying out early detection of high risk of pregnancy to improve maternal and child health, in addition to helping partners (puskesmas) in efforts to detect early pregnancy risk. The service method is carried out by providing counseling and identifying risk factors with the Poedji Rochjati scorecard. This service was carried out on 14 pregnant women at the C.H. Martha Tiahahu Health Center. In the risk of pregnancy in the Low Risk Pregnancy (KRR) category with a score of 2 of 6.43% (6 pregnant women). In the pregnancy risk category with High Risk Pregnancy (KRT) with a score of 6 - 10 amounting to 7.50% (7 pregnant women). In the pregnancy risk category with Very High Risk Pregnancy (KRST) with a score of > 12 of 1.7% (1 pregnant woman).

Postpartum complications in the form of bleeding can be anticipated through breastfeeding as early as possible. Early breastfeeding affects the speed of uterine recovery as before. To be able to provide early breastfeeding, counseling about breastfeeding on demand is needed for pregnant women so that their knowledge increases and can be applied after giving birth. The purpose of this study was to determine the effect of counseling about breastfeeding on demand on uterine involution in post-placental IUD acceptors at Bantul 2 Health Center. This study used a quasi-experimental study with a static group comparison research design. The study population was 51 post-placental IUD acceptors at Bantul 2 Health Center. Purposive sampling is a sampling technique used with data analysis of ANOVA and ANCVA tests. The average TFU of the intervention group was higher than the control group, which was 8.39 compared to 7.92. The results of the ANOVA test obtained a p-value of 0.002 <0.05, so it was concluded that there was an effect of counseling about breastfeeding on demand on uterine involution in post-placental IUD acceptors. For post-placental IUD acceptors, breastfeed on demand to regulate the spacing of births while improving the health of mothers and babies.

Postpartum is the period that begins after the birth of the placenta and ends when the bladder returns to its original state before pregnancy, which lasts for 6-40 days. The length of the postpartum period is ± 6 – 8 weeks. The postpartum period begins after the birth of the placenta and ends when the uterine organs return to their pre-pregnancy state, which lasts approximately 6 weeks. The aim is to determine the relationship between family support and adaptation to psychological changes in postpartum mothers. Research Method uses a quantitative approach with correlation methods and a cross sectional approach. The sampling technique was purposive sampling technique, the number of respondents was 35 respondents. The research location was at the Romana Tanjung Anom Clinic which was carried out from January 5 to March 30 2024. Data analysis using Chi Square. The result was that 74.3% of 26 respondents were in the category of supporting postpartum mothers. Univariate Analysis of Adaptation to Psychological Changes in Pregnant Women found that the majority of postpartum mothers were in the positive psychological adaptation category with 27 respondents or 77.1%. Bivariate analysis obtained a p-value of 0.000. The conclusion is that there is a relationship between family support and adaptation to psychological changes in postpartum mothers.

The postpartum period is a critical time for both the mother and newborn, where healthcare is essential to avoid the risk of mortality. This study aims to analyze the behavior of postpartum mothers and Acehnese families in postpartum care at the Beutong Health Center, Nagan Raya Regency in 2024. A quantitative research method with a descriptive design was used, and the sampling technique applied was total sampling, with a population of 40 postpartum mothers. Data collection was carried out through interviews using a questionnaire. The results showed that 77.8% of mothers and families were aware of the nutrition needed for postpartum mothers, 58.3% understood the process of uterine involution, and 100% of postpartum mothers knew daily activities to accelerate recovery. The family's supportive attitude towards postpartum care was evident in their dietary recommendations, such as providing vegetables (83.3%) and fish (80.5%), forbidding the mother from leaving the house (100%), and administering algae (88.9%). However, 30.6% of postpartum mothers did not consume vegetables regularly. These findings highlight the importance of improving family understanding and support in postpartum care to accelerate the recovery of mothers and babies. The implication of this research is expected to improve postpartum care programs at Beutong Health Center.

Mothers who give birth tend to experience increased anxiety which can result in psychological disorders including anxiety, depression (Denis,2021). Postpartum psychological health disorders increase the risk of postpartum blues. The underlying factors are limited access to health services, lack of social support from various parties, and concerns about the health of herself and her baby that will be ignored by the mother. Social support helps postpartum mothers deal with stressors (Adli, 2022). This research method uses Quasi experimental with two groups pretest posttest research design. The sampling technique uses purposive sampling. The sample size consists of 30 participants divided into 2 groups with 15 respondents each. The intervention group received dhikr sholawat treatment while the control group only received slow deep breathing (SDB) treatment. The intervention lasted for 14 days. The measurement of depression levels carried out was a measurement using the Edinburgh Postnatal Depression Scale (EPDS) instrument form. The results of the study P value 0.023 (> 0.05) so it is concluded that there is a difference between the effectiveness of providing Dzishol intervention and SDB intervention. Based on the comparison of the median value after the intervention in the group, it is known that the median value in the Dzishol group (score 11) is smaller than the SDB group (score 9) so it can be concluded that providing Dzishol intervention on anxiety levels is more effective than SDB intervention.

Perineal wounds are tears that occur during childbirth, either spontaneously or through assisted delivery. If not properly treated, they can lead to infections. The healing time varies depending on hygiene and the mother's health condition. Perineal wound healing can be facilitated through non-pharmacological treatments, including binahong leaves. The binahong plant has antibacterial, antioxidant, and anti-inflammatory properties, making it potentially effective in accelerating perineal wound healing. This study aims to determine the effect of boiled binahong leaf water on perineal wound healing in postpartum mothers at Susiani, Amd. Keb Independent Midwife Practice Banyuwangi in 2024. The research was conducted at TPMB Susiani, Amd. Keb Banyuwangi, Gang Lombok Perum Villa Asri I Block A-6 Sukowidi, Klatak Village, Kalipuro District, Banyuwangi Regency, from May to June 2024. This study evaluated the effect of boiled binahong leaf water on perineal wound healing using a quasi-experimental design with a posttest-only control group. Of 40 postpartum mothers, 20 received binahong leaf treatment, while 20 did not. The sampling technique used was consecutive sampling. The boiled binahong leaf water was administered for five days, twice daily in the morning and evening. Data analysis was performed using the Wilcoxon test with SPSS. Ethical approval number: 179/01/KEPK-STIKESBWI/V/2024. The results showed that after the intervention, nearly all respondents experienced a reduced wound severity by day 5, with perineal wounds showing signs of healing. The Wilcoxon test yielded an Asymp. Sig. (2-tailed) value of 0.000, indicating a significant effect of this therapy, with 60% of mothers in the intervention group experiencing good wound healing. The data indicate an impact on perineal wound healing in postpartum mothers at Susiani, Amd. Keb Independent Midwife Practice Banyuwangi in 2024. Binahong leaves can serve as a complementary alternative for postpartum mothers with perineal tears.

Postpartum infection is likely to originate from infected perineal suture wounds. These suture wounds are caused by episiotomy or infected incisions and due to tears in the birth canal or perineal tears. This study aims to determine the Effect of Green Betel Leaf Boiled Water in Accelerating Perineal Wound Healing at the Beutong Ateuh Health Center, Beutong Ateuh Banggalang District, Nagan Raya Regency, Aceh Province in 2024. This type of research is a quasi-experimental research method with a Post test with control group design. The population is all postpartum mothers who experience grade I-II perineal wounds at the Beutong Ateuh Health Center, Beutong Ateuh Banggalang District, Nagan Raya Regency, Aceh Province, as many as 22 people. The number of samples used was 22 people obtained using the Total sampling technique. The data analysis technique used the paired sample t-test value. The results obtained in this study were from 22 respondents, there was a difference in the effect of green betel leaf decoction in accelerating the healing of perineal wounds in the intervention group and the control group with the independent sample t test obtained results for the value of p = 0.000 meaning p <0.05.

Woolwich Massageis a massage performed on the lactiferous sinus exactly 1-1.5 cm above the areola mammary, with the aim of removing breast milk in the lactiferous sinus. The massage will stimulate the nerve cells in the breast. From the interview results, it was found that there were postpartum mothers who did not know about Woolwich Massage and its benefits at the Pratama Sejahtera Clinic. The research method uses the Chi-Square test. The population and sample of this research are25 postpartum mothers underwent Woolwich Massage at the Pratama Sejahtera Clinicusing total sampling technique. The data used are primary and secondary data. Univariate and bivariate data analysis using the Chi-Square test. The results of the study indicate that there is an Effect of Woolwich Massage on Breast Milk Production in Postpartum Mothers at the Pratama Sejahtera Clinic in 2024 with a degree of significance (α) = 0.05 and df = 1, the calculation results are Sig. (2-tailed) 0.000 <(α) = 0.05, then Ho is rejected and Ha is accepted. The conclusion is that there is an effect of Woolwich Massage on Breast Milk Production in Postpartum Mothers. It is hoped that postpartum mothers can carry out Woolwich Massage more routinely to increase breast milk production.

A number of regions in Indonesia still have a fairly high percentage of stunting cases, including NTB being one of the 5 provinces with the highest percentage of stunting cases in Indonesia in 2022. Since 2019 until now, Labuhan Bajo Village, Utan District in Sumbawa Regency has been one of The stunting locus village in NTB province has a long record as a stunting locus area. The results of the Stunting Case Audit Evaluation Meeting Phase I in 2024, the Sumbawa Regency Stunting Acceleration Handling Team, led by the Regional Secretary of Sumbawa Regency, stated that there are at least around 200 families in Utan District at risk of stunting. These include prospective brides (catin), young women, pregnant women, postpartum mothers and others. Such conditions are of course not only the responsibility of the government, but more broadly, the community should also be part of the group responsible for the conditions that occur. Therefore, the role of the community in ensuring stunting prevention and reduction programs must be truly ensured. This service is carried out with the aim of optimizing the role of the community in implementing stunting prevention and reduction programs. This service is carried out using counseling methods and discussions with the community to enlighten the community about the importance of preventing and handling stunting. It is hoped that the results of this activity will make the community more aware of the risks and incidents of stunting, that stunting incidents can be reduced or even eliminated.

Colostrum is the first fluid secreted by the mammary glands. The highest content in colostrum is antibodies that are ready to protect the baby when the baby is still very weak. The protein content in colostrum is higher than the protein content in mature milk. The purpose of this study was to analyze the factors of colostrum administration to postpartum mothers in Kayu Kul Village, Pegasing District, Central Aceh Regency in 2022. The method in this study is an analytical research type with a research design using cross-sectional, namely a study in which variables including risk factors and variables including effects are observed at the same time. This study uses data taken retrospectively. This research was conducted in Kayu Kul Village, Pegasing District, Central Aceh Regency in 2022. The population in this study was 35 people, then the sample was part of all the objects studied and was considered to represent the entire population (Notoatmodjo, 2015). The number of samples used was 29 people using the Accidental Sampling technique. Data collection techniques using questionnaire sheets and respondent observation sheets. Data analysis techniques using the chi-square statistical test show that the p-value 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 the provision of colostrum. Conclusion: This study means that there is a significant relationship between the factors of Knowledge, Family Support, Support, Information Sources, Parity, Role of Health Workers, Provision of Colostrum in Kayu Kul Village, Pegasing District, Central Aceh Regency in 2022.

Combined care is a care system where babies and mothers are treated in one unit. In its implementation, the baby must always be by the mother's side from birth until he returns home. The advantages of combined care are that it promotes the use of breast milk, emotional contact between mother and baby is established from an early age, mothers can learn to take care of babies and mothers can immediately report strange baby conditions they encounter. The purpose of this study is to determine the relationship between postpartum maternal knowledge and the benefits of combined care at Bhayangkara Hospital Banjarmasin, South Kalimantan. This research method uses a type of analytical descriptive research with data collection techniques using a cross sectional approach and the instrument used is a questionnaire. The population of this study is all postpartum mothers at Bhayangkara Hospital Banjarmasin with a sampling technique using accidental sampling, with a sample of 30 respondents. The results obtained from the bivariate analysis of the chisquare statistical test showed that the value of p = 0.000 > ? = 0.05. The results obtained were that most postpartum mothers had insufficient knowledge, namely 15 people (50%) with most of them having a high school education of 14 people (46.7%), and never carried out combined care as many as 19 people (63.3%). The conclusion shows that most postpartum mothers have less knowledge about the benefits of combined care at Bhayangkara Hospital Banjarmasin. This shows that a person's level of education also affects the level of mother's knowledge.

This study identifies nine plant species used as herbal remedies for postpartum recovery by young mothers in Sindangreret, Bandung. The UV (Use Value) for each plant varies, reflecting their relative importance in traditional practices. Curcuma longa exhibits the highest UV (0.58), highlighting its frequent use and perceived significance in traditional formulations for wound healing, reducing inflammation, and overall health enhancement. Other notable plants include Zingiber officinale (UV 0.51) for anti-inflammatory and energy-boosting properties, and Kaempferia galanga (UV 0.29) for pain relief and stamina enhancement. Traditional usage of these plants is supported by their bioactive compounds and therapeutic potential. The study underscores the importance of preserving ethnobotanical knowledge and suggests further scientific validation and public education to optimize the benefits of these herbal remedies.

Age is a risk factor for postpartum hemorrhage, according to Rahmawati's research. An association between age and bleeding due to uterine atony was also found. Mothers aged 20 to 35 years have a 12 times higher risk of experiencing postpartum hemorrhage than mothers aged 20 to 35 years (Edah, 2019). Age parity is also a risk factor for postpartum hemorrhage. Parity refers to the number of children born to a mother (both born alive or dead). Mothers with three children are more at risk of bleeding after delivery than mothers with parity 1 to 3. The aim of this study is to analyze the relationship between age and parity and the amount of bleeding that occurs in mothers who have just given birth. The literature review method was used in this study. Various scientific articles and research reports discussing risk factors for postpartum hemorrhage are thoroughly explained. The results showed that older maternal age (above 35 years) and high parity (giving birth more than once) increased the risk of postnatal bleeding. These results suggest that mothers with these characteristics should be given special attention to reduce the risk of these complications by obtaining appropriate education, supervision during pregnancy, and appropriate birth planning.

According to the Indonesian Ministry of Health in 2020, the number of maternal mortality rates (MMR) in Indonesia is still quite high, totaling 4,627 cases of maternal death. This number shows an increase compared to 2019 of 4,221 cases of maternal death (Indonesian Health Profile, 2021). Objective: To apply the theory that has been obtained at the academy with comprehensive midwifery care for pregnant women, laboring women, postpartum women, newborns, and family planning in practice using Varney and SOAP documentation, is there a gap between theory and practice. Research method: In this study the authors used a qualitative research method with a case study approach which was carried out by examining a problem through a case consisting of a single unit. Results: At the first pregnancy obstetric care visit, there was a problem of Chronic Energy Deficiency (CHD) where LiLA was 22.5 cm and also breech location. After being given counseling about high calorie balanced nutrition there was an increase in the size of LiLA by 2, 5 cm so that the mother did not experience SEZ. In the process of childbirth was done by Sectio Caesarea. In the postpartum period there was no complication in the postpartum period. Newborn was normal, no problems. In family planning, Mrs. M chose to use a 3-year family planning implant. Conclusion: During the assistance to Mrs. M, the health problems experienced by Mrs. M, especially the incidence of SEZ in pregnant women can be resolved, and there is a gap between theory and practice related to the size of LiLA and the height of the mother.

Postpartum hemorrhage is a serious complication that can occur after delivery and is a major cause of maternal morbidity and mortality. This literature review aims to analyze postpartum hemorrhage as a major risk factor for anemia in postpartum mothers. The method used was Systematic Literature Review with a literature research approach using the Google Scholar database. The analysis of eight articles showed that anemia during pregnancy had a significant association with the incidence of postpartum hemorrhage, with a risk of up to 45.7 times greater than mothers without anemia. Other contributing factors included type of delivery, where sectiocaesarea increased the risk of postpartum anemia compared to normal delivery (p=0.004). In conclusion, anemia is a significant risk factor for postpartum hemorrhage that requires early detection, nutritional status monitoring, and comprehensive antenatal care to prevent complications in postpartum women.

The aim of this research is to find out the effectiveness of massage techniques for postpartum mothers who experience pain after giving birth and get relaxation after massage. This research uses a case study method using qualitative descriptive methods. This research was conducted on Jl. Kapau Sari, East Tangkerang, District. Tenayan Raya, Pekanbaru city 28282, Indonesia in 2024. The target of this research is multiparous NY.M aged 30 years. Data that can be obtained and used in research is primary data and secondary data. What was obtained from the research results showed that there were benefits felt by clients after massage in terms of reducing the pain felt after giving birth.

Maternal health remains a major global challenge, particularly in developing countries where mothers are still highly vulnerable during childbirth. Postpartum hemorrhage is one of the leading causes of maternal mortality, accounting for approximately 25% of maternal deaths worldwide, and commonly occurs within the first 24 hours after delivery. This study aims to identify factors associated with postpartum hemorrhage at Bakti Timah Pangkalpinang Hospital during 2022–2023. The research applied a case-control design using secondary data obtained from medical records. The study population consisted of 1,002 mothers who gave birth at the hospital, with a sample of 104 respondents divided into 52 case subjects (mothers who experienced postpartum hemorrhage) and 52 control subjects (mothers who did not experience postpartum hemorrhage). Data were analyzed using the Chi-square test. The results showed significant relationships between maternal age (p=0.002; OR=3.600; 95% CI: 1.548–8.371), parity (p=0.000; OR=0.194; 95% CI: 0.079–0.477), and anemia (OR=5.099; 95% CI: 1.940–13.399) with the incidence of postpartum hemorrhage. The study concludes that mothers aged under 20 years and over 35 years, multiparous mothers, and mothers with anemia have a higher risk of experiencing postpartum hemorrhage.

The aim of this study was to assess the impact of oxytocin massage on breast milk production in postpartum mothers. This research employed a quasi-experimental approach, specifically utilizing a pretest-posttest control group design. The study population consisted of all normal postpartum mothers receiving care at a Midwifery Independent Practice located in Kesugihan District, Cilacap Regency. A total of 30 participants were selected through purposive sampling. Data were analyzed using the Wilcoxon test to determine statistical significance. Prior to the intervention, the average breast milk production was measured at 22.82 cc/ml. Following the administration of oxytocin massage using fennel oil, the average milk volume significantly increased to 87.58 cc/ml. These results indicate that oxytocin massage is an effective intervention for enhancing breast milk production in postpartum mothers.  

IMD is the process of giving milk to a baby one hour after birth. In Indonesia, the proportion of the IMD population has still not reached the set target. The IMD coverage target in Indonesia in 2019 is 50%. Based on data from the Bantul District Health Service in 2022, the percentage of newborns who received IMD was 83%. The IMD target for Bantul Regency was 85.5%, so this number has not been able to meet the target. The aim of this research is to understand the relationship between Early Initiation of Breastfeeding (IMD) and the smooth production of breast milk in postpartum mothers at PMB Tatik Suprihatin. The method used is a quantitative analytical study with a cross sectional design. This research used 40 respondents selected using the total sampling method. Data was collected through questionnaires and analyzed univariately and bivariately, with the chi-square statistical test.

Breast milk contains nutritional components and antibodies that are important for the development, immunity and long-term health of babies. However, not all babies get breast milk from their mothers. This can be caused by low breast milk production and irregular breast milk release. Warm compresses are one method of stimulating breast muscles that can increase breast milk production. The type of research used is a quasi-experimental one group pretest posttest. The study population was all postpartum mothers in the PMB Lismarini area with low breast milk production problems. The sampling technique in this study used purposive sampling. Warm compresses were carried out for 7 days with a duration of 10-15 minutes before breastfeeding. The statistical test used was Wilcoxon. The results of the Wilcoxon test showed a p value of 0.003 ≤ 0.05, which means that there is an effect of warm breast compresses on the smoothness of breast milk release. It is expected that health workers will increase educational activities related to the management of irregular breast milk release, one of which is the warm compress method.