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Breast milk production in the early postpartum period is a crucial factor for successful breastfeeding, particularly among primiparous mothers who often experience lactation difficulties during days 3–7 after childbirth. Non-pharmacological interventions such as oxytocin massage and breast care are considered effective approaches to support milk production by enhancing hormonal release and breast stimulation.This study employed a quantitative quasi-experimental design with a one-group pretest–posttest approach. The study was conducted at the Sahu Public Health Center, West Halmahera, involving 20 primiparous breastfeeding mothers on days 3–7 postpartum selected through purposive sampling. Oxytocin massage and breast care were administered according to standardized procedures. Breast milk production was assessed before and after the intervention using observational indicators of milk flow. Data were analyzed using the Wilcoxon Signed Rank Test. The results showed a significant improvement in breast milk production after the intervention. The mean breast milk production score decreased from 1.95 before the intervention to 1.15 after the intervention, indicating smoother milk flow. Statistical analysis revealed a significant difference in breast milk production before and after oxytocin massage and breast care (Z = −3.358; p = 0.001). Oxytocin massage combined with breast care significantly improves breast milk production among primiparous breastfeeding mothers during days 3–7 postpartum. These non-pharmacological interventions are safe, practical, and effective, and are recommended to be integrated into routine postpartum care to support early lactation success.

Baby massage is a form of multisensory stimulation that involves touch, movement, as well as auditory and visual stimuli, which is known to provide various physiological and psychological benefits for babies, including increased breastfeeding frequency. This study aims to determine the relationship between infant massage and the frequency of breastfeeding in babies aged 1–6 months in the working area of the Lambai Health Center, North Kolaka Regency. The type of research used is an analytical survey with a cross-sectional approach. The sampling technique was carried out in total sampling, involving the entire population of infants aged 1–6 months who met the inclusion criteria. Data collection was carried out through observation and structured interviews with infant mothers, as well as recording breastfeeding frequencies before and after infant massage interventions. Data analysis uses relevant statistical tests to test the relationships between variables. The results showed a significant relationship between infant massage and increased breastfeeding frequency, with a p-value of 0.000 (p < 0.05), indicating that infant massage had an effect on increasing breastfeeding activity in infants. The conclusion of this study is that infant massage has a positive relationship with the frequency of breastfeeding in infants aged 1–6 months. These findings support the use of infant massage as a simple but effective intervention in supporting breastfeeding success, especially in the early stages of life. This study recommends that the practice of infant massage can be socialized more widely to health workers and parents as part of the promotion of maternal and child health. The implementation of regular baby massage has the potential to improve the nutritional status and optimal growth and development of the baby.

Giving breast milk (ASI) exclusively during the first six months of a baby's life is very important in supporting the baby's growth and development and body resilience. However, the practice of giving formula milk is still quite high and is a challenge in fulfilling exclusive breastfeeding. This study aims to determine the determining factors for giving formula milk to babies aged 0-6 months in the work environment UPT Primary Health Care Pujon. This research design uses a descriptive analytical approach with a cross-sectional method to identify factors associated with exclusive breastfeeding. The research population was all mothers who had babies with a sample of 52 respondents obtained through total sampling. Data analysis was carried out using the Chi-Square test and logistic regression to determine the most dominant factors. The research results showed that all variables had a p value > 0.05, namely age (p=0.274), education (p=0.156), occupation (p=0.384), parity (p=0.280) and socio-culture (p=0.711), so there was no significant relationship between these variables and exclusive breastfeeding. The logistic regression model was also not significant (p=0.308), indicating that there were no dominant factors influencing the practice of exclusive breastfeeding among respondents. Thus, the low coverage of exclusive breastfeeding in this study may be influenced by other factors outside the variables studied.

The Student Care for Stunting Program is an innovation by BKKBN in collaboration with universities to support the acceleration of stunting reduction through real work lectures or other community service activities. This program is part of the government's efforts to achieve the target of reducing the stunting rate to 14% by 2024, as mandated by the President. This study identifies the implementation of the BKKBN Student Program for Stunting Prevention in Banten Province, specifically in Kilasah Village, as well as the challenges faced in its implementation. The study employs government action theory and the welfare state theory using a legal-empirical method through a qualitative field approach. Data was collected through literature reviews and interviews, analyzed descriptively and analytically. The results show that the program's implementation has included 15 outreach and mentoring activities. Fifteen adolescents received reproductive health education, 21 pregnant and breastfeeding mothers received nutrition and pregnancy health counseling, and 20 prospective couples participated in socialization on healthy pregnancy planning and the use of the Elsimil application. Growth monitoring was conducted at nine Posyandu centers with a total of 60 infants, and 37 cases of infants indicated as stunted were identified. Challenges faced include the absence of specific regulations regarding the program and resistance from the target groups, particularly adolescents and prospective brides and grooms who struggled to understand the Elsimil app. In conclusion, the program has a positive impact on efforts to accelerate stunting reduction, although improvements are still needed in terms of regulations, coordination, and culture-based education.

Infant mortality rates (IMR) at the global and national levels occur mostly during the neonatal period. One way to reduce infant mortality is to provide the best food, namely breast milk. The breastfeeding process can be hampered due to several problems, one of which is the occurrence of breast milk dams. The purpose of the study was to determine the relationship between mothers' knowledge about breastfeeding techniques and breast milk dams at PMB Pratiwi Agustian. The research method used was a quantitative analytic study with a cross sectional design. The research sample was 28 respondents using total sampling technique. Data were collected through questionnaires and analyzed using the chi-square test. The results showed that the majority of breastfeeding mothers with good knowledge of breastfeeding techniques did not experience breast milk dams as many as 5 people (71.4%), 13 people (76.5%) did not experience breast milk dams in the moderate category, and 4 people (100.0%) experienced breast milk dams in the poor category. Correlation analysis showed that there was a relationship between knowledge of breastfeeding techniques and breast milk dams in nursing mothers at PMB Pratiwi Agustian with a significant value of p = 0.015. Lack of knowledge about proper breastfeeding techniques can increase the risk of breast milk dams in mothers. Therefore, improving mothers' knowledge and skills in breastfeeding through proper education and counseling is crucial to prevent or reduce the incidence of breast milk dams.

Exclusive breastfeeding plays a crucial role in reducing neonatal mortality rates, preventing growth disorders, and enhancing immunological resilience. However, adherence to exclusive breastfeeding practices remains below the targeted level. This study aims to analyze the relationship between maternal characteristics, knowledge, and family support with the success of exclusive breastfeeding in infants. A cross-sectional design was used, conducted at the UPTD Sawang Health Center, South Aceh Regency, during February–March 2025. The population consisted of all mothers with infants aged 7–12 months visiting the health center, totaling 120 individuals. A sample of 97 respondents was selected using purposive sampling. Data were collected through a structured questionnaire, followed by data processing that included response completeness checks, variable coding, and data entry. Data analysis comprised univariate analysis to present the frequency distribution of maternal characteristics and knowledge, and bivariate analysis using the Chi-Square (χ²) test with a significance level of α=0.05 to test the hypotheses. The results showed that maternal employment was significantly associated with the success of exclusive breastfeeding (p < 0.001), whereas maternal education (p = 0.566), income (p = 0.915), maternal knowledge (p = 0.351), and family support (p = 0.252) were not significantly related. In conclusion, maternal employment has a significant relationship with exclusive breastfeeding success

Wasting affects health and threatens children potential. Direct factors such as food intake need to be maximized to improve nutritional status. This study aims to determine the differences in energy and macronutrient intake, food parenting, and exclusive breastfeeding history in wasting and non-wasting toddlers in the working area of Sidotopo Wetan Health Center Surabaya. This study is a case control study. Total respondents were 88 toddlers aged 7-60 months, consist 44 wasting toddlers taken with total sampling technique and 44 non-wasting toddlers taken with purposive sampling technique with age and gender matching. Energy intake and macronutrients were obtained by 3x24 hour food recall questionnaire, food parenting patterns obtained from filling out FPSQ (Feeding Practices and Structure Questionnaire) and FPSQ-M (Milk Version) questionnaires, exclusive breastfeeding history obtained through interviews with questionnaires, anthropometric data measured using digital scales and microtoas. Data analysis used independent t-test and Mann Whitney test. The results of this study showed there were significant differences in energy intake (p=0.000), carbohydrates (p=0.023), protein (p=0.000), fat (p=0.000), and exclusive breastfeeding history (p=0.003) and there was no significant difference in food parenting (p=0.632) between wasting and non-wasting toddlers. Parents are expected to pay attention to food intake and provide exclusive breastfeeding.

The use of formula milk for infants is still common in the early stages of life and has the potential to hinder successful breastfeeding, even though the benefits of breast milk have been widely proven. Education and lactation counseling are considered important strategies to support breastfeeding practices and reduce the unnecessary use of formula milk. However, empirical evidence on the effectiveness of lactation counseling in reducing the intensity of formula milk use is still limited, especially in the context of primary health care in Indonesia. This study aims to analyze the effectiveness of lactation counseling in reducing the intensity of formula feeding in infants. This study uses a quantitative approach with a one-group pretest–posttest pre-experimental design. The sample consisted of 20 mothers who had infants and met the inclusion criteria in the Popayato Community Health Center working area, selected using total sampling technique. The intervention took the form of structured lactation counseling provided by health workers. The intensity of formula feeding was measured before and after the intervention using a structured questionnaire. Data analysis was performed descriptively and bivariately using the Wilcoxon Signed Rank Test. The results showed a decrease in the intensity of formula feeding after lactation counseling. The Wilcoxon test showed a significant difference between the intensity of formula feeding before and after education (p = 0.000). Lactation counseling was proven to be effective in reducing the intensity of formula feeding in infants. This educational intervention has the potential to be an important promotional strategy in maternal and child health services to support more optimal breastfeeding practices..

The development targets in the Health sector in the 2020–2024 National Medium-Term Development Plan (RPJMN) place one of the main targets for maternal and child health is to reduce the incidence of children under five years old (toddlers) stunting (low height / short) by 30.8% (2018) to 19% in 2024. Optimal Health Status must be prepared since a woman before marriage. Then continued when the woman is pregnant, and while breastfeeding. Childhood is the foundation for growth and development in the next stage, if there are nutritional problems then the consequences that arise are permanent. The risk of stunting by 7x can occur in women 15-49 years who experience anemia and when they become pregnant will be at risk of giving birth to stunted babies. In women of childbearing age aged 15-49 years is the foundation for growth and development in the next stage, if during this period women experience nutritional problems then the consequences that arise can be permanent or irreversible. Its essence is a critical period when a system is plastic and sensitive to its environment, followed by a permanent loss of plasticity and functional capacity (Ummi Kalsum et al., 2021). Before education was provided, most adolescents showed a low level of understanding, namely 31 respondents (56.7%), and awareness of the importance of monitoring nutritional status during adolescence was also minimal. However, after interactive counseling with an easy-to-understand approach, there was a significant increase in knowledge, with 41 respondents (68.3%) showing an increase in understanding, reflected in a change in the knowledge category to a better level. This activity emphasizes the importance of promotive and preventive interventions in areas at high risk of nutritional problems. The implementation of direct and participatory education involving cadres and health workers has proven effective in increasing awareness and forming healthy lifestyle behaviors in adolescents. Therefore, similar education programs need to be implemented continuously to reduce anemia rates to prevent stunting and prevent stunting from adolescence.

Background: Exclusive breastfeeding is essential for infant growth, immunity, and overall health. However, many breastfeeding mothers experience difficulties in maintaining exclusive breastfeeding due to improper breastfeeding techniques, low maternal knowledge, and lack of guidance from health workers. Proper application of breastfeeding techniques, including correct latch-on, positioning, and frequency, can improve breastfeeding consistency and prevent early weaning (Sari, 2020; Putri, 2021). Objective: This study aimed to determine the effect of the application of breastfeeding techniques on the consistency of exclusive breastfeeding in breastfeeding mothers at the Dambalo Community Health Center. Methods: A quantitative, pre-experimental study with a one-group pretest-posttest design was conducted. Thirty breastfeeding mothers were selected using purposive sampling based on inclusion criteria, including mothers of infants aged 0–6 months who were willing to participate and had no medical conditions preventing breastfeeding. Results: All 30 participants (100%) applied the recommended breastfeeding techniques after the intervention. Following the intervention, 27 mothers (90%) consistently practiced exclusive breastfeeding, while three mothers (10%) showed partial improvement. Statistical analysis using the Wilcoxon signed-rank test revealed a significant difference in exclusive breastfeeding consistency before and after the intervention (p = 0.000), indicating that the application of proper breastfeeding techniques significantly improved breastfeeding practices. Conclusion: The application of breastfeeding techniques has a significant positive effect on the consistency of exclusive breastfeeding among mothers at the Dambalo Community Health Center. Structured guidance and practical support from health workers, particularly midwives, are essential to improve maternal skills, reinforce proper practices, and ensure the health and growth of infants.

Working mothers who have babies experience obstacles in breastfeeding due to low knowledge of ASI and how to store it properly. This study aimed to determine the effect of ASI health education on ASI knowledge of working mothers. The research used a quantitative experimental approach with a one-group pretest-posttest design. The population was working mothers who breastfed babies aged 0-6 months in the Kagok Semarang health centre work area. The number of samples was 30 people. The side technique used quota sampling. Data were obtained using a questionnaire and then analyzed using descriptive statistics and the Wilcoxon Test. The majority of the characteristics of working mothers in this study were aged 26- 30 years (53.6%), parity <3 Births (73.2%), high school education (35.7%), working outside the home (64.3%) and income > UMR (67.9%). Before health education, the knowledge of ASI in working mothers was quite good (16 people or 53.3%). The knowledge of ASI in working mothers after health education was good (20 people or 66.7%). There is an influence of ASI health education on the knowledge of ASI of working mothers (Z = -3.557 and p <0.05). The conclusion is that ASI health education can increase the knowledge of breastfeeding of a working mother.

The 2023 Indonesian Health Survey stated that the proportion of exclusive breastfeeding in Sumatera Utara Province was quite low, namely 43.9%. The low coverage of exclusive breastfeeding is closely related to the lack of knowledge of postpartum mothers, which is a predisposing factor that encourages mothers to only give breast milk for 6 months to their babies. The purpose of this study was to determine the factors related to postpartum mothers' knowledge of exclusive breastfeeding in the Tuntungan Health Center work area, Pancur Batu Subdistrict. This study was an observational analytic study with a cross-sectional design. The sample in the study were postpartum mothers in the Tuntungan Health Center work area who met the inclusion and exclusion criteria, namely 50 people. The data collected were primary data obtained through questionnaires distributed to postpartum mothers. Bivariate analysis was carried out using the chi-square test to determine the relationship between the independent and dependent variables. Based on the study conducted, it is known that there is a relationship between age (p-value = 0.015), education (p-value = 0.026), and parity (p-value = 0.008) with postpartum mothers' knowledge of exclusive breastfeeding. There is no relationship between occupation (p-value = 0.224) and postpartum mothers' knowledge of exclusive breastfeeding. It is recommended that health workers in the Tuntungan Health Center work area, Pancur Batu Subdistrict, to improve the knowledge of postpartum mothers, especially for young mothers (<20 years) and primigravida mothers. It is also recommended that postpartum mothers improve their knowledge through various media, especially social media.

Stunting is a growth disorder in children characterized by height-for-age below the standard due to prolonged nutritional deficiency. This condition affects physical development, learning ability, and metabolic health, and it tends to be persistent. In Indonesia, the prevalence of stunting remains high. This study was conducted to identify the causes of stunting during the first 1,000 days of life. The method used was a literature review with a narrative review approach. The results show that risk factors for stunting include prenatal conditions such as low birth weight, maternal nutritional status during pregnancy, and maternal height. In addition, low maternal education, limited access to healthcare services, lack of exclusive breastfeeding, infections, and poor dietary patterns also contribute. Strategies proven effective according to the literature include early nutrition education, nutritional supplementation, and technology-based growth monitoring. The most consistently identified determinant is low birth weight (LBW).

Inadequate breast milk production remains a significant challenge in achieving exclusive breastfeeding success during the postpartum period. This study aimed to analyze the effectiveness of oxytocin massage intervention on breast milk quantity among postpartum mothers at Hospital X. A quasi-experimental design with one-group pretest-posttest approach was employed, involving 17 postpartum mothers who met the inclusion criteria. Data collection utilized demographic questionnaires and measuring instruments to assess milk volume before and after the intervention. Oxytocin massage was performed using back massage technique for 30-60 minutes duration. Statistical analysis employed Wilcoxon signed-rank test due to non-normal data distribution. Results demonstrated significant improvement in milk volume from mean 12.95 ml (pretest) to 50.59 ml (posttest) with p-value 0.000 (p<0.05), indicating statistical significance. The intervention showed substantial effectiveness with approximately 291% increase from baseline condition. These findings suggest that oxytocin massage represents an effective non-pharmacological modality for optimizing lactogenesis through neurohormonal stimulation mechanisms, supporting milk ejection reflex enhancement in postpartum mothers.

One of the influences on the success of exclusive breastfeeding is the role of midwives, namely providing counseling on preparation for exclusive breastfeeding, Early Breastfeeding Initiation (IMD) during childbirth, how to do breast care during pregnancy and the benefits of exclusive breastfeeding. The purpose of Community Midwifery Intervention Practice is to educate in order to increase public awareness of the importance of exclusive breastfeeding and good and correct breastfeeding methods. The method of activity is through counseling by providing material directly using supporting media power points and booklets given to pregnant women, breastfeeding mothers, and grandmothers who take care of their grandchildren and discussions about the importance of exclusive breastfeeding and good and correct breastfeeding methods and there is an evaluation through pre and post-test with 10 questions. The results of 30 respondents can be seen from the pre-test with good knowledge of 9 people (30%) and after the counseling there was an increase in the results of the post-test with good knowledge of 30 people (100%), indicating an increase of 70%. with ρ value = 0.000 (ρ <0.05) meaning that there is an influence on the Importance of Exclusive Breastfeeding and Good and Correct Breastfeeding Methods and a t value of 8.226. In conclusion, there is an influence on increasing knowledge of the Importance of Exclusive Breastfeeding and Good and Correct Breastfeeding Methods after counseling at Posyandu Mawar Indah 02.

Based on the findings of the Indonesian Nutritional Status Study Survey (SSGI), the growth rate of stunting in toddlers in East Java reached 19.2%. The prevalence of stunting in Wedoroanom Village is included in the highest category in Driyorejo District, Gresik Regency, reaching 36%. The purpose of this study was to describe the prevalence of stunting, growth of gross motor skills, fine motor skills, and cognitive abilities, and to determine the relationship between these factors and the development of these skills in toddlers in Wedoroanom Village, Driyorejo District, Gresik Regency. This study used a cross-sectional technique and was quantitative. The sample consisted of 110 children aged between 12 and 60 months who were selected through a convenience sampling approach. Anthropometric measurements, interviews, and observations were used to obtain data. The chi-square test and odds ratio were used in data analysis to determine the relationship between variables. The study findings showed that the incidence of stunting and gross motor development were not related. However, there was a relationship between the incidence of stunting and cognitive and fine motor development. Chronic malnutrition, maternal education, maternal occupation, and history of exclusive breastfeeding are some of the factors that can cause developmental disorders in children. The findings of this study indicate that the incidence of stunting in Wedoroanom Village, Driyorejo District, Gresik Regency, is related to fine motor and cognitive development but not related to the development of gross motor functions.

The quality of public service is one of the indicators of the success of local governments in the context of regional autonomy. This research examines the implementation of the Integrated Administrative Services Program (PATEN) in Kalidawir District, Tulungagung Regency, as a strategy to bring administrative services closer to the community. This study aims to determine the quality of PATEN services and identify the inhibiting factors in optimizing the conduct of public services. The method used is descriptive qualitative method. Data were collected through observation, documentation, and interviews, and then analyzed interactively using the Miles and Huberman model. This study adopts five dimensions of service quality according to Zeithaml, Berry, and Parasuraman, namely: physical evidence, reliability, responsiveness, assurance, and empathy. The research findings indicate that the implementation of PATEN in Kalidawir District has good performance in terms of service infrastructure, procedural accuracy, responsiveness, and transparency. The inclusivity of services is supported by facilities such as child-friendly rooms and breastfeeding rooms. The staff always implements SOP, provides timely services, and maintains professional behavior. However, there are two main obstacles that hinder the optimization of services: inadequate infrastructure for the elderly and persons with disabilities, as well as limited public understanding of service procedures. These challenges affect access, efficiency, and perceptions of service delivery. This study concludes that although PATEN services in Kalidawir District meet general standards, improving inclusive facilities and communication strategies is essential for more equitable and effective service outcomes.  

The postpartum period, which begins with the delivery of the placenta and ends when the reproductive organs return to their pre-pregnancy state, lasts approximately 6-8 weeks. During this period, many mothers face challenges related to breast milk production, resulting in insufficient or absent milk flow. This condition, if untreated, can hinder the breastfeeding process and affect both maternal and infant health. To address these challenges, several interventions such as warm compresses and oxytocin massage have been explored. The aim of this study was to assess the effectiveness of these two methods in improving breast milk flow among postpartum mothers. A quasi-experimental design was employed, utilizing a non-equivalent control group with pre-test and post-test measurements. The study targeted postpartum mothers who were experiencing difficulties with breast milk production. Purposive sampling was applied to select participants who met the inclusion criteria. The results showed significant differences between the effects of warm compresses and oxytocin massage on postpartum breast milk flow, with a p-value of 0.002 (<0.05), indicating that both methods positively influenced milk production. However, it was found that oxytocin massage had a more pronounced effect on milk flow compared to warm compresses. These findings suggest that oxytocin massage may be a more effective intervention for enhancing breast milk production in postpartum mothers, thus providing valuable information for healthcare professionals aiming to support new mothers in the breastfeeding process. The study also highlighted the importance of personalized care based on individual needs. Further research is recommended to investigate the long-term impact of these interventions and their broader application in various postpartum care settings. Additionally, exploring other complementary approaches could offer a more comprehensive strategy for managing breastfeeding difficulties in the postpartum period.

Stunting is a failure to achieve physical development measured by weight for age. The limitation of stunting is height according to age based on Z-score equal to or less than -2SD (Standard Deviation) below the standard average. In 2005 - 2011 Indonesia ranked fifth with the highest prevalence of stunting. The purpose this study was to analyze the factors that influence the incidence of stunting in children aged 24-59 months. This study used a literature review method conducted by searching for relevant journals trough Google Scholar, Garuda, PubMed and DOAJ database. Inclusion criteria for reviewing the content of references in English and Indonesia publish in the last ten years. Research result from various literatures show that research finding from various sources indicate that the factor influencing stunting toddler aged 24-59 months include maternal knowledge, exclusive breastfeeding, and disease history.

One of the nutritional problems that occur in children under five is stunting, also known as chronic nutritional problems due to insufficient fulfillment for long periods of time. A child under five is considered to have stunted nutritional status if his height is less than minus two median standard deviations of the World Health Organization (WHO) growth standards. Stunting is caused by direct causes, namely nutritional intake, infectious diseases, exclusive breastfeeding, indirect causes, namely sanitation, education, parental knowledge, income, number of family members, resources, technology, and the environment. This study aims to determine the factors that affect the incidence of stunting. This study aims to determine the factors that affect the incidence of stunting. This type of research is observational research analytic case control approach. The research samples were 49 stunted children (case Group) and 49 children without stunting (control group) in the working area of Bukit Gadeng Public Health Center, Bahagia District, South Aceh Regency, Aceh province. The Data were analyzed by performing Chi-square analysis test and the value of (OR) Odds ratio. The results showed a significant value of maternal knowledge (p-value=0.00); (OR=72.45), environmental sanitation hygiene (p-value=0.001); (OR= 2.14), history of exclusive breastfeeding (p-value=0.00); (OR= 19.37), history of infectious diseases (p-value=0.064); (OR= 3.45). Conclusion maternal knowledge, environmental sanitation hygiene, and history of exclusive breastfeeding affect the incidence of stunting and infectious disease history does not affect the incidence of stunting in the Bukit Gadeng Public Health Center, Bahagia District, and South Aceh Regency. Knowledge, sanitation hygiene, and Exclusive, breastfeeding, affect the incidence of stunting and infectious disease does not affect the incidence of stunting in the Bukit Gadeng Public Health Center, Bahagia District, and South Aceh Regency.