Publication Search

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.  

Based on the 2018 Riskesdas results, the proportion of breastfeeding patterns for babies aged 0-5 months in Indonesia is 37.3% exclusive breastfeeding, 9.3% partial breastfeeding and 3.3% predominant breastfeeding. Predominant breastfeeding is breastfeeding the baby but giving a little water or a water-based drink, for example tea, as a prelacteal food/drink before the milk comes in. Meanwhile, partial breastfeeding is breastfeeding a baby and giving artificial food other than breast milk such as formula milk, porridge or other food before the baby is 6 months old, whether given continuously or as prelacteal food. North Sumatra Province Nutrition Program Data in 2018. The percentage of exclusive breastfeeding for babies 0-6 months in North Sumatra in 2018 was 65.57 percent, an increase compared to the percentage of exclusive breastfeeding in 2017, namely 54.4 percent (Sumatra Provincial Health Service, 2017). 2018). In the breastfeeding process, problems sometimes arise that can prevent giving breast milk to babies. Problems that mothers often experience when breastfeeding include inverted nipples, swollen breasts, sore and painful nipples, blocked milk ducts, breast inflammation and insufficient milk production (Purwoastuti, 2015). There are many non-pharmacological methods that can help postpartum mothers increase breast milk production, ranging from marmet massage, oxytocin massage, Woolwich massage to areola and rolling massage. Currently, based on the results of related research, there are non-pharmacological methods that are cheaper, easier, non-invasive and acceptable to respondents and without side effects. Nursing interventions that can be applied to help increase lactation in post partum mothers are the SPEOS method (Endorphin, Oxytocin and Suggestive Massage Stimulation).

Background : Childbirth is accompanied by perineal wounds in Indonesia as much as 75%. In 2022, there will be 12,145 cases of mothers experiencing perineal wounds in Central Java. In 2021, there were 255 cases of mothers experiencing perineal wounds in Boyolali (59.4%) from 429 deliveries. The process that occurs during normal delivery can cause perineal tears. Treatment of perineal wounds often uses binahong leaves to speed up healing of perineal wounds and prevent infection. Objective: To determine the effect of perineal wounds before and after being given boiled water from binahong leaves during the postpartum period. Method: Descriptive with application to 2 respondents. Respondents were given boiled water from binahong leaves from the first day to the eighth day post partum in a row. Results: After applying boiled water from binahong leaves for 8 consecutive days, the results showed a decrease in the rate of healing of perineal wounds in both respondents, there was a decrease in scores in Mrs. U and Mrs. A is 0 (good wound healing). Conclusion: There is an effect of giving boiled water from binahong leaves which can accelerate the healing of perineal wounds.

Using chemical drugs to relieve pain after caesarean section surgery can cause dangerous side effects when used for a long time. The aim of this research is to provide nursing care for postpartum mothers and caesarean section mothers including: assessment, diagnosis, planning, implementation and evaluation. In writing this scientific work, the author used methods including: observation, interviews, documentation, and literature study. There are 5 analytical methods used, namely: assessment, nursing diagnosis, nursing intervention, nursing implementation, and nursing evaluation. During the assessment, pain and sleep disturbances were found. The nursing diagnosis showed that there was a wound in the lower abdomen from the operation. Nursing intervention by providing health education materials and media so that knowledge increases. Implement health care by removing the dressing slowly, cleaning with NaCl fluid, and monitoring for signs of infection. Nursing evaluation found that cleaning the wound and changing the dressing had no complaints and the wound on the stomach was dry, there was no redness and there were no signs of infection. The application can provide good nursing care for caesarean-section mothers and increase knowledge about parenting patterns for mothers who have had caesarean-section operations.

Breast milk dam is a swelling of the breast due to an increase in venous and lymph flow, causing breast milk dam. Data (SDKI) showed that 42% of mothers experienced breast milk dams. Breast milk dams are caused by discontinuous breastfeeding, the baby has not breastfed properly, improper breastfeeding position, wearing BH that is too tight, nipple abnormalities, absence of breast care before and after childbirth and lack of maternal knowledge about breast care. The aim is to determine the relationship between breastfeeding position and breast care with the incidence of breast milk dam in the working area of Sei.Langkai Health Center, Batam City 2023. The method in this study used quantitative research with analytical descriptive research and used a Cross Sectional research design, the sample in this study was 65 postpartum women, statistical tests using Chi-Square, purposive sampling technique. The distribution of breastfeeding positions was not correct as many as 36 postpartum women (55.4%), postpartum women did not perform breast care as many as 55 postpartum women (84.6%), the majority of postpartum women who experienced breast milk dams were 36 postpartum women (55.4%). The results of statistical analysis with Chi-Square found that there was no relationship between breastfeeding position and the incidence of breast milk dam with a value (P-Value) = 0.099 where (P < ?) = 0.05, and there was a relationship between breast care and the incidence of breast milk dam with a value (P-Value) = 0.030 where (P < ?) = 0.05. The conclusion is that there is no relationship between breastfeeding position and the incidence of breast milk dam and there is a relationship between breastfeeding position and breast milk dam. it is hoped that midwives and other health workers can teach mothers directly during breastfeeding how to do the correct breastfeeding position and breast care technique.

High risk pregnancy is a condition that can affect the condition of the mother and fetus in the pregnancy she is facing (Manuaba, 2012). Pregnant women who experience medical disorders or health problems will be included in the high risk category, so that the need for implementing care during pregnancy becomes greater (Robson and Waugh, 2012). others include miscarriage, obstructed labor, antepartum bleeding, fetal death in the womb (Intra Uterine Fetal Death), poisoning in pregnancy, babies born under term, and low birth weight babies. The impact of high-risk pregnancies can be prevented through regular prenatal care (antenatal care) which aims to keep the mother healthy during pregnancy, childbirth and postpartum as well as ensuring that the baby is born healthy, containing possible pregnancy risks, and optimal management planning. against high-risk pregnancies and reducing maternal and infant morbidity and mortality. Antenatal services can detect and handle high risk cases adequately, provide clean and safe delivery assistance, affordable obstetric/perinatal services and referrals

Mother and Child Health (MCH) requires efforts through a holistic approach known as Continuity of Care (COC). Continuity is essential throughout a woman's life cycle, including during pregnancy, childbirth, and the postpartum period. To achieve COC, it can be implemented through monitoring and services such as ANC, INC, PNC, and Newborn Care, as well as connecting health care facilities to ensure prompt and accurate handling of emergencies. The aimofthis research is to provide comprehensive midwifery care for pregnant women in the third trimester, during labor, postpartum, care for the newborn, neonates, and family planning. The study was conducted from April to May 2024 at the Special Regional Hospital for Mother and Child, Pertiwi, Makassar. The caremethod in this research involves interviews, observations, and management of the subject 'scare. The subject in this care is Mrs. “N," a woman in her second pregnancy, who has givenbirth once, is currently at 37 weeks and 6 days gestation. The results of comprehensive midwifery care for Mrs. "N" during the third trimester of pregnancy showed well-preparedness for childbirth. Normal delivery occurred, followed by normal care for the newborn and neonatal care. The conclusion of this research is that comprehensive care allows for data collection, determination of actual and potential diagnoses, and timely referral or collaboration with other health care providers in case of issues.

Background: Based on world data, there have been 2.7 million cases of perineal rupture in mothers giving birth. This figure is estimated to reach the highest number collected until 2050, which is 6.3 million. Perineal rupture in Asia also often occurs in society, which is around 50%. According to data from the Indonesian Demographic Health Survey (SDKI), 75% of mothers who give birth in Indonesia experience perineal tears or perineal rupture. Objective: To describe the results of measuring the pain scale using the cold compress method. Method: This study method uses a case study method with a descriptive design and uses a Numeric Rating Scale (NRS) pain measurement sheet, in the cold compress method, the variable measured is perineal wound pain that has been given intervention 3 times a day in a span of 5-10 minutes for 3 days. Results: After cold compresses were given to two respondents who experienced perineal wounds, there was a change in the pain scale which was included in the mild pain category. Conclusion: The application of cold compresses can reduce the scale of perineal wound pain in postpartum patients.    

Pregnancy with breech presentation is where the fetus lies longitudinally in the uterus while the head is at the fundus uteri and in the buttocks position below the uterine cavity (Putri and Ningrum, 2019). Cases of breech presentation both mother and fetus experience a large increase in risk and for labor with breech location have high mortality and morbidity (Putra 2015). The maternal mortality rate (MMR) according to WHO 2021 is 32.9/100,000 KH. ASEAN 2021 MMR is 235/100,000. Indonesian Ministry of Health 2021 AKI 7,389 people, Central Java Health Office 2023 AKI as much as 485. Data from the Brebes Health Office 2022 as many as 50 cases while from the kaliwadas puskesmas area in 2022 there was 1 case of death. Researchers implement comprehensive midwifery care using Varney and SOAP documentation. This study uses descriptive qualitative methods through direct approaches, interviews, observation and documentation. The main informant is Mrs.H while for additional informants there are village midwives, puskesmas midwives, husbands and Mrs.H's family. Based on the results of research obtained from the care of pregnancy, childbirth, postpartum, LBW and family planning, problems were found in the form of pregnancy with breech presentation and cesarean delivery for indications of failed induction.

The postpartum period is a recovery period, postpartum care is needed so that mothers can make psychological adaptations in the postpartum period, Postpartum depression is depression that occurs in women after giving birth, which occurs within a period of 4 (four) weeks, several months or even several years if not treated, the purpose of this community service is to provide education to pregnant women and postpartum mothers regarding the prevention of the dangers of postpartum depression, this activity is to increase mothers' understanding of the dangers of postpartum depression. This community service activity was attended by pregnant women and postpartum mothers at the Kassi-Kassi Health Center which was attended by 18 people. This activity method was carried out twice by providing a pre-test, lecture and continued post-test by filling out a questionnaire. In the evaluation, interviews were conducted with pregnant women and postpartum mothers to determine the dangers of postpartum depression. The results achieved in community service activities at the Kassi-Kassi Health Center were that postpartum mothers gained knowledge about the dangers of postpartum depression and there was an increase in knowledge about the dangers of postpartum depression. The pre-test results were 58.82%, there was an increase in the post-test which showed post-test knowledge of 82.35%. The conclusion is that education for pregnant and post-partum mothers can prevent post-partum depression.

Breastfeeding technique is a factor that affects milk production, wrong breastfeeding technique will cause problems in breastfeeding such as sore nipples, less milk production. This is caused by a lack of knowledge and attitudes of mothers about proper breastfeeding techniques. To increase the knowledge and attitudes of mothers, it is necessary to provide health education about breastfeeding techniques using a modeling approach. The purpose of this study was to analyze the effectiveness of health education with a modeling approach to the knowledge and attitudes of postpartum mothers regarding breastfeeding techniques. The research design is a Quasi-Experimental Pre-Test-Post-Test. The sample in this study were 30 nursing mothers aged 0-6 months using the Total Sampling technique. Data were analyzed using the Wilcoxon test. The results of the study obtained a p value of 0.000 so that the modeling approach was effective in increasing the knowledge and attitudes of postpartum mothers regarding breastfeeding techniques. The conclusion of this study is the effectiveness of health education with a modeling approach to increasing the knowledge and attitudes of postpartum mothers regarding breastfeeding techniques in Panggungjati Village.  

The postpartum period is a very important period because complications often occur, including postpartum infections. One of the factors causing postpartum infections can come from injuries to the birth canal which are good media for the development of germs. This article aims to determine the care of normal postpartum mothers regarding perineal wound care. The methods used in making this literature review are PubMed, Google Scholar, Pequest, Sincedirect and Wiley. The results were published from 2019-2024, Results of normal postpartum maternal care regarding perineal wound care in normal postpartum mothers can be given with boiled binahong leaves, how to care for the vagina with cultural care maintenance or preservation, washing with soap and running water and applying betadine, given jusnalo and boiled red betel leaf water is recommended for postpartum mothers who experience perineal wounds.

This study examines the relationship between Kegel exercises and the healing of perineal wounds in postpartum mothers who underwent normal delivery. Perineal wounds, a common outcome of vaginal childbirth, can lead to discomfort and complications if not properly managed. Kegel exercises, known for strengthening the pelvic floor muscles, may also play a crucial role in accelerating the healing process of perineal wounds. This research involved a sample of postpartum mothers who were instructed to perform Kegel exercises regularly. Data were collected through clinical observations and self-reported healing experiences over a specified period. The findings indicate a significant positive correlation between the regular practice of Kegel exercises and the expedited healing of perineal wounds. Mothers who adhered to the exercise regimen reported reduced pain, faster wound closure, and improved overall postpartum recovery. These results suggest that Kegel exercises should be recommended as a routine postpartum practice to promote faster healing and enhance the well-being of new mothers. Further research is recommended to explore the underlying mechanisms and to establish standardized guidelines for the implementation of Kegel exercises in postpartum care.

Childbirth often results in perineal tears, particularly in first-time deliveries, and can also occur in subsequent births. Improper perineal care can create a moist environment due to lochia, promoting bacterial growth and increasing the risk of infection, which may delay wound healing. Complications of perineal tears include bleeding, infection, and dyspareunia. This study aimed to analyze the relationship between early mobilization and perineal wound healing in postpartum mothers in 2020. The research used an analytical survey with a cross-sectional approach, involving 30 postpartum patients at PMB Bidan Ai Duriah through total sampling. Data collection was conducted using observation sheets, and analysis was performed with the chi-square test at a 95% significance level (p < 0.05). Results indicated that most postpartum mothers (20 respondents) experienced good perineal wound healing with early mobilization. The study concludes that early mobilization plays a significant role in promoting perineal wound healing in postpartum mothers.

Childbirth is a natural process experienced by every women. The mother’s various reactions after giving birth will influence attitudes, behavior and emotional levels. Psychological pressure after childbirth is an emotional symptom and feeling where a person feels gloomy, cannot sleep, is excessively physically tired, and does not know what he can do in his new role. However, this is not the case for some women who actually feel sad, irritated, tired, want to be angry, feel meaningless, and hopeless in theirearly days as a mother. If this is allowed to happen, it will certainly have bad consequences for the mother and the baby. These signs and symptoms consititute a condition called postpartum depression (Elvira, 2011). Te aim of this research is to determine the influence of maternal psychological factors on post partum blues. This types of research is quantitative research. The population is all postpartum mothers on the second day after giving birth in the Harapan Bunda delivery room. The sampling technique used was total sampling, namely 45 respondents and analyzed using the Chi Square Test. Based on the the result of research on 45 respondents who were hospitalized, the incidence of post partum blues was found, namely 15 people experienced post partum blues, and 30 people did not experience post partum blues.

The Maternal Mortality Rate (MMR) in Tegal Regency in 2022 reached a high number, namely 27 cases, 13 of which occurred during the postpartum period, 10 cases during pregnancy, 4 cases during childbirth. Based on data obtained from the Lebaksiu Community Health Center from September to October 2023, there were no maternal and infant deaths. The number of pregnant women at high risk was 115 cases. These include pregnant women with breech presentation, Chronic Energy Deficiency (CED), age < 20 years, age > 35 years, child spacing < 2, history of CS, TB < 145 cm, HBSAg (+), HIV (+), anemia, history asthma, grand multipara, history of abortion, history of PEB and syphilis (+). The aim of this study was to examine obstetric cases with breech presentation and CED. This research uses a case study approach. The research subject was pregnant mother Mrs. S is 24 years old with breech presentation and CED. Data was taken from September to November 2023. Data was taken using interviews, observation and documentation, the results during the subject's pregnancy were successful in making the pregnancy normal. However, during labor, fetal hypoxia was experienced, so collaboration was carried out with the doctor, after management was carried out according to the doctor's advice, the fetal condition was normal and a SC delivery was carried out. During the postpartum period and the newborn is in normal and healthy condition. Suggestion: it is hoped that if a similar case is found there needs to be collaboration with doctors during pregnancy until postpartum, apart from that it is necessary to involve the family during pregnancy until postpartum.  

Based on data obtained from the Pangkah Health Center, Tegal Regency in 2022, the number of maternal mortality rates (MMR) was 2 cases caused by amniotic fluid bleeding and embolism, whereas in 2023 it was zero or non-existent (Recap of PWS KIA data from Pangkah Community Health Center 2023). The aim of this study was to examine obstetric cases with high risk aged >35 years and mild anemia. This research uses a case study approach. The research subject was pregnant mother Mrs. A is 36 years old with high risk, aged >35 years and mild anemia. Data was taken from October to November 2023. Data was taken using interviews, observation and documentation, the results during pregnancy, the subjects accepted to have their Hb checked because at visit 2 the Hb was low and the results were the same as at visit 3-4 the Hb was high and normal. Pregnant women aged >35 years are still often found or are more at risk because the mother's health has declined, as a result pregnant women at that age have a high probability of preeclampsia, bleeding, preterm labor and others. Suggestion: if a similar case is found, collaboration with a doctor is necessary. during pregnancy until postpartum, apart from that it is necessary to involve the family, especially the child during pregnancy and after the baby is born.  

Introduction: Mothers are susceptible to experiencing postpartum blues syndrome during the postpartum period, or the period after giving birth. Rapid mood swings, feelings of sadness, worry, anxiety, and tiredness are signs of this syndrome, and mothers may feel more emotional and anxious, which can impact their mental health. Method: This type of research is quantitative analytical with a cross sectional approach. The population was postpartum mothers and the sample was 38 people with the inclusion criteria being postpartum mothers in the immediate postpartum to early postpartum categories who had previously had routine pregnancy checks in the Garut Regency Development Health Center working area. Data processing was carried out computerized with bivariate data analysis using the Chi Square statistical test. Results: The results of the study stated that 25 respondents had good husband support and 13 respondents had less husband support. Of the 38 respondents, 24 experienced postpartum blues . The results of this study stated that there was a link between husband's support and the incidence of postpartum blues , with a p value of 0.007. Conclusion: there is a connection between husband's support and the incidence of post partum blues, so that people can provide information to each other in preventing post partum blues . Health workers can also continue to be proactive in providing education to someone who plays the role of husband regarding the importance of maintaining the health of post partum mothers both physically and mentally for reproductive health and the health of mother and child .  

Introduction: According to the Indonesian Health Profile (2021), preeclampsia or eclampsia, bleeding, and COVID-19 caused the highest number of maternal deaths in 2021. In 2022, the maternal mortality rate in Indonesia reached 183 deaths per 100,000 live births, with preeclampsia as the main cause. One of the most common maternal health problems in Indonesia is preeclampsia, which has a high incidence rate and causes dangerous complications for the mother and baby. Research and prevention efforts continue to be needed to reduce maternal mortality in Indonesia. Apart from disorders during pregnancy, we as academics who continue to be pro-active in community service activities in our field, must also pay attention to post-partum health. The incidence of postpartum blues in Indonesia will reach 50-70% in 2023. According to WHO, around 10% of pregnant women and 13% of new mothers experience mental health disorders, especially depression. Risk factors that increase the possibility of postpartum blues are the mother's young age, lack of support from her husband, and a difficult economic situation. Method: The method used in this activity is lecture and discussion, using power points and leaflets. Target: Women of Childbearing Age (WUS), pregnant women and post partum mothers. Results: After the educational activity, participants asked several questions, such as how to know whether a pregnant woman is experiencing problems, how many times should she have an examination, and what should the family do if the mother seems stressed after giving birth. With the aim of improving the welfare of pregnant women and babies, Family Centered Maternity Care (FCMC) is a midwifery approach that involves the family. This approach provides good social support to pregnant women, which can help them deal with stress and anxiety that may occur during pregnancy, childbirth and the postpartum period. In addition, pregnant women and their families are given the opportunity to actively participate in decision-making regarding health care, so that they can take responsibility for their own health. Conclusion: When Women of Childbearing Age (WUS) have good knowledge, attitudes and behavior, they will produce a generation of healthy and intelligent children. Health workers and the public must pay attention to the four Ts: too young, too old, too much, and too close. Antenatal visits and postpartum visits, which are types of physical examinations during pregnancy, are well carried out in first-level health facilities.

Breast milk production can be influenced by two factors, namely production and expenditure. Use a warm compress, namely warm water which is then compressed onto the breasts using a towel. Not infrequently non-medical therapy as above is often applied to postpartum mothers whose breast milk has not yet come in, of course first by conducting training with the puskesmas coordinator midwife, to improve maximum service. The research was carried out by determining the initial level of pain intensity (pretest) before giving a warm compress and then continuing with measuring the pain intensity (posttest) after giving a warm compress. The results of the Independent sample t test showed P Value = 0.001, meaning p < 0.05, stating that there is a relationship between warm compresses and pain intensity in mothers with breast milk dams at the Pratama SAM Kampung Baru Clinic, Medan Maimun in 2023. Other research on the effectiveness of compresses Varney said that warm compresses are considered the right action to relieve pain, and for some women who experience problems with breast milk, it is known that using warm compresses alternately can provide a feeling of comfort. Apart from that, the intense pain when there is a blockage in the breast means that mothers tend to choose the easiest method, one of which is a warm compress.