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Diastasis Recti Abdominis (DRA) is a common postpartum condition in women, characterized by separation of the rectus abdominis muscles due to a weekend linea alba. This case study aimed to evaluate the effectiveness of e combined core activation.and curl-up exercise program in reducing intra-recti distance in a postpartum patient.The subject was a spontaneous postpartum woman at 39 weeks of gestation. Initial assessment revealed intra-recti distance of 28 mm above and 17 mm below the umbilicus, exceeding normal limits. The intervention consisted of a 4-day program including curl-up and five core activation excercises : diaphragmatic breathing, abdominal drawing-in manuver, supine pelvic tilt, heel slide and knee fall out. Measurements showed no significant reducyion in intra-recti distance; however, the patient reported improved abdominal tightness and core stability. The study concludes that although measurable changes were not significant within a short evaluation period, the intervention had positive subjective effects. Longer-term assessment is recommended for more conclusive results.    

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.

The puerperium is a critical phase for postpartum mothers that requires special attention to prevent complications. However, awareness of the importance of self-care during this period remains limited, particularly in rural areas such as the working area of Puskesmas Kembang in Jepara. This community service initiative aimed to empower postpartum mothers by enhancing their knowledge and skills in self-care and physical recovery. The approach included interactive education using video media, health talks, group discussions, hands-on demonstrations, and the involvement of family members as key supporters. A total of 20 postpartum mothers and 10 family companions participated in the program. Evaluation through pre- and post-tests revealed significant improvements in knowledge across various aspects of postpartum care, including perineal hygiene, balanced nutrition, early detection of danger signs, and the role of family support. This program proved effective and has the potential to be replicated in other rural settings with similar conditions.

Traditional Bakera treatment or a kind of traditional spa is a treatment carried out by postpartum mothers, all traditional Bakera treatment methods use herbal plants. The purpose of this study was to determine how to utilize bakera in postpartum mothers in the Taratara Health Center work area. The type of research used was descriptive qualitative research, with informants consisting of 2 postpartum mothers, 1 village head, and 1 health worker domiciled in Taratara village. The results of the study through in-depth interviews with researchers with 4 informants showed that traditional Bakera treatment has benefits for the healing process of postpartum mothers such as helping to smooth blood circulation, removing toxins that are not needed by the body, accelerating the healing of external wounds after giving birth, helping to warm the body, accelerating the healing of internal wounds, helping to remove dirty blood after giving birth, facilitating breast milk production, increasing appetite, and facilitating the digestive tract.

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.

The duration of the second stage of labor is a significant factor influencing maternal and neonatal outcomes. Maternal and neonatal mortality rates remain a major global health challenge, and various risk factors, including prolonged second stage of labor, contribute to this issue. Successful childbirth is influenced by risk factors such as maternal age, parity, and body mass index (BMI). This cross-sectional study aimed to analyze the relationship between maternal age, parity, and BMI on the duration of the second stage of labor among 224 postpartum women at TPMB M in 2023. The results showed that women with advanced maternal age (<20 years or >35 years), nulliparity or grand multiparity, and underweight or obese BMI were at significantly higher risk of prolonged second stage of labor. These findings highlight the need for special attention to pregnant women with these risk factors to prevent obstetric complications. Healthcare providers are encouraged to enhance risk factor monitoring through education, screening, and comprehensive management during pregnancy.

Indonesia has around 3,500 species of therapeutic plants, one of which is utilized by the individuals of Selilau Town, Aru Islands Rule, Maluku Area.. This study aims to examine 15 types of medicinal plants that are used traditionally, including plant parts, properties, active compound content, and pharmacological activity based on scientific literature from the last 10 years. This survey points to recognize species of restorative plants commonly utilized in neighborhood conventional medication, look at the plant parts utilized, handling strategies, and maladies treated based on neighborhood experiences and to survey logical writing to decide the dynamic compound substance and pharmacological movement of each distinguished plant. The comes about of the think about appeared that the foremost broadly utilized plant is the leaf portion. Some of them are: Momordica charantia (bitter melon) for cough; Urena lobata (pulutan) to smooth postpartum blood; Morinda citrifolia (mengkudu) for broken bones; Erythrina variegata (dadap) for body recovery; Myrmecodia pendens (ant nest) for swelling and beriberi; and Carica papaya (papaya) for malaria. Other plants such as Manihot esculenta, Tradescantia spathacea, Graptophyllum pictum, Hemigraphis alternata, Mimosa pudica, Jatropha curcas, Psidium guajava, Nypa fruticans, and Stachytarpheta jamaicensis are also used for various health complaints. Active compounds such as flavonoids, alkaloids, tannins, and saponins support pharmacological activities such as anti-inflammatory, antioxidant, antipyretic, gastroprotective, and immunostimulant. This study emphasizes the importance of documenting traditional knowledge as an effort to preserve and develop local wisdom-based medicines.

A Caesarean section, or C-section, is a surgical procedure where a baby is delivered through an incision made in the mother’s abdomen and uterus. To aid the healing of post-Caesarean wounds, mothers need not only antibiotics but also a diet that provides high-quality nutrition and adequate calories. The research question being investigated is: "Do Age, Parity, Education, and Occupation Affect the Healing Process of Post-Caesarean Wound Stitches?" This study uses a quasi-experimental design with a Post-test Only Control Group Design. The study population includes mothers who had a C-section at Pemalang Hospital. Participants were divided into two groups: 49 received catfish extract tablets (the experimental group), and 49 received standard wound care (the control group). Sampling was conducted using purposive sampling techniques. Data were analyzed through both univariate and bivariate methods. The results showed a p value of 0.000 for the experimental group and 0.046 for the control group (both p values < 0.05), indicating that catfish extract tablets significantly influence the healing process of post-Caesarean wound stitches..

Background: Gender-based violence (GBV) remains a major public health issue that negatively affects women’s psychological well-being and reproductive health. Trauma-informed care (TIC) is an approach to health services that recognizes the long-term effects of trauma and incorporates this understanding into all aspects of patient care. This study aimed to evaluate the effectiveness of TIC implementation in midwifery services on the psychological recovery of pregnant and postpartum women with a history of GBV in Medan City. Methods: This study applied a quasi-experimental pre-test and post-test control group design involving 86 pregnant and postpartum women identified through GBV screening at six primary health centers in Medan. Participants were divided into a TIC intervention group (n=43) and a control group (n=43). Psychological outcomes assessed included post-traumatic stress disorder symptoms using the PCL-5, depression with the EPDS, anxiety with the GAD-7, self-efficacy with the GSE, and mother–infant bonding using the PBQ. Data collection was conducted at baseline, week 8, and week 16. Statistical analysis employed repeated measures ANOVA and multiple linear regression.Results: Women receiving TIC showed significantly better psychological outcomes at week 16 compared with the control group. PTSD, depression, and anxiety scores decreased significantly, while self-efficacy and mother–infant bonding improved markedly (p<0.001). TIC also emerged as an independent predictor of psychological recovery after adjustment for confounding variables (β=-0.48; p<0.001). Conclusion: Trauma-informed care in midwifery services effectively enhances psychological recovery among women with GBV histories and should be integrated into maternal healthcare standards for vulnerable populations in Indonesia. 

Background: Midwifery-led care (MLC) is a continuity of care model that positions midwives as the primary responsible providers in managing low-risk pregnancies. Despite endorsement by the World Health Organization, its implementation in Indonesia remains limited. This study aimed to analyze the effect of MLC intervention on maternal and neonatal outcomes in low-risk pregnancies.Methods: A prospective cohort study was conducted at four primary health centers in Surabaya, Indonesia, from January to December 2024. A total of 240 low-risk pregnant women meeting inclusion criteria were allocated into two groups: MLC intervention (n=120) and conventional care control (n=120). Outcomes measured included preeclampsia, preterm delivery, cesarean section, postpartum hemorrhage, low birth weight, neonatal asphyxia, and maternal satisfaction. Data were analyzed using chi-square test, independent t-test, and multivariate logistic regression with significance set at p<0.05.Results: The MLC group demonstrated significantly better maternal outcomes, including lower cesarean section rate (15.7% vs 28.2%; p=0.018), lower preeclampsia incidence (5.2% vs 13.7%; p=0.024), and lower postpartum hemorrhage (3.5% vs 10.3%; p=0.034). Neonatal outcomes also showed significant differences in low birth weight (4.3% vs 12.0%; p=0.029) and neonatal asphyxia (2.6% vs 8.5%; p=0.041). Overall maternal satisfaction was higher in the MLC group (92.2% vs 71.8%; p<0.001). Multivariate analysis identified MLC as a protective factor against adverse maternal-neonatal outcomes (OR=0.42; 95% CI: 0.24–0.73; p=0.002).Conclusion: Midwifery-led care intervention significantly improves maternal and neonatal outcomes in low-risk pregnancies and enhances maternal satisfaction with care. This model is recommended for broader implementation within the Indonesian maternal and child healthcare system.

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.

Perineal wounds are a common condition experienced by postpartum mothers following vaginal delivery and may lead to complications if not properly managed. Optimal wound care is essential to accelerate healing and prevent infection. One potential complementary therapy is boiled binahong leaves (Anredera cordifolia), which are known to have anti-inflammatory, antibacterial, and tissue regeneration properties. This study aimed to determine the effectiveness of binahong leaf decoction on perineal wound healing in postpartum mothers. This study employed a quasi-experimental design with a one-group pretest-posttest approach involving 52 postpartum mothers in the Sagulung District, Batam City, from October to December 2024. Samples were selected using purposive sampling. The REEDA scale was used to assess wound healing, and data were analyzed using a paired t-test. The results showed that the mean perineal wound score decreased from 9.2 ± 2.1 before the intervention to 3.8 ± 1.5 after the intervention. Statistical analysis revealed a p-value of 0.000 (p < 0.05), indicating a significant difference before and after the intervention. In conclusion, boiled binahong leaf decoction is effective in accelerating perineal wound healing in postpartum mothers. This therapy has the potential to be an accessible, cost-effective, and practical complementary treatment in midwifery practice.

Pregnancy, labor, and the postpartum period can all be more hazardous for the health of the mother and fetus in high-risk pregnancies. By doing a thorough literature analysis, this study seeks to determine the contributing factors to high-risk pregnancies. Methods: A systematic review of the literature utilizing ten national journals from PubMed and ten foreign journals from Google Scholar. The inclusion criteria were observational and cohort research articles published between 2020 and 2024, as well as systematic reviews of research articles with their determinants found in databases like PubMed and Google Scholar. Maternal factors (age <20 or >35 years, history of chronic diseases, and maternal health condition), obstetric factors (pregnancy spacing too close, multiparity, or history of previous pregnancy complications), and socioeconomic factors (low education, limited access to health services, and poor economic status) are the factors that contribute to high-risk pregnancies, according to the analysis. Furthermore, bad lifestyle choices like drinking alcohol, smoking, and not eating enough food all play a big part. The study's findings emphasize the value of multifaceted initiatives that include education, better access to healthcare, and a comprehensive approach to policy in order to lower high pregnancy risk.

Breast care is very important for mothers because it is a care action performed by the patient or assisted by others, usually starting from the first or second day after giving birth.The objective of this study is to determine the effect of breast care on the smoothness of breast milk production in postpartum mothers at RSUD Walanda Maramis.The research uses a quasi-experimental one-group post-test only design.The sample in this study consisted of 15 respondents.Data collection on breast milk smoothness used observation sheets and the statistical test employed was the independent t-test.The research results showed that the highest breast milk production after the intervention was smooth breast milk from 11 respondents (73.3%).The results of the unpaired t-test showed a p-value of 0.000 where < α 0.05.Conclusion: There is an influence of breast care on the smoothness of breast milk production in postpartum mothers at RSUD Walanda Maramis.

Continuity of care in midwifery is a series of continuous and comprehensive service activities ranging from pregnancy, childbirth, postpartum, newborn services and family planning services that connect women's health needs, especially and the personal circumstances of each individual. Comprehensive care is an examination that is carried out in complete with simple laboratory examinations and counseling. Comprehensive midwifery care includes places for continuous examination activities, including pregnancy midwifery care, childbirth midwifery care, postpartum midwifery care and newborn midwifery care and birth control acceptors. Pregnancy care prioritizes continuity of care is very important for women to get services from the same professional or from a small team of professionals, because that way the development of their condition will be monitored at all times and they will also become trusting and open because they feel that they already know the caregiver. The type of research used is descriptive, with a case study (Case Study), the sample used is Mrs. AS. After taking care of her, she has provided comprehensive obstetric care starting from pregnant women, childbirth, postpartum, babies and the results are normal pregnancy, normal childbirth, normal babies, and up to family planning. There is no gap between theory and case in the Comprehensive Midwifery Care for Mrs. AS and By.Mrs. AS in Kandangan Village.

Postpartum contraception is a contraceptive method given to coupery within les of child bearing age after deliv 42 days. The purpose of postpartum contraception is to space pregnancies, by ending fertility, avoiding unwanted pregnancies. The purpose of this study was to find mid the correlation between the level of maternal knowledge with the readiness to choose postpartum contraception in pregnant women in the third trimester at the 3rd grade hospital of Bhayangkara, Manado. The study was conducted using a correlation analytical method with a Cross Sectional design. The sample of respondents was 34 people. Using the Purposive Sampling technique. Data collection using a questionnaire. Analyzed with the Nonparametric Chi Square statistical test. The research results obtained show that the p-value= 0.001 is less than a = 0.05, Which means there is a correlation between knowledge with readiness to choose postpartum contraception in pregnant women in the third trimester.

This study explores the psychosocial determinants influencing postpartum contraception selection through a comprehensive approach. A cross-sectional study was conducted on 120 respondents in Bogor Regency, using purposive sampling via Google Forms. Research instruments included the Knowledge Questionnaire on Postpartum Contraception (KQPC) and Multidimensional Health Locus of Control (MHLC) to analyze factors influencing contraception decisions. Research findings demonstrate that knowledge levels, locus of control, economic status, and education significantly impact contraception method selection. Respondents with high knowledge were more likely to choose modern contraception methods (78.3%), while those with low knowledge preferred traditional methods (45.8%). Logistic regression analysis revealed that contraception knowledge contributed most significantly with an odds ratio of 2.512. The study emphasizes the need for personalized approaches in contraception counseling, considering biological, psychological, social, and economic factors. Key recommendations include developing comprehensive educational programs, professional health training, and designing reproductive health policies responsive to individual needs.  

Baby blues syndrome is a common condition experienced by mothers after childbirth and can negatively impact both the mother and her baby. Several contributing factors include lack of mental preparedness due to young maternal age and limited parenting experience, as well as the number of children a mother has. This study aimed to identify the factors associated with the occurrence of baby blues syndrome at the Teling Community Health Center in Manado. This was an observational analytic study using a cross-sectional design. The sampling technique applied was simple random sampling with a total of 59 respondents. Data collection was conducted using the Edinburgh Postpartum Depression Scale (EPDS) questionnaire. Data were analyzed using the SPSS program and the Chi-Square test at a significance level of α = 0.05. The results revealed a significant relationship between maternal age and the occurrence of baby blues syndrome (P-value = 0.000 < α 0.05), as well as between parity and baby blues syndrome (P-value = 0.008 < α 0.05). In conclusion, maternal age and parity are significantly correlated with the occurrence of baby blues syndrome at the Teling Health Center. It is recommended that nurses, as healthcare providers, address not only the physical needs of postpartum mothers but also their psychological well-being. Early identification of emotional disturbances and collaboration with other healthcare professionals in providing counseling and promoting bonding between mother and baby during the postpartum period are essential to ensure optimal maternal mental health and healthy infant development

According to WHO (2019) the health status of a woman can be determined from the number of deaths due to pregnancy, childbirth and postpartum. The maternal mortality rate is one of the global targets of the Sustainable Development Goals (SDGs) in reducing maternal mortality. Based on the Central Statistics Agency (BPS) in 2023 in South Sumatra Regency, the coverage of exclusive breastfeeding with the percentage of children receiving exclusive breastfeeding from year to year has increased significantly. In 2020 it was 68.06%, in 2021 it was 69.93%, and in 2022 it was 70.46%. Research Method: The type of research used is descriptive analytical research with a cross-sectional research design, namely a method of data collection carried out at the same time. Research Results: Postpartum mothers who experienced breast milk engorgement were 56.3% and only 43.7% did not experience breast milk engorgement. Mothers who do breast care are mostly in the poor category (62.5%) and a few in the good category (37.5%). There is a relationship between Breast Care and the Incident of Breast Milk Dams Conclusion: There is a relationship between Breast Care and the Incident of Breast Milk Dams in Postpartum Mothers 

Breast Milk is a food source that contains complete nutrition for babies. One of the factors that influences failure in providing breast milk is lack of knowledge. The purpose of this study was to determine the effect of education through booklet media on the knowledge of postpartum mothers in providing breast milk to babies aged 0-3 days at Manembo-Nembo Hospital Type C Bitung. The method used in this study was a pre-experiment with a one group pre and post design research design. The sample taken was 35 respondents using Total Sampling. Data collection used SAP and questionnaire sheets. The collected data were processed using the IBM SPSS Version 23 computer. For the analysis test using Wilcoxon with a significance level (α <0.05). The Wilcoxon statistical test obtained a value of ≤ ρ = (α<0.000). This means that Ha is accepted or there is a significant influence between the influence of education through booklet media on the knowledge of postpartum mothers in providing breast milk to infants aged 0-3 days