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Breast milk (BM) is the optimal source of nutrition for newborns up to six months old, providing essential antibodies, complete nutrition, and easier digestion compared to formula milk. Exclusive breastfeeding is crucial for infant health, and efforts to support lactation include consuming a balanced and nutritious diet. This study aimed to examine the effect of papaya and watermelon consumption on breast milk expression in nursing mothers. The research utilized a true experimental design with a two-group post-test approach, conducted over five consecutive days. The intervention involved consuming 400 grams of cut papaya and 300 grams of watermelon daily. The study population consisted of postpartum mothers with infants aged 0–6 months, and the sampling technique used was probability sampling, resulting in a total of 42 respondents. Participants were divided into two groups: 21 in the control group and 21 in the intervention group. The Wilcoxon test was applied for statistical analysis. The findings revealed that papaya consumption significantly affected breast milk expression, with a p-value of 0.046 (<0.05), accepting the alternative hypothesis (Ha). This result indicated that papaya intervention increased breast milk expression by 2,000 times. Similarly, the watermelon intervention showed a significant effect, with a p-value of 0.02 (<0.05), also leading to the acceptance of the alternative hypothesis (Ha). The analysis suggested that watermelon consumption improved breast milk expression in nursing mothers by 3.162 times. These findings highlight the potential benefits of consuming papaya and watermelon in enhancing lactation, providing valuable insights for nursing mothers and healthcare professionals in supporting breastfeeding practices.

Stunting is a health problem that is still a concern in Indonesia, including in Panton Village, Nisam District, North Aceh. This village has a fairly high stunting rate, influenced by various factors such as exclusive breastfeeding, maternal knowledge, and family support. This study aims to analyze the relationship between exclusive breastfeeding, maternal knowledge, and family support on the incidence of stunting in Panton Village. The study used an observational analytical design with a cross-sectional approach and involved 30 respondents selected by purposive sampling. Data were collected through questionnaires and analyzed using the chi-square test with a significance level of 0.05. The results showed that there was a significant relationship between exclusive breastfeeding and the incidence of stunting (p = 0.003). In addition, maternal knowledge was also related to the incidence of stunting (p = 0.005). Family support also had a significant relationship to the incidence of stunting (p = 0.001). In conclusion, exclusive breastfeeding, maternal knowledge, and family support play an important role in preventing stunting. Therefore, it is suggested to health workers, especially the health promotion and nutrition division, to improve education for mothers and families regarding the importance of exclusive breastfeeding, balanced nutrition, and parenting patterns that support optimal child growth.

Mother's Milk (breast milk) exclusive breastfeeding was only in babies starting at the age of 0 to 6 months.  When mothers don't know how to manage their lactation, it can stop them from breastfeeding their babies properly.  The goal of this study is to find out what happens when people learn how to breastfeed and how that changes the practice of exclusively breastfeeding in first-time moms.  The quasi-approach and experimental pre-post strategy are used in this study.  Mothers who had their first child at the Bangetayu health center made up the sample, which was made up of 50 people chosen at random from the whole population.  Questionnaires filled out before and after the activity were used to collect data.  The 50 people who filled out the Wilcoxon test showed that mothers' knowledge, attitudes, and skills were different before and after education. The p value of 0.001 (p value <0.05) means that mothers' knowledge, attitudes, and skills on exclusive breastfeeding were different before and after education.  Lactation instruction had an effect on the practice of nursing exclusively for the first six months after giving birth.

Readiness for exclusive breastfeeding was important in supporting the development of newborns. Mrs. Priigravida does not know what influences the relationship in the readiness of exclusive breastfeeding. The purpose of this study is to find out the factors that affect the readiness to give exclusive breastfeeding to primigravida. This study uses a quantitative research method with a cross-sectional approach. The sample used was primigravida pregnant women in the Bangetayu Health Center working area of Semarang City. The number of respondents in this study was 50 people, with the technique used being total sampling. The data obtained were processed statistically using the spearmen rank correlation test. The results showed that the majority of respondents at the age of not at risk were 90%, the last education of high school/vocational school was 56%, mothers who were not working were 60%, knowledge of primigravida was high as 100%, family support was good as 98%, nutritional status of primigravida was high as 96%, and spiritual support of primigravida was high by 100%. The results of the statistical test obtained that the factor that most affects the readiness of exclusive breastfeeding in primigravida is spiritual support with a beta score of 0.582. There was a relationship between knowledge, family support, nutriall status, and spiritual support to readiness of exclusive breastfeeding in primigravida. The most powerful factor of influence is spiritual support.

Background: Diarrhea is a condition in which a person experiences bowel movements more than three times a day with liquid-textured feces, often accompanied by mucus or blood, and occurs more often than usual. The purpose of this study was to determine the determinants of diarrhea in toddlers in the work area of ​​the Paal V Health Center in 2024. This study is a quantitative study using a Cross Sectional approach method. The sample in this study was 167 mothers of toddlers with a purposive sampling technique. The study was conducted from August 2024 to January 2025. The research instrument used a questionnaire and observation sheet. The variables used were CTPS habits, exclusive breastfeeding, visits to integrated health posts, maternal employment status, clean water sources, healthy toilets. Cronbach's results Validity Test Diarrhea incidence (0.404), CTPS habits (0.632), exclusive breastfeeding (0.636), visits to integrated health posts (0.690). The results of the CTPS habit analysis obtained p-value (0.034), exclusive breastfeeding (0.016), visits to integrated health posts (0.107), maternal employment status (0.042), clean water sources (0.154), healthy toilets (1.000). There is a relationship between CTPS habits, exclusive breastfeeding, maternal employment with the incidence of diarrhea in toddlers. There is no relationship between visits to integrated health posts, clean water sources, healthy toilets with the incidence of diarrhea.

Exclusive breastfeeding was a good investment for children. Breast milk (ASI) is food that can be given to babies aged 0-6 months and breast milk has many benefits. Therefore, mothers must have good knowledge, attitudes and self-confidence towards exclusive breastfeeding. To determine the relationship between knowledge and attitudes in giving exclusive breastfeeding to Prenatal Breastfeeding Self-Efficacy in the Bandarharjo Community Health Center Working Area, Semarang City. Type of quantitative research with a cross sectional approach. The sample was pregnant women. The technique used was purposive sampling of 100 respondents. The correlation test used was the Spearman rho test. Using the Spearman correlation test of maternal knowledge on PBSE, the p-value was 0.014 (<0.05). There was a significant relationship between mother's knowledge of PBSE with a correlation of 0.246, which was weak with a positive correlation or close relationship. Meanwhile, attitudes towards PBSE resulted in a p-value of 0.000 (<0.05). There is a significant relationship between the mother's attitude towards PBSE, a correlation of 0.358, namely moderate with a positive correlation or close relationship. There was a relationship between knowledge and attitudes in giving exclusive breastfeeding to prenatal breastfeeding self-efficacy.

Preterm infants have suction and swallowing reflexes that are not well coordinated so that they are prone to aspiration which is characterized by a decrease in oxygen saturation during breastfeeding. Breastfeeding can be given using OGT until the baby has the full ability to switch to Direct Breastfeeding and Cup Feeding. This study used quantitative approach method with quasi experimental research design with two-group pre-test post-test control group design. Data collection was done by direct observation. The research sample amounted to 22 respondents with 11 babies in each group using consecutive sampling. Data were tested using Paired t-test and the test of differences between groups using Unpaired t-test. The results showed a significant effect between direct breastfeeding and cup feeding in premature infants (p value = 0.018; p value = 0.034). And there is no significant difference between breastfeeding through the two methods on oxygen saturation in premature babies (p value = 0.590). In conclusion, this study found that direct breastfeeding is more recommended because it has a higher impact on the oxygen saturation value of preterm infants than cup feeding. Although both have a positive effect on infant oral motor skills in preterm infants

In Indonesia, the low coverage of exclusive breastfeeding and the high rate of stunting are mostly due to inadequate breast milk production. The purpose of this research is to examine the efficacy of infrared therapy, ginger boreh, and ginger herbal therapy in promoting breast milk production in nursing moms. With a pre-experimental layout using a one-group pretest–posttest design, this research employed a quantitative methodology. Prior to the intervention and again after it was administered, the study participants were watched. Postpartum women in the Rum Balibunga Community Health Center's working area comprised the study population. Using a purposive sampling approach, 30 breastfeeding moms were chosen for the study sample based on pre-established inclusion and exclusion criteria. The statistical analysis, which utilized the Wilcoxon test, revealed a significance value of 0.000, which is less than the significance threshold of 0.05 (p < 0.05). It may therefore be concluded that infrared therapy, ginger boreh, and ginger herbal therapy are all successful in boosting breast milk output in postpartum moms. This study's findings can serve as a foundation for future research, as well as an alternative therapy for postpartum women in breastfeeding care, by enhancing procedures and introducing other interventional advances.

This article explores the significance of exclusive breastfeeding, child nutrition, and personal hygiene in enhancing maternal and child health. The study aimed to enhance mothers' knowledge about exclusive breastfeeding, child nutrition for ages 0-24 months, and personal hygiene through home visits and leaflet distribution. The program was conducted in 15 households in Mata Wawatu Village, utilizing Pre-Test and Post-Test assessments to evaluate knowledge changes. The findings indicated a notable improvement in mothers' understanding following the educational interventions. Additionally, the appealing leaflet media contributed to raising public awareness.

One of the problems during the postpartum period is swollen breasts or breast milk retention. The cause of breast milk dams is breast milk that is not released immediately, causing the breasts to swell. Breast care during the postpartum period is a necessity for mothers. Breast care during the postpartum period is very important to facilitate the release of breast milk. The government has made various efforts to increase exclusive breastfeeding. In this regard, health education about breast care is an effort to improve mothers' skills in breastfeeding and especially increase breast milk production. The aim of this activity is to provide knowledge and improve postpartum mothers' skills in caring for breasts and then carry out an evaluation of knowledge and skills before and after counseling. The stages consist of a pre-test, followed by a presentation of educational material using lecture methods and breast care practice on teaching aids, followed by a question and answer session and discussion then ending with a participant post-test. The results showed that there was an increase in the level of knowledge and skills of postpartum mothers regarding breast care after the counseling was carried out.

This article explores the significance of exclusive breastfeeding, child nutrition, and personal hygiene in enhancing maternal and child health. The study aimed to enhance mothers' knowledge about exclusive breastfeeding, child nutrition for ages 0-24 months, and personal hygiene through home visits and leaflet distribution. The program was conducted in 15 households in Mata Wawatu Village, utilizing Pre-Test and Post-Test assessments to evaluate knowledge changes. The findings indicated a notable improvement in mothers' understanding following the educational interventions. Additionally, the appealing leaflet media contributed to raising public awareness.

Breast milk production in the early postpartum period often experiences obstacles due to physiological and psychological factors, which can affect the success of exclusive breastfeeding. Non-pharmacological interventions such as oxytocin massage are known to help stimulate the milk ejection reflex, but their application in primary health facilities is still limited. This study aims to determine the effect of oxytocin massage on breast milk production in breastfeeding mothers. The study design used a quasi-experimental approach with a one-group pretest–posttest design. The study sample consisted of 30 breastfeeding mothers who met the criteria and were selected using total sampling technique at the Galala Inpatient Health Center. Breast milk production was measured based on volume and clinical signs of breast milk production before and after the oxytocin massage intervention. Data analysis used the Wilcoxon Signed Rank Test. The results showed a significant increase in breast milk volume and signs of production after the intervention with a p-value < 0.001. This indicates that oxytocin massage is effective in increasing breast milk production through a neurohormonal stimulation mechanism that enhances the let-down reflex. In conclusion, oxytocin massage can be recommended as a lactation support intervention in primary care facilities to support successful exclusive breastfeeding.

Because breast milk contains a wide range of chemicals and protective elements that are essential for the growth and development of newborns and reduce infant morbidity and mortality, breast milk is the healthiest nutrient for babies. With hundreds of bioactive chemicals that can protect babies from disease and aid in the development of the ideal immune sistem, its composition is very comprehensive and complex. The purpose of this study is to find out how much motivation postpartum mothers at pujon Health Center, Central Kalimantan are to breastfeed after receiving information about exclusive breastfeeding. Quantitative research with a quasi experimental design using pretest and posttest with uneven control groups is the research methodology used. Both pretest and posttest are given before and after the intervention. WHO or UNICEF nursing observation sheets, lactation method films, and questionnaires are the tools used. Data analysis was carried out using the Mann Whitney bivariate test and the univariate test for education, parity, and knowledge. 

Exclusive breastfeeding for the first six months of an infant's life is an important practice that supports child growth and development. The purpose of this study was to examine the relationship between internal maternal factors and breastfeeding patterns. The study was conducted using a cross sectional study design. The study was conducted at Puskesmas Putat Jaya Surabaya with a sample of 63 mothers with infants <6 months who provide direct breastfeeding to their babies. Data were obtained from questionnaires, weight measurement using digital scales and height using microtoice. Data were processed using chi square test. The test results showed that there was a significant relationship between maternal knowledge with proper colostrum feeding (p = 0.002), parity with breastfeeding frequency (p = 0.002) and maternal nutritional status with breastfeeding frequency (p = 0.001). While other variables in this study showed no significant relationship. It can be concluded that there is a relationship between maternal knowledge and proper colostrum feeding and there is a significant relationship between parity and nutritional status with the frequency of breastfeeding. Suggestions for the need for education as an increase in knowledge and maintaining a diet to increase the success of breastfeeding.

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.

Mother's milk (ASI) has an important role in increasing the baby's immune system and baby's weight. Breast milk production that is not strong enough causes the baby's needs to not be fulfilled and the failure of exclusive breastfeeding. Based on a survey conducted by the research and development agency in the field of Health, it was found that 46% of the inability to breastfeed occurred due to lack of breast care, 25% due to the frequency of breastfeeding less than 8x/day, 14% due to newborns (LBW), 10% premature, and 5% due to acute or chronic disease. The decrease in breast milk production during the puerperium can be caused by a lack of stimulation of the hormones prolactin and oxytocin which play a very important role in the smooth production of breast milk. Marmet massage and oxytocin massage are safe ways to stimulate the breasts to produce more milk.

It is hoped that breastfeeding can help achieve SDGs goal 3, target 2, namely efforts to reduce the neonatal mortality rate to at least 12 per 1000 live births in all countries by 2030 and stop unnecessary deaths of newborns and toddlers. Encouraging healthy breastfeeding is so important that it can prevent more than 820,000 deaths of children under five every year. Oxytocin massage has been shown to increase the sensation of relaxation, improve sleep quality and comfort, reduce pain and tension, and help increase prolactin and oxytocin levels, which in turn increases breast milk production.The research design uses the Pre Experimental Design method, namely in the form of a One Group pretest and posttest design without a control group. This research used purposive sampling, with a total sample of 22 respondents. Univariate and bivariate data analysis. The results of this study showed that the value before the oxytocin massage was a mean of 16.14 and after the oxytocin massage the mean was 27.73. The conclusion of this research shows that the results of the experimental test have a significant value with a p value = 0.000 <0.05. This proves that there is a significant difference in breast milk production between before and after oxytocin massage. It is recommended that midwives at the Afisya clinic use this research as input in efforts to increase breast milk production in post partum mothers.

In order to improve the welfare of the community, it is expected that the government will also participate in improving health standards, especially for mothers. This is because healthy mothers will produce superior generations. The best food for babies is breast milk, therefore it is expected that mothers can give their babies exclusive breast milk so that the baby's growth and development are optimal and grow into a healthy, intelligent and productive adult generation. Breastfeeding itself also has obstacles including sore nipples, babies who often cry. Oxytocin massage aims to increase breast milk production in mothers in labor. The implementation of this community service is aimed at prospective breastfeeding mothers and breastfeeding mothers. This activity took place at the Afisya Clinic, Deli Serdang Regency, North Sumatra Province. The method of implementing assistance and application of oxytocin massage consists of refreshing the knowledge and skills of midwives in implementing oxytocin massage. The results of this community service can improve the knowledge and skills of midwives in implementing oxytocin massage. There was an increase in midwives' knowledge by 53% and skills by 100% and all mothers in labor gave breast milk to their mothers. It is hoped that the implementation of oxytocin massage will be applied to all mothers giving birth so that mothers can provide exclusive breastfeeding.

Breast milk (ASI) is the first, main and best food in the early stages of a baby's life that is natural. ASI is like gold given for free by God because ASI is a living fluid that can adjust its substance content that can meet the nutritional needs of babies. Based on data from the World Health Organization (WHO) until 2020, only around 44% of babies worldwide aged 0-6 months received exclusive ASI. This is not in accordance with the WHO target in 2025, which is to increase the provision of exclusive ASI in the first 6 months to at least 50% (WHO, 2020). The coverage of exclusive ASI according to Regency/City in 2022 can be seen from the data reported by Central Aceh Regency with the highest coverage of 82.34% and the lowest is Sabang City at only 22.43%. This study aims to identify the Relationship between Knowledge of Breastfeeding Mothers and Exclusive Breastfeeding at BPM Siti Fujiana, East Aceh Regency in 2024. This study used a Cross Sectional design, the research time was May-June 2024, with a population and sample of 46 people. The sampling technique used total sampling, the analysis test used the Chi Square Test. The majority of respondents were aged 20-35 years as many as 26 respondents (56.5%), the majority of respondents had secondary education (junior high school-high school) as many as 32 respondents (69.6%), the majority of respondents did not work as many as 37 respondents (80.4%), and the majority of breastfeeding mothers with grandemultipara status as many as 27 respondents (58.7%). There is a significant relationship between Knowledge of Breastfeeding Mothers and Exclusive Breastfeeding at BPM Siti Fujiana, East Aceh Regency with a p value <0.05 (0.003). This means that the better the mother's knowledge, the more Exclusive Breastfeeding will be implemented.

Stunting is a condition that occurs due to a lack of nutritional intake over a long period of time, thus inhibiting a child's growth. As the next generation of the nation, children need special attention in terms of their growth and development. Fulfillment of nutrition must begin before pregnancy, continued with exclusive breastfeeding after the baby is born, and continued with balanced nutritious food according to the stage of growth. This study was conducted using a literature study method to collect data related to efforts to reduce stunting rates in toddlers. The results of the study showed that community education through counseling and health education can increase understanding of nutrition and good parenting patterns. In addition, programs such as providing eggs in villages and the involvement of integrated health post cadres in early detection have also proven effective in reducing stunting rates in toddlers.