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Githa Koeserawati Darise; Nelfa Fitria Takahepis; Helly.M.Katuuk

Jurnal Praba : Jurnal Rumpun Kesehatan Umum 2025 STIKES Columbia Asia Medan

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

Sindi Khumaeida; Hafsah Hafsah; Sri Nurhayati

Inovasi Kesehatan Global 2025 Lembaga Pengembangan Kinerja Dosen

Background : The maternal mortality rate in the world is about 303,000 out of 91.45/100,000 KH (WHO, 2022). In ASEAN, the maternal mortality rate in developing countries is 250 per 100,000 (ASEAN Secretariat, 2022). In Indonesia, the maternal mortality rate in 2022 is 183/100,000 KH (Indonesian Ministry of Health, 2022). In Central Java Province, the maternal mortality rate in 2022 was 76,93/100,000 KH (Central Java Health Office, 2022). In Brebes Regency, the maternal mortality rate in 2022 was around 105 cases (Brebes Health Office, 2022). Kaliwadas Health Center in 2022 recorded 1 case of maternal mortality (Health Profile of Kaliwadas Health Center in 2022). Objective : Provide comprehensive midwifery care for pregnant women, maternity, newborns, postpartum and family planning (KB) using the Varney and SOAP management approaches. Research Methods: The method used in this research is a qualitative descriptive method with a comprehensive case study approach. Results : Pregnancy midwifery care that has been given to Mrs. Y aged 20 years with Chronic Energy Deficiency and CPD has been given management according to the needs of the mother, In labor, newborn, postpartum until family planning Mrs. Y did not have complications and there were no gaps between theory and practice. Conclusion: Comprehensive midwifery care given to Mrs. F with Chronic Energy Deficiency (SEZ) and CPD has been carried out in accordance with Standard Operating Procedures (SOP) with the condition of the mother and baby is good.

Rima Puspita Dewi; Reny Retnaningsih

Jurnal Ilmu Kesehatan dan Gizi 2025 Pusat Riset dan Inovasi Nasional

Perineal wounds are a common condition experienced by postpartum mothers after vaginal delivery and can potentially cause pain, discomfort, and the risk of infection if not properly cared for. Effective, safe, and culturally appropriate perineal wound care is a crucial need in postpartum care, especially at the primary health care level. Green betel leaves (Piper betle L.) are known to have antiseptic and anti-inflammatory properties that have the potential to support the wound healing process. This study aims to analyze the effect of green betel leaf water baths on the perineal wound healing process in postpartum mothers in the Sikui Community Health Center (UPT) work area. This study used a quantitative quasi-experimental design with a one-group pretest–posttest approach. The study was conducted in June–July 2025 with 18 postpartum mothers with grade I and II perineal wounds as respondents. Wound condition assessment before intervention was carried out using the REEDA instrument as a baseline condition, while healing results were evaluated based on clinical outcomes and the duration of perineal wound healing. Data analysis was conducted descriptively. The results showed that all respondents experienced clinical perineal wound healing after the green betel leaf water bath intervention. The majority of postpartum mothers experienced wound healing in less than one week, with a median healing time of 5.5 days. In conclusion, green betel leaf water bath has the potential to support the perineal wound healing process in postpartum mothers. This intervention can be considered a safe, easy-to-implement, and relevant complementary therapy for integration into postpartum care in primary healthcare settings.

Debora Debora; Nur Azizah; Rosmani Sinaga; Marlina Simbolon; Junida Laia

Nursing Applied Journal 2025 LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Rupture of the perineum is one of the common complications in vaginal delivery that can increase the risk of postpartum hemorrhage, infection, and maternal death. One of the factors that contribute to the occurrence of perineal rupture is the baby's birth weight. Babies with a birth weight of ≥4000 grams can cause greater pressure on the mother's birth canal, increasing the likelihood of tearing of perineal tissue. In Indonesia, 75% of mothers who give birth vaginally experience perineal lacerations, and postpartum bleeding is still the leading cause of 40% of maternal deaths. This study aims to determine the relationship between infant birth weight and the incidence of perineal rupture in normal childbirth at the Lusi Marbun Independent Midwife Practice, Simalungun Regency in 2022.This study uses an observational analytical design with a case control approach. A sample of 30 maternity mothers was selected using the total sampling method. The data were analyzed using the Chi-square test to determine the relationship between birth weight and perineal rupture. The results showed that the majority of babies had a birth weight of <4000 grams (63.3%) and the majority of mothers experienced a second degree perineal rupture (70%). The results of bivariate analysis showed that there was a significant relationship between birth weight and the incidence of perineal rupture (p-value = 0.000). There is a significant relationship between birth weight and the incidence of perineal rupture. The greater the baby's weight, the higher the risk of perineal rupture in the mother during childbirth. It is important for health workers to carry out early detection of fetal weight, provide nutrition education during pregnancy, and prepare for the delivery process optimally to minimize the risk of complications.

Yuni Astuti; Erni Suprapti; Tuti Anggarawati

Jurnal ilmu Kesehatan Umum 2025 Asosiasi Riset Ilmu Kesehatan Indonesia

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.

Ismawati Ismawati; Aisyah Aisyah; Zulhaedah Zulhaedah

Jurnal Riset Rumpun Ilmu Kesehatan 2025 Pusat riset dan Inovasi Nasional

The marmet technique is a technique used to express breastmilk. This technique provides a relaxing effect and also reactivates the milk ejection reflex (MER) so that milk begins to drip. With the MER activated, breast milk will often spray out by itself. The marmet technique is a massage using two fingers. This method is often referred to as back to nature because it is simple and does not require cost. The purpose of the study was to determine the effect of the marmet technique on the smoothness of breast milk in postpartum mothers in the working area of the Mowewe health center in 2021. This type of pseudo-experimental research uses a nonequivalent control group design model. The research sample was the experimental group who were given treatment with marmet massage techniques on postpartum mothers as many as 10 people and the control group was those who were not given marmet massage treatment on postpartum mothers as many as 10 people. The results showed that there was no effect of marmet technique on the smoothness of breast milk in postpartum mothers in the working area of Mowewe health center. The difference between the average pretest and posttest in the control group using the paired sample t-test test obtained a t value = 3.240 and a p value = 0.010 (p < 0.05). It is hoped that the results of the study will serve as a source of information and add insight into the marmet method for smooth breastfeeding for postpartum mothers.  

Murida.M; Ester Simanullang; Nopalina Damanik

The Journal General Health and Pharmaceutical Sciences Research 2025 LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

The results of the Population Census data carried out in 2020 showed that the maternal mortality rate reached 189 per 100 thousand live births. And based on these figures, Indonesia is ranked second highest in ASEAN, which is further than other countries such as Thailand, Malaysia, Vietnam and Brunei, which have achievements below 100 per 100 thousand live births. The maternal mortality rate is one of the important programs for the Ministry of Health (Kemenkes) to pay attention to. Therefore, through this, the Ministry of Health carries out a care program from before pregnancy, pregnancy, childbirth, babies. And a number of cases of pregnant women giving birth include anemia 48.9%, hypertension 12.7%, KEK 17.3% and complications as much as 28%. The impact of childbirth on maternal mortality is also something that cannot be separated from the occurrence of maternal death. As a health worker with high integrity, it is very necessary to implement Mother and Baby Care. Indicators of quality service are in the process of pregnancy care, postpartum delivery carried out by health workers to the mother. One of them is carried out in the delivery process by explaining to the mother the technique of pushing when the opening is complete or 10cm. Do not do forced pushing (Valsalva) or tell the mother to push forcibly before it is certain that the opening is complete. This is one of the strict prohibitions conveyed by Bergastrom in his book. The process of delivering a baby can generally cause tears in the vagina and perineum. So when leading pushing in a mother in labor, it is necessary to do so as not to cause irregular tears in the birth canal. However, the process of delivering a baby through the birth canal or through normal delivery requires deliberate tearing to widen the birth canal. However, for further action, it is necessary to do hecting or stitches on the episiotomy wound which aims to restore the original shape of the perineal incision scar and stop bleeding as well as healing.

Friany Martogi Gultom; Lasria Simamora; Tetti Seriati Situmorang; Mediana Beru Sembiring

Inovasi Kesehatan Global 2025 Lembaga Pengembangan Kinerja Dosen

In Indonesia, government attention to the use of post-saline contraceptives is increasing. According to the recommendations of The National Meeting on Family Planning Programs in 2012, the postpartum and post-miscarriage Family Planning (KB PP & PK) program is designated as a priority program that should be available in every province. This program aims not only to increase the number of contraceptive use, but also to improve maternal and child health (JNPK, 2012). Post-copy family planning is one of the government programs with a target of 80%, although the acceptor of post-copy family planning only reaches 30%, the Minister of Health of the Republic of Indonesia considers this achievement as a significant progress in increasing community participation in family planning programs. Meanwhile, the number of family planning acceptors in North Sumatra in 2012 reached 4,041 acceptors. This study aims to analyze the relationship between maternal knowledge about post-copy family planning and participation in becoming a family planning acceptor at Balimbingan Hospital, Tanah Jawa District, Simalungun Regency, Pematang Siantar City in 2024. This study applies an analytical survey method with a cross-sectional approach with sampling carried out using the Incidental Sampling technique of 44 people. The data analysis technique applied was Spearman's Rho Correlation with a significance level of 5% or a confidence level of 95%. The results of the study based on the output test statistics obtained the result of p=0.007 (<0.05). The conclusion of the study is that Ha is accepted, which means that maternal knowledge has a significant relationship with participation in becoming a post-copy family planning acceptor. It is hoped that the Family Planning program management officer at Balimbingan Hospital will continue to provide accurate information, education and counseling.

Tarida Irmayani Marbun; Marta Armita Silaban

Jurnal Kesehatan dan Kedokteran 2025 Lembaga Pengembangan Kinerja Dosen

Background:Breastfeeding is expected to help achieve SDGs goal 3, target 2, which is to reduce neonatal mortality to at least 12 per 1,000 live births in all countries by 2030 and stop unnecessary deaths of newborns and children under five. Encouraging healthy breastfeeding is essential to prevent more than 820,000 deaths of children under five each 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 increase breast milk production. Research Method:The research design used the Pre Experimental Design method, namely with the form of a One Group pretest and posttest design without a control group. This study used purposive sampling, with a sample size of 22 respondents. Data analysis used univariate and bivariate. Result:This study showed that the value before oxytocin massage was 16.14 and after oxytocin massage the mean was 27.73. The conclusion of the study shows that the results of the experimental test have a significant value with a p value of 0.000 <0.05. This shows that there is a significant gap in breast milk production between before and after oxytocin massage. Suggestion: It is hoped that midwives at the Lidya Clinic can use this study as input to support increased breast milk production in mothers, especially those in the postpartum period.

Eka Aida Fitri Boyke; Rosyidah Alfitri

Jurnal Siti Rufaidah 2025 PPNI UNIMMAN

Background: The postpartum period is a critical phase for maternal health, as mothers are vulnerable to various complications that may lead to serious morbidity or mortality if not detected early. Self-warning knowledge regarding danger signs during the postpartum period plays an essential role in enabling mothers to recognize abnormal conditions and seek timely health care. However, limited knowledge and inadequate counseling remain common challenges in postpartum services. Structured postpartum counseling is expected to improve mothers’ understanding of self-warning signs and enhance early detection of complications. Objective: This study aimed to determine the effectiveness of structured postpartum counseling on self-warning knowledge among postpartum mothers at the Ome Inpatient Health Center. Methods: This study employed an analytical observational design with a cross-sectional approach. The sample consisted of 16 postpartum mothers selected using a total sampling technique. Data were collected using structured questionnaires to assess mothers’ knowledge of postpartum self-warning signs before and after receiving structured counseling. The counseling intervention was delivered using standardized educational materials. Data were analyzed using the Chi-square test to determine the effectiveness of structured postpartum counseling on self-warning knowledge. Results: The results showed an increase in self-warning knowledge among postpartum mothers after receiving structured counseling. Statistical analysis using the Chi-square test indicated a p-value of 0.000 (p < 0.05), demonstrating a statistically significant effect of structured postpartum counseling on improving postpartum mothers’ self-warning knowledge. Conclusion: Structured postpartum counseling is effective in enhancing self-warning knowledge among postpartum mothers. The implementation of structured and continuous counseling during the postpartum period is recommended to support early detection of complications and improve maternal health outcomes.

Yanti Idris; Raden Maria Veronika Widiatrilupi

Medical Laboratory Journal 2025 LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Background: Adequate knowledge about postpartum contraception is essential for postpartum women to prevent unintended pregnancies and maintain reproductive health. However, many postpartum women still have limited knowledge, which can lead to inappropriate contraceptive choices. Visual media is considered an effective educational tool because it can present complex information in a clear and engaging way. Objective: This study aims to analyze the effect of visual media on improving postpartum contraception knowledge among mothers at the Soasio Community Health Center. Methods: A quasi-experimental design with a pre-test and post-test approach was used. The sample consisted of 30 postpartum mothers selected through purposive sampling. Data were collected using a validated questionnaire on contraceptive knowledge. The intervention involved health education using visual media such as videos, posters, and infographics. Data analysis was conducted using the Wilcoxon Signed Rank Test to assess differences before and after the intervention. Results: Before the intervention, most respondents had poor to moderate knowledge, with only a small proportion demonstrating good understanding. After receiving education through visual media, there was a clear improvement, with the majority of respondents achieving good knowledge levels. Statistical analysis showed a significant increase (p < 0.05). Conclusion: Visual media effectively improves postpartum contraception knowledge and can be applied in primary healthcare settings to enhance reproductive health literacy.

Sarini Kaufua; Tut Rayani Aksohini Wijayanti

Medical Laboratory Journal 2025 LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Postpartum mothers’ understanding of the benefits of vitamin A plays a crucial role in the effectiveness of postpartum vitamin A supplementation programs. Vitamin A contributes to maternal immune function, supports visual health, and enhances the vitamin A content of breast milk, which is essential for infant health. Despite its importance, mothers’ knowledge regarding the benefits of vitamin A during the postpartum period remains inconsistent, indicating the need for more effective health education strategies. One approach that has the potential to improve comprehension among postpartum mothers is the use of audiovisual educational media. This study aimed to examine the effect of audiovisual media on postpartum mothers’ knowledge of the benefits of vitamin A at Ome Inpatient Primary Health Center. A quasi-experimental design with a one-group pretest–posttest approach was employed. The study sample consisted of 30 postpartum mothers selected through purposive sampling. Data were collected using a structured knowledge questionnaire administered before and after the audiovisual education intervention. Data analysis included univariate analysis and bivariate analysis using the paired t-test. The findings demonstrated a statistically significant improvement in postpartum mothers’ knowledge following the audiovisual intervention. Mean knowledge scores increased markedly, accompanied by a shift in knowledge levels from poor and moderate categories to good. Statistical testing confirmed a significant difference between pre-intervention and post-intervention knowledge scores. In conclusion, audiovisual media have a significant positive effect on improving postpartum mothers’ knowledge of the benefits of vitamin A. This educational approach can be considered an effective and practical method for postpartum health education in primary healthcare settings.

Agustina Elsera Tarigan; Adelina Sembiring; Lisbet Gurning

The Journal General Health and Pharmaceutical Sciences Research 2025 LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Lower back pain is a common complaint experienced by pregnant women, especially in the second and third trimesters as the gestational age increases. This condition can interfere with daily activities and reduce the quality of life of pregnant women. Pregnancy exercise is one of the non-pharmacological interventions that is believed to help reduce lower back pain. This study aims to analyze the effect of pregnancy exercise on reducing the level of lower back pain in pregnant women in the second and third trimesters. The research method that can be used is a quasi-experimental design with a pre-post test design with one comparison treatment. The research sample was 28 pregnant women in the second and third trimesters who experienced lower back pain and met the inclusion criteria. Measurement of the level of lower back pain will be carried out before and after the intervention period using a valid and reliable pain scale. The data collected will be analyzed using an appropriate statistical test to compare changes in pain levels between before and after the intervention. The results of the study showed that the average lower back pain before the intervention was 3.32 and Std.Deviation 0.772. The average lower back pain after the intervention was 2.25 and Std.Deviation 1.005. Based on the results of bivariate analysis using the Paired-Samples T Test, a significant p value of 0.000 (p <0.05) was obtained, so there is a difference in lower back pain in pregnant women. Thus, it can be said that there is a significant difference in lower back pain before and after pregnancy exercise. It is hoped that the results of this study can provide scientific evidence regarding the effect of pregnancy exercise in reducing lower back pain in pregnant women in the second and third trimesters, so that it can be a recommendation in midwifery care to improve the comfort and quality of life of pregnant women.Keywords: Postpartum exercise, uterine involution, normal delivery

Kresensia Kondamaru; Dwi Agustian Faruk Ibrahim; Ayu Puspita

The Journal General Health and Pharmaceutical Sciences Research 2025 LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Knowledge is the result of knowing, which occurs after a person perceives an object. Attitude refers to views, opinions, or feelings toward a specific object, person, or event. Antenatal care (ANC) refers to pregnancy check-ups and is defined as prenatal monitoring, primarily aimed at the growth and development of the fetus in the womb. Based on field observations, the researcher found that pregnant women who rarely or do not attend ANC visits often experience complications during pregnancy, postpartum complications, babies born with low birth weight (LBW), preterm births, and pregnant women only seek healthcare services when problems arise in their pregnancy. Additionally, there are still pregnant women who deliver with the assistance of traditional birth attendants or midwives in the village. This study aims to determine the relationship between pregnant women's knowledge and attitudes with ANC visits in the working area of Bapinang Health Center. Research Methods: This study used a cross-sectional design. The instrument used was a questionnaire, and the data were analyzed using the Chi-Square statistical test, with 34 pregnant women as respondents. Results: The study found a significant relationship between pregnant women's knowledge and ANC visits with a p-value of 0.001 < 0.05, meaning that H1 is accepted. It can be concluded that there is a relationship between knowledge and ANC visits in the working area of Bapinang Health Center. Similarly, the attitude variable had a p-value of 0.004 < 0.05, so H2 is accepted. It can be concluded that there is a relationship between pregnant women's attitudes and ANC visits in the working area of Bapinang Health Center. Conclusion: This study concludes that there is a relationship between pregnant women's knowledge and attitudes with ANC visits in the working area of Bapinang Health Center.

Silvia Darmawati Kartika Sari; Agnes Isti Harjanti; Mudy Oktiningrum

Jurnal Inovasi Riset Ilmu Kesehatan 2025 Pusat Riset dan Inovasi Nasional

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.

Reskelliela Reskelliela; Ernani Ernani; Rislina Rislina; Siska Suci Triana Ginting; Margaretha Lisna Simamora +1 more

Journal of Educational Innovation and Public Health 2025 Pusat Riset dan Inovasi Nasional

Maternal health is a measure of the level of social welfare. Maternal death is the death of a woman during pregnancy, childbirth or within 42 days after the end of pregnancy. Perineal rupture is the second most common cause of postpartum bleeding. Tearing may coincide with uterine atony. Based on data from the World Health Organization (WHO), 2.7 million cases of perineal rupture occurred in mothers giving birth. This figure is estimated to reach 6.3 million in 2050. One way to prevent perineal rupture is to maintain the elasticity of the perineum. Increasing the elasticity of the perineum is done by means of pregnancy exercises. The aim of this study was to determine the relationship between pregnancy exercise and perineal rupture in postpartum mothers at Anemia Of Pregnant Women At BPM Helena Astuti Sinaga.The research design is an analytical study with a cross-sectional approach. The population in this study was all mothers giving birth at Anemia Of Pregnant Women At BPM Helena Astuti Sinaga in November-March 2023, namely 764 people with a research sample of 88 people. The sampling technique used random sampling and research analysis used the chi square test.The research results showed that the majority of pregnant women who took part in pregnancy exercise at BPM were 47 (53.4%) and those who did not do pregnancy exercise were 41 (46.6%). Inpartum mothers who experienced perineal rupture were 42 (47.3%) and those who did not experience perineal rupture were 46 (52.3%). Based on the results of statistical tests between pregnancy exercise and perineal rupture, the p value = 0.003 (p < 0.05). The conclusion of this study is that there is a significant relationship between pregnancy exercise and perineal rupture during birth at BPM Helena Astuti Sinaga. So it was suggested to Anemia Of Pregnant Women At BPM Helena Astuti Sinaga to improve services, especially for pregnant women, to do pregnancy exercises.

Eka Atik Ismawati; Sri Wahyuni; Apriliani Yulianti Wuriningsih

Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan 2025 Asosiasi Riset Ilmu Kesehatan Indonesia

Contraception is an effort to prevent pregnancy. Contraception consists of hormonal and non-hormonal contraception. Hormonal contraception is one of the contraceptives that is very popular with the respondents, because of its practical use, work effectively,can be used immediately after the postpartum period, and its affordable and safe. In addition to having advantages, all contraceptives also have weaknesses or side effects in a certain period of time, including weight gain. The design of this study uses a quantitative research type using an analytical survey through a cross-sectional approach. The number of respondents was 66 people using purposive sampling. The test used was the contingency coefficient. The results of the contingency coefficient test showed that there was a relationship between the use of types of contraception and changes in body weight with a p value of 0.020 while the relationship between the duration of contraception use and changes in body weight had a p value of 0.008.

Dina Praktika Rosyada; Tutik Rahayu; Sri Wahyuni

Jurnal Ventilator: Jurnal riset ilmu kesehatan dan Keperawatan 2025 Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Husband support and spiritual values are very useful to accelerate recovery and can reduce the risk of complications during pregnancy or other postpartum problems such as postpartum depression in the mother. The purpose of this study is to find out the influence of husband support and spirituality values on postpartum maternal depression. This research is a type of quantitative research with a cross-sectional approach. The sample used was postpartum mothers on the 3rd - 2nd day postpartum in the work area of the Rembang Health Center. The number of respondents in this study amounted to 85 people with the technique used being total sampling. The data obtained were processed statistically using the sommers'd correlation test. The results of this study show that the majority of respondents at the age of risk are 67.1%, the majority of mothers' education is at the high school/vocational education level as much as 48.2%, the majority of mothers' employment as IRT is 71.8%, the majority of children owned by mothers are 1 child as much as 50.6%, mothers who get the support of supportive husbands as much as 91.8%, mothers who have high spiritual value as many as 95.3%,  and mothers who do not experience depression (normal) as many as 38.8%. the results of the test of the relationship between husband support and postpartum maternal depression using the Somers'd test obtained a value of p = 0.003 (p < 0.05) and a value of r = 0.795 (0.60 – 0.799), the results of the test of the relationship of spiritual value to postpartum maternal depression using the Somers'd test obtained a value of p = 0.032 (p < 0.05) and a value of r = 0.827 (0.80 – 1.00), The results of the multivariate test of husband support and spiritual value on maternal depression using a multiple linear regression test on husband support obtained a value of p = 0.007 (p < 0.05) so that it can be concluded that husband support is the dominant factor influencing maternal depression. In conclusion , there is an influence of meaningful relationships with husband support and spiritual values on postpartum maternal depression.  

Asrianti Safitri Muchtar; Ita Novianti

Jurnal Pengabdian Sosial 2025 Lembaga Pengembangan Kinerja Dosen

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.

Esaruna Esaruna; Rani Safitri

DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan 2025 International Forum of Researchers and Lecturers

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.