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The puerperium is a period that will be passed by the mother after the delivery period, which starts after the birth of the baby and placenta, namely after the end of stage IV in labor and ends up to 6 weeks (42 days) which is marked by the cessation of bleeding. The puerperium is a period that is very vulnerable to infection for postpartum mothers if the treatment is not appropriate. Many postpartum mothers do not know how to maintain their hygiene, especially in the genital area. Mothers just clean it without caring about good and correct vulva hygiene, so that wound healing becomes slow (> 6 days). This type of research is descriptive by applying a case study approach. The implementation of this research was carried out at the Pratama Medical Center Clinic for Mrs. N by providing care for the implementation of genital cleansing and perineal wound care.    

The return of fertility in the mother after delivery is unpredictable. Therefore a woman should start contraception as early as possible after delivery. The low coverage of postpartum family planning at the South Paringin Health Center in 2021 (57.91%) may be due to the low education and not optimal quality of counselling. This study aims to examine the correlation between family planning education and counselling with the use of postpartum family planning. This study used a quantitative method with a cross-sectional approach. With the population of all postpartum mothers in a working area of South Paringin Health Center, from January to October 2022 using a simple random sampling technique of 136 people using the Chi-Square statistical test. The result of this study found that out of 136 people, 87 respondents (63%) used postnatal family planning. The secondary education level was 60 people (44.12%), and 117 people (86.03%) were given family planning counselling. The results of research on the relationship between education and the use of postpartum family planning obtained ρ = 0.430 (ρ > 0.05) and family planning counselling, ρ = 0.032 (ρ <0.05). Concluded that there is no relationship between education and postpartum family planning and there is a relationship between family planning counselling and postpartum family planning.

Comprehensive midwifery care is a complete examination provided with simple examinations and counseling for pregnancy, childbirth, postpartum, and newborn care. The goal of continuous midwifery care given to Mrs. "N" at the Special Hospital for Mother and Child Siti Fatimah is to assess the condition of the mother and her fetus. This study was conducted from April 14, 2023, to July 9, 2023. Midwifery care methods use midwifery management based on the 7 steps of Verney from 38 weeks of pregnancy until deciding to use a 3-month contraceptive injection. The results of prenatal care include two antenatal visits during pregnancy. In the third trimester, Mrs. "N" complained of back pain, which was already manageable by the mother, so throughout the pregnancy, Mrs. "N" remained in good and normal condition. In conclusion, Mrs. "N" gave birth normally, assisted by a midwife and following the established care plan. The baby was born spontaneously with the head presenting, female, birth weight: 2,900 grams, birth length: 46 cm. Postpartum care for Mrs. "N" proceeded smoothly, and there were no complications for both the mother and the baby. The midwife provided communication, information, and education (CIE) during the care process, and during the postpartum period, the mother decided to use a 3-month contraceptive injection after 42 days of the postpartum period.

 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 healthcare facilities to ensure prompt and accurate handling of emergencies. The aim of this 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 2023 at the Special Regional Hospital for Mother and Child, Siti Fatima, Makassar. The care method in this research involves interviews, observations, and management of the subject's care. The subject in this care is Mrs. "H," a woman in her second pregnancy, who has given birth once, is currently at 37 weeks and 4 days gestation. The results of comprehensive midwifery care for Mrs. "H" 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 healthcare providers in case of issues.

Perineal wounds are injuries to the urogenital diaphragm and anal muscle during vaginal delivery, either normal delivery or instrumental delivery. Knowledge is a very important domain for the formation of a person's attitudes and behavior. The aim of the research was to determine the relationship between maternal knowledge, attitudes and behavior regarding perineal suture wound care and the healing time for perineal suture wounds. This type of quantitative research with a cross sectional design. The research was conducted in June-July 2023. The research population was postpartum mothers with perineal wounds in June-July 2023. The total was 30 people. The population in this study was 30 people. The sampling technique is the total sampling population. The research results obtained from 30 respondents showed that there were 22 mothers who had good knowledge (73.3%), 22 mothers who had a positive attitude (73.3%), 23 mothers who had good behavior (76%). .7%). The results of the Chi-Square analysis test for the knowledge category obtained a p value = 0.002 (p = <0.05), for the attitude category the p value = 0.002 < (0.05) while for behavior the p value = 0.001 < (0). .05). The conclusion is that there is a relationship between knowledge, attitudes and behavior regarding perineal wound care and the healing time for perineal wound sutures in the work area of the UPTD Campaka Community Health Center in 2023. The suggestion is that postpartum mothers should improve their behavior regarding wound care as an effort to speed up the healing of perineal wounds.

One of the health services needed by pregnant women is maternal and child health counseling. The pregnant women class is a means to learn together about health for pregnant women, in the form of face-to-face in groups that aim to improve mothers' knowledge and skills regarding pregnancy, pregnancy care, childbirth, postpartum care, newborn care, myths, infectious diseases and birth certificates. The class for pregnant women coordinated by the Sungai Turak village health center is considered less than optimal, where the level of attendance and motivation of mothers in participating in classes for pregnant women is considered to be lacking. Other facilities are also needed that can support the implementation of classes for pregnant women. The resolution of obstacles or obstacles is to cooperate with village institutions (Village Government, Village Consultative Bodies, and Village Community Institutions), to include the budget for pregnant women classes in the Village Revenue and Expenditure Budget (APB). Based on the results of discussions with village officials, it was decided to include some proposals for pregnant women classes in the Village Revenue and Expenditure Budget (APB).

Exclusive breastfeeding for infants 0-6 months in Bekasi Regency in 2021 was 72.59%. The results of preliminary studies based on the results of interviews, there has been no handling of increasing breast milk volume production with the marmet technique. The purpose of UNU's research is to determine the effect of marmet technique on breast milk production in postpartum mothers at TPMB R, Cibitung in 2023. Pre-experimental research method, one group pretest posttest. The population amounted to 30 postpartum mothers with a research sample of 30 respondents, with total sampling. Research instrument observation sheet of breast milk volume. Univariate analysis and bivariate analysis with Wilcoxon test. The results of the study found that postpartum maternal milk production before marmet technique intervention was given, milk production with less category as much as 73.3%, while after marmet technique intervention milk production with less category as much as 40%. Wilcoxon test results obtained p-values of 0.002 < α 0.05. The conclusion of this study is that there is an effect of giving marmet techniques on postpartum mother's milk production.

Breast milk is the main need for newborn babies, and it is important to give it exclusively for up to six months or more. Not all mothers, after giving birth, can breastfeed their babies because the breastfeeding process is always associated with symptoms of postnatal anxiety and depression. For mothers with anxiety and depression, it can cause a decrease in self-efficacy when breastfeeding, resulting in an early cessation of breastfeeding. Therefore, the aim of this research is to determine the influence of anxiety and depression on the self-efficacy of breastfeeding mothers during the postpartum period. The research method is a literature review by collecting and reviewing 7 research journals via Google Scholar and ScienceDirect. The results obtained show that there is an influence between anxiety and depression on the self-efficacy of breastfeeding mothers during the postpartum period.

High parity pregnancies increase the risk of complications for both the mother and fetus. In the Bumiayu Community Health Center alone in 2021-2022 there were 45 cases of mother with grande multipara. To provide Comprehensive Midwifery Care service to pregnant, maternity, newborn, postpartum and family planing sevices in a comprehensif manner though a midwifery management approach according to Varney and SOAP. Based on the bacground above, the problem formulation is how to provide comprehensive midwifery care for Mrs. I aged 32 years in the Bumiayu Community Health Center, Brebes Regency in 2022. The author uses a quality descriptive research method with a case study approach. In pregnancy cases of anemia and CED were found, partus precipitatus birth accurred. As well as giving formula milk to babies and lack of personal hygiene in neonatus and the normal postpartum periode. Grande Multipara Comprehensive Midwifery Care, Presipitatus delivery, giving formula milk to babies, and lack of personal hygiene with newborn and normal postpartum bebies.

Preeclampsia is a hypertensive disorder in pregnancy. This situation can be pregnancy emergency if this don’t received proper treatment, which is bring a risk for the mother and her fetus. This risk can be continue in birthing period and the postpartum period. The preeclampsia’s signs likes hypertension and proteinuria is a frequently encountered. Other signs of symptoms include edema (especially on the face and around the eyes and hands), weight gain, nauseous and vomiting, stomach pain spreads to the upper limbs, headaches and visual disturbances (blurred vision), tachypnea and anxiety. In community, Edema in pregnant usually considered common and commonplace, however this is sign of preeclampsia. Health education about getting a pregnancy check-up at the health service needs. This community dedication service aims to increasing the knowledge of pregnant women about the signs, symptoms and prevention of preeclampsia and it is hoped that they can prevent this at the start of pregnancy, so the mother and baby are healthy. The counseling method have be used, the sub topic are the signs, symptoms and prevention of preeclampsia. Counseling participants were pregnant women in the Lebaksiu Kidul area, Tegal Regency.

The family planning program is the main pillar in preventing risky pregnancies and reducing maternal mortality and infant mortality. the prevalence of contraceptive use by married women is projected to be 62.2%. The percentage continues to increase until it reaches 64.4% in 2030. The level of achievement in the use of contraceptives can be seen from the coverage of couples of childbearing age and postpartum mothers. The number of mothers giving birth in 2021 will be 25,430 who will become new family planning participants. The importance of educating the public is to increase understanding regarding the selection of appropriate contraceptives for couples of childbearing age and postpartum mothers. The aim of this education is to increase knowledge regarding the selection of appropriate contraceptives, especially for couples of childbearing age and postpartum mothers. This education uses community service methods with outreach to women and couples of childbearing age and also post partum mothers, using power points and pamphlets. The results of this education showed an increase in public knowledge during the pretest and posttest.

Introduction:  Proteins are an important part of the human immune system. They play a role in a variety of functions related to immunity, including as structural components for immune cells, such as antibodies (which are a type of protein) and white blood cells. Objective: This study aims to determine the effects of Moringa leaf extract for 10 days to albumin and primiparous puerperal women with ruptured perineum degree II in the district Soppeng. Metodes: Design research is a quasi-scale experiment using two groups, intervention and control groups. The sample set, that primiparous puerperal women with ruptured perineum stage II of 50 respondents. The sampling technique is done purposively. Results: showed unpaired t test analysis on levels of albumin found the mean pre-intervention 3:09 / 0:30, post intervention 3.75 / 0:55. With the test results are not berpsangan t p value = 0.000 which means no significant effects of extract of catfish in primiparous puerperal women with ruptured perineum degree II.  . With unpaired T test results found the value of p = 0.000, which means there is a significant effect of the extract catfish on primiparous puerperal women with ruptured perineum degree II In other words, the extract cork fish provide a positive and significant effect on levels of albumin  

The success of maternal and child health can be seen from the indicators of maternal mortality rate (MMR) and infant mortality rate (IMR). One of the causes of maternal mortality is bleeding that occurs due to anemia during pregnancy. Anemia conditions can be prevented by antenatal care (ANC) checks, and can help make labor run physiologically. Objective To provide comprehensive midwifery care to the patient, family, community or closest friends in order to get appropriate care.This study used a qualitative descriptive method with a case study approach. In the first visit pregnancy care found the incidence of Mild Anemia, at the second visit found the incidence of Mild Preeclampsia. In the care of childbirth, there were cases of premature rupture of membranes and chepalopelvic disporpotion so that delivery was carried out by Sectio Caesarea. And in the care of newborns, postpartum and family planning there are no problems and the condition of the mother and baby is normal. Based on the comprehensive care provided to Mrs. K, there were no gaps in the care of pregnancy, puerperium, newborn, and family planning, but in the care of childbirth there were some gaps between theory and practice.

Ramona Thieme Mercer was born on October 4, 1929 is the author of the middle class theory of nursing known as the achievement of the maternal role. Mercer began her Nursing career in 1950, when she received a Diploma from St. Mary's. Margaret's School of Nursing in Montgomery Alabama. Mercer's theory is an example of a middle range theory, it has a lower abstraction that is derived from other theories so that it can be applied to more specific areas of nursing. A very interesting thing, of course, is when a nurse is able to translate how to develop this theory, it becomes easier to apply to patients. Maternal Role Attainment proposed by Mercer follows Bronfenbrenner's work in 1979 which is known as the bird's nest circle which includes a set of microsystem, mesosystem and macrosystem cycles. The application of the becoming a mother model in providing nursing care to postpartum clients is carried out to help clients achieve their role as a mother. So that the mother can provide good care for the baby and the baby can be fulfilled in psychosocial terms.

Anemia in pregnancy is a national problem because it reflects the socio-economic welfare values of society, and has a huge influence on the quality of human resources. The high incidence of anemia in pregnant women is very worrying because it can have a negative impact on mothers during pregnancy, childbirth and postpartum. The factors that influence the incidence of anemia are lack of nutrients, apart from that, education and maternal parity are closely related to the incidence of anemia. The aim of this study was to obtain information about anemia in pregnant women focusing on education, parity, maternal age and gestational age. This type of research is descriptive, namely to find out the general picture of the incidence of anemia in pregnant women, where the information is obtained from the results of medical records at the Kampili Community Health Center. Overall the population was 1090 and a sample of 375 pregnant women who experienced anemia were obtained. The results of the study concluded that the average education level of mothers who experienced anemia was mothers with a low education parity of more than 4, the mother's age was under 20 years and the gestational age was in the second trimester.

Postpartum blues or often also called Maternity Blues or Baby Blues is defined as a syndrome of mild side effects that often appears in the first week after delivery and peaks on the third to fifth day and attacks within 14 days after delivery. This study aims to determine the relationship between education level and the incidence of postpartum blues in postpartum mothers. The type of research used is quantitative research using a cross sectional design. The statistical test used is the chi square test. The sample in this study consisted of 95 respondents. Based on the research results, it is known that there is a relationship between the level of maternal knowledge and the incidence of postpartum blues in postpartum mothers (p value 0.002).

Background: To achieve optimal use of exclusive breastfeeding, it is stated in the Government Regulation of the Republic of Indonesia number 33 of 2012 concerning exclusive breastfeeding that health workers and health service facility providers are obliged to provide information and education on exclusive breastfeeding to mothers and/or family members. of babies who are cared for from the pregnancy check up to the end of the exclusive breastfeeding period. Method: The research carried out was a Narrative Literature Review (NLR). Results: There were 10 selected scientific articles ranging from 2017 to 2023. To increase the success of exclusive breastfeeding, appropriate health promotion strategies are needed, such as creating special Standard Operating Procedures (SOPs) for the promotion of exclusive breastfeeding, the availability of media and educational tools such as posters, leaflets, and providing training for health workers to increase the knowledge of health workers, especially midwives, as close contacts in providing counseling during pregnancy, postpartum and newborns. Conclusion: Health promotion during pregnancy can increase the success of exclusive breastfeeding.    

Sometimes umbilical cord infections occur because young mothers are unaware of the need to provide umbilical cord care to their babies after giving birth. The umbilical cord, a type of connective tissue, holds the placenta and foetus together. The umbilical cord functions as a source of life for the foetus while it is in the womb. Umbilical cord care is a procedure for handling the umbilical cord in a sterile, clean, and dry manner to avoid infection. The aim of the research is to find out how health education on umbilical cord care influences the behaviour of postpartum mothers in the work environment at the Kaiely Community Health Centre, Buru Regency, in 2024. This research uses a pre-experimental research strategy. Total sampling was used as the sampling technique. We used the Wilcoxon test to analyze the data. The research findings showed a p-value of 0.001 when compared with the significance level (p-value <0.05), thus approving Ha. This shows that health education regarding correct umbilical cord management influences the behaviour of postpartum mothers in the operational area of the Kaiely Community Health Centre, Buru Regency. Based on the research conclusions, postpartum mothers fall into the poor knowledge category, negative attitude category, action not implemented, poor pre-test and post-test behaviour category, and action not taken. behaviour is classified as very good, and the behaviour of postpartum mothers at the Kaiely Community Health Centre, Buru Regency, is influenced by health education about umbilical cord care.

Pregnancy and childbirth are natural events. Even though it is a natural event, sometimes pregnancy and childbirth are accompanied by risks in the form of complications for both the mother and baby. Complications of pregnancy, childbirth and postpartum are major health problems for women's health, because they are the biggest cause of maternal and infant mortality. The aim of this service is to socialize the importance of pregnancy checks to health workers in order to detect early danger signs of pregnancy. Data was collected through initial data observation and analysis of documents related to the socialization program. The results of this service activity show that the socialization program has been implemented well for pregnant women in the Kamonji Community Health Center working area and it has been proven that Antenatal Care visits have increased. During the process of this activity there were several obstacles such as pregnant women who were not willing to come to the activity location, pregnant women who happened to be busy with the socialization activity schedule. The final results show that pregnant women are aware of the importance of carrying out pregnancy checks with health workers to find out the danger signs of pregnancy. This activity is routinely carried out on an ongoing basis so that it can support health policy programs.

Postpartum discomfort is a nursing problem that is often experienced by mothers in the postpartum period. One of them is caused by breast enggorgement. The symptoms experienced are pain and the mother's breasts harden making it difficult to breastfeed. Breast care intervention for problems of postpartum discomfort ‘caused by breast enggorgement. A case study that aims to describe the application of breast care to clients with nursing problems of postpartum discomfort with breast enggorgement. The number of respondents in this case study research amounted to 2 mothers post second day sectio caesaria surgery. Breast swelling assessment using the Six Point Self-rated Engorgement Scale (SPES) with a score of 1-6. In addition, breast care interventions used standard operating procedures and action observation forms. The results of the case study showed that both patients who performed breast care experienced a decrease in the ix Point Self-rated Engorgement Scale (SPES) score from 4 to 3, with breast criteria still enggogerment but pain level was reduced. Breast milk (ASI) becomes smooth and breastfeeding the baby becomes easier. The implementation of breast care can reduce pain and swelling in the breast.for mother wirh discomfort after birth.