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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.

The postpartum period (puerperium) is the period that begins after 2 hours postpartum and ends when the uterus returns to its pre-pregnancy state, lasting 6 weeks. The postpartum period is an important thing to pay attention to in order to reduce maternal mortality. Perineal rupture is a tear caused by spontaneous birth of a baby, either by using a tool or action. Perineal wound care is important to prevent infection of the reproductive organs, one method of perineal wound care is non-conventional therapy using red betel leaf (Piper crocatum) boiled water which contains flavonoids, alkaloids, polyphenolic compounds, tannins and essential oils which are known to has antibacterial activity. The purpose of this study was to determine the effectiveness of red betel (Piper crocatum) cooking water for perineal wound healing in postpartum mothers. This research is a quantitative study with a population of all postpartum mothers with perineal wounds at PMB Rica Merdekawaty with a total sample of 30 respondents consisting of the intervention group and the control group. The data that was collected was then analyzed using the chi square statistical test (p value = 0.029). Based on the chi square analysis, it showed that red betel leaf boiled water was effective in healing perineal wounds in postpartum mothers.

The maternal mortality rate of post-SC infection reaches 7.3%, and 90% causes postpartum morbidity. This study aimed to determine the factors associated with the SC wound healing process. This study used a quantitative method, a type of analytic survey research with a cross-sectional design approach. The population of this study were all post-SC mothers in the postpartum ward of Permata Medika Hospital. The sampling technique used was a consecutive sampling of 34 respondents. The research instrument was a questionnaire. Data analysis was done using univariate and bivariate (chi-square test, alpha = 0.05). The results of this study showed that there was a relationship between the SC wound healing process and early mobilisation (p-value 0.000 < 0.05), which means there was a relationship between the SC wound healing process and nutritional status (BMI) (p-value 0.04 < 0.05), and there was a relationship between the SC wound healing process and anaemia (p-value = 0.00 <0.05) because if p-value <  0.05, then Ha is accepted. Ho is rejected, meaning a significant relationship exists between early mobilisation, nutritional status, and anaemia in SC wound healing. Many factors affect the SC wound healing process, three of which are early mobilisation factors, which, if done before 6–8 hours after SC, has more potential to accelerate SC wound healing; normal nutritional status as an expression of a person's nutritional balance, which plays a role in the process of body tissue growth and has an impact on the duration of wound healing; and anaemia, which anaemia is a symptom of low haemoglobin levels in the blood and obstructs oxygen flow and prevents the growth and repair of tissue from the SC surgical incision.

Supervision and care during pregnancy is something that is important to do for the survival of the mother and the baby to be born. Antenatal care (ANC) is a pregnancy examination to optimize the mental and physical health of pregnant women. So that they are able to deal with childbirth, the postpartum period, preparation for breastfeeding and the return of reproductive health in a natural way. This study was conducted to determine the experience of midwives in providing counseling about ante natal care to pregnant women at the Puskesmas in Padangsidimpuan City. The research design is phenomenology. The method of data collection was carried out by in-depth interviews. Purposive sampling method was used to select participants who met the criteria as participants. Participants involved in this study were midwives who worked at the Puskesmas in Padangsidimpuan City, totaling 3 people. The results of the interviews were transcribed and analyzed using the Collaizi method and obtained 5 themes, namely: 1) The motivation of midwives to provide counseling, 2) Obstacles faced by midwives in providing counseling, 3) Strategies to motivate pregnant women to participate in counseling, 4) Responses of pregnant women after receiving counseling , and 5) Support from health institutions for puskesmas activities. Keywords: Midwife, counseling, pregnant women

One of changes that occur in puerperal ( post- partum is involution . uterus Involution or uterine contraction is a process uterus back into shape before pregnant . Uterine involution can also be regarded as the return of the uterus to its original state or condition before becoming pregnant. There are several factors that affect uterine involution including postpartum gymnastics. early mobility for maternal mothers, Early breastfeeding initiation, nutrition status, psychological age and parity factors. Early initiation of breastfeeding ( Inisiasi Menyusui dini or IMD ) is a breastfeeding process immediately after birth for 1 h. The purpose of research is to study influence of implementation early breastfeeding initiation ( IMD ) on the maternal uterine involution in BPS flora. This type of research is the study cohort analytic design Prospektive. Population and sample in this research is maternal in BPS flora in 2013 with techniques samples is concecutive sampling . The variables studied in this research is dependent and independent variables ,dependent variable studied were uterine involution while independent variables were early breastfeeding initiation (IMD). Quantitative data analysis include univariable and bivariate analysis with using t test. The results showed that average Height of uteri Fundus on day 6 postpartum that give Early Breastfeeding initiation ( IMD ) is 10,54 cm with standard deviation of 1.103 cm while Height of Fundus uteri in mother don;t give IMD is 13.33 with standard deviation 1,129 . based on statistical tests found an average difference both of them is p value of 0.000 with 95 % CI 2.143 to 3.440. There is a significant fundus height difference between mother that give IMD and who does not in BPS Flora . Health workers, particularly midwife are expected to be able to perform delivery assistance with IMD.

High risk pregnancy is a pregnancy that causes greater harm and complications to the mother and fetus during pregnancy, childbirth or postpartum when compared to normal pregnancy, childbirth and postpartum. One of the reasons for the high MMR is because pregnant women who are at risk were not detected early. Complications that can occur from risky pregnancies are antepartum bleeding, prolonged labor, prematurity, low birth weight (LBW). A risk pregnancy is an abnormal pregnancy that can affect the health of the mother and fetus. Sustainable development Sustainable Development Goals (SDGs), one of the targets that can be measured is a reduction in the Maternal Mortality Rate (MMR). This activity was carried out in Ampekale Village, Bontoa District, Maros Regency using the method of providing counseling to pregnant women in turn using brochures which were distributed to each pregnant mother, after which a question and answer session was held and screening was carried out to detect pregnant women who were in the high risk group. This activity was attended by 24 pregnant women. This community service provides good benefits, namely gaining knowledge about increasing pregnant women's knowledge about high-risk pregnancies in pregnant women as well as ways to prevent and anticipate danger signs of pregnancy in high-risk pregnancies.

Background: Sectio Caesarea is a method of giving birth to a fetus by making an incision in the uterine wall through the front wall of the abdomen (Amru Sofian, 2013). Giving birth by cesarean can drain more energy on the body and the recovery process takes longer. To speed up the recovery process, early mobilization exercises are needed. However, there are several factors that prevent mothers from doing early mobilization For this reason, it is important that efforts to increase early mobilization are carried out in order to speed up the healing process. Objective: To describe the description of nursing care in post sectio caesarea patients in practicing early mobilization. Research Methods: This study uses a literature review method in a journal that discusses early mobilization in post sectio caesarea mothers. Research Results: The results of the research from the literature review that the authors obtained through 10 journals, namely the mobilization efforts of post-SC postpartum mothers in carrying out early mobilization are influenced by pain in the surgical wound, knowledge/experience, motivation and beliefs. These results are relevant to the case managed by the author, namely Mrs. K was reluctant to do early mobilization because of pain and fear. Conclusion: From the results of the literature study above, it can be concluded that early mobilization of post sectio caesarea mothers can be improved by implementing pain management nursing, motivation, education and support from families and health workers

Postpartum hemorrhage is a frequent cause of death in mothers with 1,280 cases. One of the causes of postpartum bleeding is a uterus that does not contract or is called uterine atony. Uterine atony keeps the blood vessels open so that blood continues to flow. Efforts to make the uterus contract are by uterine massage. Uterine massage helps make the blood vessels close and stimulates contractions so that the height of the fundus decreases, indicating that the uterus is slowly shrinking. Research objective: to determine the effect of uterine massage on reducing the height of the uterine fundus as an effort to prevent post-partum bleeding. Method: This research uses a quasi-experimental design, namely post test control group design. The sample in this study was part of normal postpartum mothers at BPM. The sample was divided into a treatment group and a control group. The sampling technique uses purposive sampling. Data were analyzed using the unpaired sample t test. The results of the independent t test obtained a p value of 0.071 (p > 0.05). This means that there is no effect of uterine massage on reducing the height of the uterine fundus.  

Babies get their main nutrition, namely breast milk, through the breastfeeding process. However, in some cases breast milk can be low, one of the reasons is the mother's psychological condition. Mothers who feel unhappy, not calm, not relaxed, this will affect their breast milk. Hypnobreastfeeding is a relaxation technique to help smooth the breastfeeding process, by adding positive affirmations to your mind when you relax. Deep and regular relaxation makes the endocrine system, blood flow and other systems in the body function better because the endorphins produced by the mother will flow to the baby through breast milk and also make the baby feel comfortable and calm. Research objective: to determine the effect of hypnobreastfeeding on the smooth flow of breast milk in postpartum mothers at PMB Soraya Palembang. Method: This research uses a pre-experimental research design (one-group pre-post test design). The sampling technique used was total sampling with a total of 32 people. Univariate data analysis for homogeneity and bivariate tests used the dependent t test. The results of this study showed that respondents experienced an increase in breast milk production obtained from the pretest and posttest. The results of the dependent t test obtained a Z value of -2.129 and Asymp Sig of 0.001 < 0.005. The conclusion of this research states that there is an influence of the hypnobreastfeeding technique in expressing breast milk to the mother

Background: Unpreparedness physically, psychologically, mentally and spiritually in facing this period will make mothers experience problems related to involution and postpartum pain. Many things are risk factors for failure of involution and lactation. These factors include mobilization, nutrition, lactation, environmental, cultural and family factors. Objective: To determine the effect of effleurage massage on reducing the pain scale due to uterine involution in postpartum mothers on day 1. Research Location: UPT Buay Pemaca Health Center. Research Method: Quantitative research type with a pre-experimental design type one group pretest and posttest. Results: Almost all postpartum mothers before being given effleurage massage experienced uterine involution pain on a moderate pain scale of 19 people (95%), more than half of postpartum mothers after being given effleurage massage experienced uterine involution pain on a moderate pain scale of 12 people (60 %), there is an influence of the Effluurge Massage Technique on Reducing the Pain Scale of Uterine Involution in Post Partum Mothers on Day 1. Conclusion: Effleurage massage can reduce the level of uterine involution pain in postpartum mothers.

Background: Sixty percent of all maternal deaths occur during the postpartum period and 45% of these cases occur within the first 24 hours postpartum (WHO, 2018). Steps that can prevent postpartum bleeding management include active third stage, administration of uterotonics and early initiation of breastfeeding. Oxytocin hormone levels will increase in the third stage after separation of the placenta and when early initiation of breastfeeding is carried out because the pituitary gland releases the oxytocin hormone through the baby's stomping, touching and licking of the mother's skin so that it can prevent postpartum bleeding and speed up the expulsion of the placenta naturally. Objective: To determine the effect of early initiation on the number of post-delivery events at the Griya Mazaya midwifery clinic in 2023. Method: The research method uses analytical observational analysis with case control. The research design used a retrospective approach with a sample size of 44 respondents divided into 22 groups of respondents who did IMD and did not do IMD with a data processing test using Mann Whitney. Results: The results of Mann Whitney data processing showed a p value of 0.000, which means p value < sig (0.05) thus proving that there is a difference in the incidence of post-delivery bleeding. Mothers who did IMD had less bleeding than mothers who did not do IMD. Conclusion: Management of early initiation of breastfeeding immediately after the new baby is born can significantly reduce the rate of postpartum hemorrhage.

Background: Colostrum is the type of breast milk that is richest in protein and provides extra protection against germs that attack the baby's digestive tract. Colostrum is the first immunization that babies receive which contains up to 17 times more anti-infective substances than other breast milk. How to stimulate colostrum production can be done with maternal nutrition. Giving honey to mothers is beneficial because honey contains nutrients (energy, carbohydrates, protein) which function as energy for the posterior pituitary to produce the hormones oxytocin and prolactin. Research Objective: To determine the effect of giving honey on colostrum production in primiparous postpartum mothers at Asy Syifa' Sambi General Hospital, Boyolali Regency. Research Method: Pre-experimental research type with posttest only with control group design. The population of this study was all post patum primiparous mothers on day 1 from 5 May 2023 to 28 June 2023 at RSU Asy Syifa' Sambi, Boyolali Regency, totaling 39 respondents. The sampling technique used consecutive sampling technique, the sample in this study was 16 respondents per group. The data analysis technique used is the Mann Whitney test. Research Results: The time to expel colostrum in primiparous postpartum mothers who were not given honey at Asy Syifa' Sambi General Hospital, Boyolali Regency had a mean of 3.31 hours, a median of 3.25 hours. The time to expel colostrum in primiparous postpartum mothers who were given honey had a mean of 0, 84 hour median 0.75 hours and standard deviation 0.25. There is an effect of giving honey on colostrum production in primiparous post partum mothers (0.000<0.05). Conclusion: There is an effect of giving honey on colostrum production in primiparous post partum mothers.

Background: Black cumin as one of the spices containing lactagogum. This spice in the form of black seeds has been known thousands of years ago and is widely used by the people of India, Pakistan and the Middle East to treat various kinds of diseases. to determine the effect of Habatussauda on milk production in postpartum mothers at the UPT Buay Pemaca Health Center in 2023. Methods: This study used a quasi-experimental design using the Pretest Posttest two Group Design research design for all postpartum mothers at the UPT Buay Pamaca Health Center who were born in June 2023 as many as 42 people were selected as samples with consecutive sampling technique which determined a sample of 30 people. The statistical test used was Mann Whitney. Results: All milk production before and after the intervention was given at a volume of <50 ml in 15 people (100%). In the intervention group for milk production with a volume of 50-89.9 ml, there were 11 people (73.3%) and 2 people (13.3%) in the control group. Meanwhile, in the production of breast milk with a volume of <50 ml, there were 4 people (26.7%) in the intervention group and 13 people (86.7%) in the control group. Conclusion: There is an effect of Black Seed extract on postpartum mother's milk production.

Background: The postpartum period is a very complex period experienced by a woman, especially for those who have given birth for the first time. The problem that we often encounter in the early postpartum period is the discomfort of mothers breastfeeding their babies because they are bothered by the presence of stitches for mothers who experience perineal lacerations. Objective: to determine the effect of VCO administration on perineal wound healing in postpartum women at Hospital Mother and Child Kasih Fatima Kotamobagu Methods: Quasi experimental design with post-test only with nonequivalent groups with Mann-Whitney test with 34 respondents and divided into 2 groups of cases and controls Results: Based on the statistical test output, it is known that the Asymp Sig (2-tailed) value is 0.000 <0.05, so it can be concluded that the hypothesis is accepted. Thus it can be said that there is an effect of VCO administration on perineal wounds with perineal wound healing. Conclusion: There is an effect of giving VCO with healing perineal wounds in postpartum women at RSIA Kasih Fatimah Kotamobagu, with this research it is hoped that VCO administration can be applied by health workers for wound healing, especially pernieal wounds.

Pregnancy is a period when pregnant women experience physiological and psychological changes. Physical changes that occur during pregnancy can cause complaints or discomfort during pregnancy, which include physical discomfort during pregnancy including back pain, low back pain, difficulty sleeping at night/insomnia, and leg cramps. Meanwhile, psychological discomfort that can occur in pregnant women is anxiety and fear of facing the birth process. Anxiety is one of the psychological changes in the third trimester because it is getting closer to the birth process. Resulting in excessive anxiety during pregnancy can trigger abortion, premature birth, low birth weight, fetal defects, fetal growth retardation, and postpartum depression. Three out of five third trimester pregnant women who were encountered experienced anxiety approaching labor, namely sleep disturbances. Practicing yoga during pregnancy is a useful solution as a self-help medium that will reduce discomfort during pregnancy and help with the birthing process. When pregnancy enters the third trimester, the mother will experience increasingly serious and intense anxiety in dealing with the birth process.

Giving breast milk to babies is very important to support the baby's growth and development, and breast milk contains the best nutrition for newborn babies and is the only healthy food that babies need in the first month of life. However, not all mothers can provide exclusive breast milk for their babies, this is due to the mother's inability to overcome breastfeeding problems in the early period due to several factors that influence breast milk production including socio-cultural changes, psychological factors, physical factors of the mother, increasing promotion of formula milk, staff factors. health, mother's diet, baby's birth weight, use of contraception. One method of care that can be given to mothers to support smooth breastfeeding is an Oxytocin massage during home care services. The research aims to determine the effect of oxytocin massage on breast milk production in postpartum mothers, Bulukumba Regency. The design used in this research was Case Control and the sample in this research was 10 respondents. And the measuring instrument in this research uses a measuring cup. The results showed that breast milk production before the oxytocin massage treatment was 0% smooth and after the oxytocin massage treatment the average increase in breast milk production was 0.4 with the amount of smooth breast milk being 100%. Meanwhile, in the control group there was no increase in breast milk production. The results of the statistical test using the dependent t-test showed that the value was p=0.003, meaning there was a significant difference before the oxytocin massage and after the oxytocin massage. Conclusion There is an effect of Oxytocin Massage on breast milk production in postpartum mothers in Bulukumba Regency.

Background: The coverage of infants receiving exclusive breastfeeding in Lampung Province in 2020 is 70.1%, which is still below the expected target of 80%. One of the foods that can facilitate the production of breast milk is dates, dates contain galactogogues which are capable of inducing lactation with dopamine pressure, resulting in an increase in prolactin production. Dates contain a hormone similar to the hormone oxytocin, which is a hormone produced by the neurohypophysia so that it stimulates the mammary glands to produce breast milk. Objective: To determine the effect of giving dates on the smooth production of breast milk in postpartum mothers. Methods: This type of research is a Quasy Experiment Design with a Non Equivalent Control Group Design study with a sample of 40 subjects. The instruments used in this study were SOP sheets for giving dates and observation sheets for signs of assessing the smoothness of breastfeeding. The intervention of giving dates was given 7 eggs per day which were consumed for 4 days. Results: All respondents before being given treatment experienced breastfeeding difficulties as many as 20 respondents (100%) and after being given the date palm treatment the respondents were in the smooth category as many as 18 respondents (90%). Conclusion: There is an Effect of Giving Dates on the Smooth Production of Breast Milk for Postpartum Mothers.

The coverage of exclusive breastfeeding in Indonesia has not reached 80%. One of the causes of low breastfeeding coverage is the support of the closest people, especially the husband's knowledge. Efforts that can be made to provide smooth breastfeeding for postpartum mothers include oxytocin massage performed by health workers and husbands. The type of research used is an analytical type of research, namely a study that involves data collection activities to determine whether there is a relationship between two or more variables. This study uses a cross-sectional approach by conducting observations or data collection. Of the 30 respondents, the husband's knowledge at TPMB Turasmiyati, most of them have good knowledge of oxytocin massage. There is a relationship between husband's knowledge of oxytocin massage and age, there is a significant relationship between husband's knowledge of oxytocin massage and education, but there is no significant relationship between level of knowledge and work. It is recommended to all related parties, both health workers and family members, to work together so that exclusive breastfeeding can be fulfilled.

Background; Effleurage massage is a form of massage using the palms of the hands that apply gentle pressure to the surface of the body in a circular direction repeatedly. The number of mothers giving birth in the Ponek room (Maternity Room) with January 01, 2021 - July 31, 2023 amounted to 1047 patients and 15 patients gave birth normally. Objective; To determine the results of implementation in the application of Effleurage Massage techniques to reduce the pain scale in postpartum mothers in the Ponek Room of Dr. Moewardi Surakarta Hospital. Method; This type of research is descriptive in the form of a case study. The approach taken uses a nursing care approach, planning, implementation and evaluation. The application instrument uses the Numeric Rating Scale (NRS) and checklist sheet as a measuring tool to determine the level of pain scale. Results; The results of the application using Effleurage Massage techniques found that respondents had a pain scale of 4 (moderate pain) down to 0 (none pain). Conclusion; There is a difference in pain scale before and after Effleurage Massage at Dr. Moewardi Surakarta Hospital.

The perperium or postpartum period begins after parturition from 6-48 hours, and from 3-28 days until it ends approximately 29-42 days after delivery. The research design is a two group pretest post test design. The population in this study were all postpartum mothers who were selected from the Halilulik Health Center in Belu Regency based on the average deliveries per month with estimated days of birth (HPL) June-July 2019 which is 75. A sample of at least 10 postpartum women is added 20% of the sample size, namely 2 to 12 to anticipate samples that drop out. The results showed that there was a significant difference in the milk production of postpartum mothers before and after oxytocin massage and breast care with a p-value of 0.000. In conclusion, oxytocin massage is more effective than breast care in increasing the milk production of postpartum mothers with a p-value of 0.000.