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 Background: Perineal pain due to episiotomy is a common complaint experienced by postpartum mothers and can affect patient comfort, mobility, and recovery. Nonpharmacological pain management is needed to help reduce discomfort with minimal risk of side effects. Objective: This study aimed to determine the effectiveness of applying cold compresses using ice packs in reducing perineal pain intensity in postpartum mothers with episiotomy. Methods: The study used a descriptive case study design in three vaginal postpartum patients with episiotomy who were treated in the postpartum ward. The intervention involved applying cold compresses using ice packs to the perineal area for 10–15 minutes, as per nursing procedures. Pain was measured using the Numeric Rating Scale (NRS) before and after the intervention. Findings: The results showed a decrease in pain intensity in all patients after the application of cold compresses. Patient P1 experienced a decrease in pain score from 5 to 4, patient P2 from 6 to 5, and patient P3 from 5 to 4, with an average decrease of 1 point. Implications: Cold compresses using ice packs have the potential to be an effective non-pharmacological nursing intervention to help reduce perineal pain and improve the comfort of postpartum mothers with episiotomies during the care period.

The postpartum period is a vulnerable phase often accompanied by lactation problems, particularly ineffective breastfeeding and discomfort due to breast engorgement. These conditions may reduce maternal comfort, inhibit the let-down reflex, and increase the risk of failure in exclusive breastfeeding. Therefore, safe, practical, and comprehensive non-pharmacological nursing interventions are needed. This Final Nursing Project aims to describe the implementation of cabbage leaf compresses combined with breastfeeding education to improve maternal comfort and enhance breast milk flow in postpartum mothers. This study employed a case study method using a nursing care approach involving two postpartum mothers who experienced ineffective breastfeeding and discomfort due to breast engorgement. The interventions were provided for three days and included cabbage leaf compresses and education on breastfeeding techniques. Evaluation focused on breastfeeding ability, pain level, breast condition, maternal comfort, and milk production. The results showed improvement in breastfeeding ability, indicated by the mothers’ ability to correctly demonstrate proper positioning and latch-on techniques. Infants appeared calmer during feeding, and the duration of breastfeeding increased to approximately 10 minutes per breast. Pain scores decreased from 5 to 0–3, breast tension was reduced, and maternal comfort improved. It can be concluded that the application of cabbage leaf compresses combined with breastfeeding education is effective in improving breast milk flow and maternal comfort in postpartum mothers and can be recommended as an independent nursing intervention in maternity practice.

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.  

Combined care is a care system where babies and mothers are treated in one unit. In its implementation, the baby must always be by the mother's side from birth until he returns home. The advantages of combined care are that it promotes the use of breast milk, emotional contact between mother and baby is established from an early age, mothers can learn to take care of babies and mothers can immediately report strange baby conditions they encounter. The purpose of this study is to determine the relationship between postpartum maternal knowledge and the benefits of combined care at Bhayangkara Hospital Banjarmasin, South Kalimantan. This research method uses a type of analytical descriptive research with data collection techniques using a cross sectional approach and the instrument used is a questionnaire. The population of this study is all postpartum mothers at Bhayangkara Hospital Banjarmasin with a sampling technique using accidental sampling, with a sample of 30 respondents. The results obtained from the bivariate analysis of the chisquare statistical test showed that the value of p = 0.000 > ? = 0.05. The results obtained were that most postpartum mothers had insufficient knowledge, namely 15 people (50%) with most of them having a high school education of 14 people (46.7%), and never carried out combined care as many as 19 people (63.3%). The conclusion shows that most postpartum mothers have less knowledge about the benefits of combined care at Bhayangkara Hospital Banjarmasin. This shows that a person's level of education also affects the level of mother's knowledge.

Childbirth often results in perineal tears, particularly in first-time deliveries, and can also occur in subsequent births. Improper perineal care can create a moist environment due to lochia, promoting bacterial growth and increasing the risk of infection, which may delay wound healing. Complications of perineal tears include bleeding, infection, and dyspareunia. This study aimed to analyze the relationship between early mobilization and perineal wound healing in postpartum mothers in 2020. The research used an analytical survey with a cross-sectional approach, involving 30 postpartum patients at PMB Bidan Ai Duriah through total sampling. Data collection was conducted using observation sheets, and analysis was performed with the chi-square test at a 95% significance level (p < 0.05). Results indicated that most postpartum mothers (20 respondents) experienced good perineal wound healing with early mobilization. The study concludes that early mobilization plays a significant role in promoting perineal wound healing in postpartum mothers.

Psychological changes in postpartum mothers often show uncertain emotions after giving birth, especially sadness and irritability. These psychological problems can be faced by postpartum mothers by cultivating psychological well-being. One way to improve the psychological well-being of postpartum mothers is by cultivating a self-compassionate attitude to reduce symptoms of depression, anxiety and worry in order to achieve the psychological well-being of postpartum mothers. This research aims to determine the relationship between self-compassion and the level of psychological well-being of postpartum mothers in Pekalongan Regency. This research uses descriptive correlation with a cross sectional approach. The samples taken using a purposive sampling technique were 79 postpartum mothers in Pekalongan Regency. Data were collected using the Self-Compassion Scale (SWD) questionnaire & Psychological Well-Being questionnaire. Data analysis used the Spearman rank test. This research showed that there were 53 people experiencing high self-compassion (67.1%), and 46 people with low psychological well-being (58.2%). The results of the analysis show that there is a relationship between self-compassion and the level of psychological well-being of postpartum mothers, P value = 0.000 (p <0.05). The conclusion of this research is that there is a relationship between self-compassion and the level of psychological well-being of postpartum mothers in Pekalongan Regency. From these results it is hoped that nurses can help improve self-compassion and psychological well-being of postpartum mothers by means of health education.

Background: one of the activities that create a bonding between mother and child is bathing the baby. But most mothers are afraid when doing it, this is because the baby's physical condition is still weak. Therefore, it is important for postpartum mothers to know how to bathe the baby correctly and safely. However, based on preliminary studies conducted at PMB SR, it was found that most postpartum mothers still use shamans or in-laws to bathe their babies. Objective: to determine the skills overview postpartum mothers in PMB SR. The benefits of research for the population in the research area are to increase the knowledge and skills of postpartum mothers about how to bathe babies properly and safely, so as to prevent hypothermia, infection, and infant death, and increase bonding attachment between mother and baby. Research design: this study uses a descriptive design with a cross sectional approach. the population of all postpartum mothers in PMB SR who met the inclusion criteria amounted to 30 people in the period 08 May - 08 June 2023 the measuring instrument in this study was the baby bathing skills checklist. Results: from the results of descriptive analysis obtained, respondents with skilled categories of 7 people (23%), and unskilled obtained 23 people (77%). Discussion: based on the results obtained, most postpartum mothers are not skilled in bathing their babies. It is expected that this study can be used as data to improve the skills of mothers by changing the method in the class of pregnant women from lectures to a combination of lectures and demonstrations.

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.

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).

Menurut data Kemenkes RI tahun 2021 mencatat presentasi pemberian ASI ekslusif pada bayi menunjukan perbaikan dari tahun sebelumnya yaitu dari 69,62% menjadi 71,58%. Namun sebagain besar propinsi memiliki presentase dibawah nilai rata rata nasional antara lain Gorontalo (52,75%), Kalimantan Tengah (55,98%), Papua Barat (58,77%), Kepulauan Riau (58,84%), DKI Jakarta 65,63%, Aceh (66,66%) dan Sumatera Utara (57,83%). (Monavia, 2021). Penelitian ini bertujuan untuk mengetahui Hubungan Pijat Oksitosin Dengan Pengeluaran ASI Pada Ibu Postpartum Di Bidan Praktek Mandiri Agustina Kabupaten Batubara Tahun 2022. Penelitian ini menggunakan desain penelitian eksperimental  dengan dengan tipe one group pretest-posttest design. Dengan jumlah Populasi adalah semua postpartum di Bidan Praktek Mandiri Agustina Kabupaten Batubara yaitu sebanyak 32 Orang menggunakan metode total sampling dengan analisis menggunakan uji Chi Square. Berdasarkan data diatas dan menurut uji statistic Chi-Square dengan bantuan program SPSS 16 pada taraf kesalahan 5 % dilakukan perhitungan untuk mengetahui ada tidaknya pengaruh antara variable yaitu variable bebas dan variable terikat. Hasil dari perhitungan p Value adalah 0,002<α(0,05). Hal ini menunjukkan Ha diterima. Terdapat pengaruh pijat oksitosin terhadap pengeluaran ASI pada ibu postpartum di Bidan Praktek Mandiri Agustina Kabupaten Batubara tahun 2022. Diharapkan dapat sebagai salah satu informasi tetang pelaksanaan pijat oksitosin pada ibu pospartum dalam memperlancar pengeluaran ASI.

ASI merupakan makanan utama bayi sehingga tidak ada jenis makanan lainnya yang dapat menandingi kualitas ASI. Hanya ASI saja yang dapat diterima oleh system pencernaan bayi sehingga ASI harus diberikan secara eksklusif selama 6 bulan. Untuk mengetahui efektifitas pemberian sari kurma terhadap kelancaran ASI ibu postpartum di Puskesmas Minasa Upa Mkassar. Metode penelitian yang digunakan adalah Nonequivalent Control Group Design dan dilaksanakan pada tanggal 15 Juli sampai 15 September 2020. Metode pengambilan sampel yanhg digunakan adalah purposive sampling. Sampel penelitian ini adalah ibu post partum yang ASInya tidak lancar berjumlah 30 responden. Analisa data menggunakan uji Chi-Square (α = 0,05). Berdasarkan hasil uji statistic pada kelompok intervensi didapatkan nilai mean sebelum 1,60 dan mean setelah 2,93 terdapat selisih 1,33 sedangkan pada kelompok control didapatkan nilai mean sebelum 1,80 dan mean setelah 1,93 terdapat selisih yaitu 0,13. Berdasarkan uji Chi-Square kelancaran ASI ibu post partum diperoleh nilai ρ = 0,000. Nilai ρ lebih kecil dari 0,05 (ρ=0,00 < 0,05), maka Ho ditolak dan Ha diterima. Ada efektifitas pemberian sari kurma terhadap kelancaran ASI ibu post partum di Puskesma Minasa Upa Tahun 2020. Maka disarankan agar ibu post partum dapat mengkonsumso sari kurma agar dapat memperlancara ASI ibu post partum yang menyusui, dan diharapkan pada petugas kesehatan malakukan penyulihan tentang manfaat dari kandungan sari kurma.

Lactation management is needed to support the successful management of breastfeeding. Failure of the breastfeeding process is often caused by some mothers who do not understand the correct way to breastfeed. Based on UNICEF data, only 30% of post partum primiparous mothers provide exclusive breast milk, this shows that babies in Indonesia still receive non-exclusive breast milk. The aim of this service is to increase knowledge about lactation management which consists of how to breastfeed, the benefits of breastfeeding, the correct breastfeeding position. The activity was carried out at the Bara Baraya Community Health Center, Makassar City on December 9 2022. The method used in this service was lecture and question and answer which began with a pre-test then providing information and then a post-test with a total of 7 participants. The results of the activity showed that those who had good knowledge before the counseling were carried out were 3 people (42.85%) and after the counseling it increased to 7 people (100%), this shows that the counseling was effective in lactation management for Primiparous Postpartum Mothers..

Air Susu Ibu (ASI) merupakan suatu jenis makanan yang mencukupi seluruh unsur kebutuhan bayi baik fisik, psikologis, sosial maupun spiritual. ASI mengandung nutrisi, hormone, unsur kekebalan pertumbuhan, anti alergi, serta anti inflamasi. Pijat oksitosin adalah suatu tindakan pemijatan tulang belakang dari nervus ke 5-6 scapula yang akan mempercepat kerja saraf parasimpatis untuk menyampaikan perintah ke otak bagian belakang sehinnga oksitosin keluar. Tujuan penelitian ini yaitu untuk mengetahui pengaruh pijat oksitosin terhadap produksi ASI Pada Ibu Post Partum. Metode yang digunakan adalah Literature review menggunakan jurnal intervensi untuk mengatasi masalah pijat oksitosin dengan permasalahan terhadap produksi ASI yang dapat diakses full text. Tahun jurnal yang digunakan dibatasi 2012-2021. Berdasarkan telaah literature pada 5 jurnal didapatkan bahwa terapi pijat oksitosin dapat diberikan kepada ibu post partum dengan cara dipijat punggung ibu selama 10-15 menit dapat diberikan 2 sesi yaitu pagi dan sore. Hasil telaah literature review ini menunjukkan bahwa terapi pijat oksitosin dapat meningkatkan produksi ASI pada ibu post partum.  

Diastasis rectus abdominis (DRA) merupakan kondisi dimana terjadi peregangan otot abdomen oleh karena proses kehamilan dan persalinan. Salah satu upaya untuk mengembalikan keadaan normal dan meningkatkan kekuatan otot abdomen ibu serta mencegah terjadinya DRA pada ibu post partum yaitu dengan senam nifas. Tujuan penelitian adalah menganalisa pengaruh senam nifas terhadap kejadian diastasis rectus abdominis. Penelitian ini menggunakan desain pra eksperiment dengan pendekatan one group pretest-posttest design. Populasi adalah ibu postpartum dan besar sampel yaitu 20 responden. Hasil: Diastasis rectus abdominis sebelum dilakukan senam nifas berkisar antara 4.30-5.75 cm sedangkan sesudah dilakukan senam nifas berkisar antara 4.15-5.50 cm. Hasil uji statistic menggunakan paired t-test diketahui ? value 0.001 dimana kurang dari ? 0.05, dimana terdapat perbedaan kejadian Diastasis rectus abdominis pada ibu sebelum dan sesudah dilakukan senam nifas.. Kesimpulan secara statistik terdapat pengaruh senam nifas terhadap kejadian Diastasis rectus abdominis pada ibu post partum di Wilayah Kerja Puskesmas Namrole.

Breastfeeding is an activity that can bring happiness to mothers. Breastfeeding benefits by helping the mother from the delivery process, making the uterus contract quickly and prevent bleeding. Postpartum often have problems in the process of breastfeeding, especially mothers with caesarean section. Post SC delay in breastfeeding is caused by a lack of knowledge about how to breastfeed because the mother does not have adequate knowledge, the mother does not understand how to breastfeed properly, the benefits of breastfeeding and also the impact if the mother does not breastfeed her baby. One of the efforts to increase knowledge about breastfeeding is by providing health education. Giving information to post partum SC is very important in the success of mothers in providing exclusive breastfeeding. The purpose of knowing the effect of health education on breastfeeding techniques is correct in post partum SC. The research design will be conducted using pre-experimental (One group pre-posttest design) and sample selection using purposive sampling. The results of the influence of health education on breastfeeding techniques to increase knowledge of postpartum SC mothers with a p value of 0.001