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Low Birth Weight (LBW) refers to infants born with a birth weight of less than 2,500 grams and remains an important issue in neonatal health due to its association with increased neonatal morbidity and mortality. To analyze the determinants of LBW based on primary studies published from 2021 to 2026. A literature review was conducted using the PRISMA approach. Article searches were performed through PubMed, Google Scholar, Scopus, ScienceDirect, and ProQuest using the keywords low birth weight, determinant factors, risk factors, BBLR, and faktor risiko with Boolean operators AND/OR. The inclusion criteria were primary studies, full-text availability, publication in Indonesian or English, and publication years from 2021 to 2026. A total of 20 articles were included, consisting of 15 international articles and 5 national sources. The review showed that LBW is influenced by interrelated maternal, nutritional, obstetric, and sociodemographic factors during pregnancy. The most dominant factors included multiple pregnancy with an adjusted OR of 21.74, maternal food insecurity with an AOR of 6.85, maternal hemoglobin level <11 g/dL with an AOR of 5.21, lack of iron-folic acid supplementation with an AOR of 4.17, maternal age ≤20 years with an AOR of 3.42, pregnancy interval <1 year with an adjusted OR of 2.92, missed antenatal care visits with an AOR of 2.74, smoking during pregnancy with an OR of 2.18, and maternal hypertension with an AOR of 1.94. LBW is influenced by multiple interrelated factors; therefore, efforts to reduce its incidence should focus on evidence-based interventions, particularly through optimizing antenatal care services, improving maternal nutritional status, and early detection of pregnancy.

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.

Immunization is a preventive measure used to protect against Tuberculosis, Diphtheria, Pertussis, Polio, Hepatitis B, and Measles. Immunization administration must be continuous, comprehensive, and conducted according to standards to provide effective health protection. The objective of this study was to determine the correlation between paternal support and the immunization status of children aged 0 to 1 year in the Tamban Baru Community hEalth Center area, Kapuas Regency. This study used a cross-sectional correlation design. The independent variable was paternal support, and the dependent variable was immunization status. The sample was selected using total sampling technique, consisting of 50 respondents. Data collection was performed using a questionnaire. The results showed a significant correlation between paternal support and the immunization status of children aged 0 to 1 year, indicated by p = 0.000017 < 0.005; thus, the null hypothesis (H0) was rejected and the alternative hypothesis (H1) accepted. This means that there is a correlation between paternal support and the immunization status of children aged 0 to 1 year. It is recommended that that cross-sector collaboration and Community Health Center authorities enhance efforts so that every immunization officer provides health education, such as counseling about immunization, and that family involvement in spreading immunization programs is increased to achieve targeted coverage through cooperation with health professionals.

Background: Compliance with routine infant immunization is essential for the success of vaccination programs and the prevention of vaccine-preventable diseases. However, adherence to immunization schedules remains suboptimal due to limited parental knowledge, concerns about vaccine safety, and the limited effectiveness of conventional health education. Audio-visual media offer a promising solution by delivering information in a more engaging, clear, and consistent manner. Objective: This study aimed to evaluate the effectiveness of audio-visual educational media in improving adherence to basic immunization among infants in the service area of the Rum Balibunga Community Health Center. Methods: A quasi-experimental design with a one-group pretest-posttest approach was used. The sample included 40 mothers with infants aged 0-12 months selected through purposive sampling. Participants received an educational video on basic immunization. Adherence was assessed before and after the intervention based on completeness and timeliness according to the national schedule. Data were analyzed using univariate and bivariate methods, with the McNemar test for paired categorical data. Results: There was a significant improvement in immunization adherence after the intervention. Statistical analysis confirmed a meaningful difference before and after exposure, indicating the effectiveness of audio-visual media. Conclusion: Audio-visual education is an effective strategy to improve infant immunization adherence and can be widely applied in primary healthcare settings.

Background: Most premature infants experience feeding difficulties, including difficulty getting food into their mouths, limited oral capacity, and impaired tongue movement in transferring the bolus toward the posterior part of the oral cavity. This condition underscores the need for special attention in the care of premature infants, particularly in meeting their nutritional needs, which play a crucial role in supporting growth and survival. Purpose: To implement oral motor stimulation interventions for premature infants with feeding problems in the Perinatology Room of Charitas Hospitals Palembang. Method: This case study was conducted on 3 premature infants who received oral motor stimulation interventions for 3 days, with a training frequency of 2 times a day, morning and evening, for 15 minutes. Results: After oral motor stimulation interventions were performed on the three premature infants, good improvement data were obtained, namely in the strength of sucking and swallowing reflexes, and improvement in sucking movements as preparation for the transition from enteral to oral feeding. Conclusion: Providing oral motor stimulation interventions to premature infants helps improve their feeding abilities by enhancing sucking and swallowing reflexes and supporting optimal nutritional intake.

Background: Breastfeeding is a crucial practice that provides optimal nutrition and immunity for infants while supporting maternal health. However, inadequate knowledge and limited understanding about the importance of breastfeeding often lead to low motivation among pregnant women in preparing for breastfeeding. Providing structured education is expected improve pregnant women’s readiness and commitment to breastfeeding after childbirth. Objective: This study aimed to determine the effect of providing education about the importance of breastfeeding on the motivation of pregnant women in preparing to breastfeed at the Paguat Community Health Center UPTD. Methods: This study employed a pre-experimental design with one-group pretest–posttest approach. A total of 30 pregnant women were selected as the sample using purposive sampling techniques. Data on mothers’ motivation to prepare for breastfeeding were collected before and after the educational intervention using a structured motivation questionnaire. The data were analyzed using the Wilcoxon signed-rank test to assess differences in motivation levels before and after the intervention. Results: The results of the Wilcoxon signed-rank test showed a p-value of 0.000 (p < 0.05), indicating a statistically significant effect of breastfeeding education on the motivation of pregnant women in preparing breastfeed. The findings demonstrate that educational interventions significantly increased maternal motivation following the provision of education. Conclusion: Providing education about the importance of breastfeeding has a significant positive effect on the motivation of pregnant women in preparing to breastfeed. Therefore, breastfeeding education should be strengthened and routinely implemented during antenatal care services to improve maternal readiness and support successful breastfeeding practices.

Infant nutritional status is an important indicator of child health that is influenced by various factors, including maternal characteristics. Maternal education is often considered to play a role in determining infant care and feeding practices. This study aims to analyze the relationship between the mother's education level and infant nutritional status. The study uses a quantitative approach with a cross-sectional analytical observational design. The study sample consisted of 30 mothers and infants aged 0–12 months selected using purposive sampling. Maternal education level was categorized as elementary, secondary, and higher education, while infant nutritional status was determined based on anthropometric indicators according to WHO standards and the position of the Health Card (KMS). Data analysis was performed bivariately using Spearman's rho correlation test with a significance level of p < 0.05. The results of the study indicate that there is no significant relationship between the mother's level of education and the nutritional status of the infant (p = 0.575; r = −0.098). The correlation coefficient value indicates a very weak and statistically insignificant relationship. The conclusion of this study indicates that the mother's education level is not a factor directly related to the nutritional status of infants. The nutritional status of infants is likely to be more influenced by other more proximal factors, such as feeding practices, the quality and quantity of food intake, the child's health condition, and the family's environmental and socioeconomic factors.

The quality of complementary feeding (MP-ASI) for infants aged 6–23 months is a key factor in supporting growth and preventing early nutritional problems. However, MP-ASI practices that do not comply with recommendations are still common, especially in areas with limited access to nutrition information and education. One of the promotive-preventive efforts developed in primary health care is the implementation of toddler classes. This study aims to analyze the effectiveness of toddler classes in improving the nutritional quality of infants receiving MP-ASI in the working area of the Popayato Timur Community Health Center. This study used a quasi-experimental design with a one-group pretest–posttest approach. The study sample consisted of 33 infants aged 6–23 months selected using a total sampling technique. Data were collected through infant anthropometric measurements to assess nutritional status based on indicators of weight for age (BW/A) and weight for length/height (BW/H), as well as assessing the quality of MP-ASI using quality scores before and after the intervention. Data analysis was carried out descriptively and inferentially using paired statistical tests. The results showed an increase in the quality of complementary feeding (MP-ASI) after the implementation of toddler classes, accompanied by improvements in infant nutritional status based on indicators of weight for age and weight for height, with a statistically significant difference between conditions before and after the intervention. In conclusion, toddler classes are effective in improving the quality of complementary feeding and infant nutritional status, thus potentially being an applicable educational strategy in efforts to improve infant nutrition in primary health care.

Successful breastfeeding is a crucial factor in ensuring maternal and infant health, yet many postpartum mothers experience obstacles in optimally breastfeeding. One factor that plays a significant role in successful breastfeeding is family support and involvement. Families, particularly husbands and immediate family members, play a strategic role in providing the emotional, informational, and instrumental support mothers need during the postpartum period. This study aims to analyze the relationship between family roles and successful breastfeeding in postpartum mothers at TPMB Bdn. Neneng Banjarmasin. This study employed an observational analytical design with a cross-sectional approach. The sample consisted of 35 postpartum mothers with infants aged 0–6 months selected using purposive sampling. Data were collected using a structured questionnaire to measure family roles and successful breastfeeding, including aspects of early breastfeeding initiation, breastfeeding frequency, maternal comfort, and sustainability of breastfeeding practices. Data were analyzed univariately and bivariately using the Chi-square test with a significance level of p < 0.05. The results showed that most respondents received good family support and that the majority of postpartum mothers experienced successful breastfeeding. Bivariate analysis showed a significant relationship between family roles and breastfeeding success. In conclusion, family roles are significantly associated with breastfeeding success in postpartum mothers. This finding underscores the importance of a family-centered midwifery care approach in supporting breastfeeding success in community midwifery practice.

Early childhood is a critical period for growth and development, characterized by rapid changes in neurological, motor, sensory, and emotional systems. Stimulation during this stage plays a vital role, and non-pharmacological interventions such as massage and aromatherapy may enhance developmental outcomes. This quasi-experimental study employed a pretest–posttest control group design to evaluate the effectiveness of infant massage combined with aromatherapy. Twenty infants aged 3–12 months who met inclusion and exclusion criteria were recruited and assigned to either a control group (infant massage only) or an intervention group (infant massage with aromatherapy). Growth parameters (weight, length, head circumference) and developmental outcomes were measured using the Developmental Pre-Screening Questionnaire, covering gross motor, fine motor, language, and personal-social domains. Infants in the intervention group demonstrated significantly greater improvements in body weight, body length, head circumference, and developmental scores compared to the control group. These findings indicate that the addition of aromatherapy to infant massage provides measurable benefits for both physical growth and developmental progress. Combined infant massage and aromatherapy represent effective non-pharmacological strategies for early stimulation, supporting optimal growth and developmental trajectories in infants.

Gross motor development is an important aspect of an infant’s growth. Infants aged 6–12 months are in a golden period where physical stimulation plays a vital role in supporting coordination, balance, and muscle strength. Hydrotherapy provides an experience of free movement in water with light resistance, which can strengthen muscles and improve body control. This study aimed to determine the effect of hydrotherapy on the gross motor development of infants aged 6–12 months at Posyandu Dahlia, Palembang City. This research used a quasi-experimental design with a pretest–posttest control group involving 30 infants (15 intervention and 15 control). The intervention was conducted twice a week for four weeks in water with temperatures of 36–37°C. The Denver II instrument was used for assessment. Data were analyzed using paired t-tests and independent t-tests with a significance level of 0.05The average gross motor development score increased significantly in the intervention group from 45.2 to 60.4 (p = 0.001), while the control group showed no significant change (p = 0.094). Hydrotherapy has a significant effect on improving the gross motor development of infants aged 6–12 months. Health workers are encouraged to use this therapy as an alternative stimulation for early childhood development in community health centers.

Low Birth Weight (LBW) is one of the leading causes of neonatal mortality and contributes to an increased risk of growth and developmental disorders in later life. Maternal nutritional status during pregnancy and the utilization of antenatal health services are important factors influencing fetal growth and development. Pregnant women with poor nutritional status are at higher risk of delivering low birth weight infants due to insufficient intake of essential nutrients required during pregnancy. In addition, inadequate utilization of antenatal care services may result in delayed detection and management of pregnancy-related complications. This study aimed to determine the relationship between maternal nutritional status and the utilization of health services with the incidence of LBW. The research employed an observational analytic design with a cross-sectional approach. The study population consisted of all women who delivered in the working area of Puskesmas X in 2026. A total of 80 respondents were selected using purposive sampling. Data were collected from maternal and child health (MCH) books and medical records and analyzed using the Chi-square test. The results showed a significant relationship between maternal nutritional status and the incidence of LBW (p=0.002), as well as between the utilization of health services and the incidence of LBW (p=0.004). It can be concluded that maternal nutritional status and compliance with antenatal visits are significantly associated with LBW, highlighting the need to improve nutritional monitoring and the quality of antenatal care services.

Complete basic immunization for infants is an important effort in preventing infectious diseases and improving public health. However, certain regions still have subpar vaccination rates, which may be due to parents' ignorance and attitudes. Children who do not receive all recommended vaccinations are more vulnerable to illness and, worse, may die from it. This study was conducted at the Jikohay Community Health Center in the West Obi District to examine the impact IEC on mothers' attitudes and knowledge on the provision of full basic immunizations for newborns. Maternal and child health books (KIA) and a questionnaire approach were used in this qualitative study. The purpose of this study is to ascertain how IEC affects mothers' knowledge and attitudes on giving their babies the recommended basic vaccinations at the Jikohay Health Center in the West Obi District. There were 60 individuals in the population and 40 responders in the sample. Purposive sampling was used for the sample process. The Wilcoxon test was utilized for data analysis. According to the study's findings, 20 respondents had good attitudes, 20 had sufficient attitudes, and 29 had good knowledge, 10 had sufficient knowledge, and 1 had insufficient knowledge after receiving counseling on parental attitudes and knowledge in providing full basic immunizations to infants. At the Jikohay Health Center in the West Obi District, the results of the statistical test with a p-value of 0.000 indicated that IEC had an impact on mothers' attitudes and knowledge toward giving their infants all of the recommended basic vaccinations.

Background: Constipation is a common health problem among infants aged 6–12 months, which can lead to discomfort, feeding difficulties, and reduced quality of life. Non-pharmacological interventions, such as the I Love You (ILU) massage, have been suggested to improve bowel regularity and reduce gastrointestinal discomfort in infants. Objective: This study aimed to examine the effect of ILU massage on reducing constipation in infants aged 6–12 months at the South Bulango Health Center. Methods: A pre-experimental design with a one-group pretest–posttest approach was applied. Data on bowel movement frequency, stool consistency, and abdominal discomfort were collected before and after the intervention using structured observation sheets and caregiver questionnaires. Data analysis was performed using paired t-tests, with statistical significance set at p < 0.05. Results: The results showed a significant increase in bowel movement frequency from 2.1 ± 0.8 times per week before the intervention to 4.5 ± 1.0 times per week after the intervention (p = 0.000). Stool consistency improved from a mean Bristol score of 2.0 ± 0.6 to 4.0 ± 0.7 (p = 0.000), and abdominal discomfort decreased from 3.5 ± 1.0 to 1.2 ± 0.8 (p = 0.000). These findings indicate that ILU massage effectively alleviates constipation symptoms in infants. Conclusion: ILU massage is an effective, safe, and non-invasive method to reduce constipation in infants aged 6–12 months. Involving caregivers in the intervention enhances its effectiveness and supports parent–child bonding, making it suitable for integration into routine infant care at community health centers.

Hirschsprung’s disease is a congenital disorder caused by abnormal nerve cell development in the large intestine, leading to chronic intestinal obstruction in infants. This condition often manifests through symptoms such as constipation, abdominal distension, vomiting, and failure to thrive. The weak immune system of infants makes them highly susceptible to bacterial infections and further complications. At Bidadari General Hospital, there were 110 patients suspected of having Hirschsprung’s disease. One of the major challenges in managing these cases is the limited number of medical specialists, particularly pediatricians and pediatric surgeons, resulting in long waiting times for accurate diagnosis, especially during peak service hours. To address this issue, this study applies the Dempster-Shafer method in an expert system to assist in diagnosing Hirschsprung’s disease based on clinical symptoms. The method effectively handles uncertainty and combines multiple pieces of medical evidence to produce more accurate diagnostic probabilities. The analysis results show that from the selected symptoms, the highest diagnosis probability corresponds to short-segment Hirschsprung’s disease with a confidence level of 71.54%. These findings suggest that the Dempster-Shafer method can serve as an effective alternative tool to support early and accurate diagnosis of Hirschsprung’s disease in infants.

Exclusive breastfeeding for the first six months of life is an important nutritional intervention that plays a role in supporting infant growth and preventing growth disorders. Although the coverage of exclusive breastfeeding in Indonesia has increased, differences in infant growth outcomes based on nutritional sources remain an issue that needs to be examined contextually. This study aims to analyze the effect of exclusive breastfeeding on infant growth at the Labuha Community Health Center, South Halmahera Regency. The study uses a quantitative approach with an observational analytical design and a comparative cross-sectional design. The study sample consisted of 30 infants aged 3–9 months selected using total sampling technique. The independent variable was the infant's nutritional source (exclusive breastfeeding and breastfeeding supplemented with formula milk), while the dependent variables included weight gain and length gain. The data were analyzed univariately and bivariately. The normality test was performed using the Shapiro–Wilk test, and the difference analysis was performed using the independent t-test. The results showed that there was no significant difference in infant weight gain based on nutritional source (p = 0.334). However, there was a significant difference in infant length gain, with infants who were exclusively breastfed showing better linear growth than infants who received a combination of breast milk and formula (p = 0.006). The conclusion of this study shows that exclusive breastfeeding has a significant effect on infant length growth, but not on weight gain. These findings emphasize the importance of exclusive breastfeeding in supporting linear growth as a key indicator of healthy infant growth.

This report presents a comprehensive overview of the crucial role of Proportional-Integral-Derivative (PID) control systems in maintaining an optimal environment for premature neonates in modern infant incubators. The main focus is directed on the effectiveness of the PID system in regulating vital physiological parameters such as temperature, humidity, and stability of the baby's body temperature, which greatly determine the survival and development of the neonate. The PID control system is proven to be able to provide a fast and accurate response to changes in environmental conditions, thus maintaining parameter stability in real-time. The integration of PID technology with modern incubator devices enables precise automatic setup, supports energy efficiency, and improves patient safety and comfort. The report also discusses various PID tuning methods, such as Ziegler-Nichols and adaptive methods, which are used to improve the performance of the system in the face of environmental dynamics and individual characteristics of infants. Implementation challenges identified include system complexity, need for periodic calibration, and limited technical resources in healthcare facilities. However, continuous innovations in control design and algorithms have driven the evolution of incubator devices to be more intelligent and responsive. Thus, the PID control system plays a central role in supporting neonatal life-support technologies, while representing significant advances in biomedical engineering and intensive care of premature infants.

Kangaroo mother care is a treatment for low-birth-weight infants that involves direct skin-to-skin contact between the infant and the mother (skin-to-skin contact). This provides health and psychological benefits, particularly in providing warmth to the infant, enhancing maternal bonding, increasing maternal trust and satisfaction, and reducing stress. The difference in body temperature of low-birth-weight infants treated with kangaroo mother care for one hour and three hours. Research Method: The research design used was a quasi-experimental, pre-post test with control group design, which involves administering treatment or intervention to the experimental group and then measuring and analyzing the effects of the treatment. The sample size for this study was 30 people. Bivariate analysis was conducted using the independent t-test and paired t-test. The results showed that the infant's body temperature before the kangaroo mother care intervention was in the below-normal. The infant's body temperature after the intervention was in to normal range. The infant's body temperature after the kangaroo mother care intervention in the one-hour had a p value = 0,000 or <0,05). The infant's body temperature after the intervention was in to normal range. The infant's body temperature after the kangaroo mother care intervention in the three-hour had a p value = 0,000 or <0,05). The infant's body temperature after the kangaroo mother care intervention in the one-hour had a p value = 0,000 or <0,05). The infant's body temperature after the kangaroo mother care intervention in the three-hour had a p value = 0,000 or <0,05).

Diarrhea remains the leading cause of morbidity and mortality among infants in Indonesia, especially in areas with limited access to clean water and sanitation. This community service activity aims to improve mothers' understanding of the signs and symptoms of diarrhea in children, raise mothers' awareness of maintaining their children's hygiene and health to prevent diarrhea, and provide practical training on the initial treatment of diarrhea. The methods used include interactive lectures, group discussions, demonstrations on making oral rehydration solution (ORS), handwashing practice, and distribution of leaflets. The participants consisted of 30 mothers of young children in Bangun Rejo Village, Tanjung Morawa Subdistrict. Evaluation was conducted using pre-test and post-test knowledge assessments. The results of the activity showed a significant increase in mothers' knowledge regarding the prevention and management of diarrhea. Participants were able to identify diarrhea symptoms, practice making ORS, and were more prepared to take their children to healthcare facilities if dehydration signs were present. This activity demonstrated that community-based health education is effective in enhancing mothers' knowledge and preparedness in preventing diarrhea.

Baby massage is a form of multisensory stimulation that involves touch, movement, as well as auditory and visual stimuli, which is known to provide various physiological and psychological benefits for babies, including increased breastfeeding frequency. This study aims to determine the relationship between infant massage and the frequency of breastfeeding in babies aged 1–6 months in the working area of the Lambai Health Center, North Kolaka Regency. The type of research used is an analytical survey with a cross-sectional approach. The sampling technique was carried out in total sampling, involving the entire population of infants aged 1–6 months who met the inclusion criteria. Data collection was carried out through observation and structured interviews with infant mothers, as well as recording breastfeeding frequencies before and after infant massage interventions. Data analysis uses relevant statistical tests to test the relationships between variables. The results showed a significant relationship between infant massage and increased breastfeeding frequency, with a p-value of 0.000 (p < 0.05), indicating that infant massage had an effect on increasing breastfeeding activity in infants. The conclusion of this study is that infant massage has a positive relationship with the frequency of breastfeeding in infants aged 1–6 months. These findings support the use of infant massage as a simple but effective intervention in supporting breastfeeding success, especially in the early stages of life. This study recommends that the practice of infant massage can be socialized more widely to health workers and parents as part of the promotion of maternal and child health. The implementation of regular baby massage has the potential to improve the nutritional status and optimal growth and development of the baby.