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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 postpartum period, which begins with the delivery of the placenta and ends when the reproductive organs return to their pre-pregnancy state, lasts approximately 6-8 weeks. During this period, many mothers face challenges related to breast milk production, resulting in insufficient or absent milk flow. This condition, if untreated, can hinder the breastfeeding process and affect both maternal and infant health. To address these challenges, several interventions such as warm compresses and oxytocin massage have been explored. The aim of this study was to assess the effectiveness of these two methods in improving breast milk flow among postpartum mothers. A quasi-experimental design was employed, utilizing a non-equivalent control group with pre-test and post-test measurements. The study targeted postpartum mothers who were experiencing difficulties with breast milk production. Purposive sampling was applied to select participants who met the inclusion criteria. The results showed significant differences between the effects of warm compresses and oxytocin massage on postpartum breast milk flow, with a p-value of 0.002 (<0.05), indicating that both methods positively influenced milk production. However, it was found that oxytocin massage had a more pronounced effect on milk flow compared to warm compresses. These findings suggest that oxytocin massage may be a more effective intervention for enhancing breast milk production in postpartum mothers, thus providing valuable information for healthcare professionals aiming to support new mothers in the breastfeeding process. The study also highlighted the importance of personalized care based on individual needs. Further research is recommended to investigate the long-term impact of these interventions and their broader application in various postpartum care settings. Additionally, exploring other complementary approaches could offer a more comprehensive strategy for managing breastfeeding difficulties in the postpartum period.

The postpartum period, which begins with the delivery of the placenta and ends when the reproductive organs return to their pre-pregnancy state, lasts approximately 6-8 weeks. During this period, many mothers face challenges related to breast milk production, resulting in insufficient or absent milk flow. This condition, if untreated, can hinder the breastfeeding process and affect both maternal and infant health. To address these challenges, several interventions such as warm compresses and oxytocin massage have been explored. The aim of this study was to assess the effectiveness of these two methods in improving breast milk flow among postpartum mothers. A quasi-experimental design was employed, utilizing a non-equivalent control group with pre-test and post-test measurements. The study targeted postpartum mothers who were experiencing difficulties with breast milk production. Purposive sampling was applied to select participants who met the inclusion criteria. The results showed significant differences between the effects of warm compresses and oxytocin massage on postpartum breast milk flow, with a p-value of 0.002 (<0.05), indicating that both methods positively influenced milk production. However, it was found that oxytocin massage had a more pronounced effect on milk flow compared to warm compresses. These findings suggest that oxytocin massage may be a more effective intervention for enhancing breast milk production in postpartum mothers, thus providing valuable information for healthcare professionals aiming to support new mothers in the breastfeeding process. The study also highlighted the importance of personalized care based on individual needs. Further research is recommended to investigate the long-term impact of these interventions and their broader application in various postpartum care settings. Additionally, exploring other complementary approaches could offer a more comprehensive strategy for managing breastfeeding difficulties in the postpartum period.

Accounting information system (AIS) is an important part of corporate financial management. This research aims to study the design pattern of AIS for cash receipts and disbursements using a phenomenological approach based on a background that illustrates how important AIS optimization is at the Ngawonggo Patirtaan Site. To investigate the experiences of four informants regarding the current AIS implementation, this study used qualitative phenomenology. Data were collected through observation, documentation, and in-depth interviews. Then, a model was used to analyze the relationship between theme attributes and meanings. The research was conducted at Ngawonggo Patirtaan Site, which is located in Tajinan District, Malang. The results showed that the current AIS at Ngawonggo Patirtaan Site is still simple but organized. Expenditures are allocated based on needs, but the cash receipt system uses a kotak asih. Periodic recording is done manually in the cash ledger. Information is provided through verbal reports every month. The absence of supporting facilities is a major obstacle. The results show that the AIS should be more integrated and organized. The design of the proposed AIS pattern includes online registration process, cash receipt through kotak asih, digital and manual recording of transactions, and periodic reports. It is expected that better use of AIS will improve the efficiency and accountability of financial management at Ngawonggo Patirtaan Site.

Penelitian ini bertujuan untuk mengeksplor tindakan antisipatif pemerintah dalam menghadapi krisis ekonomi dengan menggunakan kebijakan moneter dan fiskal melalui kajian pustaka atau metode penelitian kepustakaan. Pendekatan ini memungkinkan peneliti untuk menggali berbagai teori, pandangan, dan hasil penelitian terdahulu yang relevan dalam memahami tindakan antisipatif pemerintah dalam menghadapi krisis ekonomi dengan menggunakan kebijakan moneter dan fiskal melalui. Penelitian ini menggunakan metode kajian kepustakaan (library research). Berdasarkan hasil dan pembahasan, dapat disimpulkan bahwa kebijakan moneter dan fiskal merupakan instrumen utama yang digunakan pemerintah untuk mengatasi dan merespons krisis ekonomi. Kebijakan moneter, yang dijalankan oleh bank sentral, bertujuan untuk mempengaruhi variabel moneter seperti suku bunga, uang beredar, dan nilai tukar, dengan tujuan mencapai stabilitas harga, pertumbuhan ekonomi yang seimbang, dan stabilitas sistem keuangan. Sementara itu, kebijakan fiskal, yang melibatkan pengaturan pendapatan dan pengeluaran pemerintah, bertujuan untuk mencapai pertumbuhan ekonomi yang tinggi, menciptakan lapangan kerja, dan menjaga stabilitas ekonomi melalui pengaturan pajak, pengeluaran, dan stimulus fiskal, dan kedua kebijakan ini saling terkait dan berperan penting dalam menjaga stabilitas ekonomi nasional. Kebijakan moneter dan fiskal dapat digunakan bersama-sama untuk merespons krisis ekonomi, seperti resesi atau inflasi tinggi, dengan menciptakan lingkungan ekonomi yang lebih stabil dan memberikan manfaat jangka panjang bagi masyarakat secara keseluruhan.

Background Exclusive breastfeeding in the world is still very low. The problem is that mothers do not breastfeed their babies on the first day because of the mother's fear of not having enough breast milk, flat nipples, swollen breasts, breast abscesses, sore or cracked nipples. This pain will make a mother become stressed. The aim of this community service program (PKM) is to increase the empowerment of husbands in carrying out oxytocin massage for breast milk production in postpartum mothers at the independent midwife practice of Rimenda Br Tarigan, Medan Denai District in 2024. The method used is counseling on targets carried out verbally. The results are based on the results of the service implementation. Participants in this activity were postpartum mothers who visited the Rimenda Br Tarigan Independent Midwife Practice as many as 46 people.

Breast preparation for breastfeeding begins during pregnancy, which is characterized by the breasts becoming larger along with the increase in the number and size of the alveoli glands as a result of increasing levels of the hormone estrogen. This occurs until a baby has been breastfed for a few days when actual milk production begins. In the first few days the breasts secrete colostrum which is very important for the baby's health. Breasts produce breast milk starting when the baby begins to suckle on the nipple and the resulting physical stimulation causes impulses in the nerve endings which are then sent to the hypothalamus in the brain which in turn tells the pituitary gland in the brain to produce the hormones oxytocin and prolactin (Anik, 2016). This study aims to analyze the relationship between oxytocin massage and breast milk production in postpartum mothers at Ibu Kartini Hospital, West Kisaran, Asahan Regency in 2023. This research is correlational with a cross sectional approach and bivariate data analysis is data analysis used in research to determine the relationship or influence of variables. independent (independent) with a dependent (dependent) variable using Chi Square analysis with a significant p-value (0.05) (Hardani, 2020) Based on the research results. Based on the results of statistical tests using Chi-Square, it was obtained with a p value of 0.001 that the breast milk output of postpartum mothers before oxytocin massage was mostly not enough breast milk. Postpartum mothers' breast milk output after massage is mostly breast milk This means that there is an influence of oxytocin massage on breast milk production in postpartum mothers at Ibu Kartini Hospital, West Kisaran, Asahan Regency in 2023

Considering how important Early Breastfeeding Initiation is, especially in Indonesia, it is being implemented, one of the main goals of which is to ensure smooth breastfeeding, where the aim of the baby getting breast milk is to be able to develop the baby's maximum potential (Rahmat, 2018). This study aims to analyze the relationship between early initiation and the smooth production of breast milk in post-partum mothers at the Datar City Health Center, Hamparan Perak District, Deli Serdang Regency in 2023. This research is an analytical description with a cross-sectional approach and bivariate data analysis is the data analysis used in the research to determine the relationship or influence of the independent variable with the dependent variable using chi-square test analysis, at the p-value statistical significance limit α (0.05), then Ha: accepted and Ho: rejected (Hardani, 2020).Based on the table above, it can be explained that of the 32 respondents, those who did not initiate early breastfeeding, the majority of mothers' breast milk was not flowing smoothly, 13 (41%). Based on this table, it can be seen that there is a relationship between early initiation and the smooth production of breast milk for post-partum mothers at the Kota Datar Community Health Center, Hamparan Perak District, Deli Serdang Regency in 2023 with a p value of 0.001.This means that there is a relationship between early initiation and the smooth production of breast milk for post-partum mothers at the Datar City Health Center, Hamparan Perak District, Deli Serdang Regency in 2023

Exclusive breastfeeding for 6 months and continuing for 2 years in addition to providing adequate complementary foods (MP ASI) has been proven to be an effective intervention that can reduce infant mortality. This study aims to determine the relationship between oxytocin massage and breast milk production in postpartum mothers at the Madiri Rimenda Br Tarigan Midwife Practice, Medan Denai District in 2023. This type of research is research using an analytical survey with a cross sectional method approach. The population was all post partum mothers who visited the Madiri Rimenda Br Tarigan Midwife Practice, Medan Denai District, totaling 34 people. The number of samples used was 34 people obtained using the total sampling technique. The data analysis technique uses chi square. The results obtained in this study were that from 34 respondents, there was an effect of oxytocin massage on breast milk production in postpartum mothers, showing that the p value = 0.000 < 0.05. It is recommended for Health Workers to increase education regarding Exclusive Breastfeeding.

According to data from the Indonesian Ministry of Health in 2021, the presentation of exclusive breastfeeding to infants showed an improvement from the previous year, from 69.62% to 71.58%. However, most provinces have a percentage below the national average, including Gorontalo (52.75%), Central Kalimantan (55.98%), West Papua (58.77%), Riau Islands (58.84%), DKI Jakarta 65.63%, Aceh (66.66%) and North Sumatra (57.83%). (Monavia, 2021). This study aims to identify the relationship between oxytocin massage and smooth breastfeeding for postpartum mothers in Tomuan Village, Siantar Timur District, Simalungun Regency in 2023.Type of quantitative research with cross sectional design. This study was conducted on a sample of 20 postpartum. To measure the characteristics of the respondents used a data collection form, to measure oxytocin massage with the smooth expulsion of breast milk in postpartum mothers respondents used a questionnaire.Based on the relationship between oxytocin massage and smooth breastfeeding in postpartum mothers, a p-value of 0.000 (p<0.05) was obtained which indicated that there was a significant relationship between oxytocin massage and smooth breastfeeding in postpartum mothers in Tomuan Village, Siantar Timur District, Simalungun Regency . Thus Ho is rejected, the correlation strength (r) = 0.014.The relationship between oxytocin massage and the smoothness of breastfeeding in postpartum mothers in the Tomuan Village, Siantar Timur District, Simalungun Regency, a category that has done oxytocin massage. It is recommended for postpartum mothers to do oxytine massage optimally so that breastfeeding can flow smoothly in Tomuan Village, East Siantar District, Simalungun Regency    

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

Pada ibu nifas dan menyusui perlu melakukan perawatan payudara untuk memelihara kesehatan pada payudaranya dan dapat meningkatkan serta melancarkan produksi ASI. Perawatan payudara ini mulai dilakukan pada hari pertama atau kedua sesudah persalinan. Perawatan payudara bermanfaat melancarkan efek pengeluaran ASI dan cara ini juga dapat mengefektifkan peningkatan volume ASI. Selain itu, payudara juga dapat mengalami bendungan ASI akibat tersumbatnya pengeluaran ASI dan hal ini dapat dicegah dengan perawatan payudara. Banyak ibu nifas dan menyusui mengeluhkan setelah meahirkan ASI keluar tidak lancar atau bayi tidak mau menyusu.. Pengabdian masyarakat dilakukan pada tanggal 15 Mei 2023 di Desa Bengle KecamatanTalang Kabupaten Tegal dengan diikuti  sebanyak 13 ibu nifas. Metode yang digunakan dalam kegiatan ini adalah pendidikan kesehatan dengan melakukan demontrasi menggunakan phantom. Hasil dari pengabdian adalah ibu nifas dan menyusui sudah memahami dan mengetahui tentang perawatan payudara pada masa nifas guna meningkatkan produksi ASI.   Kata Kunci :Perawatan payudara, Ibu Nifas,Ibu Menyusui, ASI

Service quality can be measured by comparing perceptions between the expected service and the service received and felt by the patient. Patient satisfaction is the level of patient feelings after comparing with his expectations. If a patient is satisfied with the value provided by a product or service, it is very likely that they will become a customer for a long time. The aim of this research is to analyze the relationship between service quality in the registration section and patient satisfaction for pregnant women at the Highlands Assistant Health Center, Highlands District, Binjai City in 2023. The type of research used in this study is analytical with a cross-sectional approach with the research sampling technique being non-probability sampling. or non-random sampling was carried out at PMB Tuti Khairina, Serdang Bedagai Regency with a sample of 32 KF 1 post partum mothers from February to May 2023. The results of the chi-square test obtained a p value = 0.001 (p <0.05). This means that there is The Relationship between Early Initiation and the Smooth Expenditure of Breast Milk in Post Partum KF 1 Mothers in PMB Tuti Khairina Serdang Bedagai Regency in 2023    

Ineffective breastfeeding if not immediately handled can cause problems such as swollen breasts, nipple blisters, and mastitis in mothers. To prevent this, midwives play a role in overcoming the problem of breast milk that is not smooth, one of which is by providing complementary care in the form of the marmet technique. This study aims to determine the effect of marmet technique on the smoothness of breast milk production. This research is a qualitative research with case studies with data sources and data types using primary data obtained from interviews, examinations, and observations and secondary data obtained from relevant sources.  The implementation technique was carried out on Mrs. T by providing the marmet technique with a duration of approximately 20 minutes a day and conducting an evaluation after administration with the results known to have an effect on the smoothness of breast milk production.    

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.

  Faktor ibu menjadi masalah dalam pemberian ASI adalah pengeluaran produksi ASI dipengaruhi oleh makanan yang dimakan ibu, apabila makanan ibu secara teratur dan cukup mengandung gizi yang diperlukan akan mempengaruhi produksi ASI selain status gizi faktor fisiologis merupankan hal yang harus diperhatikan .ibu yang mengalami kecemasan akan mengakibatkan terjadinyya let-down reflek yang mempengaruhi produksi ASI. Tujuan dari peneIitian ini untuk mengetahui tingkat kecemasan pada Ibu post section caesarea di RSUD Tani dan Nelayan Boalemo status gizi pada Ibu post section caesarea di RSUD Tani dan Nelayan Boalemo dan untuk mengetahui tingkat kecemasan dan status gizi secara bersama-sama. Metode penelitian ini merupakan peneIitian kuantitatif yang bersifat analitik dengan pendekatan pengambilan Cross sectional. HasiI peneIitian terdapat nilai p < 0.05 dapat di ambil kesimpulan bahwa tingkat kecemasan memiliki hubungan dengan produksi ASI pada Ibu Post Section Caesarea Di RSUD Tani dan Nelayan Boalemo dan hasil analisa data dengan uji chi square didapatkan nilai significancy 0.024. Berdasarkan nilai tersebut karena nilai p < 0.05 dapat di ambil kesimpulan bahwa status gizi ibu memiliki hubungan dengan produksi ASI pada Ibu Post Section Caesarea Di RSUD Tani dan Nelayan Boalemo, Berdasarkan analisa multivariate uji regresi logistic dapat disumpulkan bahwa tingkat kecemasan diperoleh nilai OR 19,662 dan status gizi sebesar 18,557. dapat disimpulkan bahwa tingkat kecemasan memiliki hubungan lebih tinggi dengan produksi ASI pada Ibu Post Section Caesarea Di RSUD Tani dan Nelayan Boalemo.    

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.

Latar Belakang :  Saat ini status kesehatan ibu dan anak di Indonesia masih jauh dari yang diharapkan, ditandai dengan masih tingginya angka kematian bayi (AKB). Hasil Survei Demografi dan Kesehatan Indonesia (SDKI) tahun 2017 menunjukkan AKN sebesar 15 per 1.000 kelahiran hidup, AKB 24 per 1.000 kelahiran hidup, dan AKABA 32 per 1.000 kelahiran hidup. Pada masa neonatal (0-28 hari) terjadi perubahan yang sangat besar dari kehidupan di dalam rahim dan terjadi pematangan organ hampir pada semua sistem. Ikterus yang ditemukan pada bayi baru lahir dapat merupakan suatu gejala fisiologis (terdapat 25-50% neonatus cukup bulan dan lebih tinggi lagi pada neonatus kurang bulan). bayi yang mendapat ASI penyebab terjadinya ikterus berhubungan dengan proses pemberian minum ASI yang tidak adekuat dan buruknya pemasukan cairan yang menyebabkan tertundanya pengeluaran mekonium pada neonatus, hal tersebut akan meningkatkan sirkulasi enterohepatik Metode : Jenis penelitian yang  dilakukan adalah survei analitik. desain penelitian cross sectional.  Dengan menggunakanan analisa dara chi square. Hasil :  Hasil analisa statistik menggunakan uji chi-square menghasilkan nilai p value = 0,000. Sehingga didapatkan bahwa p < 0,05 Kesimpulan :  artinya Ha diterima atau terdapat hubungan antara pemberian ASI dengan kejadian ikterus pada bayi baru lahir 0-7 hari di Desa Baru Titi Besi Kecamatan Galang, Kabupaten Deli Serdang Tahun 2021.

The puerperal period is also called the post partum or puerperium period, which is the time between the birth of the baby and the placenta leaving the uterus until the return of the reproductive organs to a normal state as before childbirth. The puerperium lasts six weeks. The purpose of this study was to determine the effect of oxytocin massage on breastfeeding in post partum mothers in the post maternal partum (PMP) room at Bumiayu Health Center, Brebes Regency 2021. The research method used is pre-experiment (experimental activity that aims to determine an effect that arises as a result of certain treatments) using one-group pretest-post test design, namely an experimental design that uses one group of subjects and takes measurements before and after treatment. on the subject. This design is to determine the effects before and after treatment. The analysis in this study used the t-test. From the results of statistical testing using the T-test, the significance value was 0.000 (p <0.05). So it can be concluded statistically Ha is accepted and Ho is rejected, meaning that it can be concluded that there is an effect of oxytocin massage therapy on breastfeeding in post partum mothers at Bumiayu Health Center. In connection with the results of this study, it is hoped that post partum mothers with the help of their husbands or families at home can inform the surrounding community so that they can increase their knowledge and insight to apply oxytocin massage as a solution to overcome the problem of unsanitary breastfeeding.