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The postpartum period following Sectio Caesarea is often accompanied by acute pain due to surgical incisions, which may interfere with mobilization, breastfeeding, and maternal recovery. Effective pain management is essential to prevent further complications and enhance maternal comfort. In addition to pharmacological therapy, non-pharmacological interventions such as Benson relaxation therapy can be implemented. This study aimed to evaluate the application of Benson relaxation therapy in reducing acute pain among postpartum Sectio Caesarea mothers.This study employed a case study design involving four postpartum Sectio Caesarea patients (Ny. R, Ny. A, Ny. Y, and Ny. S) treated in the Ayyub Ward of RS Roemani Muhammadiyah Semarang in 2026. Data were collected through comprehensive nursing assessments, pain intensity measurement using a numeric rating scale, observation of mobilization ability, and evaluation before and after intervention.The results showed that after regular implementation of Benson relaxation therapy, all patients experienced a gradual decrease in pain intensity (from scale 4–7 to ≤3), improved comfort, better breathing control, and increased ability to perform early mobilization. Consistent nursing education, therapeutic guidance, and family involvement supported the effectiveness of the intervention. It can be concluded that Benson relaxation therapy is an effective, safe, and easily applicable nursing intervention for reducing acute pain in postpartum Sectio Caesarea patients.

Suboptimal breast milk production during postpartum is a reason for formula feeding, thus preventing exclusive breastfeeding targets. According to the WHO, the global coverage of exclusive breastfeeding should reach 68% by 2023. Non-pharmacological efforts can be implemented by administering moringa leaf tea, which contains flavonoids, phytosterols, alkaloids, saponins, and tannins, which function as lactogogues to stimulate the hormones prolactin and oxytocin. The purpose of this study was to determine the effect of administering moringa leaf tea to breastfeeding mothers at the Fitriatul Laili Rejoagung Banyuwangi TPMB in 2025 on their ability to increase breast milk production. This study involved 30 postpartum mothers: 15 in the intervention group and 15 in the control group. The study used a two-group quasi-experimental pretest-posttest design. Five grams of moringa leaf tea, 200 milliliters daily for seven days, was administered to the intervention group. The control group received normal postpartum care. The sampling method used was sequential sampling. Ten breast milk production indices were used as instruments. A t-test was used for data analysis. This study has been ethically reviewed. According to the findings, the average breast milk production in the intervention group increased from 5.87 to 8.87, while in the control group it increased from 6.00 to 6.60. The intervention group's averages differed from the control group by 3.00 and 0.6, respectively. The p-value was 0.000, indicating that tea made from moringa leaves can increase breast milk production. Therefore, this tea is recommended as a natural substitute for breast milk production.

The postpartum period is a critical phase with a high risk of complications, particularly perineal wound infection, especially in mothers with premature rupture of membranes (PROM). PROM increases the risk of microbial invasion into the birth canal, making infection prevention essential. Vulva hygiene is a non-pharmacological intervention that can help reduce this risk. This study aimed to evaluate the application of vulva hygiene in reducing the risk of perineal wound infection in postpartum mothers with PROM. This study used a case study design involving four postpartum mothers with PROM treated in the Wijaya Kusuma Ward of RSUD Limpung Batang in 2025. Data were collected through comprehensive nursing assessments, observation of perineal wound conditions, and evaluation of infection risk signs before and after the intervention. The results showed that regular implementation of vulva hygiene led to a reduction in infection risk signs, decreased perineal pain, and improved genital hygiene in all patients. Nursing education and assistance played a crucial role in the success of this intervention. It can be concluded that vulva hygiene is an effective nursing intervention in preventing perineal wound infection in postpartum mothers with PROM.

Background: The postpartum period is a critical phase requiring optimal nutritional intake for maternal recovery and ensuring the quality of breast milk. In densely populated urban areas such as Semampir District, dietary quality is often influenced by the level of nutrition knowledge and household economic conditions. Objective: This study aims to analyze the relationship between nutrition knowledge and household food security with dietary quality among postpartum mothers in Semampir District, Surabaya. Methods: This was an observational analytical study with a cross-sectional design. A total of 340 postpartum mothers were selected using simple random sampling. Nutrition knowledge was measured through a structured questionnaire, food security was assessed using the Household Food Insecurity Access Scale (HFIAS), and dietary quality was measured using the 3-level Balanced Diet Index derived from 24-hour food recall data. Data were analyzed descriptively and through the Chi-Square correlation test. Results: The findings indicated that the majority of respondents possessed a good level of nutrition knowledge (average correct answers >75%), with the highest score in anemia prevention (81.2%) and the lowest in the functional role of Vitamin A (75.9%). Dietary quality assessment revealed that most respondents were in the [Select: Moderate/Poor] category based on IGS scores. Bivariate analysis showed a significant relationship (p < 0.05) between both nutrition knowledge and household food security with the dietary quality of postpartum mothers. Conclusion: Good nutrition knowledge and stable food security contribute positively to the dietary quality of postpartum mothers. Targeted nutritional education regarding micronutrients and strengthening food access at the household level are essential to optimize maternal health during the postpartum period in urban settings.

The postpartum period is a phase of physical and psychological adaptation that often causes anxiety in mothers after childbirth. Untreated anxiety can affect the recovery process, breast milk production, and mother–infant bonding. This study aimed to determine the effectiveness of hypnobirthing in reducing anxiety levels among mothers with spontaneous postpartum. The method used was a case study with a nursing care approach involving five spontaneous postpartum mothers who experienced anxiety related to situational crises. Anxiety levels were measured using the Hospital Anxiety and Depression Scale (HADS) questionnaire before and after the intervention. The nursing intervention in the form of hypnobirthing was administered once daily for 15 minutes over three consecutive days. The results showed a decrease in the average anxiety score from 18 (severe anxiety) before the intervention to 10 (mild anxiety) after three days of hypnobirthing. All patients experienced a reduction in anxiety levels, with most achieving a final category of mild anxiety. In conclusion, hypnobirthing is effective in reducing anxiety levels in spontaneous postpartum mothers and can be used as a non-pharmacological nursing intervention to support maternal psychological recovery after childbirth.

Severe preeclampsia is a condition characterized by systolic blood pressure exceeding 160 mmHg and diastolic pressure exceeding 110 mmHg, occurring after 20 weeks of gestation and accompanied by edema and proteinuria. One intervention used to save both mother and fetus is a cesarean section. This final nursing scientific paper analyzes the implementation of evidence-based practice, specifically warm foot soak therapy, for mothers with severe preeclampsia during the pre- and postpartum periods who are at risk for ineffective cerebral perfusion. This descriptive case study method used a nursing care approach. Assessment results identified five major nursing problems, including the risk for ineffective cerebral perfusion. After four days of warm foot soak therapy, this problem was resolved, as blood pressure decreased from 147/101 mmHg to 120/88 mmHg. Conclusion: Warm foot soak therapy effectively lowers blood pressure in pre- and postpartum mothers with severe preeclampsia. Recommendation: Nurses can implement warm

Labor pain is a significant challenge faced by in-partum mothers, with a prevalence of 70% in Indonesia, and 40% of women reporting severe pain (Central Statistics Agency, 2022). Conventional pharmacological methods often do not provide optimal results and can cause side effects. As a non-pharmacological alternative, oxytocin massage has shown promise in reducing labor pain intensity by stimulating the endogenous production of oxytocin, a natural analgesic hormone. This study aimed to assess the effect of oxytocin massage on labor pain intensity in in-partum mothers at Manado Medical Center Hospital. A pre-experimental design with a one-group pre-test post-test approach was used. The sample consisted of 30 in-partum mothers who met the inclusion criteria. Pain intensity was measured using the Numeric Rating Scale (NRS) before and after a 30-minute oxytocin massage administered by trained health workers. Data were analyzed using a paired t-test. The results showed a significant reduction in pain intensity from an average of 7.23 (SD=1.08) before the massage to 4.63 (SD=1.11) afterward, with a decrease of 2.6 points. The proportion of mothers experiencing severe pain decreased from 50% to 20%, while mild pain increased from 16.7% to 46.7%. The paired t-test revealed a highly significant difference with t=10.274 (df=29), p=0.000 (p<0.05). In conclusion, oxytocin massage is an effective non-pharmacological intervention that can significantly reduce labor pain and improve the birth experience. It can be incorporated into standard maternity nursing protocols to enhance maternal care.

Background: Constipation is a common functional gastrointestinal problem in infants aged 6–12 months, causing discomfort, hard stools, and reduced quality of life. Non-pharmacologic interventions, such as abdominal massage, have shown promise in improving bowel function, but evidence regarding the effectiveness of the I Love You massage technique in community settings remains limited. Objective: This study aimed  examine the effectiveness of I Love You massage in reducing constipation among infants aged 6–12 months attending South Bulango Health Center. Methods: A quasi-experimental design with a pretest-posttest control group was employed. Thirty infants with functional constipation were purposively selected and divided into an intervention group (n=15) receiving daily I Love You massage for 10 minutes over seven days, and control group (n=15) receiving standard care, including dietary guidance and hydration. Data were analyzed using SPSS version 25 with paired t-tests for within-group comparisons and independent t-tests for between-group differences. Results: The intervention group exhibited a significant increase in bowel movement frequency (2.1 ± 0.7 to 5.6 ± 0.9 per week) and improvement in stool consistency (1.2 ± 0.4 to 2.8 ± 0.5), along with a notable reduction in abdominal discomfort (6.5 ± 1.2 to 2.1 ± 0.8). In contrast, the control group showed minimal improvements. Statistical analysis confirmed significant differences between groups (p < 0.05). Conclusion: I Love You massage is an effective, safe, and low-cost intervention reduce constipation in infants aged 6–12 months. Its implementation in primary healthcare settings may enhance gastrointestinal function, relieve discomfort, and promote caregiver-infant interaction.

Oxytocin massage is a technique used to stimulate the release of the hormone oxytocin, which plays a vital role in breastfeeding. Spinal massage stimulates the parasympathetic nervous system, which then triggers the release of oxytocin. This hormone causes contractions in the muscle cells surrounding the milk ducts, thereby promoting breast milk production. The purpose of this study was to determine the effect of oxytocin massage on increasing breast milk production in postpartum mothers. This study used a quantitative design with a quasi-experimental approach, namely a one-group pretest-posttest design. The study population was postpartum mothers with breast milk flow problems at the Bandarharjo Community Health Center, Semarang City. The sampling technique used was purposive sampling, where researchers selected samples based on certain characteristics. Data collection was carried out using a questionnaire. Data analysis used the Chi-Square test. The results of the study showed that the calculated Chi-Square value on the first day (62,000) was greater than the Chi-Square table (12,591), on the second day (54,866 > 23,684), and the third day (58,117 > 32,670). Based on these results, H0 was rejected and Ha was accepted, which means there was a significant effect of oxytocin massage on the smooth production of breast milk in postpartum mothers at the Bandarharjo Community Health Center.

This study examines postpartum nursing care for mothers undergoing Sectio Caesarea (SC) with the primary nursing diagnosis of ineffective breastfeeding. The purpose is to evaluate the effectiveness of oxytocin massage intervention in improving breastfeeding outcomes in post-SC mothers. The study was conducted in Mawar Ward, RSUD dr. H. Soewondo Kendal, involving four patients experiencing delayed lactation, difficulty in baby latching, and psychological challenges such as anxiety and lack of confidence. The intervention was based on the Indonesian Nursing Intervention Standards (SIKI), focusing on observation, therapeutic actions, education, and collaboration with healthcare teams and family members. Oxytocin massage was performed 2–3 times daily, complemented by warm compresses, breastfeeding position training, and emotional support. The results indicated significant improvements: increased breast milk production, better baby latching, reduced maternal anxiety, and higher self-confidence in breastfeeding. This evidence-based approach highlights that comprehensive postpartum nursing care—integrating physical, psychological, and family support—plays a crucial role in ensuring breastfeeding success and overall maternal recovery after SC.

This study examines postpartum nursing care for mothers undergoing Sectio Caesarea (SC) with the primary nursing diagnosis of ineffective breastfeeding. The purpose is to evaluate the effectiveness of oxytocin massage intervention in improving breastfeeding outcomes in post-SC mothers. The study was conducted in Mawar Ward, RSUD dr. H. Soewondo Kendal, involving four patients experiencing delayed lactation, difficulty in baby latching, and psychological challenges such as anxiety and lack of confidence. The intervention was based on the Indonesian Nursing Intervention Standards (SIKI), focusing on observation, therapeutic actions, education, and collaboration with healthcare teams and family members. Oxytocin massage was performed 2–3 times daily, complemented by warm compresses, breastfeeding position training, and emotional support. The results indicated significant improvements: increased breast milk production, better baby latching, reduced maternal anxiety, and higher self-confidence in breastfeeding. This evidence-based approach highlights that comprehensive postpartum nursing care—integrating physical, psychological, and family support—plays a crucial role in ensuring breastfeeding success and overall maternal recovery after SC.

Sectio caesarean surgery is a surgical procedure that can effectively prevent ma- ternal and newborn deaths when used for reasons of medical indications. Post operative sectio caesarean can pose several risks of complications, one of which is pain and surgical wound infection. Non pharmacological approach aromatherapy as a complementary therapy to reduce postpartum pain. This case study aims to analyze the influence aromatherapy lavender on reducing pain levels in post sectio caesarean mothers by using the case study method pre and post test. The case study was carried out in 25 May 2025 – 07 June 2025. This type of case study is descriptive with the number of subjects used, namely three post partum mothers in the RSUD Batang private sector with pain assessment using a questionnaire Numeric Rating Scale (NRS). The results of the case study showed a change in pain intensity from a scale of 6-7 to a scale of 4-5. This shows an influence aromatherapy lavender on reducing pain levels in postpartum mothers caesarean section Giving innovation aromatherapy can be used as an independent nursing in- tervention so that it can be applied to patients regularly.

Adequate breast milk production is crucial for the health and development of newborns, yet many postpartum mothers face challenges in breastfeeding. Various factors, such as diet, nutritional status, and stress, can significantly influence milk production. Young papaya is known to contain lactagogum, which can stimulate the hormones prolactin and oxytocin, both of which play a vital role in enhancing breast milk production. This study aimed to examine the effect of young papaya consumption on breast milk production among postpartum women. A quantitative design with a quasi-experimental approach, specifically a post-test control-only group design, was used for this study. The sample consisted of 20 postpartum women, who were divided into two groups: the treatment group (consuming young papaya) and the control group. Data were collected through a questionnaire, and the analysis was conducted using Fisher's exact test with SPSS software. The results revealed that 70% of the mothers experienced smooth breast milk production, with the treatment group (those who consumed young papaya) reporting significantly higher levels of smooth milk production compared to the control group. Fisher's exact test showed a statistically significant association between the consumption of young papaya and the smoothness of breast milk production (p=0.005). In conclusion, the consumption of young papaya has a positive effect on increasing breast milk production in postpartum women. The papain enzyme present in young papaya appears to stimulate the hormones essential for milk production. Therefore, increasing awareness and education about the benefits of young papaya consumption as a lactagogue can play a significant role in supporting successful breastfeeding. Further studies with larger sample sizes are recommended to validate these findings and explore the long-term effects of young papaya consumption on lactation.

Adequate breast milk production is crucial for the health and development of newborns, yet many postpartum mothers face challenges in breastfeeding. Various factors, such as diet, nutritional status, and stress, can significantly influence milk production. Young papaya is known to contain lactagogum, which can stimulate the hormones prolactin and oxytocin, both of which play a vital role in enhancing breast milk production. This study aimed to examine the effect of young papaya consumption on breast milk production among postpartum women. A quantitative design with a quasi-experimental approach, specifically a post-test control-only group design, was used for this study. The sample consisted of 20 postpartum women, who were divided into two groups: the treatment group (consuming young papaya) and the control group. Data were collected through a questionnaire, and the analysis was conducted using Fisher's exact test with SPSS software. The results revealed that 70% of the mothers experienced smooth breast milk production, with the treatment group (those who consumed young papaya) reporting significantly higher levels of smooth milk production compared to the control group. Fisher's exact test showed a statistically significant association between the consumption of young papaya and the smoothness of breast milk production (p=0.005). In conclusion, the consumption of young papaya has a positive effect on increasing breast milk production in postpartum women. The papain enzyme present in young papaya appears to stimulate the hormones essential for milk production. Therefore, increasing awareness and education about the benefits of young papaya consumption as a lactagogue can play a significant role in supporting successful breastfeeding. Further studies with larger sample sizes are recommended to validate these findings and explore the long-term effects of young papaya consumption on lactation.

Breast care is very important for mothers because it is a care action performed by the patient or assisted by others, usually starting from the first or second day after giving birth.The objective of this study is to determine the effect of breast care on the smoothness of breast milk production in postpartum mothers at RSUD Walanda Maramis.The research uses a quasi-experimental one-group post-test only design.The sample in this study consisted of 15 respondents.Data collection on breast milk smoothness used observation sheets and the statistical test employed was the independent t-test.The research results showed that the highest breast milk production after the intervention was smooth breast milk from 11 respondents (73.3%).The results of the unpaired t-test showed a p-value of 0.000 where < α 0.05.Conclusion: There is an influence of breast care on the smoothness of breast milk production in postpartum mothers at RSUD Walanda Maramis.

Background:Breastfeeding is expected to help achieve SDGs goal 3, target 2, which is to reduce neonatal mortality to at least 12 per 1,000 live births in all countries by 2030 and stop unnecessary deaths of newborns and children under five. Encouraging healthy breastfeeding is essential to prevent more than 820,000 deaths of children under five each year. Oxytocin massage has been shown to increase the sensation of relaxation, improve sleep quality and comfort, reduce pain and tension, and help increase prolactin and oxytocin levels, which in turn increase breast milk production. Research Method:The research design used the Pre Experimental Design method, namely with the form of a One Group pretest and posttest design without a control group. This study used purposive sampling, with a sample size of 22 respondents. Data analysis used univariate and bivariate. Result:This study showed that the value before oxytocin massage was 16.14 and after oxytocin massage the mean was 27.73. The conclusion of the study shows that the results of the experimental test have a significant value with a p value of 0.000 <0.05. This shows that there is a significant gap in breast milk production between before and after oxytocin massage. Suggestion: It is hoped that midwives at the Lidya Clinic can use this study as input to support increased breast milk production in mothers, especially those in the postpartum period.

Background: Duration of labor is a key determinant of childbirth outcomes and may influence the mother’s physiological and psychological state. Prolonged labor is often associated with increased maternal fatigue and emotional stress, which can delay the establishment of early maternal-infant bonding during the taking-hold period. Methods: This study employed a cross-sectional design with a quantitative approach. A total of 80 postpartum women who delivered vaginally at hospitals and maternity clinics were recruited through purposive sampling. Data were collected using an observation sheet for labor duration and the Maternal Postnatal Attachment Scale (MPAS). Statistical analysis was performed using Pearson’s correlation test with a significance level of p < 0.05. Results: The findings revealed a significant negative correlation between labor duration and maternal-infant bonding scores (r = -0.432; p = 0.002). Mothers who experienced labor longer than 12 hours demonstrated lower emotional closeness with their infants compared to those with shorter labor (<8 hours). Conclusion: Prolonged labor tends to hinder the development of early maternal-infant bonding. Emotional support and midwifery assistance during the labor process are essential to enhance bonding and psychological well-being in the postpartum period.

It is hoped that breastfeeding can help achieve SDGs goal 3, target 2, namely efforts to reduce the neonatal mortality rate to at least 12 per 1000 live births in all countries by 2030 and stop unnecessary deaths of newborns and toddlers. Encouraging healthy breastfeeding is so important that it can prevent more than 820,000 deaths of children under five every year. Oxytocin massage has been shown to increase the sensation of relaxation, improve sleep quality and comfort, reduce pain and tension, and help increase prolactin and oxytocin levels, which in turn increases breast milk production.The research design uses the Pre Experimental Design method, namely in the form of a One Group pretest and posttest design without a control group. This research used purposive sampling, with a total sample of 22 respondents. Univariate and bivariate data analysis. The results of this study showed that the value before the oxytocin massage was a mean of 16.14 and after the oxytocin massage the mean was 27.73. The conclusion of this research shows that the results of the experimental test have a significant value with a p value = 0.000 <0.05. This proves that there is a significant difference in breast milk production between before and after oxytocin massage. It is recommended that midwives at the Afisya clinic use this research as input in efforts to increase breast milk production in post partum mothers.

Woolwich Massageis a massage performed on the lactiferous sinus exactly 1-1.5 cm above the areola mammary, with the aim of removing breast milk in the lactiferous sinus. The massage will stimulate the nerve cells in the breast. From the interview results, it was found that there were postpartum mothers who did not know about Woolwich Massage and its benefits at the Pratama Sejahtera Clinic. The research method uses the Chi-Square test. The population and sample of this research are25 postpartum mothers underwent Woolwich Massage at the Pratama Sejahtera Clinicusing total sampling technique. The data used are primary and secondary data. Univariate and bivariate data analysis using the Chi-Square test. The results of the study indicate that there is an Effect of Woolwich Massage on Breast Milk Production in Postpartum Mothers at the Pratama Sejahtera Clinic in 2024 with a degree of significance (α) = 0.05 and df = 1, the calculation results are Sig. (2-tailed) 0.000 <(α) = 0.05, then Ho is rejected and Ha is accepted. The conclusion is that there is an effect of Woolwich Massage on Breast Milk Production in Postpartum Mothers. It is hoped that postpartum mothers can carry out Woolwich Massage more routinely to increase breast milk production.

Colostrum is the first fluid secreted by the mammary glands. The highest content in colostrum is antibodies that are ready to protect the baby when the baby is still very weak. The protein content in colostrum is higher than the protein content in mature milk. The purpose of this study was to analyze the factors of colostrum administration to postpartum mothers in Kayu Kul Village, Pegasing District, Central Aceh Regency in 2022. The method in this study is an analytical research type with a research design using cross-sectional, namely a study in which variables including risk factors and variables including effects are observed at the same time. This study uses data taken retrospectively. This research was conducted in Kayu Kul Village, Pegasing District, Central Aceh Regency in 2022. The population in this study was 35 people, then the sample was part of all the objects studied and was considered to represent the entire population (Notoatmodjo, 2015). The number of samples used was 29 people using the Accidental Sampling technique. Data collection techniques using questionnaire sheets and respondent observation sheets. Data analysis techniques using the chi-square statistical test show that the p-value shows that p = 0.005 which means Ho is accepted (p value <0.05), so it can be concluded that there is a significant relationship between the knowledge category and the provision of colostrum. Conclusion: This study means that there is a significant relationship between the factors of Knowledge, Family Support, Support, Information Sources, Parity, Role of Health Workers, Provision of Colostrum in Kayu Kul Village, Pegasing District, Central Aceh Regency in 2022.