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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.

Introduction: Mothers are susceptible to experiencing postpartum blues syndrome during the postpartum period, or the period after giving birth. Rapid mood swings, feelings of sadness, worry, anxiety, and tiredness are signs of this syndrome, and mothers may feel more emotional and anxious, which can impact their mental health. Method: This type of research is quantitative analytical with a cross sectional approach. The population was postpartum mothers and the sample was 38 people with the inclusion criteria being postpartum mothers in the immediate postpartum to early postpartum categories who had previously had routine pregnancy checks in the Garut Regency Development Health Center working area. Data processing was carried out computerized with bivariate data analysis using the Chi Square statistical test. Results: The results of the study stated that 25 respondents had good husband support and 13 respondents had less husband support. Of the 38 respondents, 24 experienced postpartum blues . The results of this study stated that there was a link between husband's support and the incidence of postpartum blues , with a p value of 0.007. Conclusion: there is a connection between husband's support and the incidence of post partum blues, so that people can provide information to each other in preventing post partum blues . Health workers can also continue to be proactive in providing education to someone who plays the role of husband regarding the importance of maintaining the health of post partum mothers both physically and mentally for reproductive health and the health of mother and child .  

Postpartum blues is a normal condition, and mothers themselves don't realize that they are experiencing postpartum blues. The aim is to find out the factors that cause post partum mothers to experience baby blues depression at the PBM Elsi Rahayana Clinic in 2023. Pre-Experimental Designs research method. All post  partum mothers who gave birth at the PBM Elsi Rahayana Clinic during February – May 2023 were 38 people. Wilcoxon Signed Ranks Test statistical test. The results of the Wilcoxon Signed Ranks Test showed that the p value was <0.05. The research results showed that the majority of respondents with baby blues depression were 36 respondents (94.7%) and the majority of respondents aged < 20 years were 2 respondents (5 .3%). then the results of the Wilcoxon statistical test obtained p (0.001) < 0.005, so it can be concluded that the null hypothesis is rejected, meaning that the majority of respondents with baby blues depression aged 20-35 years were 36 respondents (94.7%) and the minority of respondents aged < 20 years were 2 respondents (5.3%). Based on research results, to determine the factors that cause postpartum mothers to experience baby blues.    

Mother's milk is an important intake for the growth and development and health of babies. The causes of irregular breast milk production include reduced breast milk production on the first day after giving birth due to decreased stimulation of the hormones oxytocin and prolactin which play a role in smooth breast milk production. Therefore, non-pharmacological efforts are needed in the form of breast care. Breast care is useful for facilitating the expulsion reflex and increasing the smooth production of breast milk. The objectives of the research was to determine the effectiveness of Breast Care in smoothing breast milk production in post partum mothers at the Saras Ibnu Sina Sukowati General Hospital, Sragen. Quantitative research type with a quasi-experimental design with a post test-only non-equivalent control group approach. Samples were taken by accident. The samples were 15 people as controls and 15 post partum mothers as the treatment group. Data analysis techniques using Mann Whitney. Result this research that the smoothness of breast milk production for the treatment group was mean ± SD (8.33 ± 0.899) and the control group had a mean ± SD (4.73 ± 0.458). There was an influence of breast care on the smooth production of breast milk in post partum mothers on day 7 (p value 0.000 < 0.05). So that there was an influence of breast care on the smooth production of breast milk in post partum mothers on day 7 at RSU Saras Ibnu Sina Sukowati Sragen

Unsmooth milk production is the main problem causing the failure of the breastfeeding process. One way to increase milk production for post partum mothers is to support the nutritional needs of mothers, one of which is by consuming soy milk made from soy beans. This study aims to determine the effec tof soymilk (Glycine Max) on breast milk production in post partum mothers at Bakti Timah Hospital Karimun Riau Archipelgo. This researchis a pre-experimental study with a one-group pretest-posttest design. The population in this study were post partum mothers at Bakti Timah Hospital Karimun Riau Archipelago in the last one month as many as 102 people. The sampling technique in this study used a sampling technique carried out using purposive sampling of 34 respondents. The research instrument used a breastmilk production questionnaire, namely the Lactation Assessment Tool (LATCH) which consisted of 5 points. Data analysis was performed univariately and bivariately using the Wilcoxon test. The results showed that before consuming soy milk the average milk production was 3.35 and after being given soy milk the average milk production increased to 4.03. The results of the Wilcoxon test found a p-value of 0.001 (p <0.05) so it can be concluded that there is an effect of soy milk (Glycine Max) on increasing milk production in post partum mothers. It is recommended for the community, especially post partum mothers, to be able to use soy milk as an alternative to addressing problems with increasing breast milk production.

Colostrum is also a thick viscous fluid with a yellowish color that is yellower compared to mature milk. Colostrum is the first fluid secreted by the breast glands, containing tissue debris and residual material found in the alveoli and ducts of the breast glands before and after the puerperium. The IMD approach currently recommended is the breast crawl method (crawling looking for the breast) after the baby The baby is immediately placed in the mother's stomach and left to crawl to find the mother's nipple herself and finally sucks it without help. Many post-natal mothers do not give breast milk or colostrum to their babies. This is due to many factors. One of them is ignorance, making mothers neglect the importance of giving breast milk to babies. Apart from that, most mothers don't understand how colostrum is very beneficial for babies. Research to determine the factors associated with giving colostrum to post partum mothers is very necessary, so that future efforts can be made to ensure that all newborn babies are given colostrum. This study aims to analyze the factors of giving colostrum to post partum mothers at the Kabanjahe District Health Center. Karo. The type of research used in this research is analytical with a cross sectional design. There were 29 research respondents. By collecting secondary and primary data. From the results of statistical tests using Chi-Square, it 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 colostrum provision. From the results of statistical tests using Chi-Square, it 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 role categories of health workers in providing colostrum. At the Kabanjahe district health center. Karo in 2023.

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    

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

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

Background: breastfeeding counseling is an effort made by the counselor to the client to help solve a problem that has been experienced by the client without coercion which contains the basics of breastfeeding and knowledge that is very useful for mothers. Objective: To analyze the influence of breastfeeding counseling on the correct way of breastfeeding in post partum mothers. Methodology: Quasi-Experimental research (quasi-experimental). The research design used one-group pretest-posttest, the research was conducted in the Siti Hajar room of RSU Islam Klaten with 30 respondents. The instrument uses a maintenance assessment sheet. The data obtained was then tested for normality using the Shapirro-Wilk test, the data was then processed using the Wilcoxon-Test. Result: the wilcoxon test results showed that the z count was 4.799 greater than the z table, while the p value was 0.000 (p<0.05). Conclusion: There is an influence between breastfeeding counseling on the correct way of breastfeeding at RSU Islam Klaten.

Background: The post partum period is the period in the mother which starts from the day of birth up to 6 weeks after birth during this time the mother is obliged to provide breast milk to the baby. WHO data shows that 46% of post partum mothers do not give exclusive breastfeeding during the first 6 months because of problems with milk insufficiency. The problem of failure to give exclusive breastfeeding to babies that needs attention is because mothers who experience breast milk are not smooth. Efforts that can be made to increase the smoothness of breast milk production can be by oxytocin massage by the husband. Objective: To find out the results of implementing oxytocin massage on the smoothness of breastfeeding in post partum mothers in Kebakkramat District, Karanganyar Regency. Method: This type of research is descriptive in the form of a case study. Results: The smooth expulsion of breast milk before the application of Oxytocin Massage by the husband shows that breast milk is not smooth. The smoothness of breastfeeding after an oxytocin massage by the husband for the two respondents showed smooth breastfeeding. There was a smooth development of ASI during the 3 days of applying oxytocin massage. There was a change in the smoothness of milk production in the two respondents after the application of Oxytocin Massage or Increased Breast Milk. Conclusion: There was a change in the smoothness of breastfeeding before and after the oxytocin massage was performed on the two post partum mother respondents.

Introduction: Exclusive breastfeeding is a global strategy to improve the growth, development, health and survival of babies. One effort to increase breast milk supply is by improving the quality of food which has a direct effect on milk production, namely katuk leaves. Objective: aims to determine the effect of katuk leaf extract on the adequacy of breast milk production in post partum mothers at Midwife Misniarti. Method: This research is a quasi experiment with a two group posttest only design. This research method is a quasi-experimental design with a nonequivalent control group design. The sample in this study was 30 people consisting of 15 experimental groups and 15 control groups. Data collection uses an observation sheet. Univariate analysis uses central tendency distribution and bivariate analysis uses paired t test. The results showed that the mean sufficiency of breast milk in the experimental group before giving katuk leaves was 6.80 and after giving katuk leaves was 8.47. The conclusion is that giving katuk leaves has proven to be effective for the adequacy of breast milk (ASI) in breastfeeding mothers.

It is estimated that 60% of deaths in pregnancy occur after delivery and 50% of deaths postpartum within the first 24 hours. After the baby is born, the uterus which during labor contracts and retracts will become hard so that it can close the large blood vessels that lead to the former implantation of the placenta. If the involution process does not go well, a condition called uterine sub involution will arise. If the sub involution of the uterus is not handled properly, it will result in bleeding, for that the mother needs certain exercises that can accelerate the process of involution. According to several studies, to speed up the process of uterine involution, one of the recommended exercises is postpartum gymnastics, an integration model of relaxation techniques and exercises for the 'Otaria' abdominis muscles. The purpose of this study was to determine whether postpartum exercise model integration of relaxation techniques and 'Otaria' abdominis muscle exercises had an effect on the speed of uterine involution in post partum mothers at PKM Sayung 2, Demak Regency. This study uses a quantitative approach, the method used in this study is a quasi-experimental or quasi-experimental. The design used in this study was Post-test Only Control Group Design. Data analysis used univariate analysis and bivariate analysis. The results showed that respondents who did puerperal exercise 'otaria' experienced uterine involution faster than respondents who did postpartum exercise with a value of (p-value <0.05) at TFU and (p-value <0.05) at lochia.   Keywords: Otaria Postpartum Gymnastics, Uterine Involution Speed

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.

Involution is the process by which the uterus returns to its pre-pregnancy state. Abnormal involution or sub-involution is where the uterus fails to involute at the expected rate. The purpose of this study was to determine the relationship between Early Breastfeeding Initiation (Imd) and Uteri Involution of Post Partum Mothers at the TNI-AL Dr F X Suhardjo Hospital in 2020. The type of research used was an analytical survey research type with a Cross Sectional/Cross-Cutting approach. The population in this study were post partum mothers totaling 50 people. The sampling technique in this study was Proposive Random Sampling with a total sample of 44 people. Data analysis consisted of univariate and bivariate analysis using computerized analysis and presented in the form of tables and narratives. The results showed that the results of statistical tests showed that there was no significant relationship between IMD (Early Breastfeeding Initiation) and the incidence of uterine involution in postpartum mothers where p> 0.05 or p = 1.000. It was concluded that there was no significant relationship between early initiation of breastfeeding (IMD) of mothers after delivery and the incidence of post partum uterine involution.

Breast milk is the best food for babies, because breast milk contains nutrients and all the nutrients with the amount and composition needed by the baby. one of the obstacles in the process of lactation on the first day is the mother does not produce enough breast milk or the baby does not want to suck so that the mother does not want to breastfeed the baby. Way that can be done to increase milk production is by doing the technique  marmet. This case study aims to illustrate the increased production breast milk in post partum mothers after nursing with marine techniques in hospitals Bougenville Room TK III 04.06.02 Bhakti Wira Tamtama Semarang. The type of this research is descriptive by using case study approach method. Subjects in this study were two patients with postpartum mother with criteria of primiparous mother, postpartum mother who breastfeeding, mother who is willing to be respoden, babies performed nursing. The analysis was measured based on an observed sheet of fluid milk production. the results of case studies show an increase in milk production from a score of 12 categories not smooth to score 19 categories smoothly on subject I and score 13 categories not smooth to score 20 categories smoothly on subject II. Recommendations need to be consistent nurses in taking action marmet techniques to increase milk production in primipara mother.