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Postpartum mothers with HIV who have problems breastfeeding their babies are at risk of experiencing breast pain and swelling caused by milk dams. Breast care intervention is an important action for postpartum mothers with HIV who have problems breastfeeding. The aim of the intervention is to clean and improve blood circulation around the breasts, prevent breast swelling, and reduce discomfort in the breasts. This research method is a case study with pre-post intervention. The sample of this study was postpartum mothers with HIV on the first day. The measurement instrument uses a Numeric Rating Scale (NRS) measuring instrument to measure the pain scale. Breast care intervention was carried out for 3 days when the patient was hospitalized 2-3 times/day and observations were made to find out complaints of pain and swelling in the breasts. The results showed that there was a decrease in the pain scale from a scale of 5 (moderate) to a scale of 2 (mild) after 3 days of intervention. In conclusion, breast care interventions are effective in reducing the discomfort of pain and swelling in the breasts of postpartum mothers with HIV who have problems breastfeeding.

Postpartum infections, such as sepsis, are still the main cause of maternal death in developing countries. This study aims to determine the relationship between knowledge about personal hygiene and perineal wound healing in post-partum mothers at the Batang Jambu Pratama Clinic, Sidodadi Village in 2023. The research method used is an analytical survey with a cross-sectional approach. The population was all 32 post partum mothers with birth canal lacerations, and all of them were used as research samples. The results of the research show that there is a relationship between knowledge about personal hygiene and healing of perineal wounds in post-partum mothers, seen from the results of the chi-square test, which showed a p value of 0.003 < 0.005. It is hoped that health workers at the Batang Jambu Pratama Clinic will provide counseling to post partum mothers about personal hygiene so that mothers get information about how to carry out personal hygiene correctly so that perineal wounds can heal in <6 days.

It is very important to carry out community service in the from of socialization or education, one of which is exercise during pregnency. This activity was carried out at posyandu desa batursari kecamatan sirampog Sub-dristrict in order to increase the knowledge of pregnant women, reduce discomfrom, and pregnency exercess can facilitate the birth process. The is in line with the government’s efforts to make the Maternal Health Program a success in the from of reducing maternal mortality. The aim of this activity is to increase knowledge for pregnant women as an effort to reduce the occurrence of complication during pregnancy, childbirth and the postpartum period thereby reducing maternal mortality. The results obtained in this activity were that there were 21 pregnant women who took part in the socialization about pregnancy exercise at < 22 weeks and > 22 weeks of gestation and were very enthusiastic about listening to the explanation about pregnancy exercise, while pregnant women demonstrated pregnancy exercise as a only 5 probands were aged > 22 weeks. Pregnant women practiced pregnancy exercise movemonts step by step and during the interview the mother felt directly the positive impact of pregnancy exercise movements. Based on the sicialization activities and practice of pregnancy exercise, it was well received by all pregnant women, proven to be very enthusiastic during the socialization unti the question and aanswer discussion took place and showed an enthusiastic attitude during practice.

Postpartum discomfort is a nursing problem that is often experienced by mothers in the postpartum period. One of them is caused by breast enggorgement. The symptoms experienced are pain and the mother's breasts harden making it difficult to breastfeed. Breast care intervention for problems of postpartum discomfort ‘caused by breast enggorgement. A case study that aims to describe the application of breast care to clients with nursing problems of postpartum discomfort with breast enggorgement. The number of respondents in this case study research amounted to 2 mothers post second day sectio caesaria surgery. Breast swelling assessment using the Six Point Self-rated Engorgement Scale (SPES) with a score of 1-6. In addition, breast care interventions used standard operating procedures and action observation forms. The results of the case study showed that both patients who performed breast care experienced a decrease in the ix Point Self-rated Engorgement Scale (SPES) score from 4 to 3, with breast criteria still enggogerment but pain level was reduced. Breast milk (ASI) becomes smooth and breastfeeding the baby becomes easier. The implementation of breast care can reduce pain and swelling in the breast.for mother wirh discomfort after birth.

The postpartum period (puerperium) is the period that begins after 2 hours postpartum and ends when the uterus returns to its pre-pregnancy state, lasting 6 weeks. The postpartum period is an important thing to pay attention to in order to reduce maternal mortality. Perineal rupture is a tear caused by spontaneous birth of a baby, either by using a tool or action. Perineal wound care is important to prevent infection of the reproductive organs, one method of perineal wound care is non-conventional therapy using red betel leaf (Piper crocatum) boiled water which contains flavonoids, alkaloids, polyphenolic compounds, tannins and essential oils which are known to has antibacterial activity. The purpose of this study was to determine the effectiveness of red betel (Piper crocatum) cooking water for perineal wound healing in postpartum mothers. This research is a quantitative study with a population of all postpartum mothers with perineal wounds at PMB Rica Merdekawaty with a total sample of 30 respondents consisting of the intervention group and the control group. The data that was collected was then analyzed using the chi square statistical test (p value = 0.029). Based on the chi square analysis, it showed that red betel leaf boiled water was effective in healing perineal wounds in postpartum mothers.

The maternal mortality rate of post-SC infection reaches 7.3%, and 90% causes postpartum morbidity. This study aimed to determine the factors associated with the SC wound healing process. This study used a quantitative method, a type of analytic survey research with a cross-sectional design approach. The population of this study were all post-SC mothers in the postpartum ward of Permata Medika Hospital. The sampling technique used was a consecutive sampling of 34 respondents. The research instrument was a questionnaire. Data analysis was done using univariate and bivariate (chi-square test, alpha = 0.05). The results of this study showed that there was a relationship between the SC wound healing process and early mobilisation (p-value 0.000 < 0.05), which means there was a relationship between the SC wound healing process and nutritional status (BMI) (p-value 0.04 < 0.05), and there was a relationship between the SC wound healing process and anaemia (p-value = 0.00 <0.05) because if p-value <  0.05, then Ha is accepted. Ho is rejected, meaning a significant relationship exists between early mobilisation, nutritional status, and anaemia in SC wound healing. Many factors affect the SC wound healing process, three of which are early mobilisation factors, which, if done before 6–8 hours after SC, has more potential to accelerate SC wound healing; normal nutritional status as an expression of a person's nutritional balance, which plays a role in the process of body tissue growth and has an impact on the duration of wound healing; and anaemia, which anaemia is a symptom of low haemoglobin levels in the blood and obstructs oxygen flow and prevents the growth and repair of tissue from the SC surgical incision.

Ayah Village is one of the villages in Ayah District, located near the beach. Based on data, exclusive breastfeeding coverage in Ayah's village from January-May 2022 is less than the target of 75%. This is caused by the lack of information regarding exclusive breastfeeding, irregularities in complying with ANC schedules, and less strategic placement of posyandu locations. Apart from that, the two posyandu do not routinely hold classes for pregnant women. The aim of this community service is to prepare for the postpartum period and exclusive breastfeeding through education and Hypnobreastfeeding in the Pregnant Women's Class in my father's village. The community service method is by screening 10 pregnant TM III people according to the criteria to be included in the pregnant women class. Then provide education and Hypnobreastfeeding to prepare for the postpartum and breastfeeding period. After that, an evaluation was carried out to convey the obstacles found when providing service implementation as well as program follow-up plans. The results of the activity showed that after this activity the majority of mothers had good knowledge about preparation for the postpartum period and breastfeeding. This community service activity has been achieved by adding information about education during the postpartum period and hypnobreasfeeding

The Lactational Amenorrhoea Method (MAL) is a type of contraception that can be relied on for six months after giving birth, the mother's fertility period has not yet returned, breastfeeding exclusively is sufficient and does not use bottles to give milk to the baby. The aim is to determine the effect of health education about the lactation amenorrhea method on the knowledge and attitudes of primiparous mothers at Teungku Peukan General Hospital in 2023.The type of research used is quantitative research. Quantitative research is a type of research that produces discoveries that can be achieved (obtained) using statistical procedures or other methods of quantification (measurement) of a set of objects which usually aim to see a picture of phenomena that occur in a certain population. The aim of the researchers was to determine the effect of health education on the knowledge and attitudes of primiparous mothers towards the lactation amenorrhea method.The chi-square value was found to be 0.03 <0.05, which means that there is an influence on the mother's knowledge of the lactation amenorrhea method at Teungku Peukan Regional Hospital in 2023.    

.Breast milk is the best food for babies, but mothers often fail to breastfeed or stop breastfeeding earlier than they should. Knowledge is necessary during the postpartum period, especially knowledge about the benefits of colostrum in order to achieve success in breastfeeding and avoid misunderstandings about nutrition for babies. At the beginning of feeding, that is, in the first days when breast milk is released, a liquid that is yellow or clear will come out, which is The best quality baby food is to find out the relationship between the level of knowledge of breastfeeding mothers about colostrum and their provision. Colostrum is breast milk that comes out from the first day to the 4th day. Colostrum is a golden liquid, a protective fluid that is rich in anti-infective substances and high in protein. This liquid is yellow in color or can also be clear and is more like blood than milk, because it contains living cells that resemble white blood cells which can kill disease germs. This research uses a descriptive research design with a cross sectional approach to study the relationship between the level of knowledge of breastfeeding mothers about colostrum at the Pargarutan Community Health Center. South Tapanuli The number of samples used in this research was 30 people, of the 30 respondents it can be seen that there were 24 respondents (80%) who had insufficient knowledge about giving colostrum with 17 respondents (56.7%) not giving colostrum and 7 respondents ( 23.3%) gave colostrum, and those who had good knowledge about giving colostrum with 6 respondents (20%) where all respondents gave colostrum. Fisher's exact p value was 0.035 < 0.05. The need for education to pregnant women about breast milk and Colostrum and breastfeeding mothers are expected to provide breast milk at the beginning of life    

One of the postpartum services provided to postpartum mothers includes the provision of Vitamin A 200,000 SI capsules twice. This research aims to determine the relationship between maternal knowledge and visits and vitamin A consumption among postpartum mothers in the working area of ​​the Aek Parombunan Health Center, Sibolga City in 2023. This type of research a cross sectional design. Population are postpartum mothers who visited the Aek Parombunan Health Center, Sibolga City, are 100 people. The results of this research are that there is a relationship between knowledge and vitamin A consumption among postpartum mothers in the working area of ​​Aek Parombunan Health Center, Sibolga City in 2023 with a p-value of 0.03 and there are maternal visits with vitamin A consumption among postpartum mothers in the working area of ​​Aek Parombunan City Health Center. Sibolga in 2023 with a p-value of 0.003. It is recommended for health workers, especially midwives, to further improve counseling at every postpartum mother's examination, especially regarding vitamin A so that coverage of vitamin A administration can reach the target of 100%

In Indonesia in 2020, there were 4,627 cases of MMR and 20,266 cases of IMR. One of the causes MMR and IMR is complications during pregnancy, childbirth, postpartum and newborn, even 47% of deaths of children under five occur during the neonatal period. Therefore, one of the efforts that can be made to prevent MMR and IMR is with comprehensive midwifery care that is carried out continuously. The purpose of this study was to be able to carry out Comprehensive Midwifery Care on Mrs. R aged 24 years. The research method used is descriptive qualitative method with a case study approach. The results of the research that has been done are known to Mrs. R experiencing oblique fetal position abnormalities in pregnancy 29 + 6 weeks. At delivery the fetus experienced fetal distress because Mrs. R experienced anxiety disorders so that delivery was performed by sectio caesarea, then at the neonate visit when the baby was 5 days old the baby experienced physiological jaundice, while in the postpartum period the mother did not experience any complications, then the mother chose MAL birth control. The conclusion of this study can be drawn that there is no gap between practice and theory.  

Background: KEK is one of the risk factors for pregnancy causes complications and maternal death. The global maternal mortality rate due to CED is 37%, maternal deaths in Central Java Province in 2020 were 530 cases. The maternal mortality rate in Brebes district is 62 cases. At the Bumiayu Health Center, the maternal mortality rate in 2020 was 2 cases. The aim is to be able to carry out Comprehensive Midwifery Care for Mrs N aged 22 years with Chronic Energy Deficiency at the Bumiayu Community Health Center using Varney's seven-step midwifery management and SOAP Research Method: this research is a qualitative descriptive research with a case study approach. The results: of Comprehensive Midwifery Care for Mrs N were that during pregnancy KEK was found. Delivery was normal and the newborn was found to be underweight. In neonates, boils were found on the legs and the baby's body temperature was high, then appropriate management was carried out so that the problem was resolved. During the postpartum period, the stitched wound was found to be still wet, then ointment was given to solve the problem. Mother uses birth control implant. Conclusion: care has been carried out in accordance with midwifery service standards.

Based on data on the health profile of North Sumatra, coverage of complete postpartum maternal health services (KF3) in 2019 was 81.50%, this target has not yet reached the target set in the North Sumatra Provincial Health Service Strategic Plan for 2019, namely 84%. Where one of the districts/cities whose KF3 achievement in its area has not reached 84% as stated in the 2019 North Sumatra Provincial Health Service Strategic Plan target is North Labuhan Batu district, namely 80.02% (North Sumatra Health Service, 2019). This postpartum service aims to assess the status of the mother and newborn as well as to prevent, detect and treat problems that occur. Postpartum maternal visits are the behavior of postpartum mothers visiting health services to obtain health services. This behavior is influenced by knowledge and family support. The author aims to analyze the relationship between husband's knowledge and support and postpartum visits in the Tanjung Leidong health center work area in 2022. The type of research is correlational research with a quantitative approach carried out in March - June 2022. The population in this study is all postpartum mothers in the work area Tanjung Leidong Public Health Center, North Labuhan Batu Regency in 2022, there are 33 people. The sampling technique in this research is Consecutive sampling. The data analysis technique used is Spearman's Rho Correlation with a significance level of 5% (95% confidence level). The research results show that knowledge has a significant relationship with postpartum visits with a p value of 0.09 <0.05. Meanwhile, family support does not have a significant relationship with postpartum visits with a p value of 0.21>0.05. It is hoped that health workers will hold Communication, Information and Education (KIE) activities to increase the knowledge of postpartum mothers in carrying out postnatal examinations. With this activity, the knowledge, attitudes and motivation of postnatal mothers can increase in carrying out postnatal examinations so that it will improve the performance of midwives in postnatal examinations.

According to the WHO (World Health Organization), every day in 2017 around 810 women died, at the end of the year reaching 295,000 people, of which 94% were in developing countries (WHO, 2019). The MDGs (Millennium Development Goals) which ended in 2015, were then continued with the development of the SDGs (Sustainability Development Goals) until 2030. The five biggest causes of maternal death in Indonesia in 2010-2016 were bleeding (30.3%), hypertension in pregnancy ( 27.1%), infection (7.3%), prolonged labor (1.8%), abortion (1.6%) and others (31.9%). This study aims to identify the relationship between HB levels and postpartum hemorrhage at the Djasamen Saragih Regional General Hospital in 2023.Type of quantitative research with a case control design. This study was conducted on a sample of 100 postpartum. To measure the characteristics of the respondents, a data collection form was used which was obtained through collecting data from the evaluation section at the Djasamen Saragih Regional General Hospital in 2023.Based on the statistical test using chi-square, the value of ρ = 0.001 (ρ <α, α = 0.05) is obtained, the strength of the relationship between the two variables is seen based on the contingency coefficient, which is 0.302, which means the strength of the relationship is moderate. Then the odds ratio (OR) results obtained OR = 0.215 [95% CI 0.087 – 0.532] which means that the range 0.087 – 0.532 does not exceed the value of 1, so postpartum mothers with low Hb levels during pregnancy have a greater chance of postpartum hemorrhage 0.215 than mothers postpartum Hb was normal during her pregnancy.There is a relationship between Hb levels and postpartum hemorrhage at the Djasamen Saragih Regional General Hospital in 2023    

Supervision and care during pregnancy is something that is important to do for the survival of the mother and the baby to be born. Antenatal care (ANC) is a pregnancy examination to optimize the mental and physical health of pregnant women. So that they are able to deal with childbirth, the postpartum period, preparation for breastfeeding and the return of reproductive health in a natural way. This study was conducted to determine the experience of midwives in providing counseling about ante natal care to pregnant women at the Puskesmas in Padangsidimpuan City. The research design is phenomenology. The method of data collection was carried out by in-depth interviews. Purposive sampling method was used to select participants who met the criteria as participants. Participants involved in this study were midwives who worked at the Puskesmas in Padangsidimpuan City, totaling 3 people. The results of the interviews were transcribed and analyzed using the Collaizi method and obtained 5 themes, namely: 1) The motivation of midwives to provide counseling, 2) Obstacles faced by midwives in providing counseling, 3) Strategies to motivate pregnant women to participate in counseling, 4) Responses of pregnant women after receiving counseling , and 5) Support from health institutions for puskesmas activities. Keywords: Midwife, counseling, pregnant women

One of changes that occur in puerperal ( post- partum is involution . uterus Involution or uterine contraction is a process uterus back into shape before pregnant . Uterine involution can also be regarded as the return of the uterus to its original state or condition before becoming pregnant. There are several factors that affect uterine involution including postpartum gymnastics. early mobility for maternal mothers, Early breastfeeding initiation, nutrition status, psychological age and parity factors. Early initiation of breastfeeding ( Inisiasi Menyusui dini or IMD ) is a breastfeeding process immediately after birth for 1 h. The purpose of research is to study influence of implementation early breastfeeding initiation ( IMD ) on the maternal uterine involution in BPS flora. This type of research is the study cohort analytic design Prospektive. Population and sample in this research is maternal in BPS flora in 2013 with techniques samples is concecutive sampling . The variables studied in this research is dependent and independent variables ,dependent variable studied were uterine involution while independent variables were early breastfeeding initiation (IMD). Quantitative data analysis include univariable and bivariate analysis with using t test. The results showed that average Height of uteri Fundus on day 6 postpartum that give Early Breastfeeding initiation ( IMD ) is 10,54 cm with standard deviation of 1.103 cm while Height of Fundus uteri in mother don;t give IMD is 13.33 with standard deviation 1,129 . based on statistical tests found an average difference both of them is p value of 0.000 with 95 % CI 2.143 to 3.440. There is a significant fundus height difference between mother that give IMD and who does not in BPS Flora . Health workers, particularly midwife are expected to be able to perform delivery assistance with IMD.

The period of pregnancy, childbirth, perurperium, newborns are circumstances that can threaten the life of the mother and the baby even death. One of the goals is to implement comprehensive obstetric care. Comprehensive midwifery care is the care provided by midwives from pregnancy, delivery, newborn, postpartum and until the mother decide to use birth control aimed at providing services an a continuity of care (COC) basis to prevent complications in pregnancy, childbirth, newborns, postpartum and birth control. The method used is descriptive observational research design with case study approach. The results obtained are comprehensive obstetric care provided ranging prom pregnancy, delivery, puerperium, newborn to normal running birth control acceptors.

Background: Sectio Caesarea is a method of giving birth to a fetus by making an incision in the uterine wall through the front wall of the abdomen (Amru Sofian, 2013). Giving birth by cesarean can drain more energy on the body and the recovery process takes longer. To speed up the recovery process, early mobilization exercises are needed. However, there are several factors that prevent mothers from doing early mobilization For this reason, it is important that efforts to increase early mobilization are carried out in order to speed up the healing process. Objective: To describe the description of nursing care in post sectio caesarea patients in practicing early mobilization. Research Methods: This study uses a literature review method in a journal that discusses early mobilization in post sectio caesarea mothers. Research Results: The results of the research from the literature review that the authors obtained through 10 journals, namely the mobilization efforts of post-SC postpartum mothers in carrying out early mobilization are influenced by pain in the surgical wound, knowledge/experience, motivation and beliefs. These results are relevant to the case managed by the author, namely Mrs. K was reluctant to do early mobilization because of pain and fear. Conclusion: From the results of the literature study above, it can be concluded that early mobilization of post sectio caesarea mothers can be improved by implementing pain management nursing, motivation, education and support from families and health workers

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    

Nifas infections that attack the breast or the mastitis are caused by bacterial contamination when nipple abrasions. Infections in the lungs can occur in mothers who receive general anesthesia. Phlebitis caused by contaminated syringes. Cleanliness of body, clothing, bed, and environment are vital to maintaining. Admission of hygiene would have prevented germs in nifas' mother's body. When a mother bathes it is recommended to wash all the bodies as far as perineum with soap. The midwife was instrumental in providing support during the nifas days. The research design used in this study is a correlative descriptive research design with a cross sectional approach which aims to determine the relationship between the characteristics of respondents and the implementation of postpartum infection prevention at Charis Medika Hospital, Batam in 2023. From the research results, the characteristics of the respondents were asked about in this study. namely age, education and work experience. Descriptive data on the ages of respondents obtained that the lowest age was 22 years and the highest age was 56 years. Data collection in this research starts from April to June 2023.