Publication Search

Postpartum depression is a postpartum mental health disorder that significantly impacts maternal well-being, infant development, and family functioning. The high prevalence of postpartum depression in Indonesia is due to limited access to health services, low mental health literacy, and social stigma in the community. This indicates a significant gap between the need for maternal mental health services and the availability of existing interventions, making education a crucial component in efforts to prevent postpartum depression early. This study aims to analyze the prevention of postpartum depression in postpartum mothers through telenursing-based education and screening using the Edinburgh Postnatal Depression Scale (EPDS) in the community. A descriptive case study design was used, involving one respondent, a 25-year-old primigravida mother residing in the Bantul area. The intervention was implemented online via WhatsApp and video calls, including structured health education on postpartum psychological changes, adaptive coping strategies, and the importance of social support. The intervention also included daily remote monitoring of the respondent's condition via the WhatsApp mobile application. The EPDS was administered as a pre-test and post-test to evaluate changes in the respondent's psychological condition. The findings showed a significant decrease in the EPDS score from 16 (moderate depression) to 6 (minimal depression), indicating significant psychological improvement. These results imply that integrating EPDS screening, structured health education, and daily monitoring is an effective and accessible community-based approach to preventing postpartum depression, particularly for mothers with limited mobility and access to health services.

 Background: Perineal pain due to episiotomy is a common complaint experienced by postpartum mothers and can affect patient comfort, mobility, and recovery. Nonpharmacological pain management is needed to help reduce discomfort with minimal risk of side effects. Objective: This study aimed to determine the effectiveness of applying cold compresses using ice packs in reducing perineal pain intensity in postpartum mothers with episiotomy. Methods: The study used a descriptive case study design in three vaginal postpartum patients with episiotomy who were treated in the postpartum ward. The intervention involved applying cold compresses using ice packs to the perineal area for 10–15 minutes, as per nursing procedures. Pain was measured using the Numeric Rating Scale (NRS) before and after the intervention. Findings: The results showed a decrease in pain intensity in all patients after the application of cold compresses. Patient P1 experienced a decrease in pain score from 5 to 4, patient P2 from 6 to 5, and patient P3 from 5 to 4, with an average decrease of 1 point. Implications: Cold compresses using ice packs have the potential to be an effective non-pharmacological nursing intervention to help reduce perineal pain and improve the comfort of postpartum mothers with episiotomies during the care period.

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 is a critical phase in which mothers experience physiological and psychological recovery. Bengkung, a traditional abdominal binding cloth, is commonly used by Indonesian postpartum mothers, but inappropriate application may cause discomfort and may not support recovery optimally. This community service program aimed to improve postpartum mothers' knowledge and skills regarding safe and appropriate bengkung use. The activity was conducted through counseling, demonstration, guided practice, and evaluation using a one-group pre-test and post-test approach involving 30 postpartum mothers at a community-based maternal health service setting. The educational content covered postpartum physiological changes, indications and contraindications, safe binding principles, hygiene, duration of use, warning signs, and when to seek professional care. The evaluation showed an increase in good knowledge from 26.7% before education to 86.7% after education, and correct practice skills increased from 20.0% to 83.3%. Participants also reported better understanding of avoiding overly tight binding, maintaining breathing comfort, and discontinuing use when pain, shortness of breath, excessive bleeding, or wound problems occur. This activity indicates that structured education and demonstration can strengthen postpartum self-care and support safer integration of traditional practices into maternal health services.

The postpartum period is an important time for the mother's physiological recovery after childbirth, during which various bodily changes are still ongoing and health risks, including changes in blood pressure, may occur. One factor that is thought to affect blood pressure during the postpartum period is dietary patterns, particularly high sodium intake. Salted fish is a food commonly consumed by the community and is known to have a high salt content. This study aims to analyze the effect of salted fish consumption on blood pressure in postpartum mothers from day 1 to day 28. This study used a quantitative approach with an analytical observational design through a cross-sectional method. The study sample consisted of 20 postpartum mothers on days 1–28 who were selected using purposive sampling. The independent variable was salted fish consumption, while the dependent variable was the systolic blood pressure of postpartum mothers. Data were collected through interviews using a structured questionnaire and blood pressure measurements with a standard tensiometer. Data analysis was performed using univariate and bivariate methods. The Shapiro–Wilk normality test showed that the data were not normally distributed, so the analysis was continued with the Wilcoxon test. The results of the study show a significant difference between systolic blood pressure before and after exposure to salted fish consumption, indicating that consumption of foods high in salt affects changes in blood pressure in postpartum women. This study concludes that salted fish consumption has the potential to affect the blood pressure of postpartum women. Therefore, nutrition education related to limiting the intake of foods high in salt during the postpartum period needs to be improved as part of efforts to prevent postpartum hypertension.

Background: Thel postpartum periodl is al recovery phase involving lphysical and psychologicall changes, during which mothersl often experience fatigue due to increased cortisol levels. Excessive fatigue can interfere with the breastfeeding process and reduce motivation for exclusive breastfeeding. Lavender aromatherapyl is al non-pharmacologicall therapy containing linalool with sedative effects to provide relaxation and reduce fatigue levels. lObjective: This studyl aimed tol determine thel effect ofl lavender aromatherapy onl reducing fatigue in postpartuml mothers atl Puskesmas Ibu, West Halmahera Regency. Methods: Thisl study was al Pre-Experimentall study withl a Onel Group lPretest-Posttest lDesign. The studyl population consisted of lall postpartum mothersl at Puskesmas Ibu, with a total sampling technique of 30 respondents. The research instrument used anl observation lsheet, and ldata analysis wasl performed usingl the Paired Sample T-Testl (α = 0.05). Results: The majorityl of lrespondents' characteristics were inl the agel range of 20-35 yearsl (76.7%), had Senior High School education (60%), were unemployed/housewives (70%), and were primiparous (60%). The resultsl of thel Paired Samplel T-Testl showed al mean fatigue score before the intervention of 27.33, which decreased to 11.50 after the intervention (mean difference 15.833) with a lp-value = l0.000. lConclusion: There isl al significant effectl ofl lavender aromatherapyl administration on reducing fatigue lin postpartum lmothers at Puskesmas Ibu, Halbar Regency. Lavender aromatherapy is effective as a complementary therapy to aid postpartum maternal recovery.

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.

Postpartum depression (PPD) is a common and serious mental health disorder for mothers after givingbirth, which is a public mental health problem because it not only has a direct impact on the baby, but also on the family. The most common symptoms of PPD are overwhelming sadness, feelings of hopelessness and helplessness, moodiness, an inability to experience joy with the baby, serve anxienty, loss of appetite, poor concentration and memory, sleep disturbances, prolonged fatigue, and suicidal ideation (American Psychological Association, 2013). The design used in this study was quantitative by measuring the prevalence of postpartum depression in postpartum mothers using the EPDS form. The research was conducted at Gandapura Community Health Center, this location wa used as the research site because it had not been exposed at all regarding the use of the EPDS form as part of the initial assessment of midwifery services. A population is all elements that meet certain criteria for inclusion in a study. The population in this study was all postpartum mothers who gave birth in the obstetrics ward. The sample criteria in this study are divided into two, namely inclusion criteria and exclusion criteria. Conclusion: Postpartum guidance provided to mothers influences the risk of postpartum depression. Postpartum women who receive assistance are less likely to experience postpartum depression, and mothe who do not receive assistance are depression.

The postpartum period is a critical transitional phase during which women are vulnerable to psychological disturbances, particularly postpartum depression. Psychological distress may undermine maternal confidence, including the perceived ability to breastfeed effectively. This study aimed to examine the relationship between breastfeeding self-efficacy and postpartum depression among postpartum mothers. A quantitative cross-sectional design was employed involving 45 respondents selected through total sampling. Depressive symptoms were assessed using the Edinburgh Postnatal Depression Scale (EPDS), while breastfeeding self-efficacy was measured using the Breastfeeding Self-Efficacy Scale-Short Form (BSE-SF). Data were analyzed using Spearman’s Rank correlation test with a significance level of 0.05. The results demonstrated a statistically significant and strong negative correlation between breastfeeding self-efficacy and postpartum depression (r = –0.616; p < 0.05). Mothers with higher depressive symptoms tended to report lower levels of breastfeeding self-efficacy. These findings highlight the importance of integrating mental health screening and breastfeeding support into postpartum care to strengthen maternal confidence and improve breastfeeding outcomes.  

Background: Anxiety in postpartum mothers is a psychological problem that can negatively impact maternal mental health, marital relationships, and the lactation process. This psychological disorder can inhibit the production and let-down of breast milk, which, if not addressed promptly, can lead to physical complications such as breast engorgement or mastitis, as well as hinder the fulfillment of the infant's nutritional needs. Objective: This study aimed to determine the relationship between anxiety levels and delayed breast milk let-down in postpartum mothers at Prof. Dr. R.D. Kandou General Hospital Manado. Methods: This research is an analytical survey with a cross-sectional design. The sample consisted of 30 postpartum mothers selected using non-probability sampling. Research instruments included questionnaires and interviews, with data analysis using the chi-square test. Results: The majority of respondents experienced moderate anxiety (60.0%) and had non-smooth breast milk let-down (53.3%). Statistical test results showed a p-value = 0.030, indicating a significant relationship between anxiety levels and delayed breast milk let-down. Conclusion: High anxiety levels in postpartum mothers contribute to delayed breast milk let-down. Psychological support for postpartum mothers is needed to maintain the smoothness of the breastfeeding process.

Childbirth is the time after labor to restore health again which takes 6-12 weeks. Giving Moringa and banana heart aims to increase the milk production. The result of a survey conducted on 15 postpartum,obtained the result of 9 people (64,28 %) experienced less milk production. The purpose of this study is to analyze the effect of Moringa leaf and banana heart on the increase of milk production in postpartum in  Nunkurus Village, East Kupang District, Kupang Regency. This research is pre experimental research. The population in this study were all postpartum in the work area of Nunkurus Village, East Kupang District, Kupang Regency.Sample size is 15 people obtained from purposive sampling technique. The result of the study were analyzed using the Wilcoxon statistical test. The result of the research showed that before the leaves were given moringa leaf and the banana heart mostly (73,3%) had milk production not smoothly and after given moringa leaf and banana heart almost whole (86,7%) experienced milk production smoothly. Based on Wilcoxon test result show data that the value of ρ = 0,003 and value a = 0,05  can be said that ρ-value <a. So H0 rejected and H1 accepted which means there is an influence of Moringa leaf and banana heart to increase milk production in postpartum mothers in Nunkurus Village, East Kupang District, Kupang Regency. It is Expected that the results of this study can provide information about the benefits of Moringa leaf and banana heart to increase milk production in postpartum in the working area of Nunkurus Village, East Kupang District, Kupang Regency.

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

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

Family planning represents a community-based effort to promote awareness and participation through delaying the age of marriage, regulating births, strengthening family resilience, and improving family welfare to achieve small, joyful, and prosperous families (Suriana et al., 2021). The government targets Couples of Reproductive Age (CRA) to reduce population growth in Indonesia, as CRA consists of legally married couples who actively engage in sexual relations that may result in pregnancy. In addition to CRA, postpartum mothers also serve as a key target group in family planning programs. The “Four Too” components contribute to high-risk pregnancies that may lead to complications during pregnancy, childbirth, and the postpartum period, and maternal and infant mortality. These include being too young (under 20 years), too old (over 35 years), too many children (more than four), and too close birth spacing (less than two years) (Oktarina, 2022). This study employed a quantitative research design, specifically an analytical quantitative approach with a correlational design using the cross-sectional method. The sample consisted of 40 participants. The results show that 45% of respondents had a satisfactory level of knowledge about IUD contraception, 32.5% had a moderate level, and 22.5% had a low level of knowledge. In nursing practice, increasing knowledge about contraception—particularly IUD family planning—can enhance interest in its use. Moreover, the study recommends that husbands provide support for mothers in using IUD contraception.

Breast milk (ASI) is the primary and natural food for newborns, providing the necessary energy and nutrients from birth to six months of life, promoting optimal growth and development. However, according to information obtained, about 30% of mothers face challenges in breastfeeding, particularly during the first few days after delivery. To address this issue, interventions such as breast care and oxytocin massage can stimulate breast milk production and prevent issues like mastitis. Oxytocin massage helps stimulate the milk ejection reflex, while breast care ensures the cleanliness of the breasts, making it easier for the baby to latch. The aim of this community service activity is to enhance mothers' knowledge through an educational program focused on oxytocin massage and breast care to improve milk production in postpartum mothers. The method used for this activity is an interactive educational session using tools like PowerPoint and leaflets, followed by a Q&A session and discussion. The evaluation was conducted through oral questioning, as well as by observing participants' enthusiasm during the session. The expected outcome of this activity is to provide mothers with practical knowledge and skills on breast care and stimulating breast milk production, ultimately supporting successful exclusive breastfeeding.

This study aims to examine the implementation of the selapanan tradition among Javanese postpartum women in Limau Manis Village, and to understand the meaning and community perceptions of this practice in the context of modern life. The selapanan tradition is part of local wisdom that has been passed down from generation to generation and has important value in postpartum maternal care. This study uses a qualitative method with an ethnographic approach, which allows researchers to understand cultural practices in depth through direct interaction with the community. Data collection techniques include participant observation, in-depth interviews with mothers who practice the tradition, community leaders, and traditional birth attendants, as well as documentation and field notes. The results show that selapanan is still preserved and practiced by the people of Limau Manis Village, although it has undergone several forms of adaptation to modern developments and modern medical guidelines. In its implementation, this tradition uses various natural ingredients such as parem (traditional body scrub), pilis (forehead concoction to refresh the eyes and mind), bengkungan (cloth to wrap the stomach), gerita (a kind of stagen or body binder), and the consumption of herbal medicine as part of physical care and body recovery. In addition to its physical aspects, selapanan also has a psychological dimension, providing emotional comfort and social support to postpartum mothers, thereby helping to prevent psychological disorders such as baby blues syndrome. This tradition serves not only as a form of traditional healthcare but also as a symbol of social solidarity and respect for local cultural values. Amidst the tide of modernization, preserving selapanan is crucial as a cultural identity that remains relevant. This study concludes that despite adjustments to medical developments, the selapanan tradition continues to play a significant role in maintaining maternal well-being and strengthening Javanese cultural values in the modern era.

Sleep disturbances are a common complaint among postpartum mothers, and this condition can affect the physical and psychological recovery process after childbirth. Untreated sleep disturbances can lead to various problems, such as fatigue, decreased quality of life, and even the risk of mental health disorders such as postpartum depression. One non-pharmacological approach that can be used to address these sleep disturbances is lavender aromatherapy. Lavender aromatherapy is known to have a calming effect that can help improve sleep quality. This community service activity aims to increase postpartum mothers' knowledge about the use of lavender aromatherapy as a complementary therapy to address their sleep problems. The activity was conducted in June 2025 at the Lismarini Independent Midwife Practice (PMB), using methods that included education, discussion, and distribution of informative leaflets. A total of 15 postpartum mothers participated in this activity, and to measure their knowledge, pre- and post-tests were conducted before and after the education session. The evaluation results showed a significant increase in participants' knowledge levels after participating in the education about lavender aromatherapy. Education about the use of lavender aromatherapy has been proven effective in increasing postpartum mothers' understanding of the benefits and how to use this therapy. Thus, lavender aromatherapy can be a beneficial health promotion strategy to support postpartum recovery. Through this activity, it is hoped that postpartum mothers can apply the knowledge gained to independently improve their sleep quality, thereby supporting their physical and mental health during the recovery period. This activity also contributes to efforts to improve overall public health and provides new insights for healthcare workers in educating postpartum mothers about safe and effective alternative therapies.

Pregnancy is a critical phase in a woman's life that demands comprehensive support from her closest environment, especially from her husband. This study aims to describe the role of husbands in accompanying their wives during pregnancy, identify factors that influence the level of involvement, and understand the impact on the physical and psychological health of pregnant women. The research approach used was qualitative with the type of phenomenological study, which was conducted in Kotabaru District, South Kalimantan. The main informants consisted of purposively selected pregnant women and postpartum mothers, complemented by triangulation from husbands, health workers, and community leaders. Data were collected through in-depth interviews, non-participatory observation, and documentation, and analyzed thematically. The results showed that husbands' assistance included involvement in pregnancy check-ups, assistance with household chores, provision of financial and emotional support, and roles in preparing for childbirth. However, this involvement was influenced by the husband's knowledge, culture, communication, and working conditions. Intact support from husbands was shown to have a positive impact on pregnant women's sense of comfort, confidence, mental readiness, and physical health. This study emphasizes the importance of holistic involvement of husbands in the pregnancy process and the need for a family and culture-based approach in preparing for childbirth.

Bacground : The 0–12 month period is a critical phase in infant development, covering motor, cognitive, and emotional domains. Early stimulation has been proven to prevent developmental delays that may affect later life stages. Complementary therapies such as infant massage and baby gym are widely applied as non-pharmacological, safe, low-cost interventions that can be practiced at home by parents. Objective: To systematically review the scientific evidence regarding the effectiveness of complementary therapies in stimulating the development of infants aged 0–12 months. Methods: This literature study involved a review of articles published between 2018–2024 from PubMed and Google Scholar. Inclusion criteria included experimental and quasi-experimental studies evaluating the effect of complementary therapies (infant massage, baby gym, or others) on infant development. Results: Six relevant studies were identified, including four on baby gym and two on infant massage. All studies reported significant improvements in gross motor development following intervention. Infant massage also showed additional benefits such as increased weight gain and enhanced mother-infant bonding. Conclusion: Complementary therapies such as infant massage and baby gym are effective and practical strategies for stimulating infant development. However, further research with more robust experimental designs is needed to strengthen the evidence base.  

The puerperium is a critical phase for postpartum mothers that requires special attention to prevent complications. However, awareness of the importance of self-care during this period remains limited, particularly in rural areas such as the working area of Puskesmas Kembang in Jepara. This community service initiative aimed to empower postpartum mothers by enhancing their knowledge and skills in self-care and physical recovery. The approach included interactive education using video media, health talks, group discussions, hands-on demonstrations, and the involvement of family members as key supporters. A total of 20 postpartum mothers and 10 family companions participated in the program. Evaluation through pre- and post-tests revealed significant improvements in knowledge across various aspects of postpartum care, including perineal hygiene, balanced nutrition, early detection of danger signs, and the role of family support. This program proved effective and has the potential to be replicated in other rural settings with similar conditions.