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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.

The results of the study of Community Midwifery Care for Mr. "N" Family with Postpartum Fever on Day 6, Dusun Aik Lengis, Kuta Village, Kuta Health Center Working Area, namely the assessment of subjective and objective data on Mrs. "M" postpartum on day 6 with fever, existing subjective and objective data and can identify problems, needs and diagnoses based on information that has been collected from the assessment of Mrs. "M" postpartum on day 6 with fever. Diagnosis or potential problems in accordance with the data obtained from the assessment of Mrs. "M" postpartum on day 6 with fever, collaboration, and referrals to Mrs. "M" postpartum on day 6 with fever, interventions on Mrs. "M" postpartum on day 6 with fever, care needed by Mrs. "M" postpartum on day 6 with fever. Students have conducted an evaluation in accordance with the actions that have been given to Mrs. "M" postpartum on day 6 with fever obtained from verbal responses, nonverbal responses, and examination results. Not all problems can be identified due to time constraints for the author to provide midwifery care to clients who have not fully recovered.

Continuity of care (COC) or sustainable care is the care provided by a midwife to clients or patients from pregnancy, childbirth, the puerperium, newborn care, and family planning. This study aimed to provide continuity of midwifery care for a primigravida pregnant woman, Mrs. D, at a midwife practice. A case study method was used. The subject was Mrs. D, G1P0A0. Data collection was carried out from September to December 2023. The results showed that during pregnancy Mrs. D complained of sleep difficulties, during childbirth there was bloody show, in the puerperium period milk production was insufficient, the baby had diaper rash, and for family planning she wanted to use the pill. Interventions provided were health education on third trimester discomforts, normal childbirth management with 60 steps of APN, oxytocin massage, and olive oil for the baby. In conclusion, continuity of midwifery care was provided for Mrs. D with oxytocin massage and olive oil interventions. Milk production increased and the baby's diaper rash reduced.

Maternal mortality is one of the unresolved health problems in the world. Obstetric complications directly in maternal mortality (pregnancy complications, childbirth, and the puerperium). This study aims to analyze the relationship between the determinants of maternal mortality due to obstetric complications. This type of research is an observational analytic study with a case-control design. In this study, there were 48 case samples and 144 control samples with a ratio of 1:3. The data obtained in the form of patient medical record data. Data analysised by univariate, bivariate and multivariate. The results showed that the most common cause of maternal death was preeclampsia/eclampsia. Risk factors that have a significant relationship with maternal mortality due to obstetric complications are anemia status (OR: 2.111; CI: 1.053-4.233; p: 0.035), history of maternal disease (OR: 2.514; CI: 1.260-5.015; p: 0.009) and HR (OR: 2.121; CI: 1.062-4.237; p: 0,033). In the multivariate results, the dominant risk factor was a history of maternal disease followed by anemia status and HR. The tendency of mothers who have a history of disease will increase the risk of maternal death compared to mothers who do not have a history of the disease.

The puerperium is an important period, as the risk of maternal and infant morbidity and mortality increases during this period. Hemorrhage is the leading cause of maternal death worldwide and most occur before 24 hours postpartum. Therefore, the birth attendant must ensure that the uterus contracts properly so that bleeding does not occur. The postpartum period is influenced by many factors, one of which is socio-cultural. Indonesia is a country consisting of various tribes and cultures that have their health traditions. Not all existing traditions have a bad effect on health but some have a positive impact on health. Efforts to assist and therapy to shape the coping skills of postpartum women are complementary therapy. Complementary therapy is a therapy that is used as a companion in conventional therapeutic efforts that a person has done. This type of research is descriptive by applying a case study approach. The implementation of this research was carried out at the Pratama Medical Center Clinic on Mrs. F by providing complementary health education education for mothers in the postpartum period.

The success of maternal and child health can be seen from the indicators of maternal mortality rate (MMR) and infant mortality rate (IMR). One of the causes of maternal mortality is bleeding that occurs due to anemia during pregnancy. Anemia conditions can be prevented by antenatal care (ANC) checks, and can help make labor run physiologically. Objective To provide comprehensive midwifery care to the patient, family, community or closest friends in order to get appropriate care.This study used a qualitative descriptive method with a case study approach. In the first visit pregnancy care found the incidence of Mild Anemia, at the second visit found the incidence of Mild Preeclampsia. In the care of childbirth, there were cases of premature rupture of membranes and chepalopelvic disporpotion so that delivery was carried out by Sectio Caesarea. And in the care of newborns, postpartum and family planning there are no problems and the condition of the mother and baby is normal. Based on the comprehensive care provided to Mrs. K, there were no gaps in the care of pregnancy, puerperium, newborn, and family planning, but in the care of childbirth there were some gaps between theory and practice.

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.

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.

Backgrounds : The puerperium is the period after childbirth, which is counted from after the placenta has come out, the puerperium is also called the recovery period, where the uterine devices will recover as before. Providing information about breast massage techniques to the public, especially to postpartum mothers is very important. Therefore efforts to provide information about breast massage techniques can be done through health promotion efforts. The results of a preliminary study conducted by researchers at the Gempol Health Center on 5 postpartum mothers using a questionnaire, of the 5 questions asked, 5 postpartum mothers answered that they did not know how to increase milk with breast massage techniques. Research Objectives : To find out the effectiveness of video media and leaflets on knowledge about breast massage techniques for postpartum women at the Gempol Health Center in 2022 Research Methods:This type of research is quantitative with a quasi-experimental research design and a pretest-posttest group design. The pop ulation in this study was 117 postpartum mothers who were at the Gempol Health Center. The sample in this study were 54 respondents. Bivariate analysis using the Wilcoxon test. Research results : The description of postpartum mothers' knowledge about breast massage techniques after being given leaflet media was mostly lacking as many as 32 people (59.3%). Postpartum mothers' knowledge about breast massage techniques after being given video media was mostly as good as many as 44 people (81.5%). Conclusions and Suggestions : It can be concluded that video media is more effective for increasing knowledge about breast massage techniques in postpartum mothers than media leaflets. It is recommended that managing midwives facilitate mothers in receiving health counseling/education especially for postpartum mothers regarding breast massage techniques during the postpartum period.

Masa nifas (puerperium) yang berasal dari bahasa latin yaitu dari kata “puer” yang artinya bayi dan “parous” berarti melahirkan adalah masa seorang ibu saat persalinan setelah keluarnya placenta dan masa perubahan, pemulihan, penyembuhan sampai pengembalian alat-alat reproduksi pulih seperti sebelum hamil dan secara normal masa nifas berlangsung selama 6-8 minggu atau 40 hari, namun secara keseluruhan akan pulih dalam waktu 3 bulan(Walyani, 2015). Menurut World health organization(WHO) tahun 2015 menyatakan ibu meninggal akibat komplikasi yang berhubungan dengan kehamilan, persalinan dan nifas 97%, dan kejadian ini terjadi di Negara-negara berkembang. Termasuk Indonesia, di indonesia di Negara-negara berkembang resiko kematian ibu hamil dan ibu nifas sekitar 200 kali lebih besar di bandingkan resiko yang di hadapi ibu-ibu di Negara maju sehingga membutuhkan perhatian khusus dari pemerintah. Tujuan Penelitian: yaitu diketahuinya Asuhan Kebidanan Fisiologis Pada Nifas Pada Ny.I  Di Klinik Pratama Niar Kecamatan Patumbak  Kabupaten Deli Serdang Tahun 2019. Metode Penelitian: ini menggunakan metode Deskriptif yaitu suatu metode penelitian yang dilakukan dengan tujuan utama untuk membuat gambaran tentang suatu keadaan secara obyektif.HasilPenelitian menunjukkan setelah dilakukan asuhan sebanyak 4 kali yaitu pada kunjungan pertama ibu sudah mengerti dan mau melakukan semua asuhan yang diberikan. Pada kunjungan kedua keadaannya semakin membaik, ASI lancar keluar, bayi kuat menyusui, ibu selalu menyusui bayinya, tidak ada penyulit dan hanya memberikan ASI. Pada kunjungan ketiga keadaan ibu sudah sehat memberikan ASI ekslusif dan ibu mengatakan darah yang keluar dari kemaluannya sudah tidak berwarna kecoklatan namun berwarna kekuningan dan tidak berbau dan pada kunjungan keempat keadaan ibu sudah sehat, ASI lancer keluar sudah tidak ada darah yang keluar dari kemaluannya dan tidak ada keluhan saat ini.    

Masa nifas atau masa puerperium  adalah masa setelah persalinan selesai sampe 6 minggu atau 42 hari. Selama masa nifas, organ reproduksi secara perlahan akan mengalami perubahan seperti keadaan sebelum hamil. Perubahan organ reproduksi ini disebut involusio. Pada masa nifas ibu akan mengalami fase menyusui. Metode yang digunakan dalam penelitian yang digunakan dalam studi kasus ini adalah penelitian deskriptif. Penelitian deskriptif dilakukan untuk memperoleh gambaran fenomena kesehatan yang terjadi pada individu atau suatu populasi kelompok tertentu. Dalam penelitian yang menjadi subjek atau responden penelitian pada kasus ini adalah Ny.S P2 A0. Berdasarkan hasil asuhan pada saat kunjungan dilakukan ibu mengatakan Ibu mengeluh sakit pada Puting Susu, pada tanggal 20 Februari 2020 Pukul 15.10 WIB. Data obyektif yaitu Tanda Tanda Vital: TD: 110/80 mmHg, N : 82x/i, R : 20x/i, T : 36,0?C. Dari data pengkajian diatas tidak di dapatkan kesenjangan teori dan praktek.    

Pregnancy is a physiological and natural condition that occurs in women. There are various complaints experienced by pregnant women during their pregnancy, one of the most common complaints is dizziness. Objective: LTA provides comprehensive midwifery care to pregnant, maternity, postpartum, BBL, neonate and family planning women using a midwifery management approach for Mrs "P" who complained of dizziness. Method: Care in this LTA is through interviews, observation and care management. The subject in this care is Mrs "S" at the Pratama Riyyan Kabanjahe Clinic. Results: results of comprehensive midwifery care for Mrs "S" during pregnancy in the second trimester and third trimester with dizziness, in normal labor, spontaneously without complications, in the postpartum period with normal puerperium, in BBL with BBLN, in patients. The care that mothers receive for family planning counseling is to inform the mother about normal vital signs and her current condition, provide health education about family planning effectiveness, side effects, and how to use it and explain to the mother how to space her pregnancies or to space her pregnancies. After midwifery care was provided to Mrs. S, the results of the evaluation showed that the mother was healthier and able to carry out daily activities. Based on the results of the questionnaire from assessing maternal knowledge about childbirth, it was found to be ADEQUATE with 70% results from 20 questions.