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Background: Comprehensive midwifery care is essential for early detection of complications and reducing maternal and infant mortality rates. In Sleman Regency, despite high access to health services, continuous monitoring remains crucial for ensuring maternal and fetal safety. Objective: To provide comprehensive midwifery care for Mrs. M at Klinik Pratama Shaqi, Sleman, from the third trimester of pregnancy through the postpartum and neonatal periods. Methods: This is a descriptive qualitative study using a case study approach based on Varney's seven-step midwifery management and SOAP documentation. Findings: During pregnancy (37 weeks 6 days), the mother experienced physiological complaints of back pain and shortness of breath, managed through posture education and pregnancy exercises. Labor proceeded normally and spontaneously on October 6, 2024, utilizing "gentle birth" practices such as endorphin massage to reduce pain. A second-degree perineal tear occurred and was treated according to procedure. The baby was born healthy, weighing 3100 grams, with successful Early Initiation of Breastfeeding (EIB). During the postpartum and neonatal periods, uterine involution was normal, breast milk production was adequate, and the infant's growth met standards with no danger signs. Implications: Continuous assistance improves the mother's physical and psychological readiness and ensures a healthy neonatal transition.

A decrease in the height of the uterine fundus is an important indicator of a normal uterine involution process after childbirth. Delayed reduction of fundal height may lead to uterine subinvolution, which increases the risk of postpartum hemorrhage, particularly in post–cesarean section mothers. Early breastfeeding and early mobilization are recommended interventions to support uterine contraction, prevent vaginal bleeding, and accelerate uterine involution. This study aimed to examine the effect of early breastfeeding and early mobilization on reducing the height of the uterine fundus in post–sectio caesarea mothers treated in the Amaryllis SMC Room at Telogorejo Hospital. The study employed a quasi-experimental design with a one-group pretest–posttest approach. The population consisted of 523 post–cesarean section mothers hospitalized at SMC Telogorejo Hospital between January and November 2023. Data were collected using structured observation sheets to measure fundal height before and after the interventions. The results showed that the average uterine fundal height before early breastfeeding and early mobilization was 19.74 cm above the symphysis, while after the interventions it decreased to an average of 12.49 cm above the symphysis. Statistical analysis indicated a significant effect of early breastfeeding and early mobilization on the reduction of uterine fundal height (p = 0.000). These findings highlight the importance of implementing early breastfeeding and mobilization as part of postpartum nursing care to support uterine involution and reduce the risk of complications in post–cesarean section mothers.

Background: Early Breastfeeding Initiation (IMD) is the practice of allowing newborns to breastfeed within the first hour after birth. This practice is not only beneficial for establishing mother-infant bonding but also plays a crucial role in stimulating uterine contractions through the release of oxytocin, which can accelerate uterine involution in postpartum mothers. Uterine involution is an important physiological process that prevents postpartum hemorrhage and supports maternal recovery. Despite the known benefits, not all mothers practice IMD immediately after delivery, which may affect the process of uterine involution. Objective: This study aimed to analyze the relationship between Early Breastfeeding Initiation (IMD) and the incidence of uterine involution in postpartum mothers at the Benao Community Health Center Work Area. Methods: A quantitative, observational study with a cross-sectional design was conducted involving 30 postpartum mothers selected through purposive sampling. Data were collected on IMD practices and uterine involution assessments. The Wilcoxon signed-rank test was used to analyze the relationship between IMD and uterine involution. Results: The study found a significant relationship between IMD and uterine involution (p = 0.000). Mothers who practiced IMD within the first hour postpartum showed a faster and more effective uterine involution process compared to those who did not. Conclusion: Early Breastfeeding Initiation (IMD) is significantly associated with the incidence and speed of uterine involution in postpartum mothers. Promoting IMD immediately after birth is essential for supporting maternal recovery and preventing postpartum complications

Continuity of Care (CoC) is a midwifery care model that provides continuous care from pregnancy, childbirth, the postpartum period, and newborn care to family planning services. This approach aims to improve the quality of care, enable early detection of complications, and enhance maternal and neonatal health outcomes. This study aimed to describe the implementation of Continuity of Care midwifery services for Mrs. D, aged 25 years, at PMB Siti Nur Azizah, Wonoayu, Sidoarjo, East Java.This study employed a descriptive method with a case study approach. The subject was Mrs. D, a primigravida woman who received midwifery care from the first trimester of pregnancy through the postpartum period, newborn care, and family planning services. Data were collected through interviews, observation, physical examinations, and medical record review.The results showed that throughout pregnancy, both maternal and fetal conditions remained within physiological limits with routine monitoring and adequate health education. Labor occurred spontaneously and normally with the application of respectful maternity care and interventions based on clinical indications. The postpartum period progressed normally with good uterine involution and adequate breast milk production. The newborn demonstrated optimal physiological adaptation and received essential neonatal care. In the family planning phase, Mrs. D chose a three-month injectable contraceptive, which was appropriate for her breastfeeding condition and pregnancy spacing needs.

Early mobilization is an important component of postpartum care that may influence the speed of uterine involution. Delayed uterine involution can increase the risk of postpartum complications, including hemorrhage and prolonged recovery. This study aimed to analyze the relationship between early mobilization and uterine involution among postpartum mothers at Gandasuli Public Health Center. An analytical observational study with a cross-sectional design was conducted from September to November 2025. The study population consisted of 56 postpartum mothers, selected using a total sampling technique. The independent variable was early mobilization, categorized based on the type of activity performed, while the dependent variable was uterine involution assessed through uterine fundal height reduction. Data were analyzed using descriptive statistics and Kendall’s tau-b correlation test. The results showed that most respondents practiced early mobilization, particularly standing and walking, and the majority experienced rapid uterine involution. Bivariate analysis revealed a statistically significant relationship between early mobilization and uterine involution (τ = -0.321; p = 0.010). In conclusion, early mobilization is significantly associated with faster uterine involution among postpartum mothers. Promoting early mobilization should be emphasized as part of routine postpartum care to support maternal recovery.

          During the second and third trimesters of pregnancy, as fetal development progresses, pregnant women often experience lower back pain. This condition not only causes discomfort but also affects daily activities and overall quality of life. One of the non-pharmacological approaches believed to reduce lower back pain is prenatal exercise. This study aims to evaluate the effect of pregnancy exercise on reducing lower back pain among pregnant women in the second and third trimesters. This research employed a quasi-experimental design with a pre-post test approach without a control group. The sample consisted of 28 pregnant women in their second and third trimesters who met the inclusion criteria and reported experiencing lower back pain. Pain levels were assessed before and after the intervention using a valid and reliable pain scale. Data were analyzed using appropriate statistical tests, particularly the paired sample t-test. The findings revealed that the mean pain score before the intervention was 3.32 with a standard deviation of 0.772. After the intervention, the mean pain score decreased to 2.25 with a standard deviation of 1.005. Results of the paired t-test indicated a p-value of 0.000 (p < 0.05), demonstrating a significant difference in pain levels before and after pregnancy exercise. These results indicate that pregnancy exercise is effective in reducing lower back pain in women during the second and third trimesters of pregnancy. Therefore, prenatal exercise can be recommended as a safe, simple, and beneficial non-pharmacological intervention in midwifery care. It is expected that this study provides scientific evidence supporting the role of pregnancy exercise in improving maternal comfort and quality of life throughout pregnancy.

Lower back pain is a common complaint experienced by pregnant women, especially in the second and third trimesters as the gestational age increases. This condition can interfere with daily activities and reduce the quality of life of pregnant women. Pregnancy exercise is one of the non-pharmacological interventions that is believed to help reduce lower back pain. This study aims to analyze the effect of pregnancy exercise on reducing the level of lower back pain in pregnant women in the second and third trimesters. The research method that can be used is a quasi-experimental design with a pre-post test design with one comparison treatment. The research sample was 28 pregnant women in the second and third trimesters who experienced lower back pain and met the inclusion criteria. Measurement of the level of lower back pain will be carried out before and after the intervention period using a valid and reliable pain scale. The data collected will be analyzed using an appropriate statistical test to compare changes in pain levels between before and after the intervention. The results of the study showed that the average lower back pain before the intervention was 3.32 and Std.Deviation 0.772. The average lower back pain after the intervention was 2.25 and Std.Deviation 1.005. Based on the results of bivariate analysis using the Paired-Samples T Test, a significant p value of 0.000 (p <0.05) was obtained, so there is a difference in lower back pain in pregnant women. Thus, it can be said that there is a significant difference in lower back pain before and after pregnancy exercise. It is hoped that the results of this study can provide scientific evidence regarding the effect of pregnancy exercise in reducing lower back pain in pregnant women in the second and third trimesters, so that it can be a recommendation in midwifery care to improve the comfort and quality of life of pregnant women.Keywords: Postpartum exercise, uterine involution, normal delivery

Postpartum complications in the form of bleeding can be anticipated through breastfeeding as early as possible. Early breastfeeding affects the speed of uterine recovery as before. To be able to provide early breastfeeding, counseling about breastfeeding on demand is needed for pregnant women so that their knowledge increases and can be applied after giving birth. The purpose of this study was to determine the effect of counseling about breastfeeding on demand on uterine involution in post-placental IUD acceptors at Bantul 2 Health Center. This study used a quasi-experimental study with a static group comparison research design. The study population was 51 post-placental IUD acceptors at Bantul 2 Health Center. Purposive sampling is a sampling technique used with data analysis of ANOVA and ANCVA tests. The average TFU of the intervention group was higher than the control group, which was 8.39 compared to 7.92. The results of the ANOVA test obtained a p-value of 0.002 <0.05, so it was concluded that there was an effect of counseling about breastfeeding on demand on uterine involution in post-placental IUD acceptors. For post-placental IUD acceptors, breastfeed on demand to regulate the spacing of births while improving the health of mothers and babies.

The postpartum period is a critical time for both the mother and newborn, where healthcare is essential to avoid the risk of mortality. This study aims to analyze the behavior of postpartum mothers and Acehnese families in postpartum care at the Beutong Health Center, Nagan Raya Regency in 2024. A quantitative research method with a descriptive design was used, and the sampling technique applied was total sampling, with a population of 40 postpartum mothers. Data collection was carried out through interviews using a questionnaire. The results showed that 77.8% of mothers and families were aware of the nutrition needed for postpartum mothers, 58.3% understood the process of uterine involution, and 100% of postpartum mothers knew daily activities to accelerate recovery. The family's supportive attitude towards postpartum care was evident in their dietary recommendations, such as providing vegetables (83.3%) and fish (80.5%), forbidding the mother from leaving the house (100%), and administering algae (88.9%). However, 30.6% of postpartum mothers did not consume vegetables regularly. These findings highlight the importance of improving family understanding and support in postpartum care to accelerate the recovery of mothers and babies. The implication of this research is expected to improve postpartum care programs at Beutong Health Center.

Background: Typically lasting six to eight weeks, the postpartum period is a time of recovery following childbirth. Afterpains are a type of discomfort that can be caused by uterine contractions during the involution process. Massage or other non-pharmacological treatment can be used to ease discomfort. Using specific techniques, massage can lessen or even eliminate pain. Methods: The cross-sectional design of the quantitative research design was used in this study. The objective was to compare how massage reduced postpartum pain in Cilacap City mothers before and after intervention. 30 postpartum mothers who were experiencing postpartum pain two hours later comprised the population. Saturation sampling was used for the sampling, and there were a total of 30 participants. The frequency distribution was used in univariate data analysis, while the paired-sample t-test was used in bivariate data analysis. For the pain scale, the paired-sample t-test analysis produced a t-value of 8.238. Results: As a result, the calculated t-value exceeded the critical t-value for a pain scale of 8.238 > 2.045, indicating acceptance of the alternative hypothesis (Ha) and rejection of the null hypothesis (Ho), indicating that massage is effective in reducing postpartum pain in women. Conclusion: massage has been shown to reduce postpartum pain in mothers.

postpartum period is the period a woman goes through, starting after giving birth to the products of conception (baby and placenta) and ending up to 6 weeks after giving birth. During the postpartum period, the reproductive organs will slowly experience changes to the state before pregnancy. This change in the reproductive organs is called involution. Postpartum care is needed during this period because it is a critical period for both mother and baby. It is estimated that 60% of maternal deaths due to pregnancy occur after delivery and 50% of postpartum deaths occur within the first 24 hours. Postpartum care is carried out to reduce maternal mortality because the postpartum period is a critical period that needs monitoring. Results: care for NY "S" with post partum physiology 3 days ago with complaints that the stomach still felt bloated and little milk came out and during these 3 days no potential problems were found such as signs of mastitis, blocked breast milk, breast abscess, and breast cancer . However, the breast milk comes out a little because there is no stimulation by the way the baby breastfeeds on the mother, the uterine contractions are good and the lochia is appropriate. Conclusion: From the case study after examining and analyzing data on mothers and mothers 3 days postpartum at PMB NY Bd. Riyanti in 2024, the postpartum period is proceeding normally, vital signs are within normal limits and documentation and actions have been carried out on NY "S" with the result that no gaps were found between the theory and the cases obtained.

According to the World Health Organization (WHO), in 2021 around 329,000 women died due to complications related to pregnancy or childbirth throughout the world, MMR in Indonesia until 2022 was 305/100,000 live births, WHO data for 2021 states the Infant Mortality Rate (IMR) in the world amounted to 235 deaths per 100,000 live births. Brebes Health Office (2022) MMR 50 cases, IMR 259 cases. Data from Bantarkawung Community Health Center (2022) MMR 1 case, IMR 5 cases. This researcher is able to carry out comprehensive midwifery care for Mrs. R aged 26 years with Preeclampsia using Varney's seven-step obstetric management and SOAP. Based on the background above, the problem formulation is how Comprehensive Midwifery Care for Mrs. R aged 26 years in the working area of the Bantarkawung Community Health Center, Brebes Regency in 2023. The research design used by the author is qualitative descriptive research. Comprehensive Care for Mrs.R found problems early in pregnancy with preeclampsia. Labor was induced, and the newborn was normal. During the postpartum period, the uterine involution process goes well. Conclusion: Through this scientific paper, it is hoped that health center health workers can maintain and improve the quality of health services in accordance with service standards and the application of theory.

Agreeing to the World Wellbeing Organization (WHO), around 810,000 ladies passed on due to complications related to pregnancy or childbirth all through the world, the MMR in Indonesia as of 2022 is 305/100,000 live births, WHO information for 2021 states that the Newborn child Mortality Rate (IMR) within the world is 235 passings per 100,000 live births. Brebes Wellbeing Office (2022) MMR 50 cases, IMR 259 cases. Information from Bumiayu Community Wellbeing Center (2022) AKI 2 cases, 14 cases. This analyst is able to carry out comprehensive birthing assistance care for Mrs. F 30 a long time ancient with breech introduction utilizing Varney's seven-step obstetric administration and Cleanser. Based on the foundation over, the problem formulation is how to supply comprehensive maternity care care for Mrs. F 30 a long time ancient at BPM Mrs. U work range of Bumiayu Community Wellbeing Center, Brebes Rule in 2023. The inquire about plan utilized by the creator is subjective clear inquire about. Based on the research result, it may be concluded that: Comprehensive Care for Mrs. F found issues at the starting of pregnancy with breech introduction and at the end of pregnancy no issues were found within the third trimester of pregnancy. The conveyance was carried out by caesarean segment, and the infant was ordinary. Amid the postpartum period, the uterine involution prepare goes well. Through this Logical Composing, it is trusted that wellbeing center wellbeing laborers can keep up and progress the quality of wellbeing administrations in understanding with benefit guidelines and the application of hypothesis.

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.

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.

Afterpains are a common physiological complaint experienced by mothers during the postpartum period due to uterine contractions that occur after childbirth. This pain can disrupt comfort, inhibit the involution process, and affect the mother's physical and psychological well-being. Non-pharmacological treatment efforts such as the Effleurage Massage technique are an effective alternative because they can increase relaxation and stimulate the release of endorphins that play a role in reducing pain perception. This study aims to determine the effect of the Effleurage Massage technique on the level of afterpains in postpartum mothers at Midwife Sulastri, Percut Sei Tuan District, Deli Serdang Regency in 2022. The research design used was a quasi-experimental design with a one-group pretest-posttest without a control group. The study sample consisted of 45 postpartum mothers selected using the total sampling technique. Data were collected through observations with a numeric pain scale and analyzed using the Wilcoxon Signed Rank Test. The results showed that there was a significant decrease in pain levels after Effleurage Massage with a p value = 0.000 (<0.05). These findings demonstrate that the Effleurage Massage technique is effective in reducing the intensity of postpartum afterpains. Consequently, this massage can be used as a complementary therapy in postpartum midwifery care to increase comfort and accelerate the mother's recovery process.

Breastfeeding is one of the important roles for mothers and baby because apart from having great benefits for mothers and babies it also has the side effect of improving uterine involution. The Objective of research was to analyze the relationship between exclusive breastfeeding and uterine involution in Telaga Health Center. This research is a type of quantitative research with a cross sectional approach. The sampling technique used the total sampling technique. The statistical test results obtained the value of Chi-Square p = 0.038 with ? ? 0.05. the benefits of breastfeeding help mothers recover from the birth process. Breastfeeding during the first few days makes the uterus contract quickly and slows down bleeding (sucking on the nipples stimulates the release of natural oxytocin which will help uterine contractions). Breastfeeding is an important way for mothers to express love to their babies and make them feel comfortable. Thus, it can be concluded, there is a relationship between exclusive breastfeeding and uterine involution in the Telaga Health Center Work Area. It is expected the Telaga Health Center will provide data or information from this research to provide and improve the quality of services for pregnant/postpartum women in preventing uterine subinvolution.    

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

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.