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Combined care is a care system where babies and mothers are treated in one unit. In its implementation, the baby must always be by the mother's side from birth until he returns home. The advantages of combined care are that it promotes the use of breast milk, emotional contact between mother and baby is established from an early age, mothers can learn to take care of babies and mothers can immediately report strange baby conditions they encounter. The purpose of this study is to determine the relationship between postpartum maternal knowledge and the benefits of combined care at Bhayangkara Hospital Banjarmasin, South Kalimantan. This research method uses a type of analytical descriptive research with data collection techniques using a cross sectional approach and the instrument used is a questionnaire. The population of this study is all postpartum mothers at Bhayangkara Hospital Banjarmasin with a sampling technique using accidental sampling, with a sample of 30 respondents. The results obtained from the bivariate analysis of the chisquare statistical test showed that the value of p = 0.000 > ? = 0.05. The results obtained were that most postpartum mothers had insufficient knowledge, namely 15 people (50%) with most of them having a high school education of 14 people (46.7%), and never carried out combined care as many as 19 people (63.3%). The conclusion shows that most postpartum mothers have less knowledge about the benefits of combined care at Bhayangkara Hospital Banjarmasin. This shows that a person's level of education also affects the level of mother's knowledge.

This research is a comprehensive midwifery care case study on Mrs. K from pregnancy to postpartum family planning conducted at the PMB Okta Saprina, S.Tr.Keb and Mrs. K's home from October-December 2023. The assessment during pregnancy found complaints of frequent urination which were addressed by counseling on reducing drinking at night. During labor, Mrs. K experienced severe pain on a scale of 8, which was reduced to moderate pain on a scale of 5 after being given lavender aromatherapy. Labor care stages I-IV were normal according to theory and without complications. The baby was born spontaneously, full-term, without complications. During the postpartum period, Mrs. K experienced breast engorgement which was treated with aloe vera compresses for 7 days until the complaint was resolved. Care for the newborn and postpartum period was according to standards. At 42 days postpartum, Mrs. K chose to use 3-month injectable contraception after being screened with the KLOP wheel. The management provided to Mrs. K was in accordance with evidence-based practice in providing comprehensive midwifery care, namely counseling for frequent urination, lavender aromatherapy for labor pain, and aloe vera compresses for breast engorgement with satisfactory results.

According to the United Nations Childrens Funds and the World Health Organization, children should only be breastfed for six months and solid foods given after the child is six months old and continue to be breastfed until the child is two years old. According to WHO, the data on exclusive breastfeeding globally has not increased significantly, namely around 44% of babies aged 0 to 6 months worldwide who received exclusive breastfeeding during the period 2015 to 2018 from 50% of the breastfeeding target (WHO, 2019). Based on the results of interviews with 15 mothers of toddlers, 7 of them said that their children were not given exclusive breast milk due to the lack of milk production so that their babies quickly starved and fussy. 5 mothers of toddlers said that the 3-month-old child could have been given complementary foods for breast milk and 3 other mothers of toddlers said that the heavy workload that made the breastfeeding mother had given MP-ASI from an early age. The general purpose of this study is to see the relationship between maternal knowledge and exclusive breastfeeding in infants aged 6 – 12 months in the working area of the Namrole Health Center, South Buru Regency. This study is an analytical observational research using a cross sectional approach. The results of the chi-square test showed that there was a good relationship between the mother's knowledge about exclusive breastfeeding and exclusive breastfeeding in toddlers with a p value = 0.000. because the p value < 0.005 thus H0 is rejected and Ha is accepted, so there is a good relationship between maternal knowledge and the provision of Exclusive Breastfeeding to toddlers in the working area of the Namrole care center. Knowledge Most of the mothers of babies are in the poor category, which is 56.9%, most of the mothers of babies do not give exclusive breastfeeding, which is 69%, There is a clear relationship between maternal knowledge and exclusive breastfeeding in the work area of the Namrole Health Center.

The aim of this study was to assess the impact of oxytocin massage on breast milk production in postpartum mothers. This research employed a quasi-experimental approach, specifically utilizing a pretest-posttest control group design. The study population consisted of all normal postpartum mothers receiving care at a Midwifery Independent Practice located in Kesugihan District, Cilacap Regency. A total of 30 participants were selected through purposive sampling. Data were analyzed using the Wilcoxon test to determine statistical significance. Prior to the intervention, the average breast milk production was measured at 22.82 cc/ml. Following the administration of oxytocin massage using fennel oil, the average milk volume significantly increased to 87.58 cc/ml. These results indicate that oxytocin massage is an effective intervention for enhancing breast milk production in postpartum 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.

The 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: Management of Midwifery Care for Mrs. D Physiological postpartum period with little breast milk, during monitoring no potential problems were found such as signs of mastitis, blocked breast milk, breast abscess and breast cancer. However, a little breast milk comes out because there is no stimulation by the way the baby breastfeeds the mother. Conclusion: From the case study after monitoring and analyzing data on mothers with complaints of little breast milk coming out at PMB Bd. Riyanti in 2024 monitoring of the postpartum period is running normally, vital signs are within normal limits and documentation and actions have been carried out on NY "D" with the result that no gaps were found between the theory and the cases obtained.

The combination of hormone treatment and genetic liabilities in transgender women leads to a complicated situation for breast cancer growth particularly linked to BRCA1 mutations. Gender-affirming treatment relies heavily on estrogen and causes intense cell growth and differentiation in breast tissue driven by estrogen receptor mechanisms. Mutations in BRCA1 lead to weak DNA repair processes which enhance an individual's vulnerability to cancerous changes. Rodestrogens enhance the functioning of proliferative pathways like PI3K/AKT and MAPK pathways in cells with dysfunctional BRCA1. This collaborative action elevates the threats posed by benign growths such as fibroadenomas leading to invasive breast cancer. By affecting the expression of vital regulatory proteins linked to cell proliferation estrogen further compromises the genomic integrity in cells harboring BRCA1 mutations. The hormone environment influenced by exogenous estrogen therapy can shape the tumor microenvironment for better cancer progression and metastasis. Comprehending the relationship between estrogen signaling and pathways related to BRCA1 is important for identifying the enhanced risk of cancer in transgender women using hormone therapy. This detailed study aligns recent discoveries regarding genetic vulnerability and hormonal impacts with cell mechanisms to reveal a detailed insight into breast cancer progression in these individuals. The study emphasizes the necessity for custom-designed cancer screening methods and targeted treatments to help mitigate risks and support transgender care. Understanding these pathways greatly enriches our knowledge of hormone-induced carcinogenesis among those who carry certain genetic markers while also guiding the creation of personalized care for transgender women at enhanced risk of breast cancer.

Fibroadenoma of the breast (FAM) is a benign tumor that is painless, movable, has clear boundaries, and a rubbery texture. The incidence of cancer worldwide has increased, with the most common cancers reaching 24.5% and deaths reaching 15.5%, according to the WHO. In Indonesia, the prevalence reached 1.79% per 1,000 population in 2018, and in Central Java, it was 0.7% in 2019. Data from Dr. Soeselo Hospital in Tegal shows an annual increase of 2%, with prevalence reaching 1.9% in 2023, up from 1.7% in 2022. The aim of this research is to provide an overview of nursing care for patients who have undergone left breast tumor surgery. This research specifically focuses on the study involving diagnosis, determination of interventions, implementation, and evaluation. Using a case study design, a descriptive method was employed in this research. The writer narrates and explains the important events that occurred with the patient. Patients who have undergone surgery may experience pain after the operation, which could potentially lead to the risk of infection and a decline in knowledge. As a result, the nursing diagnosis that arises for the patient is acute pain. In the concept of pain, pain measurement is assessed using a numerical rating scale, and the patient's pain management involves relaxation breathing therapy and analgesics.

Background : Breast milk is a substance produced by the body naturally by the breast glands. Breast milk is an emulsion of fat in a solution of protein, lactose, and organic salts, white blood cells secreted by the breast glands so that breast milk is the perfect food for growth and development and immunity of the baby. Breast milk production that is small or not smooth can interfere with exclusive breastfeeding, so efforts are needed to increase breast milk production by treating non-pharmacological techniques, one of which is breast care. Breast care is an action in maintaining the health and cleanliness of the mother's breasts, flexing and strengthening the nipples to stimulate the body to secrete lactogen and prolactin hormones, improve blood circulation, prevent obstruction of milk release so that breast milk production increases. Objective: to determine the results of the implementation of breast care techniques on breast milk production of postpartum women in the Cempaka Room of RSUD dr. Soehadi Prijonegoro Sragen. Method: This research is a case study research conducted on 2 postpartum mother respondents by doing breast care for 2 days with a frequency of 2 times a day for 30 minutes. Results: From the results of observations on both respondents there was a development of breast milk production from before and after breast care from the first and second days experienced a significant increase. Conclusion: There is an increase in breast milk production and before and after breast care from not smooth to smooth.    

Breast milk dam is a swelling of the breast due to an increase in venous and lymph flow, causing breast milk dam. Data (SDKI) showed that 42% of mothers experienced breast milk dams. Breast milk dams are caused by discontinuous breastfeeding, the baby has not breastfed properly, improper breastfeeding position, wearing BH that is too tight, nipple abnormalities, absence of breast care before and after childbirth and lack of maternal knowledge about breast care. The aim is to determine the relationship between breastfeeding position and breast care with the incidence of breast milk dam in the working area of Sei.Langkai Health Center, Batam City 2023. The method in this study used quantitative research with analytical descriptive research and used a Cross Sectional research design, the sample in this study was 65 postpartum women, statistical tests using Chi-Square, purposive sampling technique. The distribution of breastfeeding positions was not correct as many as 36 postpartum women (55.4%), postpartum women did not perform breast care as many as 55 postpartum women (84.6%), the majority of postpartum women who experienced breast milk dams were 36 postpartum women (55.4%). The results of statistical analysis with Chi-Square found that there was no relationship between breastfeeding position and the incidence of breast milk dam with a value (P-Value) = 0.099 where (P < ?) = 0.05, and there was a relationship between breast care and the incidence of breast milk dam with a value (P-Value) = 0.030 where (P < ?) = 0.05. The conclusion is that there is no relationship between breastfeeding position and the incidence of breast milk dam and there is a relationship between breastfeeding position and breast milk dam. it is hoped that midwives and other health workers can teach mothers directly during breastfeeding how to do the correct breastfeeding position and breast care technique.

According to WHO data from 2018, the average percentage of women experiencing breast engorgement during breastfeeding reached 87.06% or 8242 women. However, according to a study by the Indonesian Health Research and Development Agency in 2018, the highest incidence of breast engorgement in Indonesia occurred in working mothers, accounting for 6% of breastfeeding mothers. The aim of this literature review is to determine the extent of the influence of breast care on breast engorgement in breastfeeding mothers. This study utilizes a literature review method by collecting and analyzing 10 full-text Indonesian-language journals from 2019 to 2023 from sources available in databases such as Google Scholar using keywords such as breast engorgement, breast care, and breastfeeding. The inclusion criteria for this work are journals that investigate breastfeeding mothers undergoing breast care. Based on the keywords used, 10 journals that meet the criteria were found, and all of them indicate that breast care has an impact on breast engorgement. In the 10 journals reviewed, breast care is identified as one of the dominant factors in breast engorgement incidence because it can facilitate breast milk flow and reduce the likelihood of breast engorgement.

Midwife home visits are a form of healthcare service aimed at enhancing mothers' knowledge of newborn care. This study aims to analyze the impact of midwife home visits on improving mothers' knowledge of newborn care. The research employed a quantitative method with a quasi-experimental design. The sample consisted of 60 new mothers, divided into intervention and control groups. The study's findings indicated a significant increase in the knowledge of mothers in the intervention group compared to the control group after the midwife home visits. The home visits were proven effective in improving mothers' understanding of newborn care, including exclusive breastfeeding, umbilical cord care, and recognizing danger signs in newborns.    

Breast milk (ASI) is a natural nutrition for babies with the most appropriate nutritional content for optimal growth. Decreased breast milk production in breastfeeding mothers is one of the causes of the failure to provide exclusive breastfeeding for the first 0-6 months. Some mothers experience difficulties and failures in breastfeeding because breast milk has not come out, little breast milk or sore nipples. Lactation massage is one method of painless breast care that can stimulate the strength of the breast muscles to increase breast milk production. The purpose of this service is to provide education and skills to mothers about the benefits of lactation massage and how to do lactation massage to increase breast milk production. The service method used is a lecture on the benefits of lactation massage and practice on how to do lactation massage. The results of the evaluation of the implementation before the counseling were given, the knowledge category was sufficient (58.8%) and after the counseling was given it became (88.2%), meaning that the activities carried out could increase the knowledge and skills of mothers.

Breast care is an action to care for the breasts especially during the postpartum period (breastfeeding period) to facilitate the release of breast milk. Based on the results of a preliminary survey, there are still many postpartum mothers who do not understand about breast care. The purpose of this study was to determine the factors related to breast care in postpartum mothers. The design used in this study was a descriptive analytical survey with a cross-sectional approach. The population in this study as the subject of the case was all postpartum mothers as many as 30 respondents with a population sampling technique. Data analysis used univariate and bivariate analysis with the Chi Square test. The results of the study showed that there was a relationship between age and breast care obtained p-value: 0.015, there was a relationship between attitude and breast care with p-value: 0.016 and there was a relationship between husband's support and breast care with p-value: 0.007. It is hoped that the results of this study can be used as input and useful information regarding breast care.    

Stunting problems often occur in children who lack essential nutrients, especially protein, iron and other nutrients needed for optimal growth. Stunting is not only a physical problem that can be seen from short height, but also has serious long-term impacts on children's development. Exclusive breast milk is a primary need for babies, so it will have an impact on the baby's growth and development if it is not provided adequately. Breast milk that is not given exclusively in the first 6 months of a baby's life will have an impact on the maturation process of the immune system, causing the baby to be susceptible to infections (Wasiah, 2019). Bekasi Regency is an industrial area with more than 3.5 million residents and 44.6% of them are women. A total of 523 461 of them are working women who are in the productive age range of 15-49 years. In this age range, many working women are mothers who have to leave their babies and be cared for by someone else and cannot provide exclusive breast milk. The failure to provide exclusive breastfeeding is the driving force behind many cases of stunting in Indonesia. This research is a quantitative analytical research with a cross sectional approach with the respondents being working mothers who have children under five. P value is 0.021 and OR 8,000, so there is a significant relationship between breastfeeding behavior and the incidence of stunting in the Kedungwaringin Community Health Center Working Area. Working mothers with non-exclusive breastfeeding behavior increase the risk of stunting by 8,000 times compared to mothers who breastfeed exclusively.

According to the Nort Sumatera Provincial Health Service, exclusive breastfeeding is given to babies 0-6 months were 20,394 with a percentage of 67%. This is experienced a decrease in 2018 in the percentage of exclusive breastfeeding in the province Nort Sumatera as much as 76%. This research aims to determine the relationship knowledge and attitudes of breastfeeding mothers towards exclusive breastfeeding in working area of ​​the Sultan Daulat Health Care Center, Sublussalam City in 2023.This research uses a population cross-sectional research method in this study were all mothers who had children aged 6-24 months which is in the Working Area of ​​the Sultan Daulat Health Center, Sublussalam City totaling 274 people. The sample in this study was 56 respondents with purposive sampling technique. This research instrument uses questionnaire. Analyze data using univariate, bivariate, multivariate.The conclusion from this research is that there is a relationship between mother's knowledge towards exclusive breastfeeding there is a relationship between age and exclusive breastfeeding. There is the most dominant factor in exclusive breastfeeding is age. It is hoped that health services should provide in-depth information increase exclusive breastfeeding.

According to the Nort Sumatera Provincial Health Service, exclusive breastfeeding is given to babies 0-6 months were 20,394 with a percentage of 67%. This is experienced a decrease in 2018 in the percentage of exclusive breastfeeding in the province Nort Sumatera as much as 76%. This research aims to determine the relationship knowledge and attitudes of breastfeeding mothers towards exclusive breastfeeding in working area of ​​the Sultan Daulat Health Care Center, Sublussalam City in 2023.This research uses a population cross-sectional research method in this study were all mothers who had children aged 6-24 months which is in the Working Area of ​​the Sultan Daulat Health Center, Sublussalam City totaling 274 people. The sample in this study was 56 respondents with purposive sampling technique. This research instrument uses questionnaire. Analyze data using univariate, bivariate, multivariate.The conclusion from this research is that there is a relationship between mother's knowledge towards exclusive breastfeeding there is a relationship between age and exclusive breastfeeding. There is the most dominant factor in exclusive breastfeeding is age. It is hoped that health services should provide in-depth information increase exclusive breastfeeding.

Background: In clients post Sectio Caesaria (SC), many problems arise, including anxiety. The reason for anxiety in mothers post Sectio Caesaria (SC) is because they don't know how to care for post partum including post Sectio Caesaria (SC) wound care, breast care, exclusive breastfeeding, giving nutrition to babies, caring for newborns and anxiety because they are afraid of the stitches coming out. , afraid of infection in the wound. From this problem, activity intolerance nursing problems will arise where the client is unable to carry out daily activities independently and abnormal vital signs are found during or after activities. Early mobilization exercises are useful for improving blood circulation, preventing thromboembolism, surgical muscle stiffness, stimulates gastrointestinal function and reduces pain. The aim is to explore nursing care for clients with acute pain problems in post SC clients. The aim is to explore nursing care for clients with acute pain problems in post SC clients. The data collection method used in this case study is descriptive, namely interviews, observation and physical examination, documentation studies and collecting results from diagnostic examinations. The results of this nursing care show that after implementing ambulation support for 3 days, the patient began to improve from being previously still lying in bed to now being able to move and be active again, the ease of carrying out daily activities increased. Walking distance increases, lower body strength increases, dyspnea during activity decreases, dyspnea after activity decreases, oxygen saturation improves, respiratory frequency improves. It was concluded that from the results of this case study over 3 visits, the problem could be resolved by teaching clients to carry out physical mobilization techniques aimed at increasing their ability to do activities. Advice for clients is that clients can maintain their physical condition.    

Pregnancy is a special condition for a woman as a prospective mother, because during pregnancy there will be physical changes that affect her life. During pregnancy there will be many changes, both physical, social and mental changes. Pregnant women must have adequate nutrition, because the nutrition obtained will be used for themselves and their fetuses. For pregnant women, basically all nutrients require additional, but what is often lacking is protein energy and some minerals such as iron. This study aims to determine the Factors That Influence Pregnant Women in Carrying Out Breast Care at the Aramo Health Center UPTD in 2023. This type of research is an analytical survey study with a cross-sectional method approach. The population is pregnant women with a total of 52 people in April-May 2023. The number of samples used was 52 people obtained using the Total sampling technique. The data analysis technique uses chi square. the results obtained in this study were from 42 respondents, there was a Relationship between Education and Breast Care at the Aramo Health Center UPTD in 2023 showing that the p value = 0.032 <0.05. there was a Relationship between Age and Breast Care at the Aramo Health Center UPTD in 2023 showing that the p value = 0.024 <0.05. there was a Relationship between Parity and Breast Care at the Aramo Health Center UPTD in 2023 showing that the p value = 0.021 <0.05. there was a Relationship between Knowledge and Breast Care at the Aramo Health Center UPTD in 2023 showing that the p value = 0.021 <0.05. there was a Relationship between Attitudes towards Breast Care at the Aramo Health Center UPTD in 2023 showing that the p value = 0.021 <0.05. It is recommended for Health Workers to increase counseling related to Breast Care.

Early Breastfeeding Initiation is the process of allowing the baby to breastfeed on its own immediately after birth. This is nature and a gift from God that has been arranged for us. Doing it is also not difficult, it only takes about one to two hours. IMD must be carried out immediately at birth, without delaying weighing or measuring the baby. Babies should also not be cleaned, only dried except for their hands. This process must take place skin to skin between baby and mother. This research uses an analytical type of research with a retrospective research design. The research aims to determine the relationship between early initiation of breastfeeding (IMD) and exclusive breastfeeding at the Sonomartani Community Health Center. Based on the data in table 4.3, it can be seen that 5 respondents (38.5%) did not practice IMD but did not provide exclusive breastfeeding and 8 respondents (61.5%) did not practice IMD but did not provide exclusive breastfeeding. Carrying out IMD and providing exclusive breastfeeding was 21 respondents (95.5%). The statistical test results of the chi square test obtained a p value = 0.000, so it can be concluded that there is a significant relationship between Early Breastfeeding Initiation (IMD) and exclusive breastfeeding, namely Ha received. The importance of giving birth in a health service is to avoid sudden emergencies that can cause complications and to provide care according to procedures. This is in line with research by Norhana, Arifin and Yulidasari (2016) that mothers who give birth in health facilities are 15,167 times more likely to carry out IMD. Of the 20 respondents who successfully carried out IMD, 19 respondents (95%) were accompanied by their husbands and family when giving birth and 17 respondents (84%) of them succeeded in providing exclusive breastfeeding. Husband and family support play an important role in managing IMD and building maternal self-confidence. The relationship between early initiation of breastfeeding (IMD) and exclusive breastfeeding at the Sonomartani Community Health Center in 2022" with a total of 35 respondents and data processing that has been carried out using SPSS, it can be concluded that the chi square test value is p < 0.05, meaning that Ho is rejected and Ha is accepted: Based on the research results, the majority of respondents who carried out Early Breastfeeding Initiation (IMD) were 22 respondents (62.9%). Based on the research results, the majority who gave exclusive breastfeeding were 26 respondents (74.3%). Based on the research results, there is a relationship between carrying out IMD and providing exclusive breastfeeding. The statistical test results obtained a chi square test value (p < 0.05) with a value of 0.000.