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Breast milk production during the postpartum period is a crucial factor in successful breastfeeding and achieving exclusive breastfeeding. However, during the early postpartum period, many postpartum mothers experience difficulties in breast milk production, influenced by physical and psychological conditions. One non-pharmacological intervention that can be used to help facilitate breast milk production is oxytocin massage, which aims to stimulate the release of the hormone oxytocin and increase the let-down reflex. This study aims to analyze the effect of oxytocin massage on breast milk production in postpartum mothers at the Marisa Community Health Center. This study used a quantitative pre-experimental design with a one-group pretest–posttest approach. The study sample consisted of 30 postpartum mothers selected using purposive sampling according to the inclusion criteria. Breast milk production was measured before and after the oxytocin massage intervention using a structured observation sheet with units of milliliters (ml). Data analysis was performed using univariate and bivariate methods. Normality was tested using the Shapiro–Wilk test, while differences were tested using the Wilcoxon signed-rank test. The results showed that the average milk output before oxytocin massage was 18.00 ± 5.95 ml, and increased to 51.83 ± 10.94 ml after the intervention. The Wilcoxon test showed a p-value of 0.000 (p < 0.05), indicating a significant effect of oxytocin massage on increasing breast milk output. It was concluded that oxytocin massage is effective as a non-pharmacological intervention to increase breast milk production in postpartum mothers and can be integrated into postpartum care in primary health care services.

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.

This study examines the influence of income inequality and poverty on the prevalence of stunting in ten provinces across Sumatra Island during the 2016–2024 period. Using a panel dataset of 90 observations and applying a Fixed Effect Model, the results indicate that both income inequality—measured by the Gini Ratio—and poverty have a positive and significant effect on stunting. The Gini Ratio shows a coefficient of 1.46 (p = 0.0002), while poverty records a coefficient of 6.28 (p = 0.0140), jointly explaining 52% of the variation in stunting prevalence. Spatial analysis further supports these findings, with Moran’s I values exceeding 0.40, suggesting strong spatial autocorrelation and clustering of high-stunting regions. High-risk clusters—Aceh, Jambi, and Bengkulu—are characterized by Gini Ratios above 0.33 and poverty levels exceeding 12%, reinforcing the existence of an intergenerational poverty–stunting trap, particularly influenced by urban–rural disparities (rural 53.3% vs urban 34.9%). The study highlights that specific nutrition interventions such as supplementary feeding, micronutrient programs, and breastfeeding promotion are insufficient without accompanying structural reforms addressing economic inequality. Therefore, multisectoral convergence strategies are required, including expanded conditional cash transfers, progressive local taxation reforms, nutrition-focused social assistance, and universal basic infrastructure to accelerate stunting reduction toward the 14.2% target by 2029.

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

Breastfeeding failures frequently result in issues. Lack of information about proper breastfeeding technique is one of the issues that frequently arises in nursing women, leading to uncomfortable nipples when the infant does not suck the nipple down to the areola. According to the 2022 Indonesian Demographic Health Survey, 79.3 individuals had painful nipples. The purpose of this study is to ascertain how well breastfeeding practices work in relation to the prevalence of painful nipples among nursing moms at the South Bulango Community Health Center in 2025. This kind of study employs a cross-sectional, quantitative research approach. 47 nursing women who were chosen by accidental sampling served as the study's population and sample. There is a correlation between breastfeeding practices and the incidence of sore nipples at the South Bulango Health Center in 2025, according to the results of statistical testing using the chi-square test. The p value (0.000) is not greater than α (0.05), so H0 is rejected and Ha is accepted. It is intended that the community, especially postpartum moms, would gain more understanding of the connection between breastfeeding methods and the prevalence of painful nipples in nursing moms.

Exclusive breastfeeding during the first six months of life is an effective public health intervention that contributes significantly to improving the health of both infants and mothers. Despite its well-documented benefits, the practice of exclusive breastfeeding still encounters various challenges, one of which is related to mothers’ attitudes toward breastfeeding. Health education is considered a key strategy in shaping positive maternal attitudes, which are essential for behavioral change. This study aims to analyze the effect of education on the importance of exclusive breastfeeding on mothers’ attitudes. The study employed a quasi-experimental design with a pretest–posttest one-group approach. The sample consisted of 30 mothers with infants aged 0–6 months, selected using a consecutive sampling technique. Attitudes were measured before and after the educational intervention using a Likert scale-based questionnaire. Data analysis included univariate and bivariate methods, with Fisher’s Exact Test at a significance level of 0.05. The results showed an increase in positive attitudes from 23.3% before education to 80.0% after. However, the statistical test indicated no significant relationship (p = 0.170). Nevertheless, education demonstrated potential in promoting positive attitude changes and remains important for continuous implementation.

Exclusive breastfeeding in Indonesia is not optimal, the main problem is the low level of public awareness. Support from trained cadres helps in the success of exclusive breastfeeding activities for mothers. This activity aims to re-establish the role of breastfeeding cadres in mentoring pregnant women's classes so as to increase the success of exclusive breastfeeding. This community service program uses methods and media in the form of structured counseling, focus group discussions and practice of exclusive breastfeeding education techniques, breastfeeding techniques, breast milk pumping techniques and exclusive breastfeeding for working mothers. The implementation of the activity was carried out in 32 breastfeeding cadres in 2 villages in the Arjasa Health Center working area. The results of the activity were an increase in cadre understanding of lactation management with a pre-test value of 31% and a post-test of 60%. During the mentoring of breastfeeding cadres, observations were made of cadres when providing education to pregnant women regarding lactation preparation and an average practice value of 63% was obtained. The revitalization of breastfeeding cadres was followed up with the commitment of the Arjasa Health Center to continue the activities that had been running with breastfeeding assistance from pregnancy to breastfeeding.

Nutritional problems can occur due to two factors, namely direct factors and indirect factors. Direct factors are unbalanced nutritional intake and infectious diseases. The achievement of Exclusive Breastfeeding in Pesawaran Regency during 2014-2019 fluctuated. In 2014, babies who received exclusive breastfeeding were 30.19%, in 2015 it decreased to 20.85%, in 2016 it increased to 49.76% and in 2019 it was 50.48% and still below the expected national target of 80% 11. Based on the results of a pre-survey of 30 breastfeeding mothers, there were 17 mothers (56.6%) with an average age of 15-25 years and most of them with low levels of education who did not provide exclusive breastfeeding on the grounds that the mother worked and did not get support from her husband to provide exclusive breastfeeding (Pesawaran Regency Health Office). The purpose of this community service activity is to increase mothers' knowledge about fulfilling balanced nutrition and exclusive breastfeeding so that toddlers are free from stunting.

Stunting is a significant public health problem in Indonesia, especially among toddlers. Stunting can have long-term effects on children's quality of life, including physical growth and cognitive development disorders. The Puuwatu Community Health Center in Kendari City has recorded a high rate of stunting. Therefore, it is important to identify the factors associated with stunting in this area. This study aims to identify factors associated with stunting in toddlers in the working area of the Puuwatu Health Center in Kendari City. This study uses an analytical study design with a cross-sectional approach. The sample in this study consisted of 73 respondents, and sampling was conducted using stratified random sampling taken from each urban village. Data were collected through interviews with parents of toddlers experiencing stunting, as well as measurements of the toddlers' nutritional status. Data analysis was performed using the chi-square statistical test to examine the relationship between the variables studied. This study shows that nutritional intake (p value = 0.002), exclusive breastfeeding (p value = 0.000), and income (p value = 0.439) are related to stunting. It can be concluded that there is a relationship between nutritional intake and exclusive breastfeeding with the incidence of stunting, while income is not related to the incidence of stunting in the working area of the Puuwatu Community Health Center.

Breast cancer is one of the types of cancer that has the highest incidence in women, with an increasing incidence at a young age. The aim of the study was to identify factors associated with the incidence of breast cancer in women under 40 years of age at RSUD Arifin Achmad Riau Province. This study used a case control design with a retrospective approach with a sample of 76. The sampling technique used was consecutive sampling. Data analysis was done with chi-square test. The results showed that the majority of respondents had high school education (55.3%) in the case group and (57.9%) in the control group, the average age of the case group was 36.05 and the control group was 33.58, the age of menarche (68.4%) in the case group and (28.9%) in the control group, breastfeeding history (47.4%) in the case group and (15.8) in the control group, hormonal contraception (13.2%) in the case group and (10.5%) in the control group, family history (44.7%) in the case group and (2.6%) in the control group. Bivariate analysis showed there was an association between menarche age factor (P = 0.001, OR = 5.318), breastfeeding history factor (P = 0.007, OR = 4.800), family history factor (P = 0.000, OR = 29.952) with the incidence of breast cancer. There was no association between hormonal contraceptive factors and the incidence of breast cancer (P=1.000, OR=0.776). The study concluded that the factors associated with breast cancer in women under 40 years old are age of menarche, breastfeeding history and family history. It is expected for women under 40 years old to routinely perform SADARI (breast self-examination) to prevent and detect early occurrence of breast cancer.

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.

Pneumonia is one of the leading causes of mortality in children under five, especially those living in households with active smokers. This study aims to determine the risk of pneumonia in toddlers from smoking families in the working area of Meuraxa Public Health Center, Banda Aceh City. The research used a case-control design with 33 respondents, consisting of 11 cases (toddlers with pneumonia) and 22 controls (toddlers without pneumonia). Data collection was conducted through a structured questionnaire and analyzed using the chi-square test. The findings revealed that the prevalence of pneumonia among toddlers from smoking households was 33.3%. There were significant associations between pneumonia incidence and several factors, including nutritional status (p = 0.024), immunization status (p = 0.034), exclusive breastfeeding (p = 0.027), parental smoking behavior inside the house (p = 0.009), and household ventilation (p = 0.017). Toddlers who were not exclusively breastfed, had poor nutritional status, incomplete immunization, poor air ventilation, and exposure to cigarette smoke at home were at higher risk of developing pneumonia. This study emphasizes the vital role of the family in creating a healthy, smoke-free home environment that supports children's well-being. Community-based interventions and educational programs are essential to prevent pneumonia and improve the quality of life of children, particularly in urban public health areas like Meuraxa.

This study examines postpartum nursing care for mothers undergoing Sectio Caesarea (SC) with the primary nursing diagnosis of ineffective breastfeeding. The purpose is to evaluate the effectiveness of oxytocin massage intervention in improving breastfeeding outcomes in post-SC mothers. The study was conducted in Mawar Ward, RSUD dr. H. Soewondo Kendal, involving four patients experiencing delayed lactation, difficulty in baby latching, and psychological challenges such as anxiety and lack of confidence. The intervention was based on the Indonesian Nursing Intervention Standards (SIKI), focusing on observation, therapeutic actions, education, and collaboration with healthcare teams and family members. Oxytocin massage was performed 2–3 times daily, complemented by warm compresses, breastfeeding position training, and emotional support. The results indicated significant improvements: increased breast milk production, better baby latching, reduced maternal anxiety, and higher self-confidence in breastfeeding. This evidence-based approach highlights that comprehensive postpartum nursing care—integrating physical, psychological, and family support—plays a crucial role in ensuring breastfeeding success and overall maternal recovery after SC.

Oxytocin massage is a technique used to stimulate the release of the hormone oxytocin, which plays a vital role in breastfeeding. Spinal massage stimulates the parasympathetic nervous system, which then triggers the release of oxytocin. This hormone causes contractions in the muscle cells surrounding the milk ducts, thereby promoting breast milk production. The purpose of this study was to determine the effect of oxytocin massage on increasing breast milk production in postpartum mothers. This study used a quantitative design with a quasi-experimental approach, namely a one-group pretest-posttest design. The study population was postpartum mothers with breast milk flow problems at the Bandarharjo Community Health Center, Semarang City. The sampling technique used was purposive sampling, where researchers selected samples based on certain characteristics. Data collection was carried out using a questionnaire. Data analysis used the Chi-Square test. The results of the study showed that the calculated Chi-Square value on the first day (62,000) was greater than the Chi-Square table (12,591), on the second day (54,866 > 23,684), and the third day (58,117 > 32,670). Based on these results, H0 was rejected and Ha was accepted, which means there was a significant effect of oxytocin massage on the smooth production of breast milk in postpartum mothers at the Bandarharjo Community Health Center.

This study aimed to examine the relationship between maternal anxiety levels and the timing of Early Initiation of Breastfeeding (EIBF) among primiparous mothers. EIBF, also known as Inisiasi Menyusu Dini (IMD), is a vital procedure that supports the establishment of effective breastfeeding and is recommended globally. Nevertheless, various maternal factors, particularly psychological conditions, may influence the implementation of EIBF. The main objective of this research was to determine whether increased anxiety during the peripartum period is associated with delays in initiating breastfeeding. A correlational analytic design with a cross-sectional approach was utilized in this investigation. The study population consisted of 77 eligible participants, while the final sample included 69 primiparous mothers who met the inclusion and exclusion criteria. Participants were chosen through purposive sampling. The independent variable was the maternal anxiety level, and the dependent variable was the timing of EIBF implementation. Data were gathered using a structured self-administered questionnaire designed to measure both variables. Statistical analysis was conducted using the Mann-Whitney U test. The findings demonstrated a p-value of 0.0389, which was below the significance threshold of 0.05 (p < 0.05), indicating the rejection of the null hypothesis. Therefore, the results revealed a significant relationship between anxiety levels and the timing of EIBF among primiparous mothers. Elevated anxiety was identified as a factor contributing to delayed initiation of breastfeeding. These findings highlight the importance of regular psychological screening and effective anxiety management for first-time mothers during childbirth to facilitate optimal postnatal care, particularly the timely initiation of EIBF.

The World Health Organization (WHO) stated that the prevalence of exclusive breastfeeding data globally, although there has been an increase, has not increased significantly, which is around 44% of the target of 50%. Factors suspected of influencing failure are knowledge, perception, family support, and employment. Objective: To determine the factors influencing the failure of exclusive breastfeeding in mothers with babies aged 6-12 months. Method: This type of research is descriptive analytical using the cross-sectional method. The study was conducted at RSIA Murni Teguh Rosiva Medan. The population was 62 people and all of them were used as samples (total sampling). Sampling was done by purposive sampling. The data used were primary data and secondary data. The analysis was conducted univariately and bivariately using the Chi-Square test. Results: Factors that influence the failure of exclusive breastfeeding at the Murni Teguh Rosiva Mother and Child Hospital Medan are perception (p = 0.000 <0.05), family support (p = 0.015 <0.05), and work (p = 0.032 <0.05), while the knowledge variable has no effect (p = 0.654 > 0.05). Conclusion: perception, support, family and work influence the failure of exclusive breastfeeding. Suggestion: It is recommended that nurses at the Murni Teguh Rosiva Medan Hospital encourage new mothers to only give breast milk to their babies until they are 6 months old

This study examines postpartum nursing care for mothers undergoing Sectio Caesarea (SC) with the primary nursing diagnosis of ineffective breastfeeding. The purpose is to evaluate the effectiveness of oxytocin massage intervention in improving breastfeeding outcomes in post-SC mothers. The study was conducted in Mawar Ward, RSUD dr. H. Soewondo Kendal, involving four patients experiencing delayed lactation, difficulty in baby latching, and psychological challenges such as anxiety and lack of confidence. The intervention was based on the Indonesian Nursing Intervention Standards (SIKI), focusing on observation, therapeutic actions, education, and collaboration with healthcare teams and family members. Oxytocin massage was performed 2–3 times daily, complemented by warm compresses, breastfeeding position training, and emotional support. The results indicated significant improvements: increased breast milk production, better baby latching, reduced maternal anxiety, and higher self-confidence in breastfeeding. This evidence-based approach highlights that comprehensive postpartum nursing care—integrating physical, psychological, and family support—plays a crucial role in ensuring breastfeeding success and overall maternal recovery after SC.

Exclusive breastfeeding ensures the optimal development of children's potential intelligence. Babies without complete exclusive breastfeeding are more vulnerable to malnutrition. They face risks of both under-nutrition and over-nutrition. This study aims to determine the correlation between exclusive breastfeeding and nutritional status among infants in Kuta Cot Glie Public Health Center, Aceh Besar. This research was an analytical study with a cross-sectional approach. The sample consisted of 74 infants aged 0-6 months, selected using a Total Sampling technique. The study was conducted from May 1st to 23rd, 2025. The data were analyzed using univariate and bivariate methods with the Chi-Square test. Of the total 74 respondents, 44 respondents (59.5%) had a normal nutritional status. Additionally, 43 respondents (58.1%) were exclusively breastfed. The Chi-Square test showed a p-value = 0.001 < 0.05. The findings indicate a correlation between exclusive breastfeeding and nutritional status in infants. This study suggests that mothers exclusively breastfeed their babies. Therefore, mothers should also increase their knowledge by seeking information from various sources, such as clinics and professionals. This can help them understand the benefits of exclusive breastfeeding and how to prevent malnutrition in infants.

Breastfeeding success often faces various challenges, one of which is the infant’s anatomical condition, such as a lip tie. Successful breastfeeding can be achieved if mothers and infants develop good breastfeeding skills, including correct LATCH technique. This study aims to determine the effect of breastfeeding education on breastfeeding effectiveness using the LATCH method among postpartum mothers with infants with lip tie at Krakatau Medika Hospital Cilegon. The research design was a quasi-experiment with a one-group pretest–posttest approach. The study population included all breastfeeding mothers with infants diagnosed with lip tie, with a total sample of 29 participants selected through accidental sampling. The results showed that the rate of effective breastfeeding with good attachment before the education was 13.8% and increased to 41.4% after the education, with the mean breastfeeding effectiveness score rising from 4.86 to 6.97. The paired t-test revealed a significant difference between LATCH scores before and after the education (p < 0.001). It is recommended that Krakatau Medika Hospital develop a standard operating procedure (SOP) for breastfeeding education using the LATCH method.

Exclusive breastfeeding (ASI) is the provision of only breast milk to infants for the first six months without additional food or drink, including water. Breast milk has important benefits in improving infant health, growth, and survival. However, the coverage of exclusive breastfeeding in Indonesia, including in the Pasar Health Center in Prabumulih City, has not yet reached the national target of 80%. One factor influencing the success of exclusive breastfeeding is husband's support. The purpose of this study was to determine the correlation between husband's support and exclusive breastfeeding. The study used a quantitative approach with a cross-sectional design. The sample size was 49 mothers with infants aged 7–12 months. The study was conducted in the Pasar Health Center in May 2025. The results showed that 28 infants (57.1%) received exclusive breastfeeding, and 30 mothers (61.2%) reported receiving support from their husbands. Statistical tests using the chi-square test showed a significant relationship between husband's support and exclusive breastfeeding (p = 0.000). These findings indicate that husband's support plays an important role in successful breastfeeding. This research suggests that involving husbands in breastfeeding education and support is highly recommended to increase the coverage of exclusive breastfeeding in the community.