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Infant deaths generally occur in the early neonatal period due to hypothermia. The incidence of hypothermia in newborns is quite high, globally ranging from 8.5-52%, an estimated 17 million newborns experience hypothermia in developing countries. The incidence of hypothermia in newborn babies is 92.3%, the infant mortality rate due to hypothermia is 6.3%. One intervention to minimize the incidence of hypothermia in newborn babies is to initiate early breastfeeding. The aim of the research was to determine the effect of early initiation of breastfeeding on hypothermia in newborn babies at the Bakti Timah Karimun Hospital. The research method used a pre-experiment with a one group pretest-posttest design. The sampling technique was purposive sampling with 14 respondents. The measuring instruments in this study were a digital axillary thermometer, standard operating procedures (SOP) for early breastfeeding initiation and observation sheets. Data analysis using paired sample t-test. The results of the paired sample t-test found a p-value = 0.000 (p<0.05), so it can be concluded that there is an influence of early initiation of breastfeeding on hypothermia in newborn babies in the Midwifery Room at Bakti Timah Karimun Hospital. Early initiation of breastfeeding can be used as an intervention for newborns to minimize the incidence of hypothermia

Complementary food for breast milk is the child's second food after breastfeeding. MP-ASI is given to babies who are half a year old or older because breast milk does not meet the child's nutritional needs. MP-ASI feeding must be continuous and varied, starting from fruit, fresh fruit, thick porridge, mashed food, soft food, and finally solid food. The reason for giving MP-ASI at the age of six months is because the child is ready for solid food (Chomaria, 2013). The presentation and arrangement of MP-ASI must be carried out in stages, both in structure and quantity, according to the capacity of the child's stomach. Breast milk only meets the healthy needs of newborn children, but 60% of adult babies 6 years old. Based on the results of bivariate analysis using chi square, the p value = 0.001 (p <0.05) with a confidence level of 95%. This p value statistically shows that there is a relationship between the mother's level of knowledge about complementary foods for breast milk and the provision of complementary foods for babies aged 6-12 months at the BP Nauli Community Health Center, Siantar Marihat District, Pematangsiantar City in 2023 with a p value of 0.001 Providing complementary foods for breast milk , mothers can give food to their babies in stages and provide a variety of foods starting with 1 type of flavor then another, starting with thick porridge, fruit juice, fresh fruit, mashed food, soft food and finally solid food, should be given 3 times a day and Breast milk is still given. According to research results, Widodo (2006) said that in rural communities in Indonesia, the type of MP-ASI that is commonly given to babies before the age of 4 months is 57.3% banana. An initial survey was conducted at the BP Nauli Community Health Center, Siantar Marihat District on mothers who had babies aged 6-12 months. Of the 12 mothers who were interviewed, there were 7 mothers who gave MP-ASI to babies before the age of 6 months, and 5 mothers said that the baby I have been given formula milk since I was born because only a little breast milk comes out. From the results of this background, the author is interested in researching "The relationship between the level of mother's knowledge about complementary foods for breast milk and the provision of complementary foods for breast milk to babies aged 6-12 months at the BP Nauli Community Health Center, Siantar Marihat District, Pematangsiantar City in 2023."    

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.

The aim of this study was to analyze the results of Hb screening of pregnant women in the third trimester and birth weight. Cross sectional observational research. Population of third trimester pregnant women in the Labuhan Rasoki Health Center area, Southeast Padangsidimpuan District, Padangsidimpuan City. The total sample population was 30 respondents. Data were collected for Hb examination using the Easy Touch GHb tool and weighing newborns. Pearson correlation test data analysis.       Results: Relationship between age and birth weight. Pearson correlation coefficient value (r) -0.464, significance level (p) 0.007, significant between age and birth weight of the baby. Parity with an r value of -0.300, significance level (p) 0.007, is not significant between parity and birth weight. The r value of pregnancy spacing is -0.234. significance level (p) 0.198, there is a significant relationship between pregnancy distance and birth weight. LILA r value is -0.030, significance level (p) 0.869, there is no significant relationship between LILA measurements and birth weight of the baby. Hemoglobin, r value 0.751, significance level (p) 0.058. There is a significant relationship between third trimester Hb levels and baby birth weight.elationship between external factors which are significantly related to birth weight, age, gestational interval and the Hb level of pregnant women. Arm circumference and parity were not related to birth weight. Pregnant women's Hb is checked every trimester, the data supports care planning.

BACKGROUND The exact incidence of infertility is not yet known with certainty, it varies greatly depending on geographical conditions, culture and social status of the country. Women who marry at an old age or mature and work actively will greatly affect a woman's fertility. It is estimated that around 2 million new infertile couples appear every year and this number continues to increase. It is estimated that a healthy couple will get fertilized within 1 year (Nuparma, 2017). Infertility data in the world according to the World Health Organization (WHO) and other reports estimates that 8-12% of couples experience infertility problems during their reproductive years. If eight percent of the global population figure is around 60-80 million couples who have not had children. OBJECTIVE To analyze the factors that influence the occurrence of primary infertility in couples of childbearing age at the Pegajahan Community Health Center, Pegajahan District, Serdang Bedagai District in 2023. METHOD chi square test p value < 0.05 means H0 is rejected and Ha is accepted, the statistical test results show a significant relationship. RESULTS: There is a significant relationship between age, menstrual cycle and no history of PMS and employment with the incidence of infertility and is a risk factor that has a significant influence on the incidence of infertility. Suggestions are given for research and for research sites and for educational institutions regarding exclusive breastfeeding and the implementation of IMD for newborn babies

Giving breast milk to babies is very important to support the baby's growth and development, and breast milk contains the best nutrition for newborn babies and is the only healthy food that babies need in the first month of life. However, not all mothers can provide exclusive breast milk for their babies, this is due to the mother's inability to overcome breastfeeding problems in the early period due to several factors that influence breast milk production including socio-cultural changes, psychological factors, physical factors of the mother, increasing promotion of formula milk, staff factors. health, mother's diet, baby's birth weight, use of contraception. One method of care that can be given to mothers to support smooth breastfeeding is an Oxytocin massage during home care services. The research aims to determine the effect of oxytocin massage on breast milk production in postpartum mothers, Bulukumba Regency. The design used in this research was Case Control and the sample in this research was 10 respondents. And the measuring instrument in this research uses a measuring cup. The results showed that breast milk production before the oxytocin massage treatment was 0% smooth and after the oxytocin massage treatment the average increase in breast milk production was 0.4 with the amount of smooth breast milk being 100%. Meanwhile, in the control group there was no increase in breast milk production. The results of the statistical test using the dependent t-test showed that the value was p=0.003, meaning there was a significant difference before the oxytocin massage and after the oxytocin massage. Conclusion There is an effect of Oxytocin Massage on breast milk production in postpartum mothers in Bulukumba Regency.

The toddler period is also known as the "golden age," which falls within a crucial phase of child growth and development. However, during this period, toddlers constitute a nutritionally vulnerable group. Failure to navigate this period effectively may cause children to miss their opportunity for a golden phase of growth and development. This study aims to determine the relationship between maternal knowledge and parenting styles with the nutritional status of infants aged 0-12 months. Method: The research design employed is an Analytical Survey with a Cross-Sectional Study approach. All mothers with infants or toddlers visiting the Batusura’ Health Center between March and June 2023 were included. A purposive sampling technique was utilized, resulting in 64 respondents. Data collection was carried out using questionnaire sheets. The collected data were subsequently processed and analyzed using SPSS Statistics version 25 and subjected to Chi-Square tests. The findings of this study reveal a relationship between maternal knowledge and infant nutritional status, with a p-value of ρ = 0.004. Furthermore, a connection between maternal parenting styles and infant nutritional status was observed, with a p-value of ρ = 0.008. Conclusion: A significant relationship exists between maternal knowledge and parenting styles with nutritional status.    

Complementary food for ASI (MP-ASI) is food or drink that contains nutrients, which is given to infants to meet nutritional needs other than breast milk. Complementary food for breastfeeding given to infants must contain sufficient micronutrients to meet needs that are not met by breast milk alone. But until now the provision of MP-ASI to babies less than 6 months in Indonesia is still a health problem that needs attention, because there are still many mothers who give solid food to babies before the baby is 6 months old (Heryanto, 2017). According to the World Health Organization (WHO) in 2017, only about 40% of babies aged 0-6 months worldwide are exclusively breastfed, while 60% of other babies have received MP-ASI when they are less than 6 months old. This illustrates that exclusive breastfeeding is still low, while the practice of giving MP-ASI in various countries is still high. The data based on the 2018 Basic Health Research (RISKESDAS) shows 37.3% of babies aged 0-5 months get exclusive breastfeeding, 9.3% get partial breastfeeding and 3.3% get predominant breastfeeding. Predominant breastfeeding is a pattern of breastfeeding where the baby besides getting breast milk is also given a little water. Partial breastfeeding is a pattern of breastfeeding where the baby besides getting breast milk is also given artificial food such as formula milk, porridge or other food before the baby is exactly 6 months old which is given continuously or always given breast milk (prelacteal). The prelacteal food most often given to newborns is formula milk (79.8%) (Ministry of Health RI, 2018).

Newborns can experience hypothermia shortly after birth, hypothermia occurs through several mechanisms, namely related to the body's ability to balance between heat production and heat loss. Failures caused by a decrease in the baby's body temperature drop by about 0.30C per minute. There are several ways to avoid hypothermia, including using skin wrap. Skin wrap is a plastic bag to reduce heat loss due to evaporation so that it is easy to increase the baby's temperature. The method of using skin wrap can be used to prevent hypothermia in neonates, both premature and non-premature. Hypothermia in infants can worsen the condition of babies who lose heat after birth. This study aims to determine the effectiveness of the use of skin wrap in regulating body temperature in newborns in the Peristi Room of Awal Bros Hospital Batam. The research method used is a quasi-experimental method with a pretest and posttest design with a sample of 20 respondents. The sampling method used purposive sampling technique, the instrument used was the SOP for the use of skin wrap and observation sheets. Based on the Shapiro-Wilk statistical test analysis, a p-value of 0.000 was obtained with results > 0.05, which means that there is an effective use of skin wrap in increasing body temperature in newborns.  

Newborns can experience hypothermia shortly after birth, hypothermia occurs through several mechanisms, which are related to the body's ability to balance heat production and heat loss. Failure caused by a decrease in the body temperature of the baby born falls by about 0.30C per minute. To avoid hypothermia, several ways can be done, including by using skin wrap. Skin wrap is a plastic bag to reduce heat loss due to evaporation so that it can easily increase the baby's temperature. The method of using skin wrap can be used to prevent hypothermia in neonates, both premature and not. Hypothermia in infants can worsen the condition of babies who lose heat after birth. Providing education and outreach regarding the application of skin wraps for newborns is carried out so that all nurses understand the importance of implementing this in order to maintain thermoregulation in newborns. Education was carried out for all nurses in the Awal Bros Group Hospital environment on May 25 2023 with a total of 94 participants which was carried out online with zoom.

Indonesia ranks ninth in the world with more than 15.5% of newborns experiencing LBW annually. The purpose of this study is to explain the role of MCH officers in early detection of LBW in pregnantwomen at the Poasia Health Center. This type of research is a qualitative study with a phenomenological approach. The informant determination technique was carried out by purposive sampling. Data collection used interviews and observations with research informants, namely 2 MCH officers and 2 pregnant women who had their pregnancies checked at the Poasia Health Center. pregnant at risk of LBW or not. As well as meeting ANC standards, however, the knowledge possessed by pregnant women who check their pregnancies at the Poasia Health Center is still lacking because pregnant women do not receive counseling related to LBW from KIA officers.

In 2013, 4.6 million babies died worldwide before their first birthday, with 50% dying on the first day and nearly 75% within the first week. Most stillbirths and premature newborn deaths are attributable to birth complications that are preventable. The maternal profile in neonatal mortality cases plays an important role in understanding the factors that contribute to this high mortality rate. This cross-sectional study aims to determine the maternal profile of neonatal death cases at Ciawi Hospital, which were selected according to the criteria by total sampling based on medical record data from January 1, 2020, to December 31, 2020. The variables utilized in this study include maternal factors such as gestational age, type of delivery, twin pregnancy, presentation of pregnancy, medical condition of the mother, and obstetric problems. The data is presented in a descriptive format. Among the 58 respondents, the average age was 30.26 years, with a higher prevalence of preterm births (55.2%). The most frequently encountered medical condition in the maternal profile of neonatal deaths at Ciawi General Hospital is chronic hypertension. Conversely, the most common obstetric problems are premature rupture of membranes and oligohydramnios. Efforts to address medical issues in mothers can contribute to the reduction of neonatal mortality cases.    

Indicators to measure the quality of health services in an area can be seen from the Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR). One of the ways that can be done to reduce maternal mortality (MMR) and infant mortality (IMR) is by implementing continuous care. The purpose of this continuous midwifery care is to be able to provide comprehensive midwifery care to Mrs. "S" from pregnancy to family planning in accordance with midwifery care standards. Case study research method. The results of the implementation of midwifery care on an ongoing basis (Continuity of Care) on Mrs. "S" G1P0A0 age 24 years starting from the gestational age of 30 weeks 3 days to the age of 38 weeks. At the first pregnancy visit there was a problem in the mother, namely pregnancy with breech location. At the second visit the baby's position was in a normal position. The delivery process ended by cesarean section because the baby had an Early Rupture of Membranes. The baby was born at Budi Kemuliaan Hospital with a weight of 3000 gr Body Length : 48 cm Head Circumference: 33 cm, Chest Circumference: 32 cm. In the postpartum period, physiological complaints were found such as pain in the suture wound but not accompanied by signs of suture wound infection. Mrs. "S" chose to use 3-month injectable birth control. The conclusion of this assessment is that midwives are expected to be able to provide comprehensive care from pregnancy to family planning services and apply care in accordance with midwifery service standards.

Adolescence is a period of human development. Reproductive health in Indonesia which is prioritized only includes four components/programs, namely: maternal and newborn health, family planning, adolescent reproductive health, as well as prevention and control of sexually transmitted diseases (STDs) including HIV/AIDS. The community service that we will carry out refers to the adolescent reproductive health program. Adolescent Reproductive Health is a healthy condition that concerns the reproductive systems, functions and processes of adolescents. The definition of health here does not merely mean being free from disease or free from disability but also being mentally and socially and culturally healthy. Adolescents need to know about reproductive health in order to have correct information about the reproductive process and the various factors that surround it.  With the correct information, it is hoped that teenagers will have responsible attitudes and behavior regarding the reproductive process. Adolescent reproductive health problems apart from having a physical impact, can also affect mental and emotional health, economic conditions and social welfare in the long term. Long-term impacts not only affect the teenagers themselves, but also their families, communities and the nation in the end.

Physiological newborns are babies born with a gestational age of more than or equal to 37 weeks with a body weight of 2500 grams to 4000 grams. During the birth period, many physical and psychological changes begin to occur in the baby's body, therefore it requires careful supervision to determine how to adjust to life outside the womb. The purpose of this study was to apply midwifery physiology care to By "Z" at the Panincong Health Center. The care provided uses the Varney 7 Step Midwifery Care Management approach and forms of documentation through SOAP. The case study conducted on By “Z” revealed that there were no obstacles when implementing Varney's 7 Step Midwifery Care Management approach. Thus, it is easy for caregivers to solve problems related to this. The form of midwifery care provided to By "Z" includes taking anamnesis on the baby's parents, carrying out physical examinations, and providing counseling to the parents, in this case to By "Z"'s mother about how to carry out effective care when caring for babies. This case study uses a descriptive observational method with a Continuity of care approach. The subject is By “Z” newborn. How to collect data anamnesis, observation, examination and documentation. Next, compare the data obtained with the existing theory

High maternal and infant mortality rates are a major health problem in Indonesia. The author contributes by providing comprehensive midwifery care for pregnancy, maternity, postpartum, newborns, and family planning to promote better health. The author has provided direct midwifery care and has real experience. An observational case study was conducted at the Pratama Kita Clinic, Kec. Berastagi from February to June 2016. to provide comprehensive care to Mrs. K, who is 36 years old, experienced pregnancy, childbirth, postpartum, newborn and caesarean section. Interviews, observations, examinations and documentation are used to collect data. Case study analysis is used to transform data into easy-to-understand information. After Mrs. K started pregnant in the third trimester, the author implemented and provided comprehensive midwifery care.    

Background : Early Initiation of Breastfeeding (IMD) is the process of placing a newborn on the mother's chest or stomach so that the baby can naturally find its own source of breast milk or breast milk and start breastfeeding. The baby will get immunity. IMD is beneficial for mothers because it can help speed up the postpartum recovery process Research purposes : To find out the relationship between parity, type of delivery and the age of the mother to the provision of early breastfeeding initiation (IMD) at the Lemahduhur Health Center in 2022 Research methods : The type of research used in this research is quantitative with a cross sectional research design. The population in this study is168 mothers giving birth. The sample in this study were 63 mothers giving birth using the accidental sampling technique. Bivariate analysis using the chi-square test. Research result : The distribution of the frequency of parity descriptions of mothers giving birth at the Lemahduhur Health Center in 2022 is partly 1-4 times as many as 45 people (71.4%). The distribution of the frequency of descriptions of the types of maternal deliveries at the Lemahduhur Health Center in 2022 is mostly normal, with 41 people (65.1%). The frequency distribution of the description of the age of mothers giving birth at the Lemahduhur Health Center in 2022 is mostly 20-40 years, with 36 people (57.1%). The distribution of the frequency of giving Early Breastfeeding Initiation (IMD) at the Lemahduhur Health Center in 2022 is mostly yes, as many as 42 people (66.7%). Conclusion : Can be concluded thatthere isthe relationship between parity, type of delivery and the age of the mother to the provision of early breastfeeding initiation (IMD) at the Lemahduhur Health Center in 2022.