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The postpartum period following Sectio Caesarea is often accompanied by acute pain due to surgical incisions, which may interfere with mobilization, breastfeeding, and maternal recovery. Effective pain management is essential to prevent further complications and enhance maternal comfort. In addition to pharmacological therapy, non-pharmacological interventions such as Benson relaxation therapy can be implemented. This study aimed to evaluate the application of Benson relaxation therapy in reducing acute pain among postpartum Sectio Caesarea mothers.This study employed a case study design involving four postpartum Sectio Caesarea patients (Ny. R, Ny. A, Ny. Y, and Ny. S) treated in the Ayyub Ward of RS Roemani Muhammadiyah Semarang in 2026. Data were collected through comprehensive nursing assessments, pain intensity measurement using a numeric rating scale, observation of mobilization ability, and evaluation before and after intervention.The results showed that after regular implementation of Benson relaxation therapy, all patients experienced a gradual decrease in pain intensity (from scale 4–7 to ≤3), improved comfort, better breathing control, and increased ability to perform early mobilization. Consistent nursing education, therapeutic guidance, and family involvement supported the effectiveness of the intervention. It can be concluded that Benson relaxation therapy is an effective, safe, and easily applicable nursing intervention for reducing acute pain in postpartum Sectio Caesarea patients.

Suboptimal breast milk production during postpartum is a reason for formula feeding, thus preventing exclusive breastfeeding targets. According to the WHO, the global coverage of exclusive breastfeeding should reach 68% by 2023. Non-pharmacological efforts can be implemented by administering moringa leaf tea, which contains flavonoids, phytosterols, alkaloids, saponins, and tannins, which function as lactogogues to stimulate the hormones prolactin and oxytocin. The purpose of this study was to determine the effect of administering moringa leaf tea to breastfeeding mothers at the Fitriatul Laili Rejoagung Banyuwangi TPMB in 2025 on their ability to increase breast milk production. This study involved 30 postpartum mothers: 15 in the intervention group and 15 in the control group. The study used a two-group quasi-experimental pretest-posttest design. Five grams of moringa leaf tea, 200 milliliters daily for seven days, was administered to the intervention group. The control group received normal postpartum care. The sampling method used was sequential sampling. Ten breast milk production indices were used as instruments. A t-test was used for data analysis. This study has been ethically reviewed. According to the findings, the average breast milk production in the intervention group increased from 5.87 to 8.87, while in the control group it increased from 6.00 to 6.60. The intervention group's averages differed from the control group by 3.00 and 0.6, respectively. The p-value was 0.000, indicating that tea made from moringa leaves can increase breast milk production. Therefore, this tea is recommended as a natural substitute for breast milk production.

The postpartum period is a critical phase with a high risk of complications, particularly perineal wound infection, especially in mothers with premature rupture of membranes (PROM). PROM increases the risk of microbial invasion into the birth canal, making infection prevention essential. Vulva hygiene is a non-pharmacological intervention that can help reduce this risk. This study aimed to evaluate the application of vulva hygiene in reducing the risk of perineal wound infection in postpartum mothers with PROM. This study used a case study design involving four postpartum mothers with PROM treated in the Wijaya Kusuma Ward of RSUD Limpung Batang in 2025. Data were collected through comprehensive nursing assessments, observation of perineal wound conditions, and evaluation of infection risk signs before and after the intervention. The results showed that regular implementation of vulva hygiene led to a reduction in infection risk signs, decreased perineal pain, and improved genital hygiene in all patients. Nursing education and assistance played a crucial role in the success of this intervention. It can be concluded that vulva hygiene is an effective nursing intervention in preventing perineal wound infection in postpartum mothers with PROM.

Background: The postpartum period is a critical phase requiring optimal nutritional intake for maternal recovery and ensuring the quality of breast milk. In densely populated urban areas such as Semampir District, dietary quality is often influenced by the level of nutrition knowledge and household economic conditions. Objective: This study aims to analyze the relationship between nutrition knowledge and household food security with dietary quality among postpartum mothers in Semampir District, Surabaya. Methods: This was an observational analytical study with a cross-sectional design. A total of 340 postpartum mothers were selected using simple random sampling. Nutrition knowledge was measured through a structured questionnaire, food security was assessed using the Household Food Insecurity Access Scale (HFIAS), and dietary quality was measured using the 3-level Balanced Diet Index derived from 24-hour food recall data. Data were analyzed descriptively and through the Chi-Square correlation test. Results: The findings indicated that the majority of respondents possessed a good level of nutrition knowledge (average correct answers >75%), with the highest score in anemia prevention (81.2%) and the lowest in the functional role of Vitamin A (75.9%). Dietary quality assessment revealed that most respondents were in the [Select: Moderate/Poor] category based on IGS scores. Bivariate analysis showed a significant relationship (p < 0.05) between both nutrition knowledge and household food security with the dietary quality of postpartum mothers. Conclusion: Good nutrition knowledge and stable food security contribute positively to the dietary quality of postpartum mothers. Targeted nutritional education regarding micronutrients and strengthening food access at the household level are essential to optimize maternal health during the postpartum period in urban settings.

Severe preeclampsia is a condition characterized by systolic blood pressure exceeding 160 mmHg and diastolic pressure exceeding 110 mmHg, occurring after 20 weeks of gestation and accompanied by edema and proteinuria. One intervention used to save both mother and fetus is a cesarean section. This final nursing scientific paper analyzes the implementation of evidence-based practice, specifically warm foot soak therapy, for mothers with severe preeclampsia during the pre- and postpartum periods who are at risk for ineffective cerebral perfusion. This descriptive case study method used a nursing care approach. Assessment results identified five major nursing problems, including the risk for ineffective cerebral perfusion. After four days of warm foot soak therapy, this problem was resolved, as blood pressure decreased from 147/101 mmHg to 120/88 mmHg. Conclusion: Warm foot soak therapy effectively lowers blood pressure in pre- and postpartum mothers with severe preeclampsia. Recommendation: Nurses can implement warm

Background: Constipation is a common functional gastrointestinal problem in infants aged 6–12 months, causing discomfort, hard stools, and reduced quality of life. Non-pharmacologic interventions, such as abdominal massage, have shown promise in improving bowel function, but evidence regarding the effectiveness of the I Love You massage technique in community settings remains limited. Objective: This study aimed  examine the effectiveness of I Love You massage in reducing constipation among infants aged 6–12 months attending South Bulango Health Center. Methods: A quasi-experimental design with a pretest-posttest control group was employed. Thirty infants with functional constipation were purposively selected and divided into an intervention group (n=15) receiving daily I Love You massage for 10 minutes over seven days, and control group (n=15) receiving standard care, including dietary guidance and hydration. Data were analyzed using SPSS version 25 with paired t-tests for within-group comparisons and independent t-tests for between-group differences. Results: The intervention group exhibited a significant increase in bowel movement frequency (2.1 ± 0.7 to 5.6 ± 0.9 per week) and improvement in stool consistency (1.2 ± 0.4 to 2.8 ± 0.5), along with a notable reduction in abdominal discomfort (6.5 ± 1.2 to 2.1 ± 0.8). In contrast, the control group showed minimal improvements. Statistical analysis confirmed significant differences between groups (p < 0.05). Conclusion: I Love You massage is an effective, safe, and low-cost intervention reduce constipation in infants aged 6–12 months. Its implementation in primary healthcare settings may enhance gastrointestinal function, relieve discomfort, and promote caregiver-infant interaction.

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 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.

Sectio caesarean surgery is a surgical procedure that can effectively prevent ma- ternal and newborn deaths when used for reasons of medical indications. Post operative sectio caesarean can pose several risks of complications, one of which is pain and surgical wound infection. Non pharmacological approach aromatherapy as a complementary therapy to reduce postpartum pain. This case study aims to analyze the influence aromatherapy lavender on reducing pain levels in post sectio caesarean mothers by using the case study method pre and post test. The case study was carried out in 25 May 2025 – 07 June 2025. This type of case study is descriptive with the number of subjects used, namely three post partum mothers in the RSUD Batang private sector with pain assessment using a questionnaire Numeric Rating Scale (NRS). The results of the case study showed a change in pain intensity from a scale of 6-7 to a scale of 4-5. This shows an influence aromatherapy lavender on reducing pain levels in postpartum mothers caesarean section Giving innovation aromatherapy can be used as an independent nursing in- tervention so that it can be applied to patients regularly.

Breast care is very important for mothers because it is a care action performed by the patient or assisted by others, usually starting from the first or second day after giving birth.The objective of this study is to determine the effect of breast care on the smoothness of breast milk production in postpartum mothers at RSUD Walanda Maramis.The research uses a quasi-experimental one-group post-test only design.The sample in this study consisted of 15 respondents.Data collection on breast milk smoothness used observation sheets and the statistical test employed was the independent t-test.The research results showed that the highest breast milk production after the intervention was smooth breast milk from 11 respondents (73.3%).The results of the unpaired t-test showed a p-value of 0.000 where < α 0.05.Conclusion: There is an influence of breast care on the smoothness of breast milk production in postpartum mothers at RSUD Walanda Maramis.

Background:Breastfeeding is expected to help achieve SDGs goal 3, target 2, which is to reduce neonatal mortality to at least 12 per 1,000 live births in all countries by 2030 and stop unnecessary deaths of newborns and children under five. Encouraging healthy breastfeeding is essential to prevent more than 820,000 deaths of children under five each year. Oxytocin massage has been shown to increase the sensation of relaxation, improve sleep quality and comfort, reduce pain and tension, and help increase prolactin and oxytocin levels, which in turn increase breast milk production. Research Method:The research design used the Pre Experimental Design method, namely with the form of a One Group pretest and posttest design without a control group. This study used purposive sampling, with a sample size of 22 respondents. Data analysis used univariate and bivariate. Result:This study showed that the value before oxytocin massage was 16.14 and after oxytocin massage the mean was 27.73. The conclusion of the study shows that the results of the experimental test have a significant value with a p value of 0.000 <0.05. This shows that there is a significant gap in breast milk production between before and after oxytocin massage. Suggestion: It is hoped that midwives at the Lidya Clinic can use this study as input to support increased breast milk production in mothers, especially those in the postpartum period.

It is hoped that breastfeeding can help achieve SDGs goal 3, target 2, namely efforts to reduce the neonatal mortality rate to at least 12 per 1000 live births in all countries by 2030 and stop unnecessary deaths of newborns and toddlers. Encouraging healthy breastfeeding is so important that it can prevent more than 820,000 deaths of children under five every year. Oxytocin massage has been shown to increase the sensation of relaxation, improve sleep quality and comfort, reduce pain and tension, and help increase prolactin and oxytocin levels, which in turn increases breast milk production.The research design uses the Pre Experimental Design method, namely in the form of a One Group pretest and posttest design without a control group. This research used purposive sampling, with a total sample of 22 respondents. Univariate and bivariate data analysis. The results of this study showed that the value before the oxytocin massage was a mean of 16.14 and after the oxytocin massage the mean was 27.73. The conclusion of this research shows that the results of the experimental test have a significant value with a p value = 0.000 <0.05. This proves that there is a significant difference in breast milk production between before and after oxytocin massage. It is recommended that midwives at the Afisya clinic use this research as input in efforts to increase breast milk production in post partum mothers.

Woolwich Massageis a massage performed on the lactiferous sinus exactly 1-1.5 cm above the areola mammary, with the aim of removing breast milk in the lactiferous sinus. The massage will stimulate the nerve cells in the breast. From the interview results, it was found that there were postpartum mothers who did not know about Woolwich Massage and its benefits at the Pratama Sejahtera Clinic. The research method uses the Chi-Square test. The population and sample of this research are25 postpartum mothers underwent Woolwich Massage at the Pratama Sejahtera Clinicusing total sampling technique. The data used are primary and secondary data. Univariate and bivariate data analysis using the Chi-Square test. The results of the study indicate that there is an Effect of Woolwich Massage on Breast Milk Production in Postpartum Mothers at the Pratama Sejahtera Clinic in 2024 with a degree of significance (α) = 0.05 and df = 1, the calculation results are Sig. (2-tailed) 0.000 <(α) = 0.05, then Ho is rejected and Ha is accepted. The conclusion is that there is an effect of Woolwich Massage on Breast Milk Production in Postpartum Mothers. It is hoped that postpartum mothers can carry out Woolwich Massage more routinely to increase breast milk production.

Colostrum is the first fluid secreted by the mammary glands. The highest content in colostrum is antibodies that are ready to protect the baby when the baby is still very weak. The protein content in colostrum is higher than the protein content in mature milk. The purpose of this study was to analyze the factors of colostrum administration to postpartum mothers in Kayu Kul Village, Pegasing District, Central Aceh Regency in 2022. The method in this study is an analytical research type with a research design using cross-sectional, namely a study in which variables including risk factors and variables including effects are observed at the same time. This study uses data taken retrospectively. This research was conducted in Kayu Kul Village, Pegasing District, Central Aceh Regency in 2022. The population in this study was 35 people, then the sample was part of all the objects studied and was considered to represent the entire population (Notoatmodjo, 2015). The number of samples used was 29 people using the Accidental Sampling technique. Data collection techniques using questionnaire sheets and respondent observation sheets. Data analysis techniques using the chi-square statistical test show that the p-value 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 the provision of colostrum. Conclusion: This study means that there is a significant relationship between the factors of Knowledge, Family Support, Support, Information Sources, Parity, Role of Health Workers, Provision of Colostrum in Kayu Kul Village, Pegasing District, Central Aceh Regency in 2022.

Based on the 2018 Riskesdas results, the proportion of breastfeeding patterns for babies aged 0-5 months in Indonesia is 37.3% exclusive breastfeeding, 9.3% partial breastfeeding and 3.3% predominant breastfeeding. Predominant breastfeeding is breastfeeding the baby but giving a little water or a water-based drink, for example tea, as a prelacteal food/drink before the milk comes in. Meanwhile, partial breastfeeding is breastfeeding a baby and giving artificial food other than breast milk such as formula milk, porridge or other food before the baby is 6 months old, whether given continuously or as prelacteal food. North Sumatra Province Nutrition Program Data in 2018. The percentage of exclusive breastfeeding for babies 0-6 months in North Sumatra in 2018 was 65.57 percent, an increase compared to the percentage of exclusive breastfeeding in 2017, namely 54.4 percent (Sumatra Provincial Health Service, 2017). 2018). In the breastfeeding process, problems sometimes arise that can prevent giving breast milk to babies. Problems that mothers often experience when breastfeeding include inverted nipples, swollen breasts, sore and painful nipples, blocked milk ducts, breast inflammation and insufficient milk production (Purwoastuti, 2015). There are many non-pharmacological methods that can help postpartum mothers increase breast milk production, ranging from marmet massage, oxytocin massage, Woolwich massage to areola and rolling massage. Currently, based on the results of related research, there are non-pharmacological methods that are cheaper, easier, non-invasive and acceptable to respondents and without side effects. Nursing interventions that can be applied to help increase lactation in post partum mothers are the SPEOS method (Endorphin, Oxytocin and Suggestive Massage Stimulation).

Background: In 2020, there were 2.9 million cases of perineal rupture in mothers giving birth, it is estimated that this will reach 6.8 million in 2050. Childbirth is a process that is vulnerable to various complications that can endanger the mother. Vaginal delivery is more susceptible to tearing of the perineum to varying degrees. Red betel leaves contain essential oils, hydroxycabicol, chabicol, carbibetol, allylcatechol, cineole, tanim, diastase, sugar and starch. Objective: to determine changes in wound healing before and after being given red betel leaf decoction Method: Case study with application to 2 respondents. Respondents were given red betel leaf decoction twice a day in the morning and evening for 5 consecutive days. Wounds were measured using the REEDA scale. Results: After applying red betel leaf decoction, the results showed a decrease in the rate of wound healing in both respondents, there was a decrease in scores from previously Mrs. E 10 becomes 0 (good wound healing) and Mrs. S 11 becomes 1 (poor wound healing). Conclusion: There were changes and differences in the rate of wound healing before and after giving red betel leaf decoction to the two respondents.   Keywords: , ,

Background: Based on world data, there have been 2.7 million cases of perineal rupture in mothers giving birth. This figure is estimated to reach the highest number collected until 2050, which is 6.3 million. Perineal rupture in Asia also often occurs in society, which is around 50%. According to data from the Indonesian Demographic Health Survey (SDKI), 75% of mothers who give birth in Indonesia experience perineal tears or perineal rupture. Objective: To describe the results of measuring the pain scale using the cold compress method. Method: This study method uses a case study method with a descriptive design and uses a Numeric Rating Scale (NRS) pain measurement sheet, in the cold compress method, the variable measured is perineal wound pain that has been given intervention 3 times a day in a span of 5-10 minutes for 3 days. Results: After cold compresses were given to two respondents who experienced perineal wounds, there was a change in the pain scale which was included in the mild pain category. Conclusion: The application of cold compresses can reduce the scale of perineal wound pain in postpartum patients.    

The postpartum period is a recovery period, postpartum care is needed so that mothers can make psychological adaptations in the postpartum period, Postpartum depression is depression that occurs in women after giving birth, which occurs within a period of 4 (four) weeks, several months or even several years if not treated, the purpose of this community service is to provide education to pregnant women and postpartum mothers regarding the prevention of the dangers of postpartum depression, this activity is to increase mothers' understanding of the dangers of postpartum depression. This community service activity was attended by pregnant women and postpartum mothers at the Kassi-Kassi Health Center which was attended by 18 people. This activity method was carried out twice by providing a pre-test, lecture and continued post-test by filling out a questionnaire. In the evaluation, interviews were conducted with pregnant women and postpartum mothers to determine the dangers of postpartum depression. The results achieved in community service activities at the Kassi-Kassi Health Center were that postpartum mothers gained knowledge about the dangers of postpartum depression and there was an increase in knowledge about the dangers of postpartum depression. The pre-test results were 58.82%, there was an increase in the post-test which showed post-test knowledge of 82.35%. The conclusion is that education for pregnant and post-partum mothers can prevent post-partum depression.

Background: Sectio Caesarea (SC) is a surgical procedure to deliver a fetus by making an incision to open the abdominal wall and uterine wall or a hysterotomy to remove the fetus in the mother's womb. In recent years, normal delivery has been considered a difficult way of giving birth and tends to be dangerous for the mother and her baby. The use of Caesarean section is increasing globally, and now accounts for > 1 in 5 (21%) of all births. This number is predicted to continue to increase, almost a third (29%) of all births are estimated to be carried out via sectio in 2030. Method: This type of research is quantitative with a quasi-experimental approach. The research was conducted at the Lake Paris Health Center, Aceh Singkil Regency in 2024. The research population was all post partum mothers with cesarean sections at the Lake Paris Health Center, Aceh Singkil Regency, namely 30 people. The sampling technique used was simple random sampling. The data analysis used was univariate analysis and bivariate analysis, the analysis used was the Non-Parametric Test (Man-Whitney) with α = 0.05. Results: The results of the study showed that before the intervention was carried out, there were 3 respondents experiencing mild pain (10.0%), 14 respondents experienced Moderate pain (46.7%), and 13 respondents experienced severe pain (43.3%). After the intervention, 2 experienced no pain (6.7%), 13 experienced mild pain (43.3%), 2 experienced moderate pain (6.7%), 13 experienced severe pain (43.3%). Conclusion: The results of statistical tests obtained P value = 0.000 < 0.05, meaning that there was a significant difference before and after giving early mobilization treatment to mothers post cesarean section at the Lake Paris Health Center, Aceh Singkil Regency in 2024