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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.

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

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 study identifies nine plant species used as herbal remedies for postpartum recovery by young mothers in Sindangreret, Bandung. The UV (Use Value) for each plant varies, reflecting their relative importance in traditional practices. Curcuma longa exhibits the highest UV (0.58), highlighting its frequent use and perceived significance in traditional formulations for wound healing, reducing inflammation, and overall health enhancement. Other notable plants include Zingiber officinale (UV 0.51) for anti-inflammatory and energy-boosting properties, and Kaempferia galanga (UV 0.29) for pain relief and stamina enhancement. Traditional usage of these plants is supported by their bioactive compounds and therapeutic potential. The study underscores the importance of preserving ethnobotanical knowledge and suggests further scientific validation and public education to optimize the benefits of these herbal remedies.

The maternal and child mortality rate in Indonesia is still quite high, where one of the main causes of death is in the neonatal period. The postpartum mother is one of the people closest to the newborn and who must take care of the baby's health. This community service activity is carried out in the form of educational activities or health counseling regarding newborn health care for prenatal and postpartum mothers at Arjawinangun Hospital, Cirebon Regency, with the provision of lies and direct counseling for the effectiveness of activities. Based on the health counseling activity, it was found that there was an increase in the knowledge of prenatal and postpartum mothers about newborn health care after the activity was carried out. The follow-up plan for the implementation of this activity will be carried out in collaboration with the Health Center to carry out assistance in the practice of newborn health care for newborn mothers. Conclusion: there is an increase in prenatal and postpartum maternal knowledge about newborn care.

Age is a risk factor for postpartum hemorrhage, according to Rahmawati's research. An association between age and bleeding due to uterine atony was also found. Mothers aged 20 to 35 years have a 12 times higher risk of experiencing postpartum hemorrhage than mothers aged 20 to 35 years (Edah, 2019). Age parity is also a risk factor for postpartum hemorrhage. Parity refers to the number of children born to a mother (both born alive or dead). Mothers with three children are more at risk of bleeding after delivery than mothers with parity 1 to 3. The aim of this study is to analyze the relationship between age and parity and the amount of bleeding that occurs in mothers who have just given birth. The literature review method was used in this study. Various scientific articles and research reports discussing risk factors for postpartum hemorrhage are thoroughly explained. The results showed that older maternal age (above 35 years) and high parity (giving birth more than once) increased the risk of postnatal bleeding. These results suggest that mothers with these characteristics should be given special attention to reduce the risk of these complications by obtaining appropriate education, supervision during pregnancy, and appropriate birth planning.

According to the Indonesian Ministry of Health in 2020, the number of maternal mortality rates (MMR) in Indonesia is still quite high, totaling 4,627 cases of maternal death. This number shows an increase compared to 2019 of 4,221 cases of maternal death (Indonesian Health Profile, 2021). Objective: To apply the theory that has been obtained at the academy with comprehensive midwifery care for pregnant women, laboring women, postpartum women, newborns, and family planning in practice using Varney and SOAP documentation, is there a gap between theory and practice. Research method: In this study the authors used a qualitative research method with a case study approach which was carried out by examining a problem through a case consisting of a single unit. Results: At the first pregnancy obstetric care visit, there was a problem of Chronic Energy Deficiency (CHD) where LiLA was 22.5 cm and also breech location. After being given counseling about high calorie balanced nutrition there was an increase in the size of LiLA by 2, 5 cm so that the mother did not experience SEZ. In the process of childbirth was done by Sectio Caesarea. In the postpartum period there was no complication in the postpartum period. Newborn was normal, no problems. In family planning, Mrs. M chose to use a 3-year family planning implant. Conclusion: During the assistance to Mrs. M, the health problems experienced by Mrs. M, especially the incidence of SEZ in pregnant women can be resolved, and there is a gap between theory and practice related to the size of LiLA and the height of the mother.

This study is a Systematic Literature Review (SLR) which aims to analyze the relationship between risk factors and the incidence of birth canal laceration and its impact on postpartum hemorrhage. The review of various studies showed that postpartum hemorrhage and perineal rupture have complex and interrelated risk factors, with placental retention, uterine atony, and birth canal laceration as the main causes (p-value <0.05). Maternal characteristics such as age, parity (especially in multiparous with a prevalence of 32.9%), history of previous bleeding (OR=7.725), and pregnancy spacing less than two years (OR=6.943) contributed significantly to the risk of complications. Birth weight had a significant association with the incidence of perineal rupture, while the innovative use of warmpad proved effective with 58.8% of cases showing an intact perineum post-delivery. The study also identified anemia in pregnancy as an important risk factor, with the distribution of causes of postpartum hemorrhage including placental retention (44%), uterine atony (28%), uterine rupture (18.6%), and uterine inversion (9.4%), confirming the importance of comprehensive monitoring during pregnancy to prevent complications.

The results of the study of Community Midwifery Care for Mr. "N" Family with Postpartum Fever on Day 6, Dusun Aik Lengis, Kuta Village, Kuta Health Center Working Area, namely the assessment of subjective and objective data on Mrs. "M" postpartum on day 6 with fever, existing subjective and objective data and can identify problems, needs and diagnoses based on information that has been collected from the assessment of Mrs. "M" postpartum on day 6 with fever. Diagnosis or potential problems in accordance with the data obtained from the assessment of Mrs. "M" postpartum on day 6 with fever, collaboration, and referrals to Mrs. "M" postpartum on day 6 with fever, interventions on Mrs. "M" postpartum on day 6 with fever, care needed by Mrs. "M" postpartum on day 6 with fever. Students have conducted an evaluation in accordance with the actions that have been given to Mrs. "M" postpartum on day 6 with fever obtained from verbal responses, nonverbal responses, and examination results. Not all problems can be identified due to time constraints for the author to provide midwifery care to clients who have not fully recovered.

The purpose of the study was to obtain a real picture in providing community midwifery care in the context of the family to Mrs. M with Postpartum and Neonatal Physiology in Bangkang Hamlet, Prabu Village, Pujut District, Central Lombok Regency. After practicing community midwifery and implementing comprehensive community midwifery care, a good working relationship with Mr. "Z"'s family was created, basic data assessment of Mr. "Z"'s family was conducted, data analysis was conducted on Mr. "Z"'s family data assessment, data analysis of Mr. "Z"'s family, formulation of problems in Mr. "Z"'s family, determining priority problems in Mr. "Z"'s family. Students have implemented a midwifery care action plan for Mr. "Z"'s family in the form of counseling. Students have been able to implement and evaluate midwifery care for Mr. "Z"'s family so that they can help change the habits of Mr. "Z"'s family for the better.

Background: The global maternal mortality rate (MMR) in 2022 is 91.46 per 100,000 live births with the cause of death being bleeding while the indirect causes of maternal mortality are during pregnancy wheere many pregnant women experience nutritional problems such as Chornic Energi Deficiency ( CHD) and Nutritional Anemia at 8.43% (WHO, 2022). The maternal mortality rate in ASEAN is 235 per 100,000 live births with the majority of causes of death being bleeding (ASEAN Secretariat, 2022). Until now, the maternal mortality rate in Indonesia alone in 2020 was 91.45/100,000 live births. In 2021, maternal mortality will increase to 305/100,000 live births. Meanwhile, in 2022, the maternal mortality rate will decrease by 230/100,000 live births. Within a period of 3 years, the causes of maternal death included Covid 19, bleeding, hypertension in pregnancy, and heart disease (Ministry of Health of the Republic of Indonesia, 2022). The maternal mortality rate in Central Java in 2020 was 84.6/100,000 live births, in 2021 it will be 199/100,000 live births. In 2022 there will be a decrease to 98.6/100,000 live births, hypertension in pregnancy and bleeding are still the cases of death in that year (Central Health Office, 2022). Brebes Regency shows that the maternal mortality rate in 2020 was 62 cases. In 2021 there were 105 cases and in 2022 there was a decrease to 50 cases with the causes of death being bleeding, hypertension, infection and heart disorders (Brebes District Health Office, 2021) Objective: Reduce maternal and infant morbidity and mortality rates in Brebes Regency, especially the Bumiayu Community Health Center area Conclusion: After providing comprehensive midwifery care to Mrs. S aged 32 years with Chronic Energy Deficiency (KEK) at BPM Mrs. The R working area of the Bumiayu Community Health Center from the third trimester of pregnancy, childbirth, newborns, postpartum and family planning is in good condition.

Postpartum hemorrhage is a serious complication that can occur after delivery and is a major cause of maternal morbidity and mortality. This literature review aims to analyze postpartum hemorrhage as a major risk factor for anemia in postpartum mothers. The method used was Systematic Literature Review with a literature research approach using the Google Scholar database. The analysis of eight articles showed that anemia during pregnancy had a significant association with the incidence of postpartum hemorrhage, with a risk of up to 45.7 times greater than mothers without anemia. Other contributing factors included type of delivery, where sectiocaesarea increased the risk of postpartum anemia compared to normal delivery (p=0.004). In conclusion, anemia is a significant risk factor for postpartum hemorrhage that requires early detection, nutritional status monitoring, and comprehensive antenatal care to prevent complications in postpartum women.

The role of parents in providing knowledge about menstrual jurisprudence among young women is very important. Because adolescence is a transition period between childhood and adulthood, during this period children will experience many changes both physically and psychologically. one of the changes is menstruation or menstruation which every young woman experiences. The aim of this research is to determine the role of parents in providing knowledge about menstrual fiqh among young women and the aim of the role of parents in providing knowledge about menstrual fiqh among young women is to help them understand and manage their menstrual cycle in accordance with Islamic teachings. The type of research used is descriptive qualitative research using books, magazines, offline and online articles or the latest journals, all data found from reading sources is then expressed in qualitative descriptive form. The results of this research show that the role of parents in providing knowledge about menstrual jurisprudence among teenagers is very important, this is to ensure that young women feel comfortable, healthy and independent in managing their menstruation. And know the differences between women's blood that comes out of their genitals, namely, menstrual blood, istihadhah blood, and postpartum blood. Apart from that, providing knowledge about menstrual jurisprudence can also help young women understand their responsibilities and obligations as Muslim women.  

Background: Postpartum care is needed in the period after delivery to detect early problems or treat postpartum illnesses. More than 65% of maternal deaths occur during the first 42 days postpartum. This study aims to analyze the factors that influence postpartum visits in Indonesia. Method: The research uses quantitative research in the form of an analytical survey with a cross sectional design. Units. Results: Based on the results of logistic regression, predisposing factors that have the opportunity to influence complete postpartum visits are maternal age 20-35 years (OR 0.885), higher education (OR 1.167), parity ? 2 (OR 1.090), delivery by cesarean/vacuum/ forceps, etc. (OR 1.491), delivery in a health facility (OR 1.489), complete pregnancy check-up (OR 1.613), and regional Sumatra (OR 0.510). Enabling factors that have the opportunity to influence postpartum visits are unemployed status (OR 0.954) and having health insurance (OR 1.141). The need factor that has the opportunity to influence postpartum visits is having a history of pregnancy complications (OR 0.948). Conclusion: Factors that influence postpartum visits are maternal age, education, parity, method of delivery, place of delivery, prenatal check-up, regional residence, employment status, ownership of health insurance, and history of pregnancy complications.

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.

The aim of this research is to find out the effectiveness of massage techniques for postpartum mothers who experience pain after giving birth and get relaxation after massage. This research uses a case study method using qualitative descriptive methods. This research was conducted on Jl. Kapau Sari, East Tangkerang, District. Tenayan Raya, Pekanbaru city 28282, Indonesia in 2024. The target of this research is multiparous NY.M aged 30 years. Data that can be obtained and used in research is primary data and secondary data. What was obtained from the research results showed that there were benefits felt by clients after massage in terms of reducing the pain felt after giving birth.

Maternal Mortality Rate (MMR) is the number of maternal deaths during pregnancy or within 42 days after the end of pregnancy from any cause related to pregnancy during a certain time per 100,000 live births (World Bank, 2021). The maternal mortality rate (MMR) worldwide according to the World Health Organization (WHO) in 2020 is 295,000 deaths with the causes of maternal death being high blood pressure during pregnancy (pre-eclampsia and eclampsia), bleeding, postpartum infections, and unsafe abortion (WHO , 2021). According to ASEAN data, the highest MMR was in Myanmar at 282.00/100,000 KH in 2020 and the lowest MMR was in Singapore in 2020. There were no maternal deaths in Singapore (ASEAN Secretariat, 2021). According to the Indonesian Ministry of Health (2020), the number of MMR in Indonesia in 2020 was 4,627 cases and in 2021 it increased to 6,865 cases (Media Indonesia, 2021). The maternal mortality rate in Indonesia is still quite high. From data from the Kaliwadas Health Center, maternal deaths were caused by bleeding, pneumonia, pulmonary TB, hemorrhagic shock. And there are various factors that can cause the most maternal deaths in Indonesia, namely bleeding, hypertension in pregnancy, bleeding disorders, CPD, history of SC (Ministry of Health of the Republic of Indonesia, 2020).Objective: Able to provide comprehensive services according to service standards in pregnancy care, childbirth, postpartum, postpartum, family planning.Research methods : This research uses a qualitative descriptive method with a field observational case study approach. Results: Based on the comprehensive midwifery care provided to Mrs. N, 27 years old with a history of caesarean section (SC) and cephalopelvic disproportion (CPD), Mrs. S with the first visit to the fourth visit with a diagnosis of CPD so action had to be taken with (SC). In the care of newborns up to 28 days no problems were found and during the postpartum period no problems were found. Mrs. S chose implantable birth control contraception. Conclusion: Appropriate care provided by midwives during pregnancy, childbirth, newborns, postpartum and family planning is very important for the health of mothers and babies.    

Background: Hypertensive Disease in Pregnancy (HDK) is a vascular disorder that occurs during pregnancy, arises during pregnancy or in the postpartum periode, and is one of the most common causes of maternal death. Objective: this study was to determine how factors of having a history of hypertension, obesity, and using hormonal birth control impact the incidence of hypertension Disease in pregnancy (HDK). Metodes: the research approach used was analytic observation with a croos sectional design. This study involved 332 pregnant women who come to the Health Center. A sampel random sampling technique, with a sample size of 183 was used. In this study, the independent variables were history of hypertension, obesity, and hormonal birth control use; the incidence of HDK was the dependent variable. Data was collected using a documention study approach with an observation sheets. To analyse the data, a logistic regression statistical test was used with an error rate of α 0.05. The results showed that pregnant women with HDK were exposed to hypertension 45.6%, and hormonal birth control by 36.3%. The result of bivariate analysis of hypertension history with HDK is o.o1 < α 0.05, and the variable of obesity with HDK is 0.024 < α 0.05 and the variable of hormonal birth control history with HDK is 0.21% < α 0.05. The conclusion of the results showed that of the three factors contributing to the incidence of HDK, only the history of hypertension and obesity had a significant influence, with a history of hypertension accounting for 9.9% of HDK cases. Therefore, it is recommended that Strengthing Integrated Antenatal care for increasing the role of mindwives and general practitioners in better screening of pregnant women at risk.

Maternal health remains a major global challenge, particularly in developing countries where mothers are still highly vulnerable during childbirth. Postpartum hemorrhage is one of the leading causes of maternal mortality, accounting for approximately 25% of maternal deaths worldwide, and commonly occurs within the first 24 hours after delivery. This study aims to identify factors associated with postpartum hemorrhage at Bakti Timah Pangkalpinang Hospital during 2022–2023. The research applied a case-control design using secondary data obtained from medical records. The study population consisted of 1,002 mothers who gave birth at the hospital, with a sample of 104 respondents divided into 52 case subjects (mothers who experienced postpartum hemorrhage) and 52 control subjects (mothers who did not experience postpartum hemorrhage). Data were analyzed using the Chi-square test. The results showed significant relationships between maternal age (p=0.002; OR=3.600; 95% CI: 1.548–8.371), parity (p=0.000; OR=0.194; 95% CI: 0.079–0.477), and anemia (OR=5.099; 95% CI: 1.940–13.399) with the incidence of postpartum hemorrhage. The study concludes that mothers aged under 20 years and over 35 years, multiparous mothers, and mothers with anemia have a higher risk of experiencing postpartum hemorrhage.

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.