Normal Postpartum Mothers Research Articles

Lactation Massage and Hypnobreastfeeding Relaxation Techniques in Breastfeeding Mothers

Breast milk is a kind of food that is good for meeting all the physical needs of babies. Breast milk contains most of the nutritional elements, hormones and immunity of a baby. After that the baby will only get breast milk until the baby is six months old, after the baby is six months old the baby will be given complementary food for breast milk until the baby is even two years old. Purpose: this research is to find out the description of nursing care for normal postpartum mothers who experience ineffective breastfeeding at Koja Jakarta Hospital in 2023 with lactation massage and hypnobreastfeeding relaxation techniques. Methodology: the research used is a descriptive researcher with a case study design that will be carried out in June 2023. Results: a study of patients who experienced ineffective breastfeeding by means of lactation massage and hypnobreastfeeding relaxation techniques, could increase milk production, reduce breast swelling and reduce pain. This can happen because of the willingness of the client to follow. Conclusion: lactation massage techniques and hypnobreastfeeding relaxation techniques can be done when complaints of a little milk coming out, anxiety, swelling in the breasts of post partum mothers are normal.

Application Of Pbm-Nir Therapy For Postpartum Mother's Discomfort In Maternity Nursing Care

Normal post partum is post partum discomfort due to uterine involution. Uterine involution in patients can cause pain in the uterus called afterpains. Discomfort caused by uterine involution requires various treatments to minimize the pain felt by the mother so that the mother's comfort can return. This can be overcome with non-pharmacological pain management strategies through innovative near infrared phototherapy or near infrared photobiomodulation (PBM NIR). The aim of this research is to analyze the results of implementing pain management with non-pharmacological PBM NIR therapy in normal post-partum mothers with post-partum discomfort nursing problems. Case study that focuses on the implementation of non-pharmacological nursing pain management techniques with PBM NIR therapy. The case study subjects were 3 normal post-partum maternal patients with the same problem, namely post-partum discomfort in the obstetrics room at the Muhammadiyah Hospital in Palembang. The results of the study showed that the implementation of non-pharmacological pain management techniques with PBM NIR therapy had an effective effect on dealing with post-partum discomfort with complaints of decreased discomfort, decreased moaning, and strong uterine contractions. Implementation of pain management can improve the comfort status of normal postpartum mothers. This study makes an important contribution to understanding of the role of nonpharmacological techniques in postpartum pain management, as well as highlighting the importance of implementing innovative therapies for labor, as well as highlighting the importance of implementing innovative therapies to improve the quality of care in postpartum mothers.

Cold cabbage leaves compress (Brassica oleracea var. Capitata) effectively reduces breast swelling in postpartum mothers

Introduction: Breast engorgement problems can occur in postpartum mothers and interfere with breastfeeding for infants. The incidence of breast swelling was 43.4% from 145 postpartum mothers and swelling was 253 times (48%) higher in primiparas. The aim of this study is to analyze the effectiveness of cold cabbage leaf compress (Brassica oleracea var. Capitata) on breast swelling for primiparous normal postpartum mothers in PMB Sriwati, Palu City, Central Sulawesi. Methods: This type of research is quantitative. The research design is quasi-experimental with a non-equivalent control group pre-post test and a cross-sectional approach. The study was conducted at PMB Sriwati on September 15 to October 30, 2020 with a sample of 20 primiparous postpartum mothers who gave birth normally in each control and intervention group. Samples were taken by non-probability sampling technique. Data analysis used Wilcoxon test and Mann Whitney test. Results: The difference in swelling in the control group (Supervised breast care) was 0.25 while in the intervention group (Brassica oleracea var. Capitata) it was -0.90 with a p value of 0.000. Conclusion: The use of cold cabbage leaf compress (Brassica oleracea var. Capitata) is more effective to treat breast swelling in primiparous normal postpartum mothers than Supervised breast care. It is recommended that professional organizations can socialize Evidence Base Practice, especially the development of independent midwifery management regarding breast swelling in postpartum mothers.

The Effect Of Meridian Acupoint Massage On Fatigue, And Prevention Of Post Partum Depression During The Public Period

Postpartum fatigue is a feeling of tiredness experienced by around 65-80% of mothers after giving birth. Fatigue can trigger post partum depression during the postpartum period. In Indonesia, the incidence of post partum blues is 50% -70%. One of the method is meridian accupoints massage intervention to reduce fatigue and prevent post partum depression. This study aims to analyze the effects of meridian accupoint massage on fatigue and prevention post partum depression in the post partum period.
 A quasi experimental design with pretest posttest nonequivalent control group was utilized. The study group consisted of 28 postpartum women on the 5th day at the Nining Lubuk Pakam Clinic. The instrument used to measure fatigue is th. e Postpartum Fatique Scale, prevention of post partum depression is measured by the Edinburgh Postnatal Depression Scale (EPDS). Data analysis uses independent and dependent t-tests.
 The experimental group demonstrated a significantly larger decrease compared with the control groupin measures of fatique and prevention post partum depressive. There was a significant difference in maternal fatigue and prevention of post partum depression after meridian accupoint massage between the intervention group and the control group with a value of p=0.003; p=0.002. The average reduction in fatigue after meridian accupoint massage was 27.11%, while the reduction in stress as an assessment for preventing post partum depression was 43.41%.
 Meridian Accupoint Massage has been proven to have an influence on reducing fatigue and preventing post partum depression during the postpartum period. For midwives to be able to learn and apply this method to normal postpartum mothers in order to improve the quality of life of postpartum mothers. Meridian accupoint massage intervention can be used as learning material in complementary therapy during the postpartum period.

Pengaruh Pemberian VCO Terhadap Penyembuhan Luka Perineum Pada Ibu Nifas di PMB Sri Suparti

Background: In Indonesia perineal lacerations are experienced by 75% of women giving birth vaginally due to spontaneous tearing. This can cause bleeding to not be stopped properly or infection to occur. To prevent infection of perineal wounds, perineal wound care can be done using virgin coconut oil (VCO) which has properties as an antiseptic, anti-infection and can reduce pain and provide comfort. Objective: To determine the effect of VCO administration on perineal wound healing in normal postpartum women at PMB Sri Suparti Karanganyar. Research method: The type of research used is quasi-experimental research. The research design used the post test only with control group design method with 30 samples, 15 were given VCO and 15 were not given VCO by processing the data using Mann Whitney. The results of the study: The results of the data analysis test with Mann Whitney obtained a value of p = 0.001, with a significant level of p <0.05 which means that there is an effect of VCO administration on perineal wound healing in normal postpartum mothers. Conclusion: There is an effect of VCO administration on perineal wound healing in normal postpartum women at PMB Sri Suparti Karanganyar.

Effect of Oxytocin Massage on Breast Milk Production among Postpartum Mothers

Exclusive breastfeeding in the world is still very low. Various obstacles can arise in providing exclusive breastfeeding during the first six months of a baby's life. This causes a lack of provision of nutrients to infants, which can cause infant death. In a preliminary study conducted in the Postpartum Room at Bhayangkara Lumajang Hospital in February 2022, based on the results of interviews with 10 normal postpartum mothers, it was found that postpartum mothers complained that their milk did not come out and was not smooth and felt that their milk production was lacking, especially on the first day of the baby's birth. This study aimed to analyze the effect of oxytocin massage on breast milk production in postpartum mothers at Bhayangkara Lumajang Hospital. This type of research is pre-experiment by designing one group pre-post test design. Sampling using the method of simple random sampling with a sample of 36 respondents was carried out in August 2022. The instrument used for data collection was a checklist sheet. The results showed that almost all 36 respondents to produce milk after having oxytocin massage for postpartum mothers at Bhayangkara Lumajang Hospital in 2022 were in the current category with a total of 33 respondents (91.7%). It obtained a p-value=0.000, which means that oxytocin massage affects breast milk production (ASI) in postpartum mothers at Bhayangkara Lumajang Hospital.

PERBEDAAN KONSUMSI BUAH NANAS SEGAR DENGAN BUAH NENAS OLAHAN TERHADAP PENURUNAN TINGGI FUNDUS UTERI PADA IBU NIFAS NORMAL DI PMB ROSITA KOTA PEKANBARU

In postpartum women, the process of returning the uterus to its pre-pregnant form is very important for increasing uterine contractions which can accelerate the involution process. This study aims to compare the effectiveness of consumption of fresh pineapple with processed pineapple (dried pineapple) to decrease uterine fundal height in normal postpartum mothers. This type of research is a quasi-experimental research design with two-groups pre-test-post-test design. The study was conducted at PMB Rosita Pekanbaru City with a population of all postpartum women giving birth at PMB Rosita from February to July 2022 with a sample of 36 people divided into 18 respondents consuming fresh pineapple and 18 consuming dried pineapple (pineapple chips). The sampling technique is purposive sampling. The results of data analysis showed that the average decrease in uterine fundus height after the intervention was an average of 12.17 cm for fresh pineapple consumption and 5.13 cm for processed pineapple fruit consumption (mean). Data analysis using independent t test consumption of fresh pineapple is more effective in accelerating the decrease in uterine fundal height compared to processed pineapple (dried pineapple) with a value of (p: 0.000). It is hoped that this research can be useful for health workers in providing education to postpartum mothers by utilizing pineapple to accelerate the decrease in uterine fundal height.

Analysis of Implementation of Postpartum Exercise on Breast Milk Production and Uterine Involution in Postpartum Mothers in Makassar

Postpartum exercise has a positive effect on the health status of the mother, including helping to normalize joints that become loose due to pregnancy and childbirth and preventing further weakness and stretching. Postpartum exercise exercises can be done within 24 hours after giving birth and then regularly every day (Diana, 2014). However, the reality obtained in the field is that postpartum exercise is rarely carried out because mothers are afraid to make many movements, still have pain in the perineal wound area and are afraid of the stitches coming off. General Objectives To determine the effect of implementing postpartum gymnastics on the smoothness of breastfeeding and uterine involution, Specific Objectives To find out the effect of implementing postpartum gymnastics on the production and smoothness of breast milk, and to know the effect of implementing postpartum gymnastics on uterine involution. this type of Quasi Experiment research uses the theNon-Equivalentt Control Group design, namely a study that compares the case group with the control group. The population of this study was 59 people and the sample in this study was part of normal postpartum mothers from day 2 to day 4 and were willing to be respondents. Based on the distribution of postpartum exercise movements on breast milk production, it shows that there is no influence between postpartum exercise movements and the smooth production of breast milk and based on the distribution of postpartum exercise movements on uterine involution. shows that postpartum exercise has a significant effect on uterine involution variables

Efektivitas Pijat Oksitosin terhadap Pengeluaran ASI pada Ibu Post Partum

Oxcytocin massage were solutions to help maximize the proplactin and oxytocin receptors so as to facilitate the process of maternal milk production.. This study aims to determine the effectiveness of the Oxcytocin massage in post partum mothers. Method: Pre- experimental research with one group pretest and posttest design approach. The population was all normal post partum mothers with the first child at Aura Syifa Kediri Hospital. A sample of 8 respondents with accidental sampling technique. Data collection used observation. Results: The results of data analysis used Wilcoxon test revealed that there was no effect of Oxcytocin massage. While the implementation of acupressure was known that there was an effect of acupressure therapy on milk production on. The results of data analysis used the mann whitney test was known that the value of Sig. 2- tailed (p value): 0.040 and alpha value (a): 0.05 so that the p value <a means that H0 was rejected and H1 was accepted. Conclusion: there are differences in the effectiveness of the Oxcytocin massage methods in increased milk production in Post Partum Mothers. Suggestion: The results of this study can be used as an alternative intervention in treating the physical and psychological needs of Postpartum Mothers. Nurses need to teach this technique to Postpartum Mothers to be more independent in dealing with milk production problems. 

Gambaran Pengetahuan Ibu Nifas Normal Tentang Senam Kegel Di Ruang 7 RSUD dr. Soekardjo Tasikmalaya

The background of this study is that during the postpartum period, changes occur in the mother, baby and family, both physiologically, emotionally and socially, so that the care and encouragement provided by professional health workers helps to form an interconnected response between the three during this time. Kegel exercise is one of the exercises that can be done or trained during the puerperium for mothers who give birth vaginally. The Porpuse of this study aims to know the description of normal postpartum mothers knowledge about Kegel exercises consist of understanding, purpose, benefits, principles and procedures of Kegel exercises in Room 7 RSUD dr. Soekardjo. The Research Methode is a descriptive study with univariate analysis of the data types that generate the frequency distribution and percentage data. The total sample of 77 respondents with a sampling technique that accidental sampling. The Results showed that postpartum mothers have less knowledge about Kegel exercises as much as 37 respondents with a percentage of 48,1. Suggestions from this study are that health workers in the postpartum care room need to improve health services, both providing health education and proper Kegel exercises so that they can increase the knowledge, interest, and participation of postpartum mothers for Kegel exercises.

Application of Acupressure Therapy on Normal Post Partum with Nursing Problems Breastfeeding is not Effective

Based on a survey in Indonesia, 38% of mothers stopped breastfeeding because of problems with ineffective breastfeeding. The application of acupressure therapy to normal post partum mothers with ineffective breastfeeding nursing problems in the Independent Practice Midwife of Lubuklinggau City in 2022. The purpose of this research is to find out the results of applying acupressure therapy to overcome the problem. breastfeeding is not effective in normal postpartum mothers. The research method applied by the researcher is descriptive research using a case study approach, case study is research by examining a problem through a case consisting of a single unit which means that one person or a group has problems. The subjects in this study were two postpartum maternal clients with a history of normal delivery who met the inclusion criteria. In this study, the data collection method used was to perform acupressure therapy on Normal Post Partum mothers with ineffective breastfeeding problems. In this study, for nursing interventions that were not effective, the application of Acupressure Therapy was carried out.

Factors Associated with Retained Placenta: A Case-Control at Bethesda Hospital Yogyakarta

Background The retained placenta is a common cause of postpartum bleeding. Many conditions commonly can be found in pregnant women cause retained placenta.Objective This study aims to identify factors associated with retained placenta.Method This study was performed as an observational analytic study with a case-control method. The data used is secondary data, using normal postpartum mothers (n=74) and postpartum women diagnosed with the retained placenta (n=37) medical records, at Bethesda Hospital from 2013 until 2018. Variables were analyzed using simple logistic regression to measure crude odds ratio and using multiple logistic regression to calculate adjusted odds ratio.Results The factor associated with retained placenta was preterm labor (OR 37.16; CI 95% 6.98-197.84). Age (OR 1.32; CI 95% 0.34-5.19), anemia in pregnancy (OR 2.43; CI 95% 0.83-7.14), history of previous cesarean section (OR 9.63; CI 95% 0.79-117.36), history of curettage (OR 3.65; CI 95% 0.93-14.37) and parity (OR 2.07; CI 95% 0.72-5.98) increasing risk to develop retained placenta, but not statistically significant.Conclusion A history of previous cesarean section and preterm labor statistically increases the risk of retained placenta in Bethesda Hospital Yogyakarta. Age, anemia in pregnancy, and history of curettage were clinically associated with retained placenta, but not statistically significant.

The Effect of SPEOS Method and Acupuncture Point Gb 21 To Increase Breast Milk Production

The success of breastfeeding in the early puerperium can affect the success of exclusive breastfeeding. This is because the production of breast milk for infants is sufficient for growth. One method to increase breast milk production is the SPEOS method (Endorphin, Oxytocin, and Suggestive Stimulation) and the Acupuncture method at GB 21 point. This study aims to determine the effect of the SPEOS method and GB 21 acupuncture method on increasing breast milk production at the Az – Maternity Clinic. Zahwa South Sumatra in 2020. Where breast milk production is assessed from the amount of milk that comes out and can be accepted by the baby, measured by using the baby's weight indicator. Measurements were made on day 5 and day 10. This study uses a quasi-experimental design with a non-equivalent approach Pretest-Posttest with Control Group. The subjects in this study were normal postpartum mothers who gave birth at the Az – Zahwa clinic. The total sample size was 90 people with 30 samples being divided into the SPEOS method group, 30 samples in the GB 21 acupuncture method and 30 in the control group. This research was conducted in October-November 2020. The data were analyzed using the T dependent test and the one way ANOVA test. The results of the study obtained the average difference in body weight before and after the study. In the control group, the average difference was -5.0 (86.4) grams, in the SPEOS group the average difference in body weight was 22.1 (57.3) grams, in the GB 21 Acupuncture group the average difference in body weight is -41.3 (298.7) grams. The results of statistical tests showed that there was no significant difference in body weight after the study in the three groups (p value 0.405). This shows that there is no difference in the three methods of milk production.

ASUHAN KEPERAWATAN PADA IBU NIFAS DENGAN GANGGUAN ELIMINASI: INTKONENSIA URINE

The postpartum period begins after the birth of the placenta and ends when the uterine organs return to their pre-pregnancy state. Because the birth process will result in loosening of the muscles in the vagina. One way to restore vaginal muscles to the mother after the puerperium is kegel exercise. Exercise can be performed regularly by tightening and relaxing the muscles that support the bladder and urethra. Efforts to tighten the pelvic muscles will prevent a woman from experiencing or reduce the risk of inability to control micturition. The objective of this study was to gain real experience in providing nursing care to normal postpartum mothers with urinary incontinence elimination disorders. This study was a case study approach to postpartum mothers through the nursing process icluding assessment, diagnosis, intervention, implementation and evaluation of nursing. Kegel exercise can be done for two days of hospitalization but can't be done optimally on the mother because there are wounds and pain in the episiotomy. However, the mother's knowledge about kegel exercises has increased so that this exercise can be continued at home independently. Kegel exercise can be done after the puerperium gradually and if there are no more complaints of pain in the episiotomy wound.

EFEKTIFITAS BLADDER TRAINING TERHADAP PERCEPATAN PENGELUARAN URINE PADA IBU POSTPARTUM PERVAGINAM

Complications after childbirth can occur if there is no continuous treatment that can end in death, including urinary retention, the bladder is pushed up and down, thus preventing the uterus from contracting properly. Bladder emptying with leader training to restore normal urinary patterns by stimulating urine output to allow spontaneous bladder emptying. This study aims to identify the effectiveness of bladder training on the prevention of urinary retention in postpartum mothers. This research method is a case study using a quasi-experimental research design with a non-equivalent control group approach. The sample were 32 respondents. Data collection using incidental sampling technique was in accordance with the inclusion criteria for normal postpartum mothers in the VK room of the Sidikalang General Hospital using a questionnaire instrument with an observation sheet. The data analyzed by using the different paired t test. The results showed that in the intervention group, the results of the paired t test were t-test values ​​= 2.147 tables 1.753 (t-count> t-table), while in the control group the results of the paired t-test were different, 1.275 <1.753 (t count < t table) meaning Bladder training is effective in accelerating urine output. Bladder training can be considered as a non-fatmacological therapy to prevent urinary retention. It is recommended to health workers to be able to apply it as an independent action material to prevent urinary retention in postpartum mothers.

Effect of Core Stability Exercise in Preventing Diastasis Recti Abdominis among Normal Birth Delivery of Postpartum Mothers: Meta-Analysis

Background: Diastasis Recti Abdominis (DRA) is a separation that occurs in the abdominal muscles, namely between the two rectus abdominis muscles. This separation is precisely in the linea alba which is the midline of the abdomen. DRA is characterized by two things, namely the widening of the inter-recti distance (IRD) and the appearance of a bulge in the abdomen. This is due to stretching and weakness of the linea alba. This study aims to analyze the effect of core stability exercise on reducing diastasis recti abdominis in normal postpartum mothers based on the results of a number of previous primary studies. Subjects and Method : This study uses a meta-analysis method with articles searched using the search keywords "Core stability exercise" AND "diastasis recti abdominis" OR "normal post partum" OR "caliper" OR "ultrasonography" OR "Randomized Controlled Trial" OR "RCT" from PubMed, Google Scholar and Scopus and processed using RevMan 5.3. Results : 9 RCT articles that fit into the inclusion criteria, with a total of 319 samples. Normal post­partum mothers with diastasis recti abdominis who received core stability exercise had an average caliper score of 4.71 units lower than those without core stability exercise, and the effect was statistically significant (SMD= -4.71; 95% CI -8.05 to -1.37; p= 0.060). Normal postpartum mothers with diastasis recti abdominis who received core stability exercise had an average ultrasound score of 0.80 units lower than those without core stability exercise, and the effect was statistically significant (SMD= -0.80; 95% CI -1.62 to 0.02; p= 0.060). In other words, core stability exercise is effective in reducing diastasis recti abdominis in normal postpartum mothers. Conclusion: Core stability exercise has an effect on reducing diastasis recti abdominis in mothers after normal delivery. Keywords: post partum, diastasis recti abdominis, core stability exercise, calipers, ultrasound Correspondence: Feny Oktaviyani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: fenyokta89@gmail.com. Mobile: +6281312500­575. Indonesian Journal of Medicine (2022), 07(02): 188-199 https://doi.org/10.26911/theijmed.2022.07.02.07

PENGARUH OKETANI MASSAGE TERHADAP KECUKUPAN ASI PADA IBU POSTPARTUM DI PRAKTIK BIDAN MANDIRI

Breastfeeding to babies is important in supporting the growth process. This is of course influenced by the production of breast milk so as to produce a good sufficiency of breast milk. Oketani massage can stimulate the oxytocin reflex release, and patient comfort This study used a quasi experimental study with a time series design. The sample in this study were normal postpartum mothers on the first day in Primary Health Care Kasih Ibu as many as 16 respondents in the intervention group and 16 respondents in the control group. Data were collected through primary and secondary data. The research instruments were baby scales, observation sheets and standard procedures for massage oketani. Analysis of data used repeated measured Anova The results showed no significant difference between the two groups in terms of neonatal weight gain on day 1 before the intervention (P = 0.17). However, there was a statistically significant difference between the two groups after intervention at day 5 and 10 of the intervention (P <0.001). This study shows that Oketani massage compared to routine care increases the adequacy of breast milk through neonatal weight gain in nursing mothers. This study suggests that oketani massage in postpartum mothers can increase the adequacy of breast milk and this treatment can be used as an alternative nurse for normal post partum mothers.

PERBEDAAN SELF EFFICACY PADA IBU MENYUSUI POST PARTUM NORMAL DAN POST SECTIO CAESAREA DI RSUD SEKARWANGI KABUPATEN SUKABUMI

The target for exclusive breastfeeding for infants is still lower than 80% of the national exclusive breastfeeding coverage target. Breastfeeding self-efficacy is the confident or belief possessed by mothers to breastfeed and be a predictor in exclusive breastfeeding for their babies, both in normal postpartum mothers and Post Sectio Caesarea. The purpose of this study was to determine the differences in self-efficacy in normal postpartum breastfeeding mothers with post sectio caesarea. This type of research uses a comparative study with a sample of 70 respondents and sampling with quota sampling. The questionnaire uses Breastfeeding Self Efficacy (BSE). Data analysis used an independent sample t-test. The results showed that the postpartum normal breastfeeding mothers obtained a mean of 60.48, while the postpartum cesarean breastfeeding mothers obtained a mean of 46.80. There is a difference in self-efficacy in normal postpartum breastfeeding mothers with post sectio caesarea with a p-value of 0,000. The results of the study can be a reference in increasing counseling to nursing mothers about the importance of exclusive breastfeeding in infants aged 0-6 months.

PENGARUH PEMBERIAN SIMPLISIA JANTUNG PISANG KEPOK TERHADAP PENINGKATAN PRODUKSI ASI PADA IBU POST PARTUM DI PBM NURHAYATI DAN KLINIK PRATAMA NINING PELAWATI KEC. LUBUK PAKAM TAHUN 2020

Banana blossom is a food that has many benefits and is easily obtained by the community because it can be easily planted in the yard of the house. Banana blossom processing in the community can be done by boiling and steaming. Banana blossom also contains protein, minerals (especially phosphorus, calcium and iron) and a number of vitamins A, B1 and C. There are many reasons for mothers do not give exclusive breastfeeding to their babies. However, what is most often found is insufficient breast milk. There are several factors that influence milk production, one of which is the food factor. One of the efforts to increase breastmilk production that will be carried out is by giving Kepok Banana blossom Simplicia. This study aims to determine the effect of Kepok banana blossom simplicia on increasing breast milk production in postpartum mothers at Nurhayati and Nining Pelawati Midwifery Pratama Clinic, Lubuk Pakam sub district in 2019. This type of research was a Quasi Experiment with a Non Equivalent Control Group design and purposive sampling. Samples were normal postpartum mothers from day 7 to day 21 with parity of 1-2 and were willing to take part in the study through informed consent. Based on the results of the Wilcoxon Rank test and the Mann-Whitney test, it was obtained a p-value of 0.000 (? <0.05), which means that there was a significant effect on the simplicia of Kepok banana blossom on increasing milk production in postpartum mothers and it is expected that it can be used as an effort to increase milk production in postpartum mothers and to meet the needs of babies without having formula milk.
 
 

PENGARUH PEMBERIAN PUDING SARI PEPAYA TERHADAP PRODUKSI ASI PADA IBU POSTPARTUM DI BPM SUGIHARTI LUBUK PAKAM TAHUN 2020

Introduction: One of the obstacles that occur in postpartum mothers is not giving exclusive breastfeeding. According to UNICEF data (2018) the coverage of exclusive breastfeeding in the world is only around 36%. Papaya fruit provision to postpartum mothers is one of the efforts to increase breast milk production, the aim of this study was to find out the effect of papaya juice pudding provision to breast milk production in postpartum mothers at Sugiharti midwifery clinic of Lubuk Pakam in 2020.
 Methods: This type of research was Quasi Experiment with a Posttest Only Control Group design and the sampling used was purposive sampling. Samples were 30 postpartum mothers, namely 15 experimental groups who gave papaya juice pudding and 15 control groups who were not given papaya juice pudding with the inclusion criteria of normal postpartum mothers, infants who were given early breastfeeding initiation, mothers who did not consume drugs, herbal / Other breastfeeding smoothing supplements, willing to take part in the research through Informed Consent, were given in the experimental group papaya juice pudding while in the control group papaya juice pudding was not given.
 Results and Discussion: This research on giving papaya juice pudding was conducted for 7 consecutive days and then measured the volume of breast milk using Breastpump. Based on the results of the study showed that the average milk production of the experimental group was 128.00 and the average milk production of the control group was 91.20, so the difference in breast milk production was 36.8. Then it can be seen that the results of the Independent T-Test test obtained a P-Value of 0.000 (? <0.005).
 Conclusion: The provision of papaya juice pudding has an effect on increasing breast milk production in postpartum mothers. It is suggested to midwifery clinic to utilize papaya fruit which can be processed into papaya juice pudding to increase breast milk production in postpartum mothers so that mothers give exclusive breastfeeding to their babies.