Postpartum Mothers Research Articles

PENGARUH PEMBERIAN SUSU KEDELAI TERHADAP PENINGKATAN PRODUKSI ASI PADA IBU POSTPARTUM

Maternal deaths occur after childbirth in around 60% of cases, and postpartum obstetric care with monitoring eliminates 50% of these deaths. The puerperium is a critical time for mothers. Breast milk is essential for preserving an infant's health and survival. Breastfeeding should begin as soon as possible, ideally in the first 30 to 60 minutes following delivery.The goal of the baby's suction on the mother's nipple is not to extract a large amount of milk. Soy milk or soy beans are commonly available and reasonably priced, and they can facilitate a smoother nursing experience. This study aimed to ascertain whether providing soy milk to postpartum moms could enhance their supply of breast milk. In this work, a case study methodology was combined with descriptive research techniques. Mrs. "D," who is receiving care at Hj. Bunda Halimah Hospital in Batam City, has an enhanced milk production that is measured by using observation sheet with LATCH scores. The results of the study after being given soy milk 2 times in 3 consecutive days with a LATCH score of 9 (good). The conclusion of midwifery care in postpartum mothers by giving soy milk times in 3 consecutive days has an effect on increasing Mrs. D's milk production

PIJAT LAKTASI UNTUK MELANCARKAN ASI PADA IBU POST PARTUM

The care provided by midwives throughout the life cycle, including pregnancy, childbirth, postpartum, and family planning, is known as comprehensive midwifery. Midwives provide this care to their patients to carry out their duties as midwives. Lactation massage targets several areas, including the breasts, back, shoulders, and neck. The basic idea behind lactation massage is to induce a state of relaxation in the mother, which in turn increases breast milk production by the hormone oxytocin. Since most women do not produce enough breast milk after giving birth, lactation massage aims to stimulate breast milk production. This is due to the fact that a woman's energy levels will be very different after giving birth compared to when she was pregnant, when her milk supply was more stable and the breastfeeding mother felt calmer. This research uses case study methodology, which is a type of descriptive research. By utilizing trackers. There will be a decrease in calcium levels in breast milk when a postpartum mother uses lactation massage to stimulate breast milk production for thirty minutes, twice a day. After giving new mothers a 30-minute lactation massage, researchers found that their breast milk production increased. In short: Women who have recently given birth can benefit from lactation massage by increasing the amount of breast milk they produce.

Subcutaneous Semaglutide during Breastfeeding: Infant Safety Regarding Drug Transfer into Human Milk.

Postpartum mothers and their healthcare providers often face the challenge of limited data regarding the safety of drug therapies during lactation. Pregnancy can lead to sustained weight gain, and obesity can negatively impact both physical and psychological well-being. The introduction of GLP-1 agonists to augment weight loss has become a topic of interest for many postpartum mothers. Our study aims to investigate the transmission of semaglutide into human milk in the first steps to ensure the safety and health of both lactating mothers and their breastfed infants. Semaglutide quantification was performed using high-resolution liquid chromatography-mass spectrometry. InfantRisk Center Human Milk biorepository released milk samples from eight women collected at 0, 12 and 24 h post-semaglutide administration. Semaglutide was extracted using protein precipitation in methanol, followed by chromatographic separation. Linear calibration curves for the method ranged between 2.5-30 ng/mL, with a limit of detection of 1.7 ng/mL and a limit of quantification of 5.7 ng/mL (LLOQ). Semaglutide was not detected in any of the collected human milk samples. A worst-case scenario of the relative infant dose (RID) was calculated using the LLOQ as the drug concentration in milk when considering semaglutide's bioavailability and long-acting dose profile. The maximum RID projected was 1.26%, far below the standard 10% safety threshold. While questions about long-term infant outcomes, the safety of maternal nutrient intake, and the nutrient content of breast milk remain, our findings suggest that semaglutide concentrations in human milk are unlikely to pose clinical concerns for breastfed infants. These results support healthcare providers in making informed decisions regarding postpartum therapeutic interventions.

Edukasi Ibu Hamil dan Ibu Post Partum Tentang Bahaya Depresi Post Partum di Puskesmas Kassi-Kassi

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.

The Relationship Between Knowledge and Attitude of Postpartum Mothers Towards the Incidence of Primary Postpartum Haemorrhage (Hpp) at Bojonegoro Dander Health Centre

The Relationship Between Knowledge and Attitude of Postpartum Mothers Towards the Incidence of Primary Postpartum Haemorrhage (Hpp) at Bojonegoro Dander Health Centre

Postpartum Yoga on Fitness Postpartum Mother

Postpartum mothers experience physical and psychological changes, this greatly affects breast milk production and postpartum mother's fitness. Analyzing the effect of using the Postpartum Yoga movement on fitness in postpartum mothers and producing a proper Postpartum Yoga movement and its effective application so as to improve the welfare. quasi-experimental (Quasi Experiment Research) with Pre and Post Test approach with Control Group Design. This study involved a control group and a treatment group, 30 experimental and control groups of 30 respondents. The intervention given to the experimental group was postpartum yoga intervention 2 times for 2 weeks, while in the control group the standard of care for postpartum mothers was postpartum mothers who gave birth normally. The data were tested using the Wilcoxon test and the Mann-Whitney test. Postpartum yoga was effective in improving fitness (p-value 0.02) compared to the control group. Postpartum Yoga as an educational medium for holistic-based midwifery care during pregnancy and the puerperium, and its application is effective in improving fitness in postpartum mothers. It is recommended for postpartum mothers to use the Postpartum Yoga movement as an intervention to increase breast milk production and fitness in postpartum mothers.

The Relationship of Cleanliness and Vulva Hygiene in Postpartum Mothers' Perineal Wound Infection

Infection during the postpartum period is one of the reasons for the high number of deaths in Mothers. Data from the 2018 WHO shows that infection is the second cause of postpartum maternal deaths in the world. In Indonesia, infection contributes to 10% of deaths of mothers in Indonesia (Sarwono, 2018). Infection perineal wounds were 207 cases (West Java Health Office, 2021). Guard cleanliness and vulva hygiene with Correct can prevent infection of the mother's perineum postpartum. Research objectives This is, for now, the connection between cleanliness and vulva hygiene in infections postpartum mother's perineal wounds at PMB Midwife M in 2023. Types and Designs Study This use method survey analytic observational with a cross-sectional approach. Research sample This is a total sampling technique where the sample size is the same as the population, namely 30 people. Method of collecting data in research: This is done through questionnaires and sheet observations. Then, the data is analyzed in a way univariate and bivariate with the Chi-square test (X 2) at a significant level ? 0.05. The results of the study show that there were six respondents who did not do vulva hygiene well, and 1 of them experienced infection. Got its mark from variable vulva hygiene with incident infection perineal wounds p = 0.000. Results p value <0.05, then Ha is accepted. Yes, there is a connection between cleanliness and vulva hygiene with incident infection perineal wounds in mothers postpartum in PMB M, the expected public can increase the role of active Mothers postpartum to get information about health, especially about vulva hygiene.

Edukasi Ibu Hamil dan Ibu Post Partum tentang Bahaya Depresi Post Partum di Puskesmas Kassi-Kassi

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.

Nursing Care for Mrs. N Post Sectio Caesarea with Ineffective Breastfeeding Nursing Problems in the Rose Room of Waled Hospital

Recovery from Sectio Caesarea takes time, so breastfeeding early in the baby's life will be difficult. Breast milk is one of the best food sources for newborns because it has many important substances that increase immunity to diseases. The purpose of this study is to ensure students are able to provide nursing care to Mrs. N Post SC with ineffective breastfeeding nursing problems. Method: using descriptive case studies compiled from the results of observation, interviews, and data analysis to intervention and evaluation. The research was conducted in the Rose Room of Waled Hospital, Cirebon Regency in February 2024. The sample in this study is postpartum mothers with SC delivery, which focuses on nursing problems, namely ineffective breastfeeding. Breast care is done 1 time a day within 2 days. Results: based on the research that has been carried out, breast milk production increases after breast treatment.

Perinatal depression screening by health cadres in Indonesia: EPDS or Whooley?

PurposeThis study aims to investigate the feasibility of health cadres in Indonesia to take perinatal depression screening in the community using Edinburgh Postnatal Depression Scale (EPDS) and Whooley.Design/methodology/approachThe field study involved 11 health cadres (community volunteers who assist in maternal and child health) who were trained to administrate EPDS and Whooley towards 36 pregnant and postpartum mothers in a low resource urban setting for a month. A comparison of scores from both tools, the number and type of mistakes made by the cadres, and cadres perception about the tools were combined to determine the most feasible tool for cadres in identifying depression symptoms.FindingsThe results show both tools are comparable for screening depression symptoms in mothers; however, EPDS was better at differentiating the level of symptoms. Whooley, with two case-finding questions, is simpler for cadres, whereas the EPDS is more difficult to be computed by cadres. Cadres support the implementation of such a screening, as it provides a channel for mothers to express their negative feelings.Research limitations/implicationsThe findings indicate Whooley is sufficient for first-level screening in the community by cadres, whereas the EPDS should be used by qualified health-care workers for further evaluation at primary health clinics.Practical implicationsHealth cadres could potentially be trained to use standardized yet simple psychological tools. Involving trained health cadres in integrated maternal mental health services in primary health care in Surabaya, Indonesia is promising.Originality/valueThe use of the EPDS and the Whooley questions has not been applied in Indonesia particularly among health cadres despite their long-lasting role in primary health-care system.

The Efficacy of Educational Videos on Perineal Wound Care Using Red Betel Extract Salve in Enhancing the Knowledge and Attitudes of Postpartum Mothers for Improved Healing

The Efficacy of Educational Videos on Perineal Wound Care Using Red Betel Extract Salve in Enhancing the Knowledge and Attitudes of Postpartum Mothers for Improved Healing

Pengaruh Pemberian Seduhan Daun Sirih terhadap Lama Penyembuhan Luka Perineum Ibu Nifas di PMB Endang Pasar Minggu Jakarta Selatan

perineal injury in puerperal mothers refers to tears that occur in the birth canal, both caused by Labor and episiotomy. This tear can occur spontaneously or through an episiotomy. Perineal care is important to prevent infection, as inadequate care can lead to infection, which is one of the causes of postpartum maternal death. Based on this, the researchers tried an alternative by using betel leaf steeping to accelerate the healing of perineal wounds. This study aims to determine the effect of betel leaf steeping on the duration of perineal wound healing in puerperal mothers in PMB Endang Pasar Minggu, South Jakarta. this study uses a quantitative approach with Pre-Experimental design and One-Shot Case Study. The sampling technique used was consecutive sampling, with a total of 20 participants. research shows that most postpartum mothers experience rapid perineal wound healing after receiving treatment with betel leaf steeping. The one sample proportion test revealed that 60% of respondents experienced a decrease in perineal injuries after being given betel leaf steeping. there is an effect of betel leaf steeping on long-term perineal injury in puerperal mothers in PMB Endang Pasar Minggu Jakerta Selatan.

Oxytocin Massage Education for Postpartum Mothers to Improve the Smooth Production of Breast Milk (Breast Milk)

Oxytocin massage, a technique involving the massaging of the vertebrae to the fifth-sixth costae (ribs), aims to stimulate the hormones prolactin and oxytocin, thereby enhancing breast milk production. Breast milk is the optimal nourishment for infants, containing the essential nutrients in ideal proportions. A common challenge in the initial stages of breastfeeding is the insufficient production of breast milk on the first day postpartum. Oxytocin massage is a method used to facilitate the smooth flow of breast milk. This study aims to increase the knowledge of postpartum mothers about oxytocin massage and its role in stimulating breast milk production. A descriptive case study approach was employed in nursing practice. The study focused on educating postpartum mothers about the steps and benefits of oxytocin massage. The findings indicate that mothers who were educated about oxytocin massage not only understood the technique but were also able to perform it effectively. There was a notable increase in the mothers' knowledge and practical ability regarding oxytocin massage therapy. Enhancing the understanding and application of oxytocin massage among postpartum mothers can play a significant role in overcoming initial breastfeeding challenges, ensuring better nourishment for infants through increased breast milk production.

INFLUENCE OF HEALTH EDUCATION THROUGH BOOKLET MEDIA ON PUBTER WOMAN KNOWLEDGE ABOUT EXCLUSIVE BREASTFEEDING AT PMB MURNIYATI

As reported by the World Health Organization (WHO), less than half of infants under the age of six months worldwide are exclusively breastfed. In Indonesia, the proportion of infants who are exclusively breastfed has remained unchanged over the past two years. The Indonesian Nutrition Status Survey (SSGI) indicates that the prevalence of early breastfeeding initiation was 47.4 percent in 2021 and 58.1 percent in 2022. Additionally, the data for exclusive breastfeeding among infants aged 0-5 months was 52.1 percent in 2021 and 52.2 percent in 2022 (Saragih and Istianah, 2022). The objective of this study is to ascertain the impact of health education on postpartum mothers' knowledge regarding exclusive breastfeeding at PMB Murniyati. This study utilizes a quantitative research design with a quasi-experimental approach and a one-group pretest-posttest model. The sampling technique employed was total sampling, with a sample size of 30 individuals. The instrument utilized was a questionnaire designed to assess knowledge about exclusive breastfeeding. The data were analyzed using the Wilcoxon signed-rank test. The results of the study demonstrated that health education had a significant impact on postpartum mothers' knowledge and skills regarding the correct breastfeeding technique at PMB Murniyati. This was evidenced by a statistically significant difference in the pretest and posttest p-value (p < 0.05). The findings of this study indicate that health education has a significant impact on postpartum mothers' knowledge about exclusive breastfeeding at PMB Murniyati.

GAMBARAN PERCEIVED SOCIAL SUPPORT PADA IBU POSTPARTUM PRIMIPARA YANG MEMILIKI BODY IMAGE POSITIF

Perceived social support (PSS) received by postpartum primiparous mothers are considered effective to support the whole forming process regarding body image satisfaction after giving birth. This research was aimed to get an overview of PSS in primiparous postpartum mothers with body image satisfaction using descriptive qualitative research methods involving three participants. The data collection process was carried out by using semi-structured interviews and analyzed using the thematic analysis method. The research results show that there are differences between how which PSS plays an important role in helping mothers perceived post partum’s body shape changes. Out of the four types of PSS, emotional/esteem support and belonging/companionship support are considered to play an important role in helping the process of forming a body image satisfaction for primiparous postpartum mothers. How they perceive the social support they received supports them in accepting, increasing self-confidence, and understanding their body shape after giving birth.

A rare case of pulmonary embolism in a postpartum mother with MTHFR heterotrophic allele

No abstract available

Factors Associated with The Utilization of Immediate Postpartum Family Planning Among Women Attending Kibogora Health Center, Nyamasheke District, Rwanda

Although the main purpose of Postpartum Family Planning (PPFP) is to address problem of unmet need of the existing Family Planning (FP), decrease pregnancies and its bad outcomes, the PPFP uptake is still low in developing countries. Little is known about factors associated with acceptance of PPFP among delivered women at health center level. This study sought to assess factors (Socio-demographic, cultural, and healthcare system related) associated with the use of FP methods among postpartum mothers at Kibogora Health Center in order to fill the literature gap. The study used a cross-sectional design with quantitative approach to collect data from 196 postpartum mothers attending the Health Center. Data was collected using questionnaires, entered into Microsoft Excel, and exported in SPSS for analysis. Of 196 women recruited in our study, 180 (91.8%) are using PPFP contraceptives methods. Factors associated with the use of PPFP methods at health center level include: mothers’ communication with partners about PPFP, which is likely to increase by almost three times the chance of using PPFP (cOR 2.7, 95% CI, 0.26, 0.33; P=0.03) compared with those who never communicate with their partners, and mothers delivered by caesarean section are by seven times more likely to accept PPFP (cOR 7.05, 95% CI, 0.08, 0.10); P=0.008) compared with those who undergo vaginal delivery. Therefore, strengthen a comprehensive education program aiming at scaling up communication between mothers and their partners about PPFP, and the role of PPFP on decreasing spontaneous pregnancies and bad pregnancy outcomes regardless the mode of delivery are recommended.

Inundated With “Bounce Back” Culture: An Interpretative Phenomenological Analysis of Postpartum First-Time Mothers’ Body Image Dissatisfaction and Mental Health Implications

This study explored the lived experiences of and meaning made from postpartum mothers and their journey with their body image following childbirth. Using an Interpretative Phenomenological Analysis design, seven women were interviewed to understand their lived experiences. The Developmental Theory of Embodiment was used to help make sense of the postpartum mothers’ experience and meaning-making processes. Themes included: (a) transformation of maternal body image, (b) sociocultural pressures of bouncing back, and (c) holding the duality of postpartum body dissatisfaction and body appreciation. Implications are provided for counselors. Recommendations include thoroughly assessing for and treating body image and related mental health needs for postpartum mothers.

Multiple-component interventions to increase rotavirus vaccine uptake in children: a randomised controlled trial

Rotavirus vaccine has not been included in the Hong Kong Government's Childhood Immunisation Programme. This randomised controlled trial examined whether a simple intervention package can increase rotavirus vaccine uptake in Hong Kong children. Postpartum mothers were recruited from two public hospitals in Hong Kong and randomly allocated into three groups using block randomisation, with block sizes kept unknown to investigators and research staff. Control-subjects received public rotavirus information. Subjects in intervention group 1 additionally received: key rotavirus information with a hyperlink to a webpage showing private clinics providing rotavirus vaccines and guidance on searching the clinics, and vaccination reminders. Subjects in intervention group 2 received the same intervention as group 1, plus tokens to receive free rotavirus vaccines at specific health centres. Rotavirus vaccination status was collected when children were approximately 8 months old. Maternal attitudes towards rotavirus vaccine were assessed at enrolment and at the end of the study. This trial has been registered in the Chinese Clinical Trial Register (Ref.:ChiCTR2000039791). From 16 February to 30 July 2021, 788 eligible mothers were recruited and randomly allocated to control group (n=263), intervention group 1 (n=263), and intervention group 2 (n=262). The full intervention package (intervention group 2 relative to control group) increased rotavirus vaccine uptake by 1.7 times (95% confidence interval [CI]=1.49-1.97) or by 33 percent-points (from 48% to 81% uptake). Provision of key rotavirus information with vaccination reminders (intervention group 1 relative to control group) and removal of financial barrier (intervention group 2 relative to intervention group 1) increased uptake by 1.17 times (95% CI=0.99-1.38) or 8 percent-points, and by 1.46 times (95% CI=1.29-1.66) or 25 percent-points, respectively. A multiple-component intervention package, and in particular providing free vaccine, could increase the uptake of rotavirus vaccine in Hong Kong children. The impact of the intervention package was greatest in low-income families, emphasising the importance of removing financial barriers to vaccination to promote equity. Incorporating rotavirus vaccine into the routine CIP could further protect more young children from rotavirus infection and improve equity. This work was supported by the Health and Medical Research Fund by the Health Bureau, Government of Hong Kong SAR [Ref.: 19180202].

Hubungan Pengetahuan dan Sikap Ibu Dengan Pemberian MP-ASI Dini di Wilayah Kerja Puskesmas Idi Rayeuk Kabupaten Aceh Timur Tahun 2023

The purpose of this study was to determine the relationship between maternal knowledge and attitudes with the provision of early complementary feeding in the work area of ​​the Idi Rayeuk Health Center, East Aceh Regency in 2023. This study used a quantitative approach with an observational research type with a cross-sectional study design. The number of samples based on the sample formula was 48 people taken by simple random sampling. There was a significant relationship between knowledge (p = 0.022) and attitudes (p = 0.006) of postpartum mothers with the provision of early complementary feeding in the work area of ​​the Idi Rayeuk Health Center, East Aceh Regency in 2023. It is hoped that health workers will play a role in increasing public knowledge about complementary feeding and increasing their role in efforts to achieve exclusive breastfeeding through counseling and education.