Practice Of Midwives Research Articles

Effectiveness of Electronic Partograph Compared to Manual Partograph in Improving Labor Documentation in Independent Midwife Practice

Partograph is an important tool in labor management that aims to monitor the progress of the labor process and identify potential complications. In today's digital era, the use of electronic partographs has begun to be introduced as an alternative to manual partographs. This study aims to explore the effectiveness of electronic partographs compared to manual partographs in improving labor documentation in independent midwife practices. This study used a qualitative approach with in-depth interviews with 30 independent midwives who used both types of partographs in their practice. Data were collected from direct observation and document analysis to assess the quality of labor documentation produced. Analysis was carried out using thematic analysis methods to identify key themes that emerged from the data. The findings showed that 90% of electronic partographs improved the accuracy and consistency of documentation compared to manual partographs. Most midwives reported ease in accessing and storing data, as well as the ability to reduce human error. However, several obstacles related to technology accessibility and training needs were also identified. The use of electronic partographs in independent midwife practices shows significant potential in improving labor documentation. Despite challenges in implementation, the benefits gained in terms of accuracy and efficiency support further adoption of this technology in maternal health practice.

Knowledge, Perceptions and Practices of Midwives in the Prevention of Pressure Injuries in Neonatal Critical Care Units

Introduction: pressure injuries (PI) in critically ill neonates are a health problem with a negative impact on morbidity, mortality, and healthcare costs. Knowledge and management of PI prevention by healthcare professionals are crucial for improving clinical practice. Objective: to analyze the level of knowledge, perceptions, and practices of midwives in Neonatal Critical Care Units (NCCU) regarding PI prevention. Material and Methods: a quantitative, descriptive, non-experimental, cross-sectional study with a sample of 32 midwives from three NCCUs in the Fifth Region of Chile. The validated PREVINTLPP questionnaire was used. Results: knowledge of PI prevention was insufficient (average 64,8 % minimum 70 % to be considered adequate), with great variability in responses. Adherence to recommended clinical practice was even lower (43,5 % on average). There is awareness that PIs are a quality indicator, but 96,9 % are unaware of international guidelines for their management. Conclusions: Knowledge of PI prevention in the study sample is inadequate, possibly due to poor knowledge management. Further investigation into the causes and implementation of specialized training programs are needed to improve the quality of care and patient safety.

Birth in the time of COVID-19: Midwives’ experiences of providing care during the 2020 Covid-19 pandemic in Aotearoa New Zealand

Introduction: During the COVID-19 pandemic lockdowns in 2020, midwives in Aotearoa New Zealand were classified as essential workers and continued providing maternity services in hospitals, birth centres and the community. Midwives adapted their practice, using virtual care and navigating the restrictions imposed on birthing women/people and their whānau. This paper reports on midwives’ experiences of providing care during the pandemic. Aim: To identify the impacts of the pandemic on midwives providing antenatal, labour and birth, and postnatal care to birthing women/people and their whānau during the 2020 Level 4 and Level 3 restrictions. Method: In-depth exploratory interviews and Braun and Clarke’s (2019) process of reflexive thematic analysis were used to explore impacts on the practice and personal lives of midwives. Findings: Fifteen midwives described their work-related challenges: significantly increased workloads, inconsistent messaging regarding practice guidance between health authorities and others, and limited access to personal protective equipment. Reflections about wider professional interests included these midwives’ immense pride in their profession and their increased agility in the use of new technologies. But these positive elements were juxtaposed against a perceived lack of recognition and financial support for their increased workloads, leaving midwives feeling marginalised and invisible. Midwives’ personal lives were significantly challenged by the stress and fear of facing COVID-19 itself, the juggle of managing their work and whānau lives, and their sense of conflict from feeling unable to practise in ways that aligned with their philosophies of inclusion and family-centredness. Conclusion: Despite challenges, these midwives were committed to whānau in their care and demonstrated resilience, adaptability and resourcefulness in meeting their needs. Health planners should recognise that, as a primary health service, a significant amount of midwifery care is provided in the community setting and future pandemic planning should ensure smooth provision of resources to community-based midwives. Streamlining of information from trusted sources, together with consistency across the country, will assist midwives to respond to health directives confidently.

Electric therapy is used to reduce pain in a mother giving birth

<p><strong><em>Background:</em></strong><em>Pain during labor is a physiological response but can result in an increase in catecholamines which result in disrupting uterine contractions which can cause uterine inertia, prolonged labor, inadequate oxygenation to the fetus and fetal distress, as well as death of the mother and/or fetus if labor pain is not treated. According to (Utami & Putri, 2020) Severe pain can affect the increase in heart rate, respiratory system, increase in blood pressure and can cause stress, thereby inhibiting the release of the hormone oxytocin which results in inadequate contractions and disruption of cervical dilatation. Uterine contractions cause complaints of labor pain which can cause anxiety and fatigue in the mother during labor and have a negative influence on the progress of labor and the well-being of the fetus.Non-pharmacological pain management includes administering electrical therapy (TENS). Transcutaneous electrical nerve stimulation (TENS) is a therapy that uses electric current to treat pain due to various conditions, ranging from nerve disorders, disorders, to pain due to childbirth. </em></p><p><strong><em>Objectives</em></strong><em> of this research is to find out how much influence electrical therapy has in reducing pain in mothers giving birth. </em></p><p><strong><em>Methods </em></strong><em>The quasi-experimental research design uses a one group pretest-posttest design. The research population was mothers in the first stage of labor in the Sukoharjo Independent Midwife Practice area. The sampling technique was total sampling with a sample size of 20 people. </em></p><p><strong><em>Results </em></strong><em>obtained a reduction value of 1.55 (mean diff.) or a reduction of 23.2% and p=<0.001 (p<0.05) which means there is a significant difference in the pain scale before and after electrical therapy. therapeutic treatment. </em></p><p><strong><em>Conlusions</em></strong><em>, electrical therapy is effective in reducing pain in mothers giving birth.</em></p><em>Key words: electrical therapy, labor pain, mother giving birth.</em>

Building health systems resilience in Central Asia through nursing and midwifery: evidence to inform policy action

BackgroundThe recent announcement of the next WHO State of the World’s Nursing and Midwifery Reports calls for a review of the state of nursing and midwifery worldwide. In the WHO European region, a broad set of health system reforms have been introduced in Central Asian countries (CACs), namely, the Republic of Kazakhstan, the Kyrgyz Republic, the Republic of Tajikistan, Turkmenistan and the Republic of Uzbekistan. These reforms have become the focus of a series of sub-regional policy dialogs between CACs, led by government chief nursing and midwifery officers, to accelerate the implementation of a package of policies to strengthen the capacity of nurses and midwives and build health system resilience. This study reviews the current state of nursing and midwifery capacity and documents future actions that can be taken in CACs.Case presentationA systematic approach was used to describe trends, capacity and gaps in CACs’ education, practice, regulation, leadership, and working conditions of nurses and midwives. Currently, CACs face challenges in increasing the level, quality and evidence-base of nursing and midwifery education, require efforts to expand the role of nurses, with emphasis on PHC and particular attention is required to decent working conditions, including fair income and security in the workplace. The GCNMOs have demonstrated experience in the oversight of both workforces and require support for effective work in making policies. To build health systems resilience in CACs through nursing and midwifery, a strategic package of evidence-informed actions that addresses education, practice, regulation, leadership, and working conditions of nurses and midwives is suggested for the period up to 2030.ConclusionsCurrent educational reforms and curricular development, combined with innovations in clinical practice and working environment can be pursued to foster better access to quality of care, enhance workplace satisfaction and improve recruitment and retention of nurses and midwives. However, to fully achieve this, CACs will require increased institutional capacity; strengthened data for nursing and midwifery planning in the context of health workforce policy and health priorities, and financial and non-financial investment in the nursing and midwifery workforce.

ANXIETY OF MOTHERS BEFORE IUD AND IMPLANT INSERTION

Background: Long-Term Contraceptive Method (LTC) is one of the effective efforts to space pregnancies. There is a psychological impact in prospective Intra Uterine Device (IUD) acceptors regarding the side effects that may appear after installation. One of the obstacles that causes women of childbearing age to use the IUD method is because of the level of anxiety, worry, and fear. Objectives: To analyze the characteristics and determine the level of anxiety of mothers who accept IUD and Implant KB. Methods: This research was a descriptive research type. conducted in August-December 2023 at the Isti Yuliani Independent Midwife Practice (PMB). The sample technique in this study used total sampling with 56 respondents. The research instrument with a questionnaire measuring anxiety levels with HRSA with the results of the Cronbach's Alpha test was 0.793 with the number of items 14 items greater than 0.6. The analysis used univariate.. Results: The characteristics of respondents in this study were 100% in the range of Women of Childbearing Age (WCA), the majority completed secondary education as much as 87.5%, had a parity of more than one 80.4%, respondents were unemployed 83.9%, chose the most LTC was IUD 53.6% and the reason respondents came / visited was to remove and at the same time reinstall LTC IUD & Implant. The anxiety in LTC IUD and Implant acceptors before the installation procedure had a mild anxiety level of 42 people (75%) and with a moderate anxiety level of 12 people (21.4%). Conclusion: The characteristics of respondents were the age of respondents in the range of WCA, the majority had secondary education, parity of more than one, the majority were unemployed, the most LTC was IUD and the reason respondents came / visited was to remove and at the same time reinstall LTC IUD & Implant. The majority experienced mild anxiety.

Effect of an online teaching module on midwives' knowledge, attitude and practice regarding intrapartum ultrasound: A quasi-experimental approach.

Intrapartum ultrasound (IPUS) allows for a more reliable and reproducible assessment of fetal head station and position during labor. This study aimed to investigate how an online education module on IPUS impacts midwives' knowledge, attitudes, and practices (KAP) regarding this topic. Midwives working in the labor ward of the University Hospital of Leuven (Belgium) were invited to participate in an educational program on IPUS in April 2023. A baseline KAP survey was completed upon enrolment, followed by an online education module on the intrapartum sonographic assessment of head station and position. Afterwards, a second KAP survey was completed. Score were compared using a two-sided Wilcoxon signed-rank test. A p<0.05 was considered significant. Statistical analyses were conducted using SPSS (version 29.0.2.0). A total of 45 midwives were eligible for inclusion and invited to participate. From these, 46.7% (21/45) agreed to take part. Attitudes towards IPUS were positive, as most perceived it as safe, time-efficient, and beneficial for medical-decision making. However, only two midwives (9.1%) sometimes used IPUS themselves during the second stage, whereas none used it during the first stage. A significant improvement in knowledge scores was recorded after the online education module for both the sections on fetal head station (median score 0/5 to 2.75/5, p=0.01) and position (median score 2.5/5 to 3.5/5, p=0.04). No significant differences were observed in the overall attitude scores, as they remained overall positive (4.5/5 to 5/5, p=0.18). Although having little experience with IPUS themselves, most participating midwives perceive it as an acceptable, time-efficient, and safe imaging modality. A short online education module resulted in a significant improvement in their knowledge of these topics. Further implementation research is needed to investigate how the uptake of IPUS amongst midwives can be improved, and how this can improve overall labor care.

The need for educational intervention for breastfeeding women and the professional practice of midwives in France to promote breastfeeding: A joint explanatory study.

The study was registered on the official website of ClinicalTrials.gov. ID NCT05271812.

Implementation of Health Insurance System in Independent Practice Midwives (Bpm) in the Framework of Maternal and Child Health According to Law Number 40 Year 2004 (Study in Surabaya City)

Abstract Introduction to the Problem: Health is a basic right guaranteed by the Indonesian constitution. The government, through BPJS Kesehatan, seeks to provide access to health services for all, including mothers and children. However, Independent Practitioner Midwives (BPM) often face obstacles in cooperation with BPJS. Purpose/Study Objectives: This study examines the implementation and constraints of the BPM health insurance system according to Law No. 40 of 2004. Design/Methodology/Approach: Primary data was obtained through observation and interviews with independent practicing midwives (BPM) in Surabaya. Secondary data came from legislation and legal literature. The analysis is done qualitatively by integrating empirical data and literature study to get a systematic conclusion. Findings: The health insurance system in independent midwives (BPM) provides access to maternal and child health in accordance with Law No. 40 Year 2004. BPMs are obliged to cooperate with BPJS Health to ensure affordable and quality health services. However, BPMs often face administrative and technical obstacles in establishing cooperation with BPJS, affecting the effectiveness of services.The implementation of the health insurance system in Independent Practitioner Midwives (BPM) in accordance with Law No. 40/2004 has improved access to maternal and child health in Indonesia. BPMs that cooperate with BPJS Health help reduce maternal and infant mortality rates. However, administrative, technical and financial constraints remain. Solutions include simplifying administration, improving facilities, and improving the claims payment system. Paper Type: Research Article

Investigating the relationship between happiness and self-esteem with self-efficacy in the clinical performance of midwives working in medical centers and comprehensive health services.

Self-efficacy is one of the factors affecting correct performance, especially in emergency and stressful situations. The mental state of people can affect their performance. The present study was conducted with the aim of determining the relationship between self-esteem and happiness with self-efficacy in the clinical practice of midwives working in medical centers and comprehensive health services in Isfahan city. The present study was a quantitative correlational study that was carried out using a quota method on 200 midwives working in health centers and comprehensive health services in Isfahan in 2021-2022. The tools used in this research were happiness, self-esteem, and self-efficacy questionnaires in clinical practice. The collected data were analyzed by descriptive statistics and Pearson's correlation coefficient test. The results showed that the average clinical performance self-efficacy score in midwives was 24.15 ± 109.02, the average happiness score was 14.95 ± 65.32, and the average self-esteem score was 24.40 ± 1.52. There is a significant relationship between the overall clinical performance self-efficacy score and both variables of happiness (P = 0.001, r = 0.03) and self-esteem (P = 0.04, r = 0.091). According to the results of this study, paying attention to the happiness and self-esteem of midwives and promoting them can improve their efficiency and performance and ultimately improve the health of mothers and babies and then the society.

Analysis of Service Management on the Quality of Public Services: Case Study of One of the Midwives' Practices in Soreang, Bandung Regency

A midwife is a woman who has successfully finished a government-recognized Midwifery education program, either nationally or internationally and has fulfilled the necessary criteria to practice Midwifery. The significance of public service quality and midwives underscores the crucial contribution of midwives in delivering high-quality health care to the community. This study seeks to enhance the service management employed by a midwifery practice in Soreang, Bandung Regency, concerning the quality of public services. This research employs a descriptive qualitative approach utilizing observation and interview techniques, comprising 15 participants, including midwives, administrative personnel, and patients. The study's findings demonstrate that the service quality at a Midwife Practice in Soreang, Bandung Regency, aligns with the standards of Reliability, Responsiveness, Tangibility, Assurance, and Empathy. The current service system adheres to the principles of simplicity and transparency, resulting in health care quality management at a Midwife Practice in Soreang, Bandung Regency, being widely regarded as satisfactory.

HUBUNGAN PEMAKAIAN KONTRASEPSI SUNTIK 3 BULAN DENGAN KENAIKAN BERAT BADAN AKSEPTOR KB DI BPM ENDAH SETIATI, SST DESA TONGAS WETAN

Injection contraception is a contraceptive method that is widely used in Indonesia. The proportion of injection contraception use was 62.77%. Most acceptors of 3-month injection KB experience an increase in body weight. This is because progesterone stimulates the appetite control center in the hypothalamus, thereby influencing eating behavior. One study showed that many injecting contraceptive users stopped due to side effects such as menstrual disturbances, weight gain, headaches, and stomach discomfort. The purpose of this study was to determine the correlation between the use of 3-month s injection contraception and the increase in the weight of family planning acceptors at Endah Setiati, SST Independent Midwife Practice Tongas Wetan village. This study used a retrospective, using secondary data. With correlation research design with a cross sectional study approach. The population in this study was the number of acceptors of 3-month s injectable family planning at Endah Setiati, SST Independent Midwife Practice. From January to December, 90 people using the total sampling technique and statistical tests used the Chi square test. The results of this study revealed that of the 90 acceptors of the 3-month s injection, most of the acceptors used it for a long time and experienced weight gain, namely 40 people (44.4%). The results of the Chi Square statistical test obtained p-value = 0.126. However, it can be concluded that there is no correlation between the use of 3-month s injectable birth control and weight gain in Endah Setiati, SST Independent Midwife Practice in Tongas Wetan village. The suggestion of this research, will be able to have an impact on midwifery services in the community, especially in providing explanations to patients about the side effects of using 3-month injectable birth control.

Effect of Oxytocin Massage in the Active Phase of 1 Period On the Length of Labor

Introduction: Prolonged labor is one of the causes of maternal and fetal death; in the mother there will be infection, dehydration, exhaustion, and postpartum hemorrhage, while in the fetus there will be infection, injury, and asphyxia. This is one of the causes of prolonged labor; in the labor process, inadequate conditions will trigger prolonged labor. Oxytocin massage during labor will produce good uterine contractions so that it can speed up the labor process. Objective: The aim of this study was to describe the effect of oxytocin massage during the active phase of the first stage of labor on the length of labor. Method: This study is an experimental study with a case control. The population is all inpartu mothers who gave birth at the Independent Midwife Practice Place (TPMB) located in Bireuen Regency. The sampling technique used purposive sampling with inclusion criteria: being in the active phase of stage I, accompanied by a husband or family during the labor process, willing to do oxytocin massage for at least 15 minutes in the active phase of stage I. The number of samples was 30, which were divided into 2 groups, namely: 15 respondents were given treatment in the form of oxytocin massage in the active phase of stage 1 by their husband or family for 15 minutes in the mother's left side sleeping position (experimental group) and 15 respondents as control cases (case control). Result: The results of the Independent Sample T-Test Sig. (2-tailed) statistical test were 0.000, which is &lt;0.05, so it can be concluded that there is an effect of oxytocin massage in the active phase of the first stage on the length of labor. Conclusion: It is hoped that related parties such as health workers and families can increase the provision of oxytocin massage to mothers in labor so that it can speed up the labor process.

The Effect of Murottal Al-Qur'an on the Anxiety of Pregnant Women in the Third Trimester in the Independent Practice of Midwives in the Bandung City Region

Background: Anxiety is still widespread among pregnant women in Indonesia, and the frequency of this condition is relatively significant. During the third trimester of pregnancy, pregnant women experience a higher level of anxiety compared to the previous trimester. This is because they are more concerned about the labor and delivery procedure that they will go through as well as the pain that they will face during the birth process—taking in the murottal of the Al-Qur'an, which has the potential to induce a soothing effect. Purpose: The aim of this study is to investigate how murottal Al-Qur'an influences third trimester pregnant women's anxiety level. Methode: The study design was a quasi-experiment with a control design that was used before and after the experiment. The study sample was made up of 60 pregnant women from Bandung who were in their third trimester and were between 28 and 36 weeks along. There were 30 expecting women in each of the two groups: the control group and the intervention group. Anxiety observation sheets were used to gather information. The results were looked at with the Mann Whitney test. Result: The intervention group was found to have a mean difference of 9.27, while the control group had a mean difference of 1.17. The Mann-Whitney test results, which were obtained by comparing the posttest results of the intervention group and the control group, indicated that murottal Al-Qur'an had a significant impact on the reduction of anxiety in third-trimester expectant women (p value = 0.017 &lt; 0.05). Conclusion: Murottal al-Qur'an affects anxiety of third-trimester pregnant women.. Suggestion: It is hoped that future researchers will carry out further research by adding variables that can influence the anxiety of pregnant women in the third trimester and a larger number of respondents studied.

How does place impact intrapartum practice for midwives and obstetricians?

BackgroundRising rates of labour and birth interventions are causing concern, having the potential to cause harm if used inappropriately. International evidence demonstrates that place itself influences birth outcomes, but evidence is limited as to how. In New Zealand there are differences in the rates of spontaneous vaginal births by place, along with differences when benchmarking uncomplicated primiparae birthing in hospital maternity facilities throughout the country. AimTo develop understanding of how place influenced midwives’ and obstetricians’ practice in relation to supporting physiological birth. MethodFor this Hermeneutic Phenomenological study participants were purposively selected and consisted of nine midwives (employed and self-employed) and three obstetricians, all practising in midwifery led units or hospital maternity facilities. Data was collected using semi-structured interviews. The method of analysis involved writing and rewriting to surface interpretive insights, drawing on philosophical notions from Heidegger and Gadamer. FindingsThe findings revealed that place influences what practitioners are attuned to, what is easier for them to achieve, and their ability to provide woman-centred care. Competing tensions and pressures within place can blur the perceived relationship between normality and risk, influencing what is considered to be safe. SummaryPlace is not neutral; it influences how midwives and obstetricians practise and shapes how they support physiological labour and birth. The findings of this research contribute to a deeper understanding of the barriers and enablers to supporting physiological birth within place.

Hubungan Pengetahuan, Pendidikan dan Usia Ibu dengan Pemberian Imunisasi Dasar Lengkap pada Bayi Umur 0-12 Bulan di Praktik Mandiri Bidan (PMB) Hj. Rusmala Aini SST

The aim of this research is to determine the relationship between knowledge, education and maternal age with the provision of complete basic immunization to babies aged 0-12 months at the Independent Midwife Practice (PMB) Hj. Rusmala Aini. This census research used quantitative methods with univariate and bivariate analysis. The participants in this research were mothers who visited PMB Hj Rusmala Aini, which included 40 babies. The results of this study reveal that there is a relationship between the level of education and the mother's age and the provision of complete basic immunization to babies aged 0-12 months at the Independent Midwife Practice (PMB) Hj. Rusmala Aini, but there is no relationship between mothers' knowledge of providing complete basic immunization to babies aged 0-12 months.

THE RELATIONSHIP OF PREGNANT WOMEN'S KNOWLEDGE OF DENTAL AND ORAL HEATH MAINTENANCE WITH GINGIVITIS STATUS

Pregnant women are a group that requires special attention to their oral heath. Pregnant women often neglect their oral hygiene which wil cause plaque buildup on the teeth and gingival margin, this can cause gingival inflammation or gingivitis. One of the efforts that can be done to prevent gingivitis is to reduce eating cariogenic foods and brushing teeth properly and regulaly and what can be done by heath workers by providing education to increase their knowledge about gingivitis. Problems: The status of gingivitis among pregnant women at BPS (Private Practice Midwife). Objective: To know the relationship between knowledge of oral heath maintenance of pregnant women and gingivitis status. Method: This type of research is analytic research with cross sectional method, with a sample of 56 pregnant women. The data analysis technique uses a normality test, namely Kolmogorov-Smirnov after the Chi-Square test. Result: There is no relationship between the knowledge of dental and oral heath maintenance of pregnant women with gingivitis status.

The effect of using pregnancy exercise e-books on pregnant women's knowledge and skills in independent midwife practice

The effect of using pregnancy exercise e-books on pregnant women's knowledge and skills in independent midwife practice

Early Initiation of Breastfeeding (EIBF) Practices in Bener Meriah Regency, Aceh, Indonesia: A Cross-Sectional Study on the Role of Midwives in Reducing Infant Mortality

Early initiation of breastfeeding (EIBF) is critical for reducing infant mortality and improving child health outcomes. Midwives play a crucial role in promoting and supporting EIBF. This study investigated EIBF practices in Bener Meriah Regency, Aceh, Indonesia, focusing on the factors associated with midwives' knowledge, attitudes, and practices regarding EIBF. A cross-sectional study was conducted among 150 midwives in Bener Meriah Regency. Data were collected using a structured questionnaire that included items on sociodemographic characteristics, knowledge, attitudes, and practices related to EIBF. Descriptive statistics, chi-square tests, and logistic regression were used to analyze the data. The majority of midwives (87.3%) had good knowledge about EIBF. However, only 62.7% of midwives reported always assisting mothers with EIBF within one hour of birth. Factors significantly associated with midwives' EIBF practices included their age, years of experience, and place of work (urban vs. rural). While midwives in Bener Meriah Regency generally possess adequate knowledge about EIBF, there is a need to improve their practices in assisting mothers with EIBF, especially in rural areas. Targeted interventions, such as training programs and supportive supervision, are necessary to enhance midwives' skills and confidence in promoting and supporting EIBF.

Postpartum Care Practices of Nurses and Midwives: A Study from Islamic Malahayati Hospital Medan

Background: The postpartum period, lasting approximately six weeks after childbirth, is a critical phase for maternal and neonatal health. Effective care during this time requires skilled health workers to address physical, emotional, and social needs while promoting maternal autonomy and recovery. This study investigated the practices of nurses and midwives in delivering postpartum care at Islamic Malahayati Hospital Medan. Methods: A descriptive research design was used, involving 61 nurses and midwives selected through total sampling. Data were collected using a structured questionnaire focusing on postpartum care practices, responsibilities, and standards adherence. Quantitative analysis of the data was conducted, with results presented as frequency distributions and percentages. Results: The majority of participants were aged 26–35 years, with less than five years of work experience, and held a Diploma Degree. Of the respondents, 82% actively provided postpartum care, reflecting strong professional commitment and competency. These health workers demonstrated responsibility in fulfilling their roles, ensuring quality care for postpartum mothers and their newborns. Conclusion: Health workers at Islamic Malahayati Hospital Medan showed commendable engagement in postpartum care, translating academic training into practical application. Future research should focus on improving systemic support and exploring additional factors influencing sustained high-quality postpartum care to enhance maternal and neonatal outcomes.