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This study aims to analyze the effect of massage effleurage on the back and breasts on milk production in postpartum mothers. This type of research is a quantitative research with a quasi-experimental research design by way of a pre-post test. The population in this study were all postpartum mothers who live in the working area of ​​the Barong Tongkok Health Center, totaling 50 people. Data collection was carried out directly using questionnaires and observation sheets. Data analysis techniques used the Wilcoxon mean difference test for each group and the Mann Whitney test for differences in post test results between the two groups. Based on the research results obtained, it can be concluded that there is an effect of massage effleurage on milk production in postpartum mothers in the working area of ​​the Barong Tongkok Health Center in 2022 with a p-value ¬= 0.000 (

Data cakupan ASI eksklusif di Kalimantan timur pada tahun 2020 sebesar 76,1%, data cakupan ASI di Puskesmas Tanah Grogot sebesar 78%, masih rendah dibandingkan dengan target ASI Kementrian Kesehatan yaitu 80%, data Puskesmas Tanah Grogot 2020. Metode penelitian ini adalah Quasi Experiment dengan desain penelitian Nonequivalent Control Group Design. Teknik sampling menggunakan Purposive Sampling. Sampel dalam penelitian ini berjumlah 11 orang. Produksi ASI pada ibu menyusui sebelum diberikan Pizza Jantung Pisang rata-rata 99.09 ml, setelah diberikan pizza jantung pisang rata-rata 131.82 ml. Produksi ASI pada ibu menyusui sebelum diberikan pizza jantung pisang rata-rata 91.82 ml dan setelah hari ke 7 rata-rata 114.52 ml. Ada perbedaan produksi ASI sebelum dan sesudah diberikan Pizza Jantung Pisang pada ibu menyusui nilai p value 0,000. Ada perbedaan produksi ASI sebelum dan sesudah diberikan Pizza Jantung Pisang pada ibu menyusui nilai P value 0,000. Ada pengaruh Pizza Jantung Pisang terhadap peningkatan produksi ASI pada ibu menyusui di Klinik Permata Bunda Paser dengan nilai p value 0,000 dimana produksi ASI pada kelompok yang diberikan Pizza Jantung Pisang lebih banyak 17,273 ml dibandingkan dengan kelompok yang tidak diberikan Pizza Jantung Pisang. Jantung pisang memiliki kandungan kalori, protein, lemak, karbohidrat, vitamin A, vitamin B1, vitamin C dan mineral seperti Fosfor, Kalsium dan Fe serta mestimulasi hormone oksitosin dan prolactin yang akan sangat membantu proses produksi ASI. Terdapat pengaruh yang signifikan terhadap produksi ASI sebelum dan sesudah mengkonsumsi Pizza Jantung Pisang. Saran: Tenaga kesehatan sebaiknya memberikan edukasi kepada ibu – ibu menyusui untuk banyak mengkonsumsi jantung pisang dalam menambah asupan gisi dan produksi ASI baik dalam bentuk olahan apapun.

Many mothers who give birth to Sectio Caesarea (SC) do not Initiate Early Breastfeeding (IMD), which fails exclusive breastfeeding. This study aimed to determine the effect of IMD management in postpartum SC mothers on nutritional status, speed of milk production, and quality of breast milk protein. Method: quantitative research with quasi approach experiment. The research design used was a pre-post-test control non-equivalent control group. A sampling of this study used the Consecutive method sampling with a sample of 20 mothers who gave birth by cesarean section (SC). Hypothesis testing uses the independent t-test and the Mann-Whitney test. The study results showed an influence on the management of IMD in postpartum SC mothers on the speed of ASI production (p-value=0.004) and nutritional status (p-value=0.028). There was no effect of IMD management on postpartum SC mothers on the quality of breast milk protein (p-value = 0.543). This study recommends that the hospital implement an IMD promotion program before the abdominal wall is closed as a form of intervention to increase milk production and maternal nutritional status

Background: Breast milk spending is a very complex interaction between mechanics, nerves, and hormons. The decrease and production of breast milk production in the first days after delivery can be caused by a lack of stimulation of prolactin and oxytocin hormons. Caesarea section does not allow the mother to breastfeed her infant more flexibly, with adaptation to the pain, so she should be able to support the health worker thoroughly about the lactation process. Purpose: to know the difference of endorphin, oxytocin and combination effect on breast milk production in Postoperative section of caesarea section. Research design: quasi experimental design type post test only non equivalent control group design. The population in this study were all postoperative mothers caesarea section, 10 samples for each treatment. Group 1 : endorphin massage, group 2 (control) : the oxytocin massage, and group 3 : the combine massage. Results: Combination massage is the best method to produce the highest amount of ASI because the largest Sig p value is (1,000) where the level is significant

Latar belakang: Perdarahan post partum dapat disebabkan oleh atonia uteri, robekan jalan lahir, retensio plasenta, inversio uteri dan pembekuan darah. Pada umumnya dengan melakukan senam nifas maka dapat mempercepat proses pemulihan kondisi ibu setelah melahirkan dan mencegah komplikasi yang mungkin terjadi selama masa nifas. Penelitian ini bertujuan mengetahui pengaruh senam nifas terhadap penurunan tinggi fundus uteri pada ibu post partum di Wilayah Kerja Puskesmas Temindung Samarinda. Metode penelitian: Penelitian ini merupakan penelitian pre experimental dengan pre test-post test control group design. Subjek penelitian yang diambil adalah semua ibu post partum yang melahirkan di Wilayah Kerja Puskesmas Temindung pada bulan Agustus-Oktober 2019. Sampel terdiri dar 2 kelompok dengan 48 responden, yang dipilih menggunakan teknik consecutive sampling. Analisis statistik uji t independen dengan tingkat signifikansi 0,05. Hasil: Hasil penelitian menunjukan perbedaan yang signifikan dari penurunan TFU pada ibu post partum antara kelompok yang melakukan senam nifas dan tidak senam nifas di Wilayah Kerja Puskesmas Temindung dibuktikan dengan p-value = 0,002. Kesimpulan dan saran: Pada penelitian ini Ho ditolak yang menunjukan bahwa ada pengaruh senam nifas terhadap penurunan tinggi fundus uteri pada ibu post partum di Klinik Kartika Jaya. Diharapkan senam nifas di terapkan oleh Wilayah Kerja Puskesmas Temindung karena bermanfaat dalam proses pemulihan kondisi ibu pasca partus.

Maternal mortality rate in Indonesia is still high enough which is dominated by three main causes of death that is bleeding, preeclampsia, and infection. Maternal Mortality in Samarinda city in 2015 increased by 76 per 100,000 live births. Maternal mortality in Samarinda city, dominated maternal death aged 20-34 years that fall into maternal and maternal death category. One of the causes of maternal death is preeclampsia and one of the causes of preeclampsia in pregnant women is obesity. The purpose of this study to determine the relationship of obesity with preeclampsia in pregnant women trimester II and III in RSUD Abdul Wahab Sjahranie Samarinda with specified α is 0,05The design of this study is cross sectional, sampling technique with purposive sampling of 39 pregnant women trimester II and III. The results of this study found there is a significant relationship between obesity with preeclampsia in pregnant women trimester II and III (p value = 0.006) with the value of α = 0.05.There is a significant relationship between obesity with preeclampsia in pregnant women trimester II and III in RSUD Abdul Wahab Sjahranie Samarinda 2018. Keywords : Obesity, Preeclampsia, Pregnant Women trimester II and III Abstrak Angka kematian ibu di Indonesia masih cukup tinggi yang didominasi oleh tiga penyebab utama kematian yaitu perdarahan, preeklampsia, dan infeksi. Kematian ibu di kota Samarinda tahun 2015 meningkat menjadi 76 per 100.000 kelahiran hidup hidup. AKI di kota samarinda, didominasi kematian ibu usia 20-34 tahun yang masuk dalam kategori kematian ibu hamil dan ibu bersalin. Salah satu penyebab kematian ibu adalah preeklampsia dan salah satu penyebab terjadinya preeklampsia pada ibu hamil yaitu obesitas. Tujuan penelitian ini untuk mengetahui hubungan obesitas dengan preeklampsia pada ibu hamil trimester II dan III di RSUD Abdul Wahab Sjahranie Samarinda dengan α yang ditentukan adalah 0,05Desain penelitian ini adalah cross sectional, Teknik pengambilan sampel dengan purposive sampling dan responden sebanyak 39 ibu hamil trimester II dan III. Hasil penelitian ini diperoleh terdapat hubungan bermakna antara obesitas dengan preeklampsia pada ibu hamil trimester II dan III (p value=0,006) dengan nilai α=0,05.Terdapat hubungan bermakna antara obesitas dengan preeklampsia pada ibu hamil trimester II dan III di RSUD Abdul Wahab Sjahranie Samarinda Tahun 2018. Kata Kunci : Obesitas, preeklampsia, wanita hamil trimester II dan III

Background: Anemia of pregnancy is called "potential danger to mother and child" so that anaemia requires serious attention from all concerned parties in terms of health services (Manuaba, 2010). Impact of anaemia in pregnant women is increasing morbidity rate including bleeding, premature rupture of membrane, risk of low birth weight babies (BBLR), and is one of the main causes of maternal deaths that originate in anaemia (Arisman, 2010). Based on the results of preliminary studies at Aminah Amin Clinic in July - December 2017 there are 513-trimester pregnant women III and 74 pregnant women have anaemia. Objective:This study aims to determine the relationship of nutritional status with the incidence of anaemia in trimester pregnant women III Amin Sininda Aminah Clinic in 2018. Method: the design of this study is crossectional, the population is pregnant women who visit at Aminah Aminah Clinic. Sampling technique with total sampling of 53-trimester pregnant women III. Results: The results of this study showed that there was a significant relationship between nutritional status and the incidence of anaemia in the third-trimester pregnant women (p-value =0,004) with α = 0,05. Conclusion: There is a significant correlation between nutritional status and the incidence of anaemia in pregnant mother of trimester III at Aminah Aminah Clinic in 2018. Keywords: Nutritional status, incidence of anaemia, pregnant mother of third trimester