Astri Yuliandini
Graha Education University

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The Marmet Technique as an Effort to Improve Breast Milk Production in Postpartum Mothers Astri Yuliandini; Dwi Ghita; Reskiawati Azis; Ani Ani
Karya Kesehatan Siwalima Vol. 4 No. 2 (2025): September
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v4i2.1678

Abstract

The Marmet technique, which combines breast expression and massage, is designed to stimulate the breast milk ejection reflex. This method is believed to enhance the smooth flow of breast milk in postpartum mothers, but requires scientific validation. This study aimed to examine the effect of the Marmet technique on breastfeeding smoothness among postpartum mothers in the working area of the Watunohu Health Center, North Kolaka Regency. A quasi-experimental design with a two-group post-test only approach was employed. The study involved 32 postpartum mothers, divided into an intervention group (n=16) and a control group (n=16) through purposive sampling. The intervention group received the Marmet technique according to standard operating procedures (SOP), while the control group did not receive any treatment. Breastfeeding smoothness was assessed using a questionnaire covering eight indicators. Data were analyzed with the Mann-Whitney test, with a significance level set at p < 0.05. On the fourth day postpartum, exclusive breastfeeding smoothness was achieved in 62.5% of mothers in the intervention group compared to only 18.8% in the control group. The Mann-Whitney test yielded a p-value of 0.017 (<0.05), indicating a statistically significant effect of the Marmet technique. These findings demonstrate that the Marmet technique results in a significant increase in exclusive breastfeeding rates among postpartum mothers. It is recommended that healthcare providers in maternal and child health services adopt this technique as part of routine interventions to promote successful breastfeeding.
Hubungan Penggunaan Kontrasepsi Suntik Depo Medroxyprogesterone Acetat Dengan Gangguan Siklus Menstruasi Astri Yuliandini; Delfiani B.P; Suhartini Suhartini; Muliyana Muliyana
Karya Kesehatan Siwalima Vol. 3 No. 2 (2024): September
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v3i2.1765

Abstract

Pertumbuhan penduduk di Indonesia masih tergolong tinggi, sehingga pemerintah terus mendorong penggunaan alat kontrasepsi melalui program Keluarga Berencana (KB). Salah satu metode yang banyak digunakan adalah kontrasepsi suntik Depo Medroxyprogesterone Acetate (DMPA). Meskipun efektif dalam mencegah kehamilan, kontrasepsi ini sering menimbulkan gangguan siklus menstruasi, seperti perdarahan tidak teratur, spotting, atau amenorea. Penelitian ini bertujuan untuk mengetahui hubungan antara penggunaan kontrasepsi suntik DMPA dengan gangguan siklus menstruasi pada akseptor di Klinik Sutra Lindangan Kecamatan Tompasobaru. Jenis penelitian yang digunakan adalah deskriptif analitik dengan pendekatan cross sectional. Populasi penelitian berjumlah 40 orang dan sampel sebanyak 36 responden yang diambil dengan accidental sampling. Instrumen yang digunakan berupa kuesioner berisi tiga pertanyaan yang diadaptasi dari penelitian sebelumnya. Analisis data dilakukan menggunakan uji statistik Chi-Square. Hasil penelitian menunjukkan bahwa sebagian besar responden (86,1%) menggunakan kontrasepsi suntik tiga bulan dan mengalami gangguan siklus menstruasi. Nilai p = 0,000 (p < 0,05) menunjukkan adanya hubungan yang signifikan antara penggunaan kontrasepsi suntik DMPA dengan gangguan siklus menstruasi.