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All Journal International Journal of Public Health Science (IJPHS) Afiasi : Jurnal Kesehatan Masyarakat
Dyan Permata Rachim
Universitas Andalas
Health Professions Immunology & microbiology Nursing Public Health

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Oxytocin massage and clary sage aromatherapy on lactation and uterine recovery Rahmadini Faricha Hakim; Dyan Permata Rachim; Hindun Mila Hudzaifah; Ulfa Farrah Lisa; Dina Taufia; Fathiya Ilma Shabrina
International Journal of Public Health Science (IJPHS) Vol 15, No 2: June 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i2.26928

Abstract

The postpartum period is a critical phase in maternal health, during which inadequate lactation and delayed uterine involution may contribute to an increased risk of complications. This study aimed to determine the effectiveness of combined oxytocin massage and clary sage aromatherapy on lactation and uterine involution in women during the postpartum period. A quasi experimental study was conducted among 30 participants (15 controls; 15 intervention). In the control group, mean breast milk volume increased from 32.00 ± 14.74 mL to 105.33 ± 18.07 mL (Δ = 73.33 ± 17.29; p < 0.001). In the intervention group, it increased from 37.00 ± 24.04 mL to 98.33 ± 40.39 mL (Δ = 61.33 ± 36.62; p<0.001), with no significant intergroup difference (p = 0.265). However, uterine involution differed significantly between groups (Mann-Whitney U = 43.000, Z = -2.932, p = 0.003). The combined intervention may serve as a complementary strategy to enhance uterine recovery, although its effect on breast milk production was not statistically superior to standard care.
Efektivitas Model Continuity Of Care Terhadap Kesiapan Ibu Menghadapi Persalinan Rikaoctriantiaskar Rikaoctriantiaskar; Uliy Iffah; Dyan Permata Rachim
Afiasi : Jurnal Kesehatan Masyarakat Vol. 11 No. 1 (2026): Afiasi
Publisher : Universitas Wiralodra

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31943/afiasi.v11i1.571

Abstract

Introduction: Maternal readiness for childbirth is a critical indicator of successful labor outcomes. Maternal unpreparedness can lead to increased anxiety, impaired decision-making, and prolonged labor duration. The Continuity of Care (CoC) model, defined as midwifery care provided continuously from pregnancy to the postpartum period by the same healthcare provider, is believed to enhance maternal self-confidence, interpersonal closeness, and readiness for childbirth. Given these potential benefits, evaluating CoC’s impact on childbirth readiness is essential. Objective: Building on the introduction, this study aims to assess the effectiveness of the CoC model in improving childbirth readiness among third-trimester pregnant women. Materials and Methods: This study employed a quasi-experimental pretest–posttest design with a control group. The sample comprised 60 pregnant women in the third trimester, including 30 in the intervention group and 30 in the control group. The research instrument was a childbirth readiness questionnaire covering knowledge, emotional readiness, birth planning, social support, and physical preparedness. Data were analyzed using paired t-tests, independent t-tests, and effect-size analyses. Results: There was a significant increase in childbirth readiness scores in the intervention group after receiving CoC (from 60.2 to 85.6; p < 0.001). The control group did not show a significant improvement (p = 0.074). Independent t-test analysis revealed a significant difference between groups in posttest scores (p < 0.001). The effect size of 0.82 indicates a substantial impact of CoC on childbirth readiness. Conclusion: The CoC model is more effective than conventional antenatal care at enhancing childbirth readiness among third-trimester pregnant women.
Co-Authors Dina Taufia Fathiya Ilma Shabrina Hindun Mila Hudzaifah Iffah, Uliy Rahmadini Faricha Hakim Rikaoctriantiaskar Rikaoctriantiaskar Ulfa Farrah Lisa, Ulfa Farrah