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The Effect of Slow Stroke Back Massage (SSBM) on Breast Milk Production in Postpartum Mothers on Days 3–5 Ghina Nada Maghfira; Sugijati; Susilawati
Indonesian Health Issue Vol. 5 No. 1 (2026): FEBRUARY
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/inhis.v5i1.127

Abstract

Background: Suboptimal breast milk expression in postpartum mothers remains a challenge in achieving exclusive breastfeeding, particularly in Kaliwates District, where the coverage is only 17.9%. Six out of ten postpartum mothers in the Puskesmas Kaliwates working area reported poor milk flow during the first week after delivery. Complementary therapies such as Slow Stroke Back Massage (SSBM) is a gentle, rhythmic massage technique applied from the upper to lower back, aimed at stimulating the release of oxytocin and endorphins, both of which play crucial roles in lactation. Purpose: This study aims to determine the effect of SSBM on breast milk expression in postpartum mothers on day 3–5 in the working area of Puskesmas Kaliwates. Methods: This research was conducted quantitatively using a one-group pretest-posttest design with a total sample of 23 respondents. Data were collected via questionnaires and analyzed using the Wilcoxon Signed-Rank Test. Results: Before the intervention, most respondents had smooth (60.9%) and poor (34.8%) milk output. After the intervention, most respondents experienced improvement, with 60.9% showing very smooth milk output and 30.4% showing smooth milk output. The analysis showed a significance value of 0.0000 (p<0.05), indicating a significant effect of SSBM on breast milk expression. Conclusion: SSBM can effectively improve breast milk expression in postpartum mothers on days 3–5 in the Puskesmas Kaliwates area in 2025.
The Relationship Between The Duration of Three-Month Injectable Contraception Use And Blood Pressure Changes Hikmatun Nuriah Wulandari; Sugijati; Gumiarti
Indonesian Health Issue Vol. 5 No. 2 (2026): AUGUST
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/inhis.v5i2.203

Abstract

Introduction: DMPA injectable contraception has side effects of changes in blood pressure. DMPA can cause changes in blood pressure, especially if used in the long term. Injectable contraceptive users in Jember Regency (50.9%) and Mumbulsari District in 2024 (56%). The results of a preliminary study at PMB Citra Dwi Lestari on 10 long-term 3-month injectable contraceptive acceptors showed that 7 people experienced changes in blood pressure, 6 acceptors experienced an increase and 1 acceptor experienced a decrease in blood pressure and 3 acceptors did not experience changes in blood pressure. The study aims to determine the relationship between the length of use of 3-month injectable contraceptives and changes in blood pressure. Methods: Correlation research design with a Cross Sectional approach on 70 3-month injectable contraceptive acceptors at PMB Citra Dwi Lestari on February 26-March 26, 2026, Purposive Sampling technique, Research instruments using observation sheets. Statistical analysis using the chi square test. Results: Based on the results of the Chi Square test on 70 respondents, a p-value of 0.001 (<0.05) and a correlation coefficient of 0.368 were obtained, so there is a fairly strong relationship between the duration of use of 3-month injectable contraception and changes in blood pressure. Conclusion : The longer the use of 3-month injectable contraception can increase blood pressure due to the effect of the progesterone hormone on the renin-angiotensin system, so acceptors are advised to have their blood pressure checked regularly. Keywords: Duration of Contraceptive Use, Changes in Blood Pressure
Co-Authors Ghina Nada Maghfira Gumiarti Hikmatun Nuriah Wulandari Susilawati