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All Journal Jurnal Teknologi Kesehatan EDUCATIONE: Journal of Education Research and Review
Anik Sri Purwanti
Institut Teknologi Sains dan Kesehatan Rs. dr. Soepraoen Malang
Dentistry Education Health Professions Nursing Public Health Social Sciences

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Relationship between breastfeeding frequency and breast milk production in breastfeeding mothers at TPMB Tias Yuniasri Maesan Bondowoso Ulfatul Hasanah; Anik Sri Purwanti
Jurnal Teknologi Kesehatan (Journal of Health Technology) Vol. 22 No. 1 (2026): Article in Press
Publisher : POLTEKKES KEMENKES YOGYAKARTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/jtk.v22i1.3054

Abstract

Breast milk production is a key determinant in the success of exclusive breastfeeding, and one of the main influencing factors is breastfeeding frequency. Increased breastfeeding frequency stimulates the release of prolactin and oxytocin hormones, which support milk production and ejection; however, in practice, some mothers still breastfeed infrequently, leading to suboptimal milk production. This study aimed to analyze the relationship between breastfeeding frequency and breast milk production among breastfeeding mothers at TPMB Tias Yuniasri Maesan, Bondowoso. The study used a correlational analytic design with a cross-sectional approach. The population consisted of breastfeeding mothers with infants aged 0–6 months (n = 45), and a sample of 30 respondents was selected using purposive sampling. The independent variable was breastfeeding frequency, while the dependent variable was breast milk production. Data were collected using questionnaires and observation sheets and analyzed using the Spearman Rank test with a significance level of α = 0.05. The results showed that most respondents had frequent breastfeeding (60%) and smooth breast milk production (66.7%). Statistical analysis indicated a strong and significant relationship between breastfeeding frequency and breast milk production (r = 0.782; p = 0.000). In conclusion, higher breastfeeding frequency is associated with better breast milk production, and health workers are recommended to strengthen lactation education and counseling to encourage optimal breastfeeding practices in support of exclusive breastfeeding programs.
THE EFFECT OF SOURSOP LEAF DECOCTION WASH (ANNONA MURICATA) ON THE INCIDENCE OF VAGINAL DISCHARGE IN ADOLESCENT GIRLS: IMPLICATIONS FOR MIDWIFERY EDUCATION AND REPRODUCTIVE HEALTH PROMOTION Izki Millah Nafisah; Rosyidah Alfitri; Anik Sri Purwanti
EDUCATIONE Volume 3, Issue 2, July 2025
Publisher : CV. TOTUS TUUS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59397/edu.v3i2.78

Abstract

Adolescent girls are especially susceptible to reproductive tract infections, including pathological vaginal discharge (leucorrhea), which can negatively affect their quality of life and academic performance. While pharmacological treatments exist, their use may be constrained by side effects, cost, antibiotic resistance, and limited access in low-resource settings. Herbal remedies such as soursop (Annona muricata) leaf decoction are gaining recognition for their antimicrobial and antifungal benefits, but experimental evidence among Indonesian adolescents remains scarce. This study evaluated the effectiveness of soursop leaf decoction wash in reducing pathological vaginal discharge among tenth-grade female students at SMA An-Nur Bululawang, Malang. A pre-experimental, one-group pretest-posttest design was used with 25 purposively selected participants. The intervention involved a soursop leaf decoction wash administered twice daily for seven days. Vaginal discharge status was assessed before and after intervention using validated questionnaires and observation sheets. Data were analyzed using descriptive statistics and the Wilcoxon Signed-Rank Test. After the intervention, there was a significant reduction in both the incidence and severity of pathological vaginal discharge. Prior to treatment, 56% had mild discharge, while post-intervention, 96% had no discharge. The mean discharge score dropped from 1.88 (SD = 0.83) to 1.04 (SD = 0.20), with statistical significance (p = 0.000). Soursop leaf decoction wash proved to be an effective, safe, and culturally accepted intervention to reduce pathological vaginal discharge in adolescent girls. This suggests its potential as a complementary or alternative therapy alongside conventional treatments. Integrating herbal interventions with reproductive health education in schools can empower adolescents with accessible, preventive options. Further research with larger, randomized samples and longer follow-up is recommended to confirm efficacy and safety.
Co-Authors Izki Millah Nafisah Rosyidah Alfitri Ulfatul Hasanah