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All Journal JURNAL KEBIDANAN KESTRA (JKK) JURNAL FARMASIMED (JFM) Jurnal Pengmas Kestra (JPK)
NATHASIA HARYONO
Institut Kesehatan Medistra Lubuk Pakam
Health Professions Medicine & Pharmacology Nursing Public Health

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The Effect Of Cocoa Cream (Theobroma Cacao L) Administration On Breast Engorgement In Primigravida Postpartum Mothers NATHASIA HARYONO; Sri Putriani Sinaga; Fiyola Ladyvia; Ismah Khaerunisa
Jurnal FARMASIMED (JFM) Vol 8 No 1 (2025): Jurnal Farmasimed (JFM)
Publisher : Fakultas Farmasi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/9rk55z42

Abstract

Breast engorgement is a common problem among postpartum mothers, especially primigravida, which can cause pain, swelling, and hinder the breastfeeding process. Conventional management such as warm compresses often provides only temporary relief, thus alternative therapies that are more effective and natural are needed. Cocoa (Theobroma cacao L.) contains flavonoids, polyphenols, and cocoa butter with anti-inflammatory, antioxidant, and emollient properties. This study aimed to determine the effect of cocoa cream on reducing breast engorgement in primigravida postpartum mothers. This research employed a quasi-experimental design with a pretest-posttest control group approach. A total of 36 primigravida postpartum mothers were recruited and divided into two groups: the intervention group (cocoa cream) and the control group (warm compresses). Measurements were conducted on days 1, 3, 5, and 7 using breast circumference measurement and the Visual Analog Scale (VAS) for pain. Data were analyzed using Paired t-test and Independent t-test with a significance level of p<0.05. Independent t-test results showed no significant differences at pretest (p=0.674) and day 3 (p=0.068). However, significant differences were observed from day 5 (p=0.003) and became more pronounced on day 7 (p=0.000), with the intervention group demonstrating greater reduction in pain and swelling compared to the control group. Cocoa cream was more effective than warm compresses in reducing breast engorgement among primigravida postpartum mothers, particularly after the fifth day postpartum. Cocoa cream may be recommended as a safe, natural, and non-invasive complementary therapy to support successful breastfeeding.
The Effect of Complementary Therapy With Facial and Lavender Aromatherapy on Anxiety Management Among Postpartum Mothers NATHASIA HARYONO
JURNAL KEBIDANAN KESTRA (JKK) Vol. 8 No. 2 (2026): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/hn90vq72

Abstract

The postpartum period is a critical phase in a woman's reproductive life, characterized by physical and psychological vulnerability due to hormonal changes, the postpartum recovery process, and adaptation to the new role as a mother. This condition often triggers postpartum anxiety, which, if not properly managed, can affect the mother's mental health and the quality of childcare. Complementary interventions such as facial acupressure (totok wajah) and lavender aromatherapy have been widely recommended due to their relaxation mechanisms that help reduce emotional tension. This study aimed to determine the effect of facial acupressure and lavender aromatherapy on reducing anxiety levels among postpartum mothers at Grandmed Hospital Lubuk Pakam. The research design used was a pre-experimental study with a one-group pretest–posttest approach involving 28 postpartum mothers selected through a total sampling technique. Anxiety levels were measured before and after the intervention using a questionnaire instrument. Data analysis was conducted using the Shapiro–Wilk test and the Wilcoxon test because the data were not normally distributed (p < 0.05).The results showed that before the intervention, respondents were categorized as having mild anxiety (35.7%), moderate anxiety (42.9%), and severe anxiety (21.4%). After the intervention, 35.7% of respondents no longer experienced anxiety, 42.9% were categorized as having mild anxiety, and 21.4% had moderate anxiety, while severe anxiety was no longer found. The Wilcoxon test showed a p-value of 0.000, indicating a significant difference between anxiety levels before and after the intervention.Physiologically, facial acupressure promotes relaxation through stimulation of acupressure points, while lavender aromatherapy, which contains linalool and linalyl acetate, works by reducing sympathetic nervous system activity. Therefore, the combination of these two interventions is proven to be effective as a non-pharmacological method for reducing anxiety in postpartum mothers.
Reproductive Health Education: Efforts to Improve Women's Knowledge and Attitudes Toward Cervical Cancer Screening Nathasia Haryono; Fiyola Ladyvia; Ismah Khaerunisa; Martine Meha; Kurniawati Kurniawati
JURNAL PENGMAS KESTRA (JPK) Vol. 6 No. 1 (2026): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/ahes2634

Abstract

The low coverage of early detection for cervical cancer in Deli Serdang Regency is driven by a lack of reproductive health literacy and high psychological barriers within the community. This Community Service (PKM) program aimed to enhance knowledge, improve attitudes, and stimulate actual behaviors among Women of Reproductive Age (WUS) toward VIA (Visual Inspection with Acetic Acid) and Pap Smear screenings. The implementation method utilized a structured health promotion approach comprising three systematic stages: preparation (coordination and licensing), implementation (interactive education and group counseling), and descriptive evaluation (pre-test, post-test, and action tracking). The target audience consisted of 40 women of reproductive age in Sadar Barat Village, Deli Serdang. The evaluation results demonstrated a significant increase in the cognitive domain, where the percentage of participants with good knowledge skyrocketed from 10% to 85%. This improvement in literacy simultaneously dismantled participants' emotional resistance, as evidenced by a shift to highly positive and supportive attitudes toward the screening program, reaching 90%. The most crucial impact was observed during the action tracking phase, where the facilitation of clinical access in collaboration with the village midwife successfully motivated 70% of the total participants to voluntarily undergo independent screenings (VIA/Pap Smear). In conclusion, this integrative and empathetic community service model has proven effective in dismantling community psychological barriers and is highly recommended as an applicable health promotion formula to boost national cervical cancer screening coverage sustainably from the primary community level.
Co-Authors Fiyola Ladyvia Ismah Khaerunisa Ismah Khaerunisa Kurniawati Kurniawati Martine Meha Sri Putriani Sinaga