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All Journal Jurnal Ners Community Development Journal: Jurnal Pengabdian Masyarakat
Pebia Norviana
STIKes Guna Bangsa Yogyakarta
Humanities Economics, Econometrics & Finance Education Health Professions Medicine & Pharmacology Nursing Public Health

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The Effect Of The Combination Of Rooming-In And Oxytocin Massage On Breast Milk Production During The First 24 Hours Post Cesarean Section At Rs Pelita Insani Martapura Pebia Norviana; Sunartono Sunartono; Hargianti Dini Iswandari; Siti Maimunah; Istri Yuliani
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.59076

Abstract

Breast milk is the optimal nutrition for newborns. However, mothers undergoing cesarean section often experience delayed lactation due to anesthesia effects, surgical pain, stress, and postponed mother–infant contact. Non-pharmacological interventions such as rooming-in and oxytocin massage have been shown to improve lactation, but studies combining these two methods remain limited. Objective this study is to analyze the effect of combining rooming-in and oxytocin massage on breast milk production during the first 24 hours post-cesarean section. This study applied a quasi-experimental design with a pre-post test control group approach. The sample consisted of 24 post-cesarean mothers at Pelita Insani Hospital, Martapura, divided into intervention (rooming-in + oxytocin massage) and control (standard care) groups. Outcomes measured were colostrum volume, onset of lactation, and frequency of let-down reflex. Data analysis was performed using t-test, Mann-Whitney, and ANCOVA to control confounding variables, with a significance level of p<0.05.The combination of rooming-in and oxytocin massage significantly increased milk volume (38.7±6.4 ml vs 23.4±5.1 ml; p<0.001), accelerated lactation onset (8.4±2.1 hours vs 14.7±3.4 hours; p<0.001), and improved let-down reflex frequency (6.8±1.5 times vs 3.9±1.2 times; p<0.001) compared to the control group.Rooming-in combined with oxytocin massage is an effective and safe evidence-based intervention to enhance early milk production in post-cesarean mothers within the first 24 hours, supporting exclusive breastfeeding success.
PELATIHAN DAN PENERAPAN APLIKASI E-MIDCARE BERBASIS CONTINUITY OF CARE DI PUSKESMAS CEMPAKA Pebia Norviana; Bima Suryantara; Siti Fadhilah
Community Development Journal : Jurnal Pengabdian Masyarakat Vol. 7 No. 4 (2026): Vol. 7 No. 4 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/cdj.v7i4.62397

Abstract

Pelayanan kebidanan primer di Puskesmas Cempaka, Kota Banjarbaru menghadapi rendahnya kepatuhan kunjungan antenatal care (ANC), pencatatan manual, dan minimnya edukasi serta komunikasi digital berkelanjutan antara bidan dan pasien. Kegiatan pengabdian ini bertujuan meningkatkan literasi kesehatan dan pemantauan kehamilan melalui pelatihan dan penerapan aplikasi e-MidCare berbasis Continuity of Care. Metode kegiatan meliputi penyuluhan, demonstrasi, dan pelatihan hands-on penggunaan aplikasi bagi 47 ibu hamil, disertai pendampingan tiga minggu dan evaluasi pre-test–post-test. Hasil menunjukkan peningkatan skor pengetahuan yang bermakna dari 66,7% menjadi 88,0% (uji Paired T-test, p<0,001; effect size besar), tingkat kepuasan pengguna rata-rata 4,3 dari skala 5, serta teridentifikasinya 36,2% ibu hamil dengan faktor risiko kehamilan yang memerlukan pemantauan lanjut. Kesimpulannya, aplikasi e-MidCare efektif meningkatkan pengetahuan dan mendukung deteksi dini risiko kehamilan, sehingga layak diintegrasikan dalam pelayanan ANC berkelanjutan di puskesmas.
Co-Authors Bima Suryantara Hargianti Dini Iswandari Istri Yuliani Siti Fadhilah Siti Maimunah Sunartono Sunartono