Santa Natalia
Institut Kesehatan Medistra Lubuk Pakam

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The Effect of Providing Oketani Massage in Increasing Breast Milk Production in Post Partum Mothers at The Pratama Nining Pelawati Clinic Meria Turnip; Desika Wali Pardede; Indah Aprilidayani; Titin Novayanti Dey; Santa Natalia
JURNAL KEBIDANAN KESTRA (JKK) Vol. 7 No. 2 (2025): 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/jkk.v7i2.2356

Abstract

Breast milk production in post partum mothers can be increased through various methods, namely aromatherapy, oxytocin massage and oketani massage. Oketani massage is a massage that can increase breast milk production by increasing the strength of the pectoralis muscles, resulting in softer and more elastic breasts, making it easier for babies to breastfeed. When mothers have a positive perception of the use of oketani massage, they feel more confident and see an increase in their baby's ability to breastfeed compared to before. The aim of this research is to determine the effect of giving oketani massage on increasing breast milk production (ASI) in post partum mothers at the Pratama Nining Pelawati Clinic. The data collection technique was carried out using an incidental sampling technique. The method used is quasi-experimental with a one group pretest-posttest design. Data were analyzed using the Wilcoxon test and presented in narrative and table form. The results of the study showed that there was an effect of giving oketani massage in increasing breast milk production in Post Partum mothers at the Pratama Nining Pelawati Clinic with p-value = 0.004 (p<0.05). It is recommended that health workers consider implementing oketani massage as part of a postpartum care program to increase breast milk production
The Effect Of Soaking Feet In Warm Water On Edema Of Pregnant Women's Feet In The Trimester III At ThemidwifeSiswani Lubuk Pakam Clinic In 2025 Astri Ulina Saragih; Risky Yulanda; Santa Natalia; Sri Andini Herawati
JURNAL KEBIDANAN KESTRA (JKK) Vol. 8 No. 1 (2025): 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/thd5sn93

Abstract

Edema is a common complaint experienced by pregnant women, especially in the third trimester, due to physiological changes during pregnancy such as increased blood volume and uterine pressure on the veins. Untreated edema can cause discomfort and health risks. One non-pharmacological method that is believed to be effective in reducing edema is soaking feet in warm water. Objective: This study aims to determine the effect of soaking feet in warm water on the degree of foot edema in pregnant women in the third trimester. MethodThis study used a pre-experimental design with a one group pretest-posttest approach. A sample of 11 pregnant women in the third trimester was selected using purposive sampling. Foot edema data were measured before and after the foot soaking intervention in warm water for several sessions. Data analysis used a Paired Sample t-test to determine the difference in the degree of edema before and after the intervention Result The results showed that the average foot edema score before the intervention was 2.55 with a standard deviation of 0.522, while after the intervention it decreased to 1.73 with a standard deviation of 0.786. Statistical test shows a p-value of 0.000 (p < 0.05), which means there is a significant difference between the edema condition before and after soaking feet in warm water. Conclusion: Soaking feet in warm water has a significant effect on reducing the degree of edema in pregnant women in the third trimester..  
The Effect of Pineapple Juice on Menstrual Pain Intensity among Adolescents Astri Ulina Saragih; Novita Br Ginting Munthe; Risky Yulanda; Santa Natalia
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: 10.35451/092rqd20

Abstract

Dysmenorrhea is a common problem among adolescent girls and can interfere with daily activities. One non-pharmacological therapy is pineapple juice, which contains bromelain enzyme as a natural anti-inflammatory agent. This study aimed to determine the effect of pineapple juice on menstrual pain intensity among adolescents at SMA Nusantara Lubuk Pakam. This study used a quasi-experimental design with a pretest-posttest without control group approach. The sample consisted of 30 adolescent girls experiencing menstrual pain selected using purposive sampling. Pain intensity was measured using the Numeric Rating Scale (NRS) before and after intervention. The intervention was the administration of 250 ml pineapple juice for 3 days during menstruation. The results showed that the mean pain intensity before intervention was 6.2 (SD=1.1) and decreased to 3.1 (SD=1.0) after intervention. The Wilcoxon test showed a p-value of 0.000 (p<0.05), indicating a significant effect of pineapple juice on reducing menstrual pain intensity. In conclusion, pineapple juice is effective as a non-pharmacological therapy to reduce menstrual pain in adolescents.
Education on the Utilization of Turmeric Decoction to Improve Adolescent Girls' Knowledge of Vaginal Discharge Prevention Astri Ulina Saragih; Meria Turnip; Rizky Yulanda; Santa Natalia
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/vskk4d51

Abstract

Vaginal discharge is a reproductive health problem frequently experienced by adolescent girls and can impact their comfort, daily activities, and the quality of their reproductive health. The high incidence of vaginal discharge in adolescents is often influenced by a lack of knowledge regarding personal hygiene of reproductive organs and the limited use of herbal ingredients as a preventative measure. Turmeric (Curcuma longa L.) is an herbal plant containing curcumin compounds that have antioxidant, anti-inflammatory, and antimicrobial activities, thus potentially supporting women's reproductive health. This community service activity aims to increase adolescent girls' knowledge about preventing vaginal discharge through education on the use of turmeric water decoction at MAS SKB 3 Menteri Bingkat, Serdang Bedagai Regency. The implementation method includes reproductive health counseling, distribution of educational media in the form of leaflets, demonstrations of making turmeric water decoction, and evaluation of knowledge levels using pre-test and post-test instruments. The activity was carried out in February 2026 with 35 adolescent girls as participants. The evaluation results showed an increase in knowledge after the education was provided, as indicated by an increase in the average knowledge score from 58.3 in the pre-test to 86.7 in the post-test. Furthermore, participants demonstrated active participation throughout the activity and understood the benefits and how to use turmeric water decoction as a preventative measure against vaginal discharge. Therefore, reproductive health education combined with a demonstration of the use of turmeric water decoction was effective in increasing adolescent girls' knowledge about preventing vaginal discharge. This activity can be used as an alternative promotional strategy to support improving adolescent reproductive health in schools