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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.
Reconstructing Indonesia's Medical Professional Discipline System under Law No. 17 of 2023: A Normative Legal Analysis Hargianti Dini Iswandari; Ambar Dwi Erawati; Indra Yuliawan
Jurnal Pendidikan Terapan Vol 4, No 4 September (2026)
Publisher : Sakura Digital Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61255/jupiter.v4i4.1452

Abstract

Purpose: This study analyzes the implications of Law Number 17 of 2023 on Health for Indonesia’s medical professional discipline system and formulates a normatively grounded reconstruction model to strengthen legal certainty, patient protection, professional autonomy, and public accountability. Methods: This study employed normative legal research using statutory and conceptual approaches. Legal materials were selected based on relevance, authority, currency, and relation to the research questions. Primary materials included Law Number 17 of 2023 on Health, Law Number 29 of 2004 on Medical Practice, Law Number 36 of 2014 on Health Workers, and implementing regulations. The materials were classified and comparatively examined according to institutional authority, complaint and examination mechanisms, transitional provisions, and links with administrative, civil, and criminal proceedings. Analysis used legal interpretation, regulatory comparison, and deductive legal reasoning. Findings:  The results indicate a shift from a profession-based disciplinary system toward stronger state supervision, creating challenges involving institutional authority, legal certainty, and professional autonomy. Three issues were identified: institutional restructuring, changes in complaint and examination mechanisms, and normative disharmony during transition. From the normative comparison, the study derives a four-pillar reconstruction model comprising clarity of institutional authority, fair and transparent procedures, accessible patient complaint mechanisms, and independent professional disciplinary councils. The model is proposed as a normative framework rather than an empirically validated model. Conclusion: Effective reform requires harmonized legal norms, clear institutional arrangements, fair procedures, and balanced relations between state oversight and professional autonomy. Originality: This study proposes a normatively derived four-pillar framework whose effectiveness requires further empirical evaluation.