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All Journal Jurnal Keperawatan Garuda Pelamonia Jurnal Penelitian Kesehatan Pelamonia Indonesia Journal of Preventive Health and Behavioral Science
Nila Widya Keswara
Institut Teknologi, Sains, dan Kesehatan RS.DR. Soepraoen Kesdam V/BRW
Nursing Public Health

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EFEKTIFITAS PIJAT OKSITOSIN TERHADAP KELANCARAN PRODUKSI ASI PADA IBU NIFAS Ika Triana; Nila Widya Keswara
Jurnal Penelitian Kesehatan Pelamonia Indonesia Vol. 8 No. 2 (2026): Jurnal Penelitian Kesehatan Pelamonia Indonesia
Publisher : Institut Kesehatan Pelamonia

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Abstract

Breast milk is the best source of nutrition for infants; however, the adequacy of breast milk production during the postpartum period remains one of the challenges that can hinder the success of exclusive breastfeeding. One widely used nonpharmacological method to increase breast milk production is oxytocin massage. This study aimed to analyze the effectiveness of oxytocin massage on the adequacy of breast milk production in postpartum mothers at the Kuala Kurun Regional General Hospital (RSUD). The study used a pre-experimental design with a one-group pretest-posttest approach. The sample consisted of 30 postpartum mothers selected using total sampling. Data on the smoothness of breast milk production were collected via observation sheets before and after the intervention and then analyzed using the McNemar test with a significance level of 5%. The results showed that before the intervention, 53.3% of the respondents experienced irregular breast milk production, and after the intervention, this figure increased to 56.7%. The results of the McNemar test showed no significant difference between before and after oxytocin massage (p=1.000). These findings indicate that oxytocin massage was not effective in improving the smoothness of breast milk production in postpartum mothers in this study. The high proportion of cesarean deliveries, lack of breastfeeding experience, and psychological factors are suspected to have influenced the study results. Oxytocin massage is recommended in combination with lactation counseling, pain management, and comprehensive breastfeeding support to optimize breastfeeding success.
Pengaruh Terapi Komplementer Aromaterapi Lavender Terhadap Kelancaran ASI Pada Ibu Menyusui Bayi Usia 0–6 Bulan Di Poskesdes Sari Makmur C3 Hana Novita; Nila Widya Keswara
Garuda Pelamonia Jurnal Keperawatan Vol. 8 No. 2 (2026): Agustus : Garuda Pelamonia Jurnal Keperawatan
Publisher : Institut Kesehatan Pelamonia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.4425/garuda.v8i2.922

Abstract

A sufficient supply of breast milk is a key factor in the success of exclusive breastfeeding for infants aged 0–6 months. Various factors, particularly the mother’s psychological state, can affect the milk ejection reflex; therefore, safe and easily implementable nonpharmacological interventions are needed. One complementary therapy with the potential to increase breast milk flow is lavender aromatherapy, which provides a relaxing effect and helps stimulate the release of the hormone oxytocin. This study aimed to analyze the effect of lavender aromatherapy as a complementary therapy on breast milk flow in mothers breastfeeding infants aged 0–6 months at the Sari Makmur C3 Village Health Post. The study employed a pre-experimental design with a one-group pretest–posttest design. The sample consisted of 40 breastfeeding mothers selected using total sampling. Data on breast milk flow were obtained by measuring breast milk volume before and after the intervention and were analyzed using a paired t-test after confirming normality. The results showed that the average breast milk volume increased from 51.77 ± 6.98 mL before the intervention to 84.15 ± 5.46 mL after the administration of lavender aromatherapy, with an average increase of 32.38 mL. Statistical analysis revealed a significant effect on the improvement in breast milk flow (p = 0.000). These findings suggest that lavender aromatherapy can serve as an effective, safe, and easily implemented complementary therapy to support successful breastfeeding and improve the quality of lactation services in primary health care facilities.
Hubungan Kepatuhan Konsumsi dan Pola Minum Tablet Tambah Darah dengan Kadar Hemoglobin pada Ibu Hamil Anemia Hanifiah Mahrifiana Putri; Nila Widya Keswara
Garuda Pelamonia Jurnal Keperawatan Vol. 8 No. 2 (2026): Agustus : Garuda Pelamonia Jurnal Keperawatan
Publisher : Institut Kesehatan Pelamonia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.4425/garuda.v8i2.923

Abstract

Anemia during pregnancy remains a public health issue that increases the risk of maternal and perinatal complications. One preventive measure is the administration of iron supplements; however, their effectiveness is influenced by adherence to the regimen and the correct dosing schedule. This study aims to analyze the relationship between adherence to the iron supplement regimen and dosing schedule and hemoglobin levels in pregnant women with anemia. The study employed a quantitative analytical design with a cross-sectional approach. The sample consisted of 40 anemic pregnant women selected using purposive sampling at the Imas Malarohani, S.Keb. Maternal and Child Health Clinic (TPMB). Data were collected via a questionnaire regarding compliance and intake patterns of iron supplements, while hemoglobin levels were measured using a digital hemoglobin meter. Analyses were conducted using univariate and bivariate methods, specifically the Spearman’s rank correlation test (Rho), as the data were not normally distributed. The results indicated a significant association between TTD consumption adherence and hemoglobin levels (p=0.000; r=0.539), demonstrating a positive correlation of moderate strength. It was concluded that adherence to iron supplement intake and the accuracy of the intake regimen play an important role in increasing hemoglobin levels in anemic pregnant women. Education, counseling, and monitoring of adherence to iron supplement intake need to be strengthened as part of evidence-based antenatal care.
The Relationship Between Maternal Age and Duration of Labor Among Women in Labor at Kotamobagu City General Hospital Lisnawati Mokoagow; Nila Widya Keswara
Journal of Preventive Health and Behavioral Science Vol. 2 No. 2 (2026): July : Journal of Preventive Health and Behavioral Science
Publisher : CV.MEDINSIGHT PUBLISHING

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Abstract

Duration of labor is an important indicator in assessing labor progress and is associated with the safety of both the mother and the baby. One factor suspected to influence the duration of labor is maternal age; however, research findings regarding the relationship between the two remain inconsistent. This study aims to analyze the relationship between maternal age and duration of labor among parturients at Kotamobagu City General Hospital. The study employed a quantitative analytical design with a cross-sectional approach. The sample consisted of 50 parturient women selected using total sampling. Data were obtained from medical records using an observation form and were then analyzed univariately and bivariately using the Spearman’s Rho test after conducting a normality test. The results showed that the mean maternal age was 26.06 ± 7.05 years, with a mean duration of labor of 8.75 ± 5.69 hours. Bivariate analysis indicated that there was no significant association between maternal age and duration of labor (p = 0.328; r = 0.141). These findings indicate that the duration of labor is a multifactorial condition influenced not only by maternal age but also by other factors such as parity, fetal condition, the strength of uterine contractions, and labor management. Therefore, comprehensive monitoring of labor progress is necessary through the use of partographs and early detection of obstetric risk factors to support the safety of both mother and baby.
Co-Authors Hana Novita Hanifiah Mahrifiana Putri Ika Triana Lisnawati Mokoagow