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Acupressure and breast milk production in indonesian postpartum mothers: a scoping review Prima Kusrini; Jeni Lisu; Regitha Adit Pramesty; Rahma Sasmita Indriani; Lani Gumilang; Qorinah Estiningtyas Sakilah Adnani; Victor Abiola Adepoju
Jurnal Kebidanan dan Keperawatan Aisyiyah Vol. 22 No. 1 (2026): Juni
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jkk.4213

Abstract

Optimal breast milk production is crucial for successful breastfeeding. Acupressure has been used as a non-pharmacological intervention to enhance lactation in postpartum mothers. This scoping review aimed to evaluate the effectiveness of acupressure alone and in combination with other therapies in improving breast milk production and to identify influencing maternal factors. A scoping review was conducted following PRISMA guidelines. Eighteen studies were included from ScienceDirect, Google Scholar, and EBSCO using keywords related to acupressure, breast milk production, and postpartum. Three themes were identified: respondent characteristics modulating lactation; impact of acupressure on lactation; and the efficacy of acupressure combined with other therapies. Acupressure improved breast milk production and adequacy in most studies. Maternal characteristics (age, education, parity, and breastfeeding support) influenced lactation outcomes. Reported effects included increased milk volume, earlier lactation onset, and higher prolactin levels. Acupressure was more effective when combined with interventions such as oxytocin massage, back massage, and aromatherapy. Acupressure is a safe and effective method to enhance breast milk production. Its integration into maternal health services and combination with supportive therapies, tailored to maternal characteristics, may improve breastfeeding outcomes. Future RCTs should use standardized volumetric outcomes, longer follow-up, and compare acupressure combinations with pharmacological interventions.
Determinants of early marriage incidence in adolescents in Rural West Kupang District, East Nusa Tenggara Suci Aspriyanti Anwar; Mega Putri Amalanda Amalanda; Rani Kusumawardani; Qorinah Estiningtyas Sakilah Adnani; Chyntia Haryana
Science Midwifery Vol 14 No 3 (2026): Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v14i3.2410

Abstract

Early marriage remains a major public health problem in East Nusa Tenggara (NTT), particularly in rural areas where local cultural practices have received limited quantitative investigation despite their potential influence on marriage decisions. This study aimed to identify the determinants of early marriage among adolescents in rural West Kupang District. This quantitative study employed a cross-sectional design involving 98 adolescents aged 15–19 years from two villages (Oenaek and Sumlili) selected using the Slovin formula. Data were analyzed using univariate, bivariate (chi-square), and multivariate (multiple logistic regression) analyses. The prevalence of early marriage was 27.6%. Bivariate analysis identified six factors significantly associated with early marriage (p < 0.05), while multivariate analysis showed that local cultural/customary perceptions (AOR = 6.1; 95% CI: 1.9–19.6; p = 0.002), poor reproductive health knowledge (AOR = 3.2; p = 0.036), and poor family economic status (AOR = 2.9; p = 0.049) were the dominant determinants. The novelty of this study lies in quantitatively examining the role of local cultural perceptions, including the belis tradition, together with socioeconomic and behavioral factors in a rural NTT setting. These findings provide evidence to support culturally sensitive policies, strengthen adolescent reproductive health education, and guide community-based interventions to prevent early marriage in rural areas.
Effectiveness of nutritional counseling and fe tablet supplementation on hemoglobin levels of pregnant women in the working area of the Hajimena Health Center, Lampung Nur Wachiniah Mawadda; Harny Citra Purnama; Nurul Amalia; Qorinah Estiningtyas Sakilah Adnani; Chyntia Haryana
Science Midwifery Vol 14 No 3 (2026): Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v14i3.2411

Abstract

Pregnancy-related anemia remains a significant public health problem in the working area of Puskesmas Hajimena, Natar Subdistrict, South Lampung, increasing the risk of preterm birth and low birth weight. Although iron (Fe) supplementation is routinely provided through antenatal care (ANC), anemia remains prevalent, suggesting that supplementation alone may be insufficient to address nutritional and behavioral factors affecting maternal hemoglobin (Hb) levels. This study addressed limited evidence regarding the integration of Health Belief Model (HBM)-based nutrition counseling with Fe supplementation in primary healthcare settings. A quasi-experimental pretest-posttest study with a control group involved 98 second-trimester pregnant women equally allocated into intervention and control groups. The intervention group received three HBM-based nutrition counseling sessions over eight weeks alongside Fe tablets, while the control group received Fe tablets alone. The intervention significantly increased Hb levels and reduced anemia prevalence. The novelty lies in integrating behavioral-based nutrition counseling into anemia prevention. Scientifically, the findings provide evidence that behavioral interventions can enhance Fe supplementation effectiveness. Practically and clinically, the intervention offers a feasible strategy for midwives to improve maternal knowledge, adherence, dietary practices, and anemia management within ANC services. From a policy perspective, the findings support integrating structured nutrition counseling into routine maternal health programs to strengthen anemia prevention and improve maternal health outcomes.
Co-Authors Ade Zayu Cempaka Sari Adepoju, Victor Abiola ahmad rizal Akhiat, Akhiat Akhmad Yogi Pramatirta, Akhmad Yogi Anisa, Fitria Anita Setyawati Annisaputri Prasistyami Aprianti , Nurul Azmi Aprianti, Nurul Azmi Apriyanto, Yogo Ari Indra Susanti Ari indra Susanti Arief Hargono Arifin, Hidayat Aritonang, Patricia Zenitha Ariyati Mandiri Astuti Dyah Bestari AULIA, RIZKA Chyntia Haryana Citra Dahur, Felisia Juita Dany Hilmanto Dharojatin, Dora Dian Wardiana Sjuchro Didah, Didah Dina Oktavia Dini Saraswati Handayani Dwi Agustian Eka Sri Purwandari Ela Nurfitriyani Elly Yana Elly Yana, Elly Endang Sutedja Ersianti, Yuninda Loviana Evi Novianti Fatimah Azzahra Fernandez, Veronica Ferry Efendi Giyawati Yulilania Okinarum Gudia, Amel Dawod Kamel Guswan Wiwaha Habibah, Minda Habut, Friny Jusnita Hana Nurhanifah Budiadi Handayani, Hilda Hardianti, Minarni Harefa, Nuryudica Harny Citra Purnama Heni Puji Wahyuningsih Heni Puji Wahyuningsih Herawati, Ariana Herbawani, Lindya Okti Heriyanti, Silvia Widyani Hesty Widyasih Hesty Widyasih Husnida, Nintinjri Idaningsih, Ayu Ika Khairunnisa Indrani, Rahma Sasmita Insi Farisa Desy Arya Ira Nufus Khaerani Iwan Setiawan Jeni Lisu Karita Aulia Tama Kristianti, Yasinta Dewi Kusrini, Prima Kusteja , Nadya Fauzia Kusteja, Nadya Fauzia Kusuma, Widya Tresna Ladjar , Yohana Filiberta Lumu Ladjar, Yohana Filiberta Lumu Lani Gumilang Lani Gumilang Listriyati, Linda M. Yogi Riyantama Isjoni Maharani, Fadiah Mardianah, Lia Martini, Neneng Mega Putri Amalanda Amalanda Melani, Margareta Mira Miraturrofiah Nasution, Nadhiati Awlia Nenden Nurul Aulia Neneng Martini Niknik Nursifa Ningsih, Ayu Ida Novia Martin Novitasari, Anis Nur Wachiniah Mawadda Nurani, Adinda Meisya Hasna Nurfauziah, Isni Nurhayati, Aisah Nurul Amalia Nuryudica Harefa Patricia Zenitha Aritonang Pramesti, Monica Ria Prasistyami, Annisaputri Prastita, Ni Putu Gita Prima Kusrini Puspa Sari, Puspa Putri, Ratu Tasya Dwiana Rachmawati, Anita Rahma Sasmita Indriani Rahmatina, Arina Nursafrina Rani Kusumawardani Regitha Adit Pramesty Reni Yuli Astutik Reza, Ovella April Rhadiyah, Putri Rokhimawaty, Afita Ruswana Anwar Safitri, Dessy Nur Sefita Aryuti Nirmala Setiawan, Nurhayati Shabira, Aghniyya Shafi’ah, Shafi’ah Shilvia, Shilvia Siti Fatimah Siti Rohmah Soraya, Ayu Sri Yunita Sri Yunita Suci Aspriyanti Anwar Sueng Son, Prischilia Modesta Sukmana, Diniati Sunardi Supriyatin, Dedeh Susiarno, Hadi Urbaningrum, Bambang Amelia Fajriati Victor Abiola Adepoju Wejak, Gordianus Lelang Wenny Desmana Wijaya, Aqsha Wiryawan Permadi Wisesa, Mutmainah Yanyan Mulyani Yasinta Dewi Kristianti Yulis Setiya Dewi Yunas, Aisya Astri Yuni Kusmiyati Yuni Kusmiyati Yuwansyah, Yeti