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Self-Care and Unpleasant Symptoms in Indonesian Postpartum Mothers with Twin Babies: a Case Report Lina Ayu Marcelina; Imami Nur Rachmawati; Wiwit Kurniawati
Malahayati Nursing Journal Vol 5, No 5 (2023): Volume 5 Nomor 5 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v5i5.9140

Abstract

ABSTRACT Postpartum mothers with twin babies are in a critical condition in terms of maternal health because of their need to adapt to the presence of two babies at once. To describe nursing processes in five cases of postpartum mothers with twin babies. We reported nursing processes in five cases of postpartum mothers with twin babies, addressing the nursing care and self-care applied and referring to the theory of unpleasant symptoms. The five mothers presented to two hospitals in Jakarta, Indonesia.  During three days of treatment, the postpartum mothers were able to perform regular self-care without assistance, even though their self-management and time management were not optimal. However, they suffered unpleasant symptoms, including postpartum discomfort, breast engorgement, lack of support from husbands, and anxiety. Interventions were conducted via relaxation techniques, lactation management, and health education related to maternal and infant care for twin babies, together with family involvement and the provision of support from health-care providers and assistants. Time and self-management skills in postpartum mothers with twin babies need to be strengthened. Health-care providers are recommended to facilitate family assistance while the mother is in the hospital postpartum ward and to provide home visits as a form of follow-up. Keywords: Postpartum, Self-Care, Twin Babies, Unpleasant Symptoms 
Supportive Postpartum Care Reduces Postpartum Anxiety in Mothers with Twins: A Pilot Study Lina Ayu Marcelina; Imami Nur Rachmawati; Wiwit Kurniawati
JURNAL INFO KESEHATAN Vol 18 No 2 (2020): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Politeknik Kesehatan Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol18.Iss2.475

Abstract

Postpartum mothers with twins are more prone to mental health problems, particularly anxiety. However, research regarding the appropriate interventions to overcome anxiety in postpartum mothers with twins is limited. Anxiety has an impact on the health of both mother and baby. We conducted a pilot study to minimize the risks to mothers and babies, which was supportive postpartum care (SPC). The study was performed to five postpartum mothers with twins during hospitalization. SPC was employed by providing physical support, which was in the form of breast care and oxytocin massage, psychological support in the form of relaxation techniques, information support in the form of education, and advocacy support in the form of husband involvement. This method was effective for postpartum mothers with twins in reducing anxiety, increasing breastfeeding effectiveness, increasing knowledge, and improving the husband’s involvement in care. This study showed that SPC can reduce postpartum anxiety among postpartum mothers with twins effectively. A very good increase of LATCH score and knowledge were reported in 3 out of 5 mothers. Families, especially husbands, were advised to continue providing care support through the role division at home.