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Description Of Factors That Cause Breast Engorgement in Postpartum Women at TPMB Elis Lismayani Baregbeg Sub-District, Ciamis District Rayi Tridesta Kharisma; Sri Heryani; Kurniati Devi Purnamasari
Journal of Midwifery and Public Health Vol 7, No 1 (2025): Maternal and Midwifery Care: From Pregnancy to Postpartum
Publisher : Universitas Galuh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25157/jmph.v7i1.23757

Abstract

Breast engorgement is the damming of milk due to constriction of the lactiferous ducts or by incomplete emptying of the glands or due to nipple abnormalities. The breasts are hot and hard to the touch and painful; the body temperature does not rise. The nipples may be flat and this makes it difficult for the baby to suckle. Sometimes the release of breast milk is also blocked because the ductuli are narrowed due to enlarged veins and lymph vessels, the purpose of this study is to determine the description of what factors cause Breast Milk Damage (ASI) in Postpartum Mothers in Baregbeg sub-district, Ciamis district in 2024 which includes age, education, occupation, parity, gestational age, and knowledge. the research used is quantitative descriptive which aims to obtain a description of the factors that cause breast milk dams in postpartum mothers. The number of samples in this study consisted of 13 postpartum women respondents. The results of this study found that most respondents aged 20-25 years were 9 people (69.3%), had a junior high school education as many as 7 people (53.84%), the gestational age of the mother was aterem as many as 12 people (92.3), maternal peritas as many as 9 people (69.23%), maternal work as many as 10 people did not work (76.92%), and sufficient knowledge as many as 8 people (61.35).
Determinants of Labor Duration: A Systematic Review of Maternal, Fetal, And Healthcare Factors Widya Maya Ningrum; Kurniati Devi Purnamasari; Silvia Widyani Heriyanti; Kartikasari Kartikasari
Journal of Midwifery and Public Health Vol 7, No 2 (2025): Current Perspectives in Midwifery and Public Health
Publisher : Universitas Galuh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25157/jmph.v7i2.23806

Abstract

Prolonged labor increases risks of maternal and neonatal complications. Identifying its determinants is essential for improving intrapartum care. This systematic review synthesizes evidence on maternal, fetal, and healthcare factors influencing labor duration. A systematic search was conducted in Google Scholar, PubMed, and ScienceDirect for articles published between 2015–2025. Studies reporting original data on labor duration determinants were included. Fifteen studies met inclusion criteria. Maternal factors (advanced age >35 years, nulliparity, high anxiety) consistently prolonged labor. Fetal factors including macrosomia (>4000 g) and occiput posterior malposition significantly extended labor duration. Healthcare factors such as continuous labor support, maternal mobilization, and appropriate oxytocin use were associated with shorter labor duration. Labor duration is determined by multifactorial interactions. Evidence-based, comprehensive intrapartum care addressing all determinant categories is recommended to optimize maternal and neonatal outcomes.
Telelactation Counseling Outcomes Among Midwifery Students: An International Collaborative Community Service Program to Improve Exclusive Breastfeeding Support Kurniati Devi Purnamasari; Zahrah Saad; Siti Fatimah; Eet Sumiati; Nurul Hidayah; Luthfiyatun Thoyyibah; Lista Listiawati; Elia Nurkamelia; Adhelia Dwi Lestari
International Journal of Community Service (IJCS) Vol. 5 No. 2 (2026): July-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijcs.v5i2.1991

Abstract

The Collaborative Community Service Excellence Program entitled “Telelactation Counseling Outcomes Among Midwifery Students: Collaborative Community Service with MAHSA University to Improve Exclusive Breastfeeding in Postpartum Mothers” was developed to address the increasing need for innovative breastfeeding support strategies and digital health integration in maternal healthcare services. This program aimed to enhance midwifery students’ competencies in telelactation counseling while strengthening international academic collaboration between Universitas Galuh, Indonesia, and MAHSA University, Malaysia. The program involved 40 participants consisting of 36 undergraduate midwifery students from Universitas Galuh and 4 students from the Advanced Diploma in Midwifery Program of MAHSA University. The implementation was conducted through three stages, namely the Pre-Counseling Phase, Synchronous Teleconference Counseling, and Post-Counseling Monitoring. Learning activities included academic sharing, mentoring, collaborative discussions, simulation-based practice, and evaluation sessions. The results demonstrated a significant improvement in participants’ knowledge regarding telelactation counseling, exclusive breastfeeding support, and digital health applications. The proportion of participants with good knowledge increased from 20.0% in the pre-test to 75.0% in the post-test, while the mean knowledge score improved from 65.40 ± 12.35 to 84.75 ± 8.21 (p < 0.001). In addition, the program enhanced intercultural communication, expanded institutional networking, and promoted sustainable international collaboration. In conclusion, the program effectively improved participants’ competencies in telelactation counseling and contributed to the dissemination of innovative telehealth approaches to support exclusive breastfeeding and maternal-child healthcare services.
Model Fun Fruit Learning Learning sebagai Inovasi Pembelajaran untuk Pengembangan Literasi Sehat, Bahasa dan Numerasi Anak Usia Dini Luthfiyatun Thoyyibah; Adang Effendi; Kurniati Devi Purnamasari; Didih Faridah; Taupik Sopyan; Almaura Aldist; Salsabila Fauziah; Auliya Nur Hajah Patimah
Abdimas Galuh Vol 8, No 1 (2026): Maret 2026
Publisher : Universitas Galuh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25157/ag.v8i1.22593

Abstract

Kegiatan Pengabdian kepada Masyarakat (PkM) ini dilaksanakan untuk memperkuat literasi sehat, kemampuan berbahasa, dan numerasi anak usia dini melalui penerapan model Fun Fruit Learning berbasis pengalaman langsung. Kegiatan ini berlatarbelakang dari kondisi rendahnya capaian literasi–numerasi anak serta minimnya ketertarikan siswa terhadap konsumsi buah dalam program Makan Bergizi Gratis (MBG). Pelaksanaan kegiatan dilakukan melalui tahapan observasi awal, Focus Group Discussion (FGD) dengan guru dan orang tua, praktik pembelajaran di kelas, serta pendampingan orang tua melalui workshop literasi sehat. Program ini melibatkan 60 siswa RA level A, 8 guru, dan 20 orang tua. Hasil kegiatan menunjukkan bahwa 95% siswa menghabiskan buah dari target 70%, 85% siswa mampu menyebutkan nama buah dalam Bahasa Inggris dari target 60%, serta 100% siswa berhasil menghitung angka 1–10 dan mengelompokkan buah berdasarkan warna dan bentuk dari target masing-masing 75% dan 60%. Temuan ini menunjukkan bahwa Fun Fruit Learning efektif mendukung peningkatan literasi dasar dan kesadaran gizi, serta layak direkomendasikan untuk diterapkan di satuan pendidikan usia dini lain.
Pemberdayaan Masyarakat melalui Pelatihan Produksi Nugget Ayam dan Jantung Pisang Kepok sebagai Inovasi Pangan Lokal untuk Mendukung Peningkatan Produksi ASI Sri Heryani; Yudita Ingga Hindiarti; Kurniati Devi Purnamasari; Anisa Puspitasari
Kolaborasi: Jurnal Pengabdian Masyarakat Vol 6 No 2 (2026): Kolaborasi: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kolaborasi.v6i2.820

Abstract

Introduction: Breast milk production plays a crucial role in supporting infant growth and immunity. One of the efforts to improve breast milk production is by optimizing the nutritional intake of breastfeeding mothers through the utilization of local food sources. Kepok banana heart (Musa paradisiaca) contains essential nutrients and natural lactagogue compounds that have the potential to stimulate prolactin and oxytocin hormones. This community service program introduces the innovation of chicken nuggets combined with kepok banana heart as an alternative nutritious local food product for breastfeeding mothers. Objective: The purpose of this community service was to empower breastfeeding mothers and health cadres through training on processing kepok banana heart into an innovative food product and to improve their knowledge, skills, and attitudes regarding local food utilization to support breast milk production. Method: This public service activity was conducted through several stages, including initial surveys, socialization, nutrition education, demonstration of processing techniques, hands-on practice, and evaluation. A total of 30 participants consisting of breastfeeding mothers and cadres took part in the program. Evaluation was carried out using pre-test and post-test assessments to measure changes in knowledge, skills, and attitudes. Result: The training resulted in a significant improvement in participants’ abilities. Knowledge increased by 41.25% (p < 0.001), skills increased by 26.06% (p < 0.01), and attitudes increased by 13.06% (p = 0.018). Participants were able to independently process kepok banana heart into chicken nugget products and demonstrated positive interest in adopting local food innovations. The program also initiated the formation of a nutrition education group and prepared several academic outputs such as modules, HKI drafts, and documentation. Conclusion: The community empowerment program effectively enhanced participants’ knowledge, skills, and attitudes in utilizing local food ingredients, particularly kepok banana heart, as a nutritious innovation to support breast milk production. The activity shows strong potential for sustainability and can be replicated in other communities to promote food-based interventions for maternal and child health.
The Effect of Lactation Counseling on Mothers' Breastfeeding Ability with the LATCH Method Approach Kurniati Devi Purnamasari; Ratna Suminar; Adinda Laksmidara; Stephanie Putri Maharanie; Auliya Nur Hajah Patimah
Jurnal Kebidanan Midwiferia Vol. 11 No. 2 (2025): Oktober
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/midwiferia.v11i2.1746

Abstract

Background: Breastfeeding success is influenced by a mother's breastfeeding skills. The LATCH score is an instrument used to objectively assess breastfeeding skills. However, many postpartum mothers still experience difficulties breastfeeding due to a lack of understanding of correct breastfeeding techniques. Counseling on breastfeeding techniques is an effort that can improve postpartum mothers' ability to breastfeed optimally. Objective: To determine the effectiveness of breastfeeding technique counseling on postpartum mothers' breastfeeding skills based on the LATCH score. Methods: This study used a quasi-experimental design with a pretest-posttest control group approach. The sample consisted of postpartum mothers who met the inclusion criteria (n =50), divided into an intervention group and a control group. The intervention group received breastfeeding technique counseling for 4 sessions, while the control group received standard care. The breastfeeding skills instrument used the LATCH observation sheet. Data analysis was performed using paired t-tests and independent t-tests. Results: The average LATCH score in the intervention group increased significantly after counseling (p < 0.05), while the control group showed no significant change. There was a significant difference in LATCH scores between the intervention and control groups after treatment. Conclusion: Breastfeeding technique counseling effectively improved postpartum mothers' breastfeeding skills, as measured by LATCH scores.
Efektivitas Kalkulator Deteksi Stunting (Kalkulating) Sebagai Instrumen Tumbuh Kembang Digital Pada Anak Usia 0-59 Bulan Ratna Suminar Suminar; Silvia Widyani Heriyanti; Yudita Ingga Hindiarti; Widya Maya Ningrum; Kurniati Devi Purnamasari; Henri Setiawan; Fatmawati Karim
Jurnal Keperawatan Galuh Vol 8, No 2 (2026)
Publisher : Universitas Galuh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25157/jkg.v8i2.25817

Abstract

Stunting masih menjadi tantangan utama dalam upaya peningkatan kualitas kesehatan anak karena berdampak terhadap pertumbuhan fisik dan perkembangan pada masa mendatang. Optimalisasi deteksi dini melalui pemanfaatan teknologi digital diperlukan untuk mendukung pemantauan tumbuh kembang anak yang lebih cepat, akurat, dan mudah diakses. Penelitian ini bertujuan mengevaluasi efektivitas Kalkulator Deteksi Stunting (Kalkulating) sebagai instrumen digital dalam pemantauan tumbuh kembang anak usia 0–59 bulan. Penelitian menggunakan rancangan quasi-experiment dengan pre-test dan post-test control group design yang melibatkan 546 responden yang terdiri dari 273 responden kelompok intervensi, dan 273 kelompok kontrol. Kelompok intervensi terdiri dari 273 ibu yang memiliki balita di lima lokus stunting di Kabupaten Ciamis. Analisis data dilakukan menggunakan uji independent t-test. Hasil penelitian menunjukkan bahwa penggunaan Kalkulating memberikan peningkatan yang bermakna terhadap efektivitas deteksi dini stunting dengan rerata skor 4,58 ± 0,46 dan transformasi digital sistem monitoring (4,57 ± 0,48) dalam melakukan deteksi dini dan pemantauan tumbuh kembang anak (p < 0,001). Selain meningkatkan ketepatan identifikasi risiko stunting, penggunaan alat deteksi tumbuh kembang digital juga mempermudah proses pemantauan pertumbuhan dan perkembangan anak serta mendorong penerapan sistem pencatatan berbasis digital. Temuan ini menunjukkan bahwa Kalkulating layak digunakan sebagai instrumen pendukung dalam pelaksanaan monitoring tumbuh kembang anak. Integrasi aplikasi ini pada pelayanan kesehatan primer diharapkan dapat memperkuat upaya deteksi dini dan pencegahan stunting secara berkelanjutan.