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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.