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Journal : Contagion: Scientific Periodical Journal of Public Health and Coastal Health

Oxytocin Massage Can Increase Breastfeeding Production in Postpartum Mothers Epti Yorita; Sri Yanniarti; Istiarika Istiarika
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 5, No 2 (2023): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v5i2.15428

Abstract

Breastfeeding is the most appropriate feeding method for babies, so the Government issued a policy of Implementing 10 Steps to Successful Breastfeeding to support successful breastfeeding. However, the coverage of exclusive breastfeeding is still low. Pre-lacteal feeding, culture, and common knowledge are the causes of the failure of exclusive breastfeeding. In addition, the mother's perception of insufficient milk supply is the most common reason for stopping breastfeeding. Therefore, an oxytocin massage intervention is needed to increase milk production. This study aims to determine the effect of oxytocin massage on breastfeeding production in postpartum mothers in the work area of the Bengkulu City Health Center. Quasi-experimental research design with control group post-test only. The treatment group was postpartum women who were given oxytocin massage, while the control group was given endorphin massage. A sample of 34 people was taken by purposive sampling technique. Data was collected through questionnaires and observation sheets. A breast pump measures breastfeeding production. Data were analyzed univariately, bivariate with independent t-test, and multivariate with Ancona. The results showed that there was an effect of oxytocin massage on milk production p=0.00. The mean difference was 1.54. There is an effect of IMD status on breast milk production p=0.00, and there is an effect of frequency of breastfeeding on milk production p=0.00. Oxytocin massage is not the most dominant variable affecting breastfeeding production. It is recommended that health service providers provide breastfeeding education continuously during pregnancy, perinatal, and until the baby is two years old by involving the family and using digital information technology that can reach all targets. Keywords: Oxytocin massage, Breastfeeding Production
Early Initiation of Breastfeeding Can Accelerate Uterine Involution in Postpartum Women Epti Yorita; Juita Dian Anggraini; Sri Yanniarti; Rialike Burhan; Rina Rina
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 5, No 3 (2023): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v5i3.17550

Abstract

Maternal Mortality Rate (MMR) in Indonesia is still high with the main causes of pre-eclampsia and postpartum hemorrhage, this occurs due to endometritis, congenital coagulation disorders as well as residual conception products, subinvolution of blood vessels at placental implantation.  Therefore, efforts are needed to increase uterine contractions in the first minute after birth by stimulating the release of the hormone oxytocin so that the uterus contracts adequately with early initiation of breastfeeding (EIB). This study aims to determine the effect of EIB on uterine involution in postpartum mothers in Bengkulu Regency, Bengkulu Province. Design of research is cross sectional with independent variable of EIB, dependent variable of uterine involution. External variables measured include early mobilization, age and parity. The sample in this study were postpartum mothers on day 7, a total of 54 people selected by purposive sampling. The research site was located in Central Bengkulu Regency, Bengkulu Province. Data were analyzed univariate, bivariate with Mann Whitney and multivariate with ancova. There is an effect of EIB with uterine involution p=0.000.  There is no relationship between parity and uterine involution p=0.100. There is a relationship between age and uterine involution p=0.00. There is a relationship between early mobilization and uterine involution p=0.00. EIB is the dominant factor affecting uterine involution in postpartum mothers. EIB is the dominant factor affecting uterine involution. Health care providers should perform EIB within the first hour after the birth of the baby to prevent sub involution in postpartum women. Keywords:  Breastfeeding, Early, Initiation, Involution, Uterine
Group Investigation Method Improves Breast Self-Examination Behavior in Women of Childbearing Age Sella Dwi Oktaviani; Agung Riyadi; Epti Yorita; Desi Widiyanti; Sri Yanniarti
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 6, No 1 (2024): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v6i1.19231

Abstract

Breast cancer is one of the most common types of cancer suffered by women worldwide with a high incidence rate. The increasing number of new cases that appear every year will be a threat, This study aims to determine how the influence of Group Investigation on increasing knowledge, attitudes and actions of women of childbearing age towards BSE. This type of research is quasy experiment designs with nonequivalent control group design. The intervention group was given education with the Group Investigation method, the control group with the jigsaw method. The number of samples used was 52 people, 26 for the intervention group and 26 for the control group taken by proportionate stratified random sampling technique. The results of the Wilcoxon test found that education with the group investigation method has an influence on knowledge with value (p-value = 0.000), attitude (p-value = 0.000) and action (p-value = 0.000). The test results also showed that there was an influence of the jigsaw method on knowledge with values (p-value = 0.000), attitudes (p-value = 0.000) and actions (p-value = 0.000). The results of the mann-whitney test found that the group investigation method was more effective for increasing knowledge (p-value = 0.000), attitudes (p-value = 0.000) and WUS Actions (p-value = 0.590) about BSE compared to the Jigsaw method. The conclusion of this study is that group investigation method is effective in improving breast self- examination behavior in women of childbearing age.