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The Effect Of The Combination Of Rooming-In And Oxytocin Massage On Breast Milk Production During The First 24 Hours Post Cesarean Section At Rs Pelita Insani Martapura Pebia Norviana; Sunartono Sunartono; Hargianti Dini Iswandari; Siti Maimunah; Istri Yuliani
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.59076

Abstract

Breast milk is the optimal nutrition for newborns. However, mothers undergoing cesarean section often experience delayed lactation due to anesthesia effects, surgical pain, stress, and postponed mother–infant contact. Non-pharmacological interventions such as rooming-in and oxytocin massage have been shown to improve lactation, but studies combining these two methods remain limited. Objective this study is to analyze the effect of combining rooming-in and oxytocin massage on breast milk production during the first 24 hours post-cesarean section. This study applied a quasi-experimental design with a pre-post test control group approach. The sample consisted of 24 post-cesarean mothers at Pelita Insani Hospital, Martapura, divided into intervention (rooming-in + oxytocin massage) and control (standard care) groups. Outcomes measured were colostrum volume, onset of lactation, and frequency of let-down reflex. Data analysis was performed using t-test, Mann-Whitney, and ANCOVA to control confounding variables, with a significance level of p<0.05.The combination of rooming-in and oxytocin massage significantly increased milk volume (38.7±6.4 ml vs 23.4±5.1 ml; p<0.001), accelerated lactation onset (8.4±2.1 hours vs 14.7±3.4 hours; p<0.001), and improved let-down reflex frequency (6.8±1.5 times vs 3.9±1.2 times; p<0.001) compared to the control group.Rooming-in combined with oxytocin massage is an effective and safe evidence-based intervention to enhance early milk production in post-cesarean mothers within the first 24 hours, supporting exclusive breastfeeding success.
THE EFFECT OF POST PARTUM EDUCATION ON PARENTING SELF-EFFICACY AND POST PARTUM BLUES IN PRIMIPARA MOTHERS POST SECTIO CAESAREA AT ESTOMIHI HOSPITAL, MEDAN C Santi Widya Purba; Siti Maimunah; Gunarmi
Jurnal Penelitian Vol 7 No 2 (2025): JURNAL PENELITIAN
Publisher : Institut Ilmu Kesehatan Nahdlatul Ulama Tuban

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47710/9bwemr19

Abstract

Background: High parenting self-efficacy will reduce the risk of postpartum depression. The prevalence of depression 6 months postpartum overall is 4.0%, with a higher prevalence in urban areas (5.7%) than in rural areas (2.9%). Young mothers in urban and rural regions show different risk factors for postpartum depression. Meanwhile, mothers who have low parenting self-efficacy scores can increase the risk of postpartum depression, inability to care for babies, which will increase infant morbidity and mortality rates, marital conflict, lack of relaxing and enjoyable time with children, and experience great difficulties in carrying out baby care tasks. The purpose of this study is to determine the effect of postpartum education on parenting self-efficacy and postpartum blues in primiparous mothers after cesarean section. Method: This study is a Quasi-Experimental study with a pretest-posttest Non-equivalent control group design. The research method used is postpartum education with leaflets and lectures on parenting self-efficacy and postpartum blues. The study population is post-CS mothers at Estomihi Hospital, Medan. The sampling technique is purposive. The sample size is 38 respondents, consisting of 19 people in the experimental group and 19 people in the control group. Univariate and bivariate data analysis using the Wilcoxon test and ordinal regression test. Results: The statistical test results showed a decrease from the intercept-only model to the final model, namely 26.761 to 5.623, with a difference (Chi-square value) of 21.138, which means there is a real influence with the presence of independent variables. If seen from the significance value, there is a significant influence between postpartum education using leaflets on parenting self-efficacy and postpartum blues because the significance value obtained is 0.000 <0.05. Conclusion: There is a significant influence of postpartum education using leaflets on parenting self-efficacy and postpartum blues.
Optimalisasi Peran Kader melalui Edukasi Pencegahan Stunting dan Deteksi Dini Tumbuh Kembang Balita Rani Rosita; Siti Maimunah; Evy Ernawati
Jurnal Pengabdian kepada Masyarakat Nusantara Vol. 7 No. 2 (2026): Edisi Mei - Agustus
Publisher : Lembaga Dongan Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55338/jpkmn.v7i2.9080

Abstract

Stunting masih menjadi masalah gizi kronis utama di Indonesia. Kabupaten Gresik mencatat prevalensi stunting sebesar 15,2% pada tahun 2024, masih di atas target Peraturan Bupati Gresik sebesar 10%, sementara Kecamatan Kebomas tercatat memiliki 343 balita stunting pada kuartal pertama 2026. Kader posyandu sebagai ujung tombak pelayanan kesehatan masyarakat masih memiliki keterbatasan pengetahuan dalam memberikan edukasi pola asuh pencegahan stunting serta melakukan deteksi dini tumbuh kembang balita menggunakan Kuesioner Pra Skrining Perkembangan (KPSP). Kegiatan pengabdian masyarakat ini bertujuan meningkatkan pengetahuan kader posyandu mengenai pola asuh pencegahan stunting dan deteksi dini tumbuh kembang balita. Kegiatan dilaksanakan pada 8 Mei 2026 di Balai Pertemuan Kelurahan Gending, Kecamatan Kebomas, Kabupaten Gresik, diikuti oleh 20 kader posyandu, menggunakan metode ceramah dengan media PowerPoint dan booklet, disertai pretest dan posttest. Hasil kegiatan menunjukkan peningkatan nilai rata-rata pengetahuan dari 63,35 (kategori cukup) pada pretest menjadi 83,6 (kategori baik) pada posttest, dengan proporsi peserta berkategori pengetahuan baik meningkat dari 5% menjadi 95%. Temuan ini menunjukkan bahwa edukasi kesehatan dengan metode ceramah yang didukung media visual dan bahan cetak efektif meningkatkan pengetahuan kader posyandu, sehingga dapat menjadi bekal bagi kader dalam memberikan edukasi yang lebih baik kepada ibu balita di wilayah kerjanya.
Edukasi Skrining Kanker Serviks Melalui Leaflet QR Code Untuk Meningkatkan Pengetahuan Anggota PKK Kampa Eka Pratiwi; Siti Maimunah; Zesika Intan Navelia
Mejuajua: Jurnal Pengabdian pada Masyarakat Vol. 6 No. 1 (2026): Agustus 2026
Publisher : Yayasan Penelitian dan Inovasi Sumatera (YPIS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52622/mejuajuaj.abdimas.v6i1.434

Abstract

Background: Cervical cancer screening coverage in Indonesia remains low, partly due to limited public knowledge regarding early detection. Objective: To increase the knowledge of Kampa District PKK (Family Welfare Empowerment) team members regarding cervical cancer screening through education using QR Code-based leaflets integrated with educational videos. Methods: The activity was conducted on July 27, 2026, at the Kampa District PKK Hall, Kampar Regency, involving 50 women aged 30–50 years. Evaluation employed a one-group pretest-posttest design comprising a pretest, material presentation, interactive discussion, and a posttest. Changes in knowledge scores were analyzed using the Wilcoxon Signed-Rank Test. Results: The mean knowledge score increased from 7.44 ± 1.618 at the pretest to 10.40 ± 1.678 at the posttest. The proportion of participants in the "good knowledge" category rose from 3 (6.0%) to 38 (76.0%), while the "poor knowledge" category decreased from 14 (28.0%) to 1 (2.0%). The Wilcoxon test indicated a significant difference in knowledge scores before and after the education (Z = ?6.182; p < 0.001). Conclusion: The educational intervention led to an increase in participants' knowledge regarding cervical cancer screening. These results reflect knowledge changes immediately following the education and do not yet demonstrate changes in screening behavior. The QR Code-based leaflet served as a supporting medium, linking written information with short videos to reinforce the message regarding the importance of screening.
PERIMENOPAUSE EDUCATION AND EARLY DETECTION OF CERVICAL CANCER VIA IVA SCREENING AMONG INFORMAL SECTOR WOMEN WORKERS AT BERINGHARJO MARKET Novani Elkhapi; Amelia Nugraha Pasila; Tri Nanik Yuliani; Siti Maimunah; Yustina Ananti; Evy Ernawati
International Review of Practical Innovation, Technology and Green Energy (IRPITAGE) Vol. 6 No. 2 (2026): July-October 2026
Publisher : RADJA PUBLIKA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.22249834

Abstract

Perimenopause and cervical cancer remain neglected reproductive health issues among informal women workers in Indonesia, including traders in traditional markets. This community service activity aims to increase women's awareness of perimenopause and early detection of cervical cancer through Visual Inspection with Acetic Acid (VIA/IVA) education at Pasar Beringharjo, Yogyakarta. The activity used a one-group pre-test post-test design involving women of perimenopausal age, women of childbearing age, and female traders as participants. Health education was delivered through lectures, leaflets, and interactive discussions, followed by a question-and-answer session. Knowledge was measured before and after the intervention using a structured questionnaire. Results showed the mean knowledge score increased from 68.5 (pre-test) to 89.2 (post-test), with a paired t-test result of t(29) = -10.524 and p < 0.05, indicating a statistically significant improvement. The activity successfully increased participants' understanding of perimenopausal changes, cervical cancer risk factors, and the importance of routine VIA examination. Sustainable collaboration among health institutions, market management, and the community is recommended to maintain awareness and encourage regular screening behavior.