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All Journal INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS)
Jasmawati ,
Poltekkes Kaltim
Health Professions Nursing Public Health Other

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THE EFFECT OF EARLY MOBILIZATION ON UTERINE INVOLUTION AFTER CESAREAN SECTION Femmy Dwi Isminarti; Jasmawati ,; Lukman Nulhakim
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol 7 No 2A (2023): VOLUME 7 ISSUE 2A: SPECIAL ISSUE - HEALTH SCIENCE 2023
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2023/Vol7/Iss2A/495

Abstract

Several factors influence the achievement of Exclusive Breastfeeding, including the presence of mothers experiencing nipple soreness, which consequently leads to discontinuation of breastfeeding; insufficient breast milk flow resulting in a switch to formula milk. One alternative to improve breast milk flow is through the application of Woolwich massage. Woolwich massage therapy is a technique that stimulates breast milk production in nursing mothers. To determine the effect of Woolwich massage on the improvement of breast milk production in postpartum multipara mothers in the postpartum room of Kudungga General Hospital. This study employed a quasi-experimental design, specifically a non-equivalent control group design. The results of this study revealed a significant effect of Woolwich massage on the improvement of breast milk production (p-values of 0.008 and 0.005) with α value of 0.05. The increase in breast milk production can be attributed to the process of milk formation that occurs after stimulation through massage. Contraction of these specialized cells then propels breast milk from the alveoli through the lactiferous ducts to the lactiferous sinuses, where milk is stored. In the first week after childbirth, around 6 out of 10 postpartum mothers commonly experience insufficient breast milk production. Woolwich massage intervention is necessary, with the expectation of enhancing breast milk production in postpartum mothers.
THE EFFECT OF EARLY MOBILIZATION ON UTERINE INVOLUTION AFTER CESAREAN SECTION Ani Dwi Ningrum; Jasmawati ,; Lukman Nulhakim
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol 7 No 2A (2023): VOLUME 7 ISSUE 2A: SPECIAL ISSUE - HEALTH SCIENCE 2023
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2023/Vol7/Iss2A/496

Abstract

The rate of births through cesarean section is 17.6% (Riskesdas, 2018). Uterine involution is the process of the uterus returning to its pre-pregnancy state in terms of both form and position. Early mobilization is a policy aimed at promptly guiding patients out of bed and encouraging them to walk as soon as possible. Failure to engage in early mobilization can result in an increase in body temperature due to inadequate uterine involution, preventing the removal of residual blood and leading to infections. The objective of this study is to determine the effect of early mobilization on uterine involution in patients after Cesarean Section at Kudungga Kutai Timur Regional General Hospital. This study employs a quasi-experimental research design in the form of a two-group posttest-only design to assess the impact of early mobilization on uterine involution after Cesarean Section at Kudungga Kutai Timur Regional General Hospital. The study includes a sample size of 10 respondents in the intervention group and 10 respondents in the control group. The consecutive sampling technique is used for sampling. Research instruments include observation sheets. The results of the Mann-Whitney test show a significance value of 0.008 (p<0.05), leading to the rejection of the null hypothesis (H0). It can be concluded that there is a difference in uterine involution after early mobilization in patients after Cesarean Section in the postpartum ward of Kudungga Regional General Hospital in 2023.
Improving Breastfeeding Self-Efficacy in Postpartum Mothers Through Hypnobreastfeeding siti hadijah; Jasmawati ,; Lukman Nulhakim
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol 7 No 2A (2023): VOLUME 7 ISSUE 2A: SPECIAL ISSUE - HEALTH SCIENCE 2023
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2023/Vol7/Iss2A/497

Abstract

Exclusive breast milk is breast milk given to infants from birth for 6 months, without adding from/or replacing other foods and drinks (except medicine, vitamins, and minerals). Breastfeeding Self-Efficacy is the biggest factor that can influence the process of breastfeeding and the success of exclusive breastfeeding. One of the solutions that can help improve breastfeeding self-efficacy is to apply Hypnobreastfeeding. The type of research is quantitative with a pre-experimental research design in the form of a one-group pretest and posttest design, which assesses the effect of Hypnobreastfeeding on Breastfeeding Self-Efficacy on postpartum mothers in the postpartum room of RSUD Kudungga. The sampling technique was taken using consecutive sampling of 23 people. Based on the results of data analysis using the Wilcoxon test, a p value of 0.000 was obtained. Thus p = 0.000 is smaller than the error rate used at the α = 0.05 level. Mothers who breastfeed When they have the belief that their milk is lacking and not enough for the baby, then this belief will be embedded in the subconscious, and the mother will experience what she believes. Hypnobreastfeeding can neutralize these negative recordings for reprogramming by incorporating a positive intention or attitude towards self-confidence to be able to provide breast milk to their babies and believe that milk production is sufficient according to the needs of the baby. It can be concluded that Hypnobreastfeeding does affect the breastfeeding self-efficacy for postpartum mothers in the postpartum room at RSUD Kudungga.
Co-Authors Ani Dwi Ningrum Femmy Dwi Isminarti Lukman Nulhakim siti hadijah