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The effect of body mass index and position on blood surface area on sanitary pads Fauziah, Siska Febrina; Lestaluhu, Viqy; Kurniawati, Imas; Mardiani, Dita Eka; Diana, Helmi
Science Midwifery Vol 13 No 5 (2025): December: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i5.2168

Abstract

Accurate measurement of postpartum blood loss is crucial for guiding appropriate medical interventions. Digital image processing offers potential to enhance visual estimation accuracy, though refinement is still needed for sanitary pad media. This study examined the effect of body mass index (BMI) and body position on the blood surface area on sanitary pads to support the development of digital image-based measurement methods. An experimental design simulated postpartum blood loss using three BMI categories (underweight, normal, overweight) and three positions (sitting, side-lying, supine), each repeated twice. Blood surface area was measured using digital image processing and analyzed with the Kruskal-Wallis and Friedman tests. The sanitary pads’ absorption capacity ranged from 70–80 mL. Blood surface area did not differ significantly by BMI (p=0.597) but varied significantly by position (p=0.000). A trend of increasing surface area with higher BMI was observed. These findings suggest that both BMI and position should be considered in refining digital image-based methods for accurate and objective postpartum blood loss measurement.
STUDI KASUS : PENERAPAN TEKNIK MARMET SEBAGAI UPAYA MENINGKATKAN PRODUKSI ASI IBU POST PARTUM Lestaluhu, Viqy
Jurnal Kebidanan Vol 5 No 2 (2025): Jurnal Kebidanan (JBd) Desember 2025
Publisher : Poltekkes Kemenkes Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32695/jbd.v5i2.744

Abstract

Optimal breast milk production during the postpartum period is crucial for achieving exclusive breastfeeding. However, many mothers experience difficulty meeting their babies' milk needs due to physiological and psychological barriers, such as stress, inappropriate breastfeeding techniques, and lack of breast stimulation. One non-pharmacological approach that can be used to help increase breast milk production is the Marmet technique, a combination of breast massage and manual expression aimed at facilitating milk flow and stimulating the oxytocin reflex. This case study aims to illustrate the effectiveness of the Marmet technique in increasing breast milk production in postpartum mothers. The subject was a postpartum mother who experienced decreased breast milk production in the early stages of breastfeeding. The intervention was carried out for two weeks, regularly applying the Marmet technique before breastfeeding and before expressing breast milk. Data were collected through observations of breastfeeding frequency and the increase in expressed breast milk volume. The results showed a gradual increase in breast milk production after the intervention, characterized by an increase in expressed volume and a reduction in complaints of breast tenderness. In addition, the mother also reported increased comfort and confidence during breastfeeding. These findings suggest that the Marmet technique can be a simple and effective alternative intervention to address breast milk production issues in postpartum mothers. This study confirms that implementing the Marmet technique can support successful exclusive breastfeeding.