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Edukasi Pemberian Terapi Kompres Hangat Payudara Terhadap Penurunan Nyeri Payudara Pada Ibu Nifas Ladyvia, Fiyola; Haryono, Nathasia Elga; Sinaga, Sri Putriani
Nanggroe: Jurnal Pengabdian Cendikia Vol 4, No 10 (2025): Januari
Publisher : Yayasan Daarul Huda Kruengmane

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.14840597

Poor management of breast care can result in premature cessation of breastfeeding. The main reason for early cessation of breastfeeding is due to pain caused by breast milk dams. One indicator of a child's health is exclusive breastfeeding. In Indonesia, exclusive breastfeeding coverage increased from 69.62% in 2020 to 71.58% in 2021 and 72.04% in 2022. This community service aims to enhance community awareness regarding the efficacy of warm breast compresses as an alternative therapeutic approach for managing breast engorgement in postpartum mothers. This study utilized a quasi-experimental design with pre- and post-test assessments. The target population for this research consisted of postpartum mothers on the third postpartum day residing within the service area of the Garung Community Health Center, Wonosobo Regency in August-September 2024 who experienced breast milk dams with a total of 6 respondents using probability sampling techniques with simple random sampling. Researchers divided respondents into 2 groups. The Wilcoxon Test was employed for data analysis. The statistical test results using the Wilcoxon Test, postpartum mothers with warm compresses with p value= 0.000, can be concluded p < 0.05. This indicates a statistically significant effect of warm compresses in alleviating breast pain among postpartum mother.

Faktor Presdisposing dan Reinforcing Yang Mempengaruhi Penggunaan Metode Kontrasepsi Suntik 3 Bulan Diwilayah Kerja Puskesmas Garung Kabupaten Wonosobo Haryono, Nathasia Elga; Sinaga, Sri Putriani; Ladyvia, Fiyola; Khaerunisa, Ismah
Madani: Jurnal Ilmiah Multidisiplin Vol 3, No 2 (2025): March
Publisher : Penerbit Yayasan Daarul Huda Kruengmane

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.14840678

The 3-month injectable contraceptive is the most widely used method in the working area of Puskesmas Garung, accounting for 50% of the total active contraceptive coverage, which stands at 78.90%. However, this method has several drawbacks, such as an effectiveness rate of only 98% and a failure risk of 60 per 1,000 users according to WHO, which is higher compared to IUDs, implants, MOW, and MOP. The high usage of the 3-month injectable contraceptive may lead to suboptimal birth control, potentially increasing maternal mortality rates (MMR). This study aims to identify predisposing and reinforcing factors influencing the selection of the 3-month injectable contraceptive. Using a descriptive qualitative method with consecutive sampling involving 9 respondents, data were collected through questionnaires and analyzed univariately. The findings indicate that age, education, and knowledge (predisposing factors) are the most influential factors in choosing this contraceptive method. Therefore, healthcare providers are encouraged to offer in-depth counseling on the effectiveness and drawbacks of the 3-month injectable contraceptive to encourage mothers to switch to long-acting contraceptive methods (LACMs).

Edukasi Pemberian Terapi Kompres Hangat Payudara Terhadap Penurunan Nyeri Payudara Pada Ibu Nifas Ladyvia, Fiyola; Haryono, Nathasia Elga; Sinaga, Sri Putriani
Nanggroe: Jurnal Pengabdian Cendikia Vol 4, No 10 (2025): Januari
Publisher : Yayasan Daarul Huda Kruengmane

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.14840597

Poor management of breast care can result in premature cessation of breastfeeding. The main reason for early cessation of breastfeeding is due to pain caused by breast milk dams. One indicator of a child's health is exclusive breastfeeding. In Indonesia, exclusive breastfeeding coverage increased from 69.62% in 2020 to 71.58% in 2021 and 72.04% in 2022. This community service aims to enhance community awareness regarding the efficacy of warm breast compresses as an alternative therapeutic approach for managing breast engorgement in postpartum mothers. This study utilized a quasi-experimental design with pre- and post-test assessments. The target population for this research consisted of postpartum mothers on the third postpartum day residing within the service area of the Garung Community Health Center, Wonosobo Regency in August-September 2024 who experienced breast milk dams with a total of 6 respondents using probability sampling techniques with simple random sampling. Researchers divided respondents into 2 groups. The Wilcoxon Test was employed for data analysis. The statistical test results using the Wilcoxon Test, postpartum mothers with warm compresses with p value= 0.000, can be concluded p < 0.05. This indicates a statistically significant effect of warm compresses in alleviating breast pain among postpartum mother.

The Effect of Breastcare on the Smoothness of Breast Milk in Postpartum Mothers Ladyvia, Fiyola
JURNAL KEBIDANAN KESTRA (JKK) Vol. 7 No. 2 (2025): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v7i2.2732

Breast Care is one method that can be used to overcome problems in the breastfeeding process, especially during the postpartum period, so that the process of releasing breast milk can run smoothly. Side effects that arise due to the use of drugs containing chemicals, a simple and efficient care solution is needed. Health services highlight the importance of providing quality and effective care, which can also be done independently. This study applies a pre-experimental design with a one-group pretest-posttest design approach. The study was conducted at PMB E in January 2025, involving 15 breastfeeding postpartum mothers selected using the total sampling method. Measurement of pain levels was carried out using the Numeric Rating Scale (NRS), while breast engorgement was assessed using the Six Point Engorgement Scale (SPES), both before and after the intervention was given. The results of this study indicate that breastcare interventions are effective in reducing breast engorgement and pain intensity in postpartum mothers. The average breast engorgement decreased from 2.46 to 1.32 after the intervention, with a decrease of 1.14. Meanwhile, the average pain intensity decreased from 3.88 to 2.34 after the intervention, with a decrease of 1.54. The results of the Wilcoxon statistical test showed that there was a significant effect of breast care on the smoothness of breast milk in postpartum mothers, with a p value = 0.000 (? <0.05). Therefore, breast care can be used as an effective alternative therapy to increase the smoothness of breast milk in postpartum mothers.

Optimizing the Mother–Toddler Class to Address Wasting Through the Tangan Baliku Program Towards a Healthy and High-Quality Generation in the Working Area of Purbaratu Primary Health Center Ladyvia, Fiyola; Khaerunisa, Ismah; Leandra, Maulinda Nur Amalina; Siagian, Rosmawaty Irma Suryani; Yatini, Yatini
JURNAL PENGMAS KESTRA (JPK) Vol. 5 No. 1 (2025): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/w0t01y29

Wasting in children under five remains a significant public health problem, especially in developing countries like Indonesia, where nutritional issues such as wasting, stunting, and underweight are still prevalent. This study aimed to develop and implement a community-based innovation program named Tangan Baliku (Integrated Management of Underweight Children) to address the high incidence of wasting in the working area of Purbaratu Primary Health Center. This innovation was designed and implemented in April 2022 through cross-sectoral collaboration, focusing on promotive, preventive, curative, and educational approaches. The methodology used was a descriptive participatory approach involving community empowerment through optimizing the existing mother–toddler class, home visits, nutrition counseling, supplementary feeding, and regular monitoring. The results show that Tangan Baliku effectively increases early detection and management of underweight children, improves mothers' knowledge of nutrition, and encourages higher participation in toddler health services. It also helps in reducing the number of children with poor nutritional status through structured follow-up and referral systems. In conclusion, the Tangan Baliku program is a comprehensive and sustainable strategy that addresses wasting by strengthening maternal involvement, community participation, and cross-sector collaboration in child nutrition improvement. This program contributes to better health outcomes for children under five and supports the development of a healthy and high-quality future generation.

Effectiveness of Transdermal Patch Compressed Red Ginger Ekstract (Zingiber Officinale Var.Rubrum) as Therapy Alternative to Flowness Breast Milk in Postpartum Mothers Ladyvia, Fiyola; Hadisaputro, Suharyo; Suwondo, Ari
Indonesian Journal of Global Health Research Vol 6 No 3 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i3.3186

Breast milk smoothness occurs because the blockage of venous and lymphatic flow increases, causing breast swelling, inhibiting milk flow, and pain in the breast and increasing body temperature, if not treated immediately there can be breast milk dams, mastitis and even breast infections. This causes pain, to reduce breast swelling non-pharmacologically can be done with the development of transdermal patch compress red ginger extract. The research purposes is a resulted in the development of a viable red ginger extract transdermal patch compress and proved its effectiveness as an alternative therapy for smooth breastfeeding in postpartum mothers. Produce and analyze its effectiveness as an alternative therapy for smooth breast milk in postpartum mothers. Method: This type of research is R&D, and quasi-experimental Pre-Posttest With Control Group Design. The sample amounted to 30 postpartum mothers divided into 2 intervention groups with the development of transdermal patches of red ginger extract and breastcare and a control group with breasrcare. The variables measured were breast milk volume, decreased swelling and breast tenderness. Consecutive sampling technique. Data collection using questionnaires and observations. Data analysis using univariate and bivariate using Wilcoxon and Mann Whitney. The development of transdermal red ginger extract patches is validated and feasible to be applied as an alternative therapy to smooth breast milk of puerperal mothers. Test results of effectiveness of increasing breast milk volume from 2,47 to 71,07 (p = 0.000), decreasing breast swelling from 3,45 to 1,32 (p = 0.000), breast pain from 2,91 to 0,14 (p = 0.001). The application of the development of Transdermal Extract Red Ginger Patch is feasible and effective as an alternative therapy against the smooth breastfeeding of puerperal mothers.

The Level of Student Knowledge about Reproductive Health at the Faculty of Midwifery, Medistra Lubuk Pakam Ladyvia, Fiyola; Haryono, Natasha Elga; Khaerunisa, Ismah
JURNAL KEBIDANAN KESTRA (JKK) Vol. 8 No. 1 (2025): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/0vgsm035

Reproductive health is a fundamental competency that must be mastered by midwifery students because it is closely related to professional practice in maternal and child health services. This study aims to analyze determine the level of knowledge of students of the Faculty of Midwifery at the Medistra Health Institute, Lubuk Pakam, regarding reproductive health. The study design used a quantitative descriptive approach with a cross-sectional method. The study sample consisted of 100 students selected using a purposive sampling technique. Data were collected using a structured questionnaire and analyzed using SPSS software with descriptive statistical tests and Pearson correlation. The results showed that 72% of students had a good level of knowledge, 20% had a sufficient level of knowledge, and 8% had a poor level of knowledge. The correlation analysis showed a positive relationship between knowledge level and semester (r = 0.416; p < 0.05), meaning that the higher the semester, the better the level of knowledge. The conclusion of this study indicates that the level of student knowledge about reproductive health is quite good, but it is necessary to improve continuous education through contextual learning and field-based training.

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