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All Journal JURNAL KEBIDANAN KESTRA (JKK) JURNAL FARMASIMED (JFM)
Sri Putriani Sinaga
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Medicine & Pharmacology

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The Relationship Between Postpartum Mothers' Knowledge About Breast Care and Smooth Breast Milk Flow at The Millennium Clinic Sri Putriani Sinaga; Dinar Manalu; Sunengsih; Lely Masnita; Nova SJ
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.v7i2.2733

Abstract

The smooth provision of breast milk (ASI) during the postpartum period is still a challenge that needs special attention, one of which is influenced by the level of knowledge of mothers about breast care. This study aims to analyze the relationship between the level of knowledge of postpartum mothers about breast care and the smoothness of breastfeeding at the Millenium Clinic in 2024. This study used an analytical survey design with a cross-sectional approach. The population in this study were all postpartum mothers who visited the Millenium Clinic as many as 31 people (N = 31). The total population technique was used so that the entire population was used as a sample. The results showed that most postpartum mothers (19 respondents, 61.3%) had a low level of knowledge, while 7 respondents (22.6%) had a sufficient level of knowledge, and only 5 respondents (16.1%) had good knowledge. In addition, the majority of postpartum mothers (21 respondents, 67.7%) experienced poor breastfeeding, while 10 respondents (32.3%) reported smooth breastfeeding. The results of statistical analysis with a 95% confidence level showed a significant relationship between the level of knowledge of postpartum mothers about breast care and the smoothness of breast milk production (p < 0.001). It can be concluded that increasing postpartum mothers' knowledge about breast care is closely related to the smoothness of breast milk production. Therefore, it is recommended for health workers to develop comprehensive health promotion and education programs regarding breast care, especially for postpartum mothers in their respective work areas.
The Effect Of Cocoa Cream (Theobroma Cacao L) Administration On Breast Engorgement In Primigravida Postpartum Mothers HARYONO, NATHASIA; Sri Putriani Sinaga; Fiyola Ladyvia; Ismah Khaerunisa
Jurnal FARMASIMED (JFM) Vol 8 No 1 (2025): Jurnal Farmasimed (JFM)
Publisher : Fakultas Farmasi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/9rk55z42

Abstract

Breast engorgement is a common problem among postpartum mothers, especially primigravida, which can cause pain, swelling, and hinder the breastfeeding process. Conventional management such as warm compresses often provides only temporary relief, thus alternative therapies that are more effective and natural are needed. Cocoa (Theobroma cacao L.) contains flavonoids, polyphenols, and cocoa butter with anti-inflammatory, antioxidant, and emollient properties. This study aimed to determine the effect of cocoa cream on reducing breast engorgement in primigravida postpartum mothers. This research employed a quasi-experimental design with a pretest-posttest control group approach. A total of 36 primigravida postpartum mothers were recruited and divided into two groups: the intervention group (cocoa cream) and the control group (warm compresses). Measurements were conducted on days 1, 3, 5, and 7 using breast circumference measurement and the Visual Analog Scale (VAS) for pain. Data were analyzed using Paired t-test and Independent t-test with a significance level of p<0.05. Independent t-test results showed no significant differences at pretest (p=0.674) and day 3 (p=0.068). However, significant differences were observed from day 5 (p=0.003) and became more pronounced on day 7 (p=0.000), with the intervention group demonstrating greater reduction in pain and swelling compared to the control group. Cocoa cream was more effective than warm compresses in reducing breast engorgement among primigravida postpartum mothers, particularly after the fifth day postpartum. Cocoa cream may be recommended as a safe, natural, and non-invasive complementary therapy to support successful breastfeeding.
Co-Authors Dinar Manalu Fiyola Ladyvia Haryono, Nathasia Ismah Khaerunisa Lely Masnita Nova SJ Sunengsih