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Wahyuni Romadhon, Lily
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Nursing

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The Effectiveness of Breast Care on Increasing Breast Milk Production in Mrs. N Post Sectio Caesarea in the Mawar Room of Kardinah Regional General Hospital, Tegal City Rohanifah; Wahyuni Romadhon, Lily; Setyo Dwi Andhini, Citra
INDOGENIUS Vol 4 No 2A (2025): INDOGENIUS
Publisher : Department of Publication of Inspirasi Elburhani Foundation Desa. Pamokolan, Kecamatan Cihaurbeuti, Kabupaten Ciamis, Provinsi Jawa Barat, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/igj.v4i2A.699

Abstract

Background & Objective: Breast milk is an important component that needs to be considered, especially in terms of production and flow, as it has various benefits for the growth and development of infants. Mothers who have undergone a cesarean section often experience problems with breastfeeding due to inadequate breast milk production. Breastfeeding challenges in postpartum cesarean section mothers are caused by a decrease in oxytocin and prolactin hormones, which play a role in the smooth production of breast milk. To facilitate breast milk production, non-pharmacological efforts are needed, such as Breast Care. Breast Care is an effort to maintain the condition of a breastfeeding mother's breasts, both during pregnancy and after childbirth (postpartum period). Method: A descriptive method was used with the application of case study results. Result: The application of Breast Care conducted on January 2–4, 2025, to a post-cesarean section patient with breastfeeding issues was ineffective in the Mawar Room of Kardinah General Hospital in Tegal City. On the third day of the study, breast milk flow improved from a scale of 5 to a scale of 2, showing a significant increase. Conclusion: It can be concluded that the Breast Care technique is effective in increasing breast milk production in post-cesarean section patients in the Mawar Ward of Kardinah General Hospital in Tegal City.
Application of Physical Exercise in Non-Hemorrhagic Stroke Patients with Physical Mobility Impairment at Gunung Jati Hospital, Cirebon City Iyep Maulana, Ahmad; Wahyuni Romadhon, Lily; Setyo Dwi Andhini, Citra
INDOGENIUS Vol 4 No 2A (2025): INDOGENIUS
Publisher : Department of Publication of Inspirasi Elburhani Foundation Desa. Pamokolan, Kecamatan Cihaurbeuti, Kabupaten Ciamis, Provinsi Jawa Barat, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/igj.v4i2A.703

Abstract

Background & Objective: Stroke is damage to the brain that occurs due to a sudden decrease or interruption in the flow of oxygen in the blood. The objective of this study is to provide appropriate nursing care for patients with non-hemorrhagic stroke in a detailed and comprehensive manner, with a focus on the application of physical exercise for patients with non-hemorrhagic stroke and physical mobility impairments at RSD Gunung Jati Hospital in Cirebon City. Method: This study adopts a descriptive design using a case study approach. The steps include data collection, diagnosis, planning, intervention, and evaluation. The study was conducted at RSD Gunung Jati Hospital in Cirebon City in February 2025, with data collected through interviews, observations, physical examinations, and medical records. Result: After undergoing Range of Motion (ROM) training, patients showed improvements in flexibility, muscle strength, and movement coordination. Conclusion: These findings indicate that an approach using joint strengthening exercise techniques contributes to reducing physical mobility issues and enhancing patients' independence in performing daily activities.
The Application of Oxytocin Massage to Increase Breast Milk Production in Postpartum Mothers in the Mawar Room of Kardinah Regional General Hospital, Tegal City Gina Inayati, Putri; Wahyuni Romadhon, Lily; Setyo Dwi Andhini, Citra
INDOGENIUS Vol 4 No 2A (2025): INDOGENIUS
Publisher : Department of Publication of Inspirasi Elburhani Foundation Desa. Pamokolan, Kecamatan Cihaurbeuti, Kabupaten Ciamis, Provinsi Jawa Barat, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/igj.v4i2A.706

Abstract

Background & Objective: Breastfeeding is very important for a mother for the development and growth of her child. Breastfeeding problems often occur in mothers due to low milk production in the first few days postpartum, which becomes an obstacle in providing exclusive breastfeeding to their babies. This case study aims to determine the application of oxytocin massage in increasing milk production in postpartum mothers. Method: The research design used in this study is descriptive with a case study method. The subject of the case study is Mrs. N, a postpartum mother on her first day in the Mawar Ward of Kardinah General Hospital in Tegal City. Result: The results of the case study conducted over three days showed an increase in breast milk production in Mrs. N, as evidenced by: the client stating that her breast milk flowed smoothly after the oxytocin massage. Conclusion: The application of oxytocin massage as a nursing intervention for Mrs. N, who was experiencing breastfeeding issues, was proven to be effective in increasing breast milk production. This intervention was conducted over three days and showed positive results on the third day, indicating that oxytocin massage could serve as an effective alternative intervention to address insufficient breast milk supply.
The Application of Deep Breathing Relaxation on Pain Scale Reduction in Postpartum Patients in the Mawar Maternity Ward of Kardinah Regional General Hospital, Tegal City Intan Wulandari, Sinta; Wahyuni Romadhon, Lily
INDOGENIUS Vol 4 No 2A (2025): INDOGENIUS
Publisher : Department of Publication of Inspirasi Elburhani Foundation Desa. Pamokolan, Kecamatan Cihaurbeuti, Kabupaten Ciamis, Provinsi Jawa Barat, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/igj.v4i2A.708

Abstract

Background & Objective: A cesarean section is performed when spontaneous or vaginal delivery is not possible due to risks to either the mother or the baby. Pain during childbirth with cesarean section can be minimized using two methods: pharmacological and non-pharmacological. One intervention that can be provided is deep breathing relaxation technique, which helps induce a relaxed state by controlling breathing, thereby reducing pain during childbirth and aiding recovery. Method: This study is descriptive, using a case study method, with deep breathing relaxation performed 15 times, divided into 3 cycles. In each cycle, the patient was asked to take 5 deep breaths with one rest period. The criteria for inclusion were patients who had undergone a cesarean section with postpartum hemorrhage (PPH) as an indication, patients with pain complaints, and those who signed an informed consent form. Result: The results of this study showed that after three days of deep breathing relaxation intervention, patients reported feeling more relaxed, with their pain diverted and reduced. There was a decrease in pain scale from 6 to 2, with the assistance of dexketoprofen medication. Conclusion: Deep breathing relaxation can be an effective management strategy for reducing pain scale with medication assistance.
Co-Authors Citra Setyo Dwi Andhini Gina Inayati, Putri Intan Wulandari, Sinta Iyep Maulana, Ahmad Rohanifah