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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.
PROGRAM INOVASI KOMUNITAS WANOJA SEHAT SIAP NIKAH “WASSINI” Khaerunisa, Ismah; Fiyola Ladyvia; Nathasia Elga Haryono
Jurnal Pengabdian Masyarakat FKIP UTP Vol 7 No 1 (2026): PROFICIO : Jurnal Abdimas FKIP UTP
Publisher : FKIP UNIVERSITAS TUNAS PEMBANGUNAN SURAKARTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36728/jpf.v7i1.5808

Abstract

Program inovasi komunitas Wanoja Sehat Siap Nikah “WASSINI” dilaksanakan untuk meningkatkan kesiapan remaja putri dalam menghadapi pernikahan dan perencanaan kehamilan sehat. Kegiatan ini dilatarbelakangi oleh kurangnya edukasi dini mengenai kesehatan pranikah dan prakonsepsi pada remaja usia 17–18 tahun di wilayah kerja Puskesmas Purbaratu, Tasikmalaya. Tujuan program ini adalah untuk meningkatkan kesadaran serta peran aktif remaja, keluarga, dan kader masyarakat terkait pentingnya edukasi pranikah dan prakonsepsi. Metode kegiatan meliputi analisis situasi, koordinasi internal dengan pembimbing dan petugas kesehatan, pembuatan media edukasi, serta penyuluhan langsung di posyandu remaja. Hasil kegiatan menunjukkan peningkatan pengetahuan dan kesadaran remaja mengenai persiapan pranikah dan prakonsepsi. Program WASSINI memberikan dampak positif terhadap kesiapan remaja menuju kehidupan reproduksi yang sehat serta direkomendasikan untuk dilanjutkan dan diperluas dengan dukungan lintas sektor.