Miftah Chairunnisa
STIKes Kapuas Raya

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The Effectiveness of Moxibution on Salivary Cortisol Levels in Primiparous Breastfeeding Mothers: Quasi-Experimental Study Miftah Chairunnisa; Thatit Nurmawati; Raden Roro Dewi Rahmawaty Aktyani Putri
Journal of Ners and Midwifery Vol 12 No 2 (2025)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v12i2.ART.p177-185

Abstract

Optimal breastfeeding practices play a crucial role in enhancing the health of infants and children. However, increased anxiety among postpartum mothers can lead to higher cortisol levels. Moxibustion is a traditional therapy that has been shown to improve blood circulation, reduce discomfort, and influence the central nervous system by stimulating specific meridian points. This study aimed to examine the effect of moxibustion on cortisol levels in breastfeeding mothers. A quasi-experimental design with pretest and posttest was used. Participants were divided into two groups: an intervention group that received moxibustion and a control group that received acupuncture. A total of 32 breastfeeding mothers from Ngaliyan Public Health Center in Semarang participated in the study, with 16 individuals in each group. Moxibustion was applied to specific meridian points (CV17, LI4, SP6, ST16, ST18, ST36, BL17, and BL18). Cortisol levels were measured using the Enzyme-Linked Immunosorbent Assay (ELISA) method, and data were analyzed using the Mann-Whitney test. The results showed no significant difference in cortisol levels between the two groups (p = 0.864). The average cortisol change was -0.063 in the intervention group and -0.113 in the control group. It was concluded that moxibustion had no significant effect on cortisol levels. Further studies are recommended to explore other factors that may influence cortisol levels in postpartum mothers.
Maternal age and parity associated with postpartum care visit compliance Miftah Chairunnisa; Septina Boru Saragih; Thatit Nurmawati; Rizki Amartani; Ummy Khairussyifa; Silvia Finida Hannisa
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 5 (2026): August 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i5.4183

Abstract

Background: The postpartum period is a critical phase requiring continuous maternal healthcare to facilitate the early detection and management of postpartum complications. In Sintang Regency, the coverage of complete postpartum care visits decreased from 80.4% in 2023 to 78.9% in 2025. The implementation of Integrated Primary Health Care (PHC) is expected to strengthen continuity of maternal healthcare through integrated and community-based services. However, individual maternal characteristics may influence compliance with recommended postpartum care visits. Purpose: To analyze the association between maternal age and parity and compliance with postpartum care visits during the implementation of Integrated Primary Health Care (PHC). Method: This study employed a quantitative analytic design with a cross-sectional approach. The study population consisted of 206 postpartum mothers who received postpartum care services in the working area of Sungai Durian Community Health Center from January to December 2025. Total sampling was used, and data collection was conducted from May to June 2026. The data were analyzed using bivariate analysis with a significance level of 0.05. Results: Of the 206 respondents, 80 (38.8%) were classified as compliant and 126 (61.2%) as non-compliant with postpartum care visits. The mean maternal age was 30.1 ± 8.7 years, with a range of 19–36 years. Respondents aged <20 years, 20–35 years, and >35 years accounted for 22.8%, 27.7%, and 49.5%, respectively. The respondents consisted of 37.9% primiparous, 36.4% multiparous, and 25.7% grand multiparous mothers. Maternal age was significantly associated with compliance with postpartum care visits (p < 0.001). Parity was also significantly associated with compliance with postpartum care visits (p = 0.009). Conclusion: Maternal age and parity were significantly associated with compliance with postpartum care visits during the implementation of Integrated Primary Health Care. Strengthening community-based monitoring and providing age- and parity-sensitive education may support improved continuity of postpartum care. Suggestion: Sungai Durian Community Health Center should strengthen coordination within Cluster 2 (Maternal and Child Health) and optimize community-based territorial monitoring to facilitate timely scheduling, reminders, and follow-up of postpartum care visits