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Midwifery Care for Postpartum Mothers with Breast Milk Problems Frida Indah Rahmaningrum; Ririn Indriani; Finta isti kundarti
Health and Technology Journal (HTechJ) Vol. 3 No. 4 (2025): August 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i4.360

Failure of exclusive breastfeeding is caused by poor milk production, which can be influenced by stress, lack of understanding, and the mother's physiological condition. Inadequate milk production can negatively affect the growth and development of the baby. Non-pharmacological interventions such as oxytocin massage effectively stimulate oxytocin and prolactin hormones that play an important role in breast milk production. The purpose of this study was to provide postpartum midwifery care with the problem of breast milk not flowing through oxytocin massage therapy. This research used a case study approach to Mrs. FHP's complaint of breast milk not flowing in the right breast. Data were collected through interviews, observations, physical examinations, and documentation studies. The intervention was carried out by teaching the client's husband to use oxytocin massages, and monitoring was carried out for 7 days. Evaluation results showed increased breast milk production after oxytocin massage was performed twice a day for 15 minutes. Oxytocin massage is proven to be effective as a non-pharmacological intervention in overcoming the problem of poor milk production in postpartum women. Appropriate midwifery care can help mothers achieve exclusive breastfeeding success.

Midwifery Care for Over 35 Years Multigravida Mothers with Premature Rupture of Membranes at the Age of a Term Pregnancy Erica Diana Putri; Finta isti kundarti; Ririn Indriani; Dwi Estuning Rahayu
Health and Technology Journal (HTechJ) Vol. 3 No. 3 (2025): June 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i3.361

Premature rupture of membranes (PROM) is a condition of rupture of the amniotic membrane after 37 weeks of gestation but before labor begins, which can increase the risk of intraamniotic infection, preterm labor, and operative measures such as cesarean section. This study aims to provide midwifery care for a case of PROM in a multigravida mother aged >35 years with a term pregnancy. This study used a case study design with an in-depth approach to the subject, Mrs. LN, age 40 years, G4P3003, gestational age 37 weeks, who came with complaints of discharge from the birth canal without adequate contractions. Data was collected through interviews, observation, physical examination, and documentation study. Examination using the Leopold palpation method, vaginal toucher, and examination with red litmus paper, which turns purple, indicating the presence of amniotic fluid. The diagnosis was the first stage of the labor latent phase with PROM. Obstetric interventions were carried out through observation, education, and referral to the hospital due to indications for postpartum MOW contraception. The study results showed that the mother and baby were born in good health, and the postpartum contraception plan could be implemented. This study emphasizes the importance of early detection of PROM and collaborative management in supporting maternal and infant safety.

Midwifery Care for Pregnant Women with Late-Term Pregnancy Finta isti kundarti; Eva Lisdiana; Ririn Indriani
Health and Technology Journal (HTechJ) Vol. 3 No. 4 (2025): August 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i4.362

Late-term pregnancy occurs at 41 weeks to 41 weeks and six days of gestation. It poses potential risks to both the mother and the fetus. Appropriate management is crucial for preventing morbidity and mortality. This study aims to analyze Midwifery Care for Pregnant Women with Late-Term Pregnancy. This study employs a case study design with a comprehensive midwifery care approach for one patient. Data collection was carried out using a combination of interviews, direct observation, physical examinations, and document review. The analysis followed the structured stages of the midwifery care process, which include assessment, diagnosis, implementation, and evaluation. The case study was conducted on Mrs. YS, who did not experience signs of labor and refused induction. The diagnosis was established as G3P1011 with a gestational age of 42-42 weeks and a late-term intrauterine live fetus. The intervention involved referring the patient to the hospital for a cesarean section. The evaluation showed that the C-section went well, and the mother and baby were in good health after delivery. This case study highlights the importance of early detection and appropriate decision-making when managing overdue pregnancies. Refusing induction poses a clinical challenge requiring an educational and collaborative approach to avoid increasing the risk of maternal and neonatal complications.

Midwifery Care in Pregnant Women with Mild Anemia Dina Rosidatul Husna; Desy Dwi Cahyani; Finta isti kundarti
Health and Technology Journal (HTechJ) Vol. 3 No. 4 (2025): August 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i4.364

Anemia in pregnant women is a global and national problem that can increase the risk of maternal and infant morbidity and mortality. Anemia in pregnancy is a decrease in the capacity of blood to carry oxygen caused by a decrease in the number of red blood cells or a reduced hemoglobin concentration in the blood circulation. This study aims to analyze midwifery care in pregnant women with mild anemia. This study used a case study design with a comprehensive midwifery care approach in one patient. Data were collected through interviews, observations, physical examinations, and documentation studies. Data were analyzed using the stages of the midwifery process, which include assessment, diagnosis, intervention, implementation, and evaluation. The case study was conducted on Mrs. FF, who had a hemoglobin level of 10.2 gr/dL. The diagnosis was made G1P0000, gestational age 29-30 weeks, with mild anemia of an intrauterine live fetus. The intervention was carried out by educating about the importance of iron-rich nutrition, giving oral supplementation according to the recommended dose, and monitoring hemoglobin levels. The evaluation showed an increase in hemoglobin level to 11.2 gl/Dl after 8 weeks of intervention, with clinical improvement. This case demonstrates the importance of early detection of anemia in pregnancy and appropriate management through education, supplementation, and regular monitoring. A collaborative approach between health workers and pregnant women is essential to prevent anemia-related maternal and fetal complications.

Midwifery Care for Pregnant Women in the Third Trimester with the Obstetric Complaint of Low Back Pain Bella Novelia Putri; Desy Dwi Cahyani; Finta Isti Kundarti
Health and Technology Journal (HTechJ) Vol. 3 No. 3 (2025): June 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i3.365

Low back pain is a common musculoskeletal disorder experienced during pregnancy, with a prevalence ranging from 30% to 78% in regions such as the United States, Europe, and Africa. Approximately one-third of affected individuals experience low back pain that leads to decreased productivity and reduced quality of life. An increased body weight of 11–12 kg, along with hormonal and biomechanical changes during pregnancy, contributes to a higher risk of pain in the back, pelvis, and other musculoskeletal areas. Given the potential impact of such complications during pregnancy, health policymakers should place greater emphasis on addressing this issue. In addition, public education on the importance of maternal health, coupled with timely diagnosis and intervention efforts, plays a crucial role in reducing pregnancy complications. This study aims to provide midwifery care to a third-trimester pregnant woman with complaints of low back pain through a case study of Mrs. N.A. (G3P2002, 28 weeks gestation). Data were collected through interviews, observation, physical examination, and documentation review. Diagnoses were made based on subjective and objective findings, and interventions were implemented through health education and pregnancy gymnastics as a promotive and preventive approach to improving maternal well-being. The evaluation results showed a significant improvement in the client's lower back pain after the intervention. The client reported decreased pain intensity to the point where it no longer interfered with daily activities, indicating that the intervention was effective and aligned with the previously planned objectives and success indicators. It is essential to provide follow-up education and regular evaluations in midwifery practice to ensure that similar complaints do not recur or develop into more serious issues.

The Effectiveness of the Knee-Chest Position in Midwifery Care for Correcting the Position of the Breech Presentation Fetus Finta isti kundarti; Novalia Nur Aliza; Ira Titisari; Didien Ika Setyarini
Health and Technology Journal (HTechJ) Vol. 3 No. 4 (2025): August 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i4.366

Breech presentation is an abnormal fetal position in which the buttocks or feet are located at the lower part near the birth canal, while the head is positioned above. This condition occurs in 3-4% of pregnancies and can increase the risk of delivery complications. The knee chest position is a non-invasive intervention that can help change the fetal position from breech to vertex (head down) through gravitational mechanisms and changes in pelvic space. This study aims to evaluate the effectiveness of the knee chest position in changing fetal position from breech presentation to vertex presentation in third-trimester pregnancy. This study used a case study approach with documentation of SOAP (Subjective, Objective, Assessment, Plan). The research subject was Mrs. LA at 32-33 weeks of gestational age, diagnosed with breech presentation. The knee chest position intervention was performed thrice daily for 15 minutes over 2 weeks with regular evaluations. After 2 weeks of knee chest position intervention, there was a change in fetal position from breech presentation to vertex presentation. Ultrasonographic evaluation showed successful fetal rotation without complications in either the mother or fetus. This study concludes that the knee chest position proved effective as a non-invasive intervention for managing breech presentation in third-trimester pregnancy. This research adds scientific evidence regarding the effectiveness of the knee chest position as a conservative management alternative before considering other medical interventions.

Midwifery Care for Pregnant Women with Atopic Dermatitis Finta isti kundarti; Nurul Mulkil Aliyah; Ira Titisari; Didien Ika Setyarini
Health and Technology Journal (HTechJ) Vol. 3 No. 4 (2025): August 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i4.368

Atopic dermatitis, or atopic eczema, is a chronic inflammatory skin disease characterized by itchy red skin lesions, xerosis, ichthyosis, and skin pain. Among the social impacts of atopic dermatitis are difficulty and isolation in relationships and social stigmatization. In addition, atopic dermatitis is known to cause sleep disturbances, anxiety, hyperactivity, and depression. This study aims to provide midwifery care in cases of atopic dermatitis experienced by pregnant women in the third trimester. The case study design in this study uses an in-depth approach to the subjective mother A, age 31 years, G3P1011, gestational age 32-33 weeks, who comes with complaints of itching on the body with skin conditions experiencing dryness and scaling, which causes the skin surface to feel rough. Data was collected through interviews, observation, physical examination, and documentation study. The examination was carried out through inspection and palpation of the skin area experiencing complaints, along with an assessment of the skin condition. Interviews regarding the history of allergies and precipitating factors reinforced the initial diagnosis. The diagnosis made was atopic dermatitis in pregnant women in the third trimester with complaints of pruritic and dry skin. Midwifery interventions were carried out through observation and education. Evaluation results showed a decrease in itching complaints and improved skin condition. This study emphasizes the importance of early detection of skin dryness and a holistic approach in supporting the comfort and skin health of pregnant women.

Midwifery Care of Pregnancy in Pregnant Women with Anemia Miftaqul Jannah; Ira titisari; Dwi estuning rahayu; Finta isti kundarti; Rahajeng sisti nur rahmawati
Health and Technology Journal (HTechJ) Vol. 3 No. 4 (2025): August 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i4.372

Pregnancy anemia is a condition where the hemoglobin level in the blood falls below normal due to a decrease in the number of erythrocytes or hemoglobin, thereby reducing the blood's ability to carry oxygen to the vital organs of the mother and fetus. The aim of this study is to determine the effectiveness of a combination of iron (Fe) tablets and dates in addressing anemia. This research uses a case study approach, which aims to explore a phenomenon in depth within clearly defined boundaries. Data were comprehensively collected from various sources and documented using the SOAP method (Subjective, Objective, Assessment, Plan), providing a complete understanding of the case involving the respondent. The main focus of this study is on the phenomena arising from complaints and examination results during the period of midwifery care. The study was conducted on Mrs. DN at 38 weeks of gestation with moderate anemia, and the intervention provided consisted of the consumption of Fe tablets and 7 dates per day for 14 days. The results of the 2-week intervention showed successful outcomes for moderate pregnancy anemia, with an increase in hemoglobin levels from 9.2 g% to 9.9 g%. The case analysis established is Mrs. DN at 38 weeks of gestation with moderate anemia. The conclusion of this study is that the combination of Fe tablets and 7 dates per day for 14 days is effective as an intervention for managing moderate pregnancy anemia.

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