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All Journal Health and Technology Journal (HTECHJ)
Finta isti kundarti
Department of Midwifery, Poltekkes Kemenkes Malang
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Journal : Health and Technology Journal (HTECHJ)

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Midwifery Care for Neonates with Jaundice Deva Salvana Andrianingsih; Desy Dwi Cahyani; Finta isti kundarti
Health and Technology Journal (HTechJ) Vol. 3 No. 5 (2025): October 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i5.363

Abstract

Excess bilirubin accumulation occurs in 60% of babies born on time and 80% of premature babies in the first week of life, causing the skin and sclera to turn yellow. This condition is called neonatal jaundice. It is important to provide appropriate treatment so that severe complications such as kernicterus and permanent neurological damage can be avoided. This study aims to analyze Midwifery Care for Neonates with Jaundice. This study applied a case study design with a comprehensive approach to midwifery care in one patient. Information was collected through interviews, observations, physical examinations, and documentation studies. The data was then analyzed by following the stages of the midwifery process, which include assessment, diagnosis, intervention, implementation, and evaluation. A case study was conducted on baby A, aged 7 days with a birth weight of 3020 grams, who had jaundice on the face, neck, and chest. The diagnosis was a 7-day-old full-term neonate with physiological jaundice. The intervention was conducted by educating mothers to dry the baby for 10-15 minutes before 10 am and breastfeed as often as possible, 8-12 times a day. Evaluation at the second visit showed that the facial, neck, and chest jaundice was no longer visible, and the body weight increased from 3010 grams to 3030 grams. This case demonstrates the effectiveness of non-pharmacological interventions in managing physiological jaundice. An educative approach through adequate breastfeeding and exposure to morning sunlight as natural phototherapy is proven to be safe and easy to do at home.
The Effect of Oxytocin Massage on Breast Milk Production and Self-Efficacy During the Postpartum Finta Isti Kundarti
Health and Technology Journal (HTechJ) Vol. 3 No. 6 (2025): December 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i6.566

Abstract

Oxytocin massage is a complementary intervention designed to enhance breast milk production and support breastfeeding success during the postpartum period. Insufficient milk supply and low maternal confidence are frequently reported barriers to achieving exclusive breastfeeding. This study aimed to determine the effect of oxytocin massage on breast milk production and self-efficacy among postpartum mothers. A quasi-experimental design with a non-equivalent control group was used. The study involved 52 participants, who were divided into an intervention group and a control group, each consisting of 26 participants, on the third day after delivery. Data were collected using an oxytocin massage checklist, a measuring cup to assess milk production, and a self-efficacy questionnaire. The Wilcoxon test with a significance level of α = 0.05 was employed for data analysis. The results indicated a significant difference in breast milk production between the intervention group and the control group, with a p-value of 0.000. A significant difference in self-efficacy was also observed, with the intervention group scoring higher than the control group, as indicated by a p-value of 0.001. These findings demonstrate that oxytocin massage effectively increases both breast milk production and maternal self-efficacy in breastfeeding. Beyond physiological benefits through oxytocin release, the intervention also enhances psychological readiness, making oxytocin massage a recommended supportive therapy for postpartum breastfeeding success.
Co-Authors Desy Dwi Cahyani Deva Salvana Andrianingsih