Yoga Tri Wijayanti
Department of Midwifery, Poltekkes Kemenkes Tanjungkarang, Lampung

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Effectiveness of pregnant women's class on the success of exclusive breastfeeding Indrawati Aris Tyarini; Yoga Tri Wijayanti; Asridawati Akib; Nofita Tudang Rombeallo; Sitti Zakiyyah Putri
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 14 No. 1 (2025): Jurnal Ilmiah Kesehatan Sandi Husada
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v14i1.313

Abstract

Introduction: Exclusive breastfeeding (EBF) during the first six months of life plays a crucial role in infant survival, growth, and development. However, the global rates of EBF remain below the recommended targets. Pregnant women's classes are designed to provide education, support, and skills necessary for successful breastfeeding practices. This study aimed to analyze the effectiveness of pregnant women's classes on the success rate of exclusive breastfeeding. Methods: A quasi-experimental design with a posttest-only control group was employed. The study involved 120 pregnant women in their third trimester, selected through purposive sampling from two community health centers. The intervention group (n=60) participated in a structured pregnant women's class, while the control group (n=60) received standard antenatal care without additional courses. Data on breastfeeding practices were collected three months postpartum using structured interviews and analyzed using the Chi-square test and logistic regression. Results: The study found a significantly higher rate of exclusive breastfeeding in the intervention group (78.3%) compared to the control group (53.3%) (p<0.01). Attendance in the pregnant women's class was associated with a 2.9 times higher likelihood of practicing exclusive breastfeeding (OR=2.9; 95% CI: 1.5–5.6). Key factors contributing to success included increased maternal knowledge, self-efficacy, and support from health educators during antenatal. Conclusions: Participation in pregnant women's classes effectively increases the success rate of exclusive breastfeeding. Integrating structured breastfeeding education into routine antenatal care is recommended to improve maternal practices and promote better infant health outcomes
Effectiveness of aloe vera–menthol combination gel in reducing breast engorgement and pain among postpartum mothers: A Quasi-Experimental Study Yoga Tri Wijayanti; Martini Martini; Yulyuswarni Yulyuswarni
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 15 No. 1 (2026): Jurnal Ilmiah Kesehatan Sandi Husada
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v15i1.222

Abstract

Introduction: Breast engorgement is a common postpartum complication that contributes to maternal discomfort and early discontinuation of breastfeeding. Effective, accessible, and non-pharmacological management strategies are needed to support maternal and child health outcomes. Objective: To determine the effectiveness of a topical aloe vera–menthol combination gel in reducing breast engorgement severity and pain intensity among postpartum mothers. Research Methodology: A quantitative quasi-experimental study with a posttest-only control group design was conducted among 32 postpartum mothers experiencing breast engorgement in the working area of the East Lampung District Health Office, Indonesia. Participants were allocated into an intervention group (n=16) receiving aloe vera–menthol gel twice daily for four days and a control group (n=16) receiving standard breast care. Breast engorgement severity was measured using the Six-Point Engorgement Scale (SPES), and pain intensity was assessed using the Numeric Rating Scale (NRS). Data were analyzed using the Mann–Whitney U test and multivariable linear regression (α=0.05). Results: The intervention group demonstrated significantly lower SPES and NRS scores compared with the control group (p<0.001). After adjustment for age, parity, and breastfeeding frequency, the gel remained an independent predictor of reduced engorgement severity (β = -1.49; 95% CI: -2.05 to -0.93) and pain intensity (β = -2.21; 95% CI: -3.01 to -1.41). Conclusion: The aloe vera–menthol gel is an effective complementary topical therapy for reducing breast engorgement and pain in postpartum mothers and may support breastfeeding continuity in primary healthcare settings.