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All Journal Jurnal Kesehatan Kusuma Husada
Siti Nurjanah
Midwifery Study Program, Faculty of Health Science, Universitas Kusuma Husada Surakarta, Surakarta, Indonesia
Health Professions Nursing Public Health

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PERCEIVED INSUFFICIENT MILK SUPPLY (PIMS) AND THE RISK OF NON-EXCLUSIVE BREASTFEEDING PRACTICES: A SYSTEMATIC REVIEW AND META-ANALYSIS Siti Nurjanah; Erinda Nur Pratiwi; Erlyn Hapsari; Martina Ekacahyaningtyas
Jurnal Kesehatan Kusuma Husada Vol. 17 No. 1, Januari 2026
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34035/jk.v17i1.1933

Abstract

Background: PIMS, or what is usually called insufficient breast milk supply, is one of the reasons why breastfeeding fails. There are still a few mothers who know about the perception of insufficient breast milk supply and how this has an impact on breastfeeding practices. This study aimed to examine the association between perceived insufficient milk supply (PIMS) and the risk of non-exclusive breastfeeding during the first six months postpartum.Methods: This review was conducted following the PRISMA guidelines to select articles in this study and based on PICO (Population, Intervention, Comparison, Outcome). We searched for relevant articles in five databases, such as PubMed, ScienceDirect, Springer Link, ProQuest, and SAGE journals, from January 2014 to August 2024. Then, they carried out a meta-analysis of the collected data and analyzed the Odds Ratio (OR) using Review Manager 5.3. Overall, 6 studies were appropriate in this review. Results: Six studies were included in the meta-analysis. The forest plot demonstrated a consistent inverse association between perceived insufficient milk supply (PIMS) and exclusive breastfeeding across all included studies. Using a random-effects model, mothers with PIMS had significantly lower odds of exclusive breastfeeding during the first six months postpartum (pooled OR = 0.10; 95% CI: 0.04–0.24; p < 0.00001), indicating a substantially increased risk of non-exclusive breastfeeding. Conclusion: Perceived insufficient milk supply (PIMS) has a relationship with the incidence of failure to provide exclusive breastfeeding. 
OVERVIEW OF FAMILY SUPPORT AND KNOWLEDGE ABOUT THE DASH DIET IN HYPERTENSIVE PATIENTS Vita Dwi Septiningsih; Agik Priyo Nusantoro; Siti Nurjanah
Jurnal Kesehatan Kusuma Husada Vol. 17 No. 1, Januari 2026
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34035/jk.v17i1.1938

Abstract

Background: Prolonged hypertension can slowly damage blood vessels and trigger heart attacks, strokes, and kidney failure. The American Heart Association recommends managing hypertension with the Dietary Approaches to Stop Hypertension (DASH) diet. Family support affects DASH diet adherence through four mechanisms: instrumental, informational, rewarding, and emotional. The study aimed to assess the level of family support and understanding of the DASH diet among hypertensive patients in Flamboyant Ward 8 at Dr. Moewardi Hospital.Methods: This study employed a quantitative observational design with a descriptive cross-sectional approach. The population of this study is the family of hypertension patients in the Flamboyant Ward 8 of Dr. Moewardi Hospital, with a sample size of 82 respondents, using accidental sampling. Data were collected using questionnaires. Results: The results of this study showed that the characteristics of the majority of respondents aged 36-45 years (late adults) amounted to 34 respondents (41.5%), female sex amounted to 45 respondents (54.9%), and SMK/SMA education level amounted to 32 respondents (39.0%). The level of family support for the majority of the good category was 46 respondents (56.1%), and the level of knowledge about the DASH diet among the majority of the good category was 37 respondents (45.1%).Conclusion: This study indicates that most families of hypertensive patients demonstrated strong family support, while knowledge of the DASH diet was comparatively low. These findings highlight the need to strengthen informational and educational interventions to complement existing family support and optimize non-pharmacological hypertension management.
Co-Authors Agik Priyo Nusantoro Erinda Nur Pratiwi Erlyn Hapsari Martina Ekacahyaningtyas Vita Dwi Septiningsih