Peningkatan Kemampuan Kader Melalui Edukasi Pemanfaatan Bahan Alam Untuk Meningkatkan Produksi ASI Di Kelurahan Banjarsari Surakarta

Background: The benefits of breastfeeding for infants include reducing infant mortality due to diarrhea and infection, reducing mortality among malnourished children, protecting against gastrointestinal infections, as well as being a source of energy and nutrition for infants aged 6 to 23 months. While the benefits for mothers who are breastfed are reducing the risk of ovarian cancer and providing breast support after milk production, as a natural prevention method in the first six months of birth, and helping to lose weight faster with pregnancy. Vegetables / natural plants that are easily available around us that can be used to increase breast milk production. Research in addition to carbohydrates, these vegetables also contain protein, minerals (phosphorus, calcium and iron, as well as a number of vitamins A, B1 and C). Methods: The method used is to present a booklet through education. The number of respondents was 20 mothers of health cadres. Results: The result of this community service activity is an increase in knowledge about the use of style materials for breastfeeding from 75% sufficient knowledge to 80% good knowledge. Conclusion: increasing knowledge and understanding of health cadres before and before providing education through natural plant booklets to increase breast milk.

EFEKTIVITAS DAUN BANGUN-BANGUN DALAM MENINGKATKAN PRODUKSI ASI PADA IBU NIFAS

Exclusive breastfeeding is breastfeeding for the first 6 months of the baby's life without the intake of other food or drinks except vitamins, drugs and ORS. Bangun-bangun plant (Coleus Amboinus Lour) is one of the types of plants consumed by new mothers in North Sumatra, especially by the Batak tribe. The purpose of this study was to determine the effectiveness of the leaves of Bangun-bangun in increasing milk production in the Independent Practice of Midwife Rismayani Harahap, S.Tr.Keb. The research method uses the Quasi Experiment Design method using the Non-Equevalent Control group approach. The study used the Independent T-Test test, namely P = 0.000, which means that there is an Effectiveness of Giving Bangun-bangun Leaves to Increase Breast Milk Production in Postpartum Mothers

Literature review: Effects of Katuk Leaf (Sauropus androgynus L. Merr) on Breast Milk Increase

Breast milk is considered the best form of nutrition for neonates and infants. The properties of breast milk facilitate the transition of life from in utero to ex utero. Breast milk provides a variety of bioactive substances for the developing baby during the early period of brain, immune and gut development. Katuk leaves (Sauropus androgni) are found very abundantly in Indonesia. People use S. androgyny as a traditional herbal medicine and are believed to have it to increase breast milk production. There are many publications that show the effect of lactagogum (an agent to increase milk production) of this plant. In several studies conducted there is evidence that the role of phytosterols and papaverine are two components that can increase the hormones prolactin and oxytocin. Scientific sources were obtained from Google Scholar and Pubmed in the form of textbooks and scientific journals totaling 24 units. Giving the extract resulted in a smoother circulation of the oxytocin hormone. The purpose of this literature review is to discuss the effect of S. androgynus which is believed to have a beneficial effect on breast milk production in and can be an agent of breast milk production in future research subjects.

Pengaruh Hypnopressure terhadap Produksi Air Susu Ibu (ASI) dan Kepercayaan Diri Menyusui

Breastfeeding is an obligation that must be given to babies during their growth period. Consistent breast milk production and confidence to breastfeed are very necessary for the success of exclusive breastfeeding. Hypnopressure is one method that can increaseand maintain breastmilk production and breastfeeding confidence. The purpose of this project is to analyze the effect of hypnopressure on breast milk production and breastfeeding confidence. This study uses Quasy Eksperimental with Pretest dan Posttest Controlled Group Design. There were 28 postpartum mothers who were divided into two groups and taken with simple random sampling. Production of breast milk was measured by electric breast pump and breastfeeding sel efficacy was measured Breastfeeding Self Efficacy Scale (BSES). Data were analyzed using paired and unpaired t-test. Primary outcomes of this study will be effect of the intervention on breastmilk production and breastfeeding confidence. We conclude that hypnopressure could improve breastmilk production (p=0.00) and breasfeeding confidence (p=0.00) and breastfeeding confidence (p=0.00). Result of this greater understanding about increase breast milk production and confidence which influence the success of breastfeeding by hypnopressure then be useful targets for midwife intervention in post partum.

Effectiveness of warm herbal compress on oxytocin hormone and breast milk production

Background: Breast milk is the best food for babies, needed for optimal growth and development. The lack of milk production influences the low coverage of exclusive breastfeeding. Increasing breast milk production could be done non-pharmacologically, using warm herbal compresses as breast care.Purpose: Analyze the effect of warm herbal compresses as breast care on oxytocin hormone and postpartum mother's milk production. Methods: Quasi-experimental design pretest-posttest with the control group, respondents were 36 normal mothers on the third day of postpartum; 18 respondents intervention group, and 18 respondents control group. Warm herbal compresses were provided once per day with 20 minutes on each breast for three days. The oxytocin hormone was measured pre and post three days of treatment, the volume of breast milk was measured pre, post 2, and 3 days of treatment.Results: The intervention group's average difference in oxytocin hormone was 24.65 pg/ml, the control group was 2.48 pg/ml (p<0.01). The average increase in milk production pre and post-three days of treatment in the intervention group was 32,250 ml. In the control group, 26,472 ml (p<0.01), there was a significant difference in the average milk production between the two groups.Conclusion: Warm herbal compresses as breast care affects the oxytocin hormone and postpartum mother's milk production.

Pemberian Buah Pepaya Muda (Carica Papaya Linnaeus) Terhadap Kecukupan Asi Pada Ibu Post Partum

ABSTRAKASI mengandung gizi tinggi yang sangat bermanfaat untuk kesehatan bayi, bahkan WHO merekomendasikan bayi untuk mendapatkan ASI eksklusif selama 6 bulan. Pencapaian ASI eksklusif di Indonesia belum mencapai angka yang diharapkan. Menurut Kemenkes RI pada (2018) cakupan pemberian ASI eksklusif hanya 36% yang akan memberikan dampak negatif terhadap status kesehatan gizi, serta tingkat kecerdasan anak. Tujuan penelitian untuk mengetahui pengaruh pemberian buah papaya muda terhadap produksi ASI pada ibu post partum. Penelitian ini menggunakan quasy experiment dengan two group with pretest and postest design. Sampel berjumlah 30 ibu post partum yang melahirkan normal. Uji statistik yang digunakan adalah paired T-Test dan Independet T-Test. Rata-rata skor kecukupan ASI pada kelompok eksperimen sebelum diberikan buah pepaya muda adalah 5,93 dan sesudah adalah 14,60. Rata-rata kecukupan ASI pada kelompok kontrol sebelum adalah 6,60 dan sesudah adalah 7,86. Analisis bivariat menggunakan Independent t-test diperoleh p value = 0,00. Hal ini berarti ada perbedaan yang signifikan kecukupan ASI pada kelompok eksperimen dan kelompok kontrol. Buah pepaya muda terbukti menstimulasi produksi ASI. Oleh karena itu diharapkan bagi bidan unuk dapat memberikan penyuluhan tentang manfaat buah pepaya muda guna meningkatkan produksi ASI agar ibu memberikan ASI eksklusif. Kata Kunci : kecukupan ASI; buah pepaya muda; ibu post partum ABSTRACTBreast milk contains high nutrition which is very beneficial for the health babies, even WHO recommends babies to get exclusive breastfeeding for 6 months. The achievement of exclusive breastfeeding in Indonesia has not reached the expected number. According to the Indonesian Ministry of Health (2018) the coverage of exclusive breastfeeding is only 36% which will have a negative impact on the nutritional health status and the level of intelligence of children. The purpose of the study was to determine the effect of papaya fruit on breast milk production in post partum women. This study used a quasy experiment with two groups with pretest and posttest design. A sample of 30 postpartum women who gave birth normally. Data analysis had been done by paired T-Test and Independent T-Test. The average adequacy rate of postpartum women in the experimental group before being given raw papaya fruit was 5.93 and after 14.60. The mean postpartum breastfeeding adequacy rate in the control group before was 6.60 and after 7.86. Bivariate analysis using Independent t-test obtained p value = 0.00. There is a significant difference in the adequacy of breast milk in the experimental group and the control group. Papaya fruit is proven to stimulate breast milk production. Therefore, it is hoped that midwives can provide counseling about the benefits of young papaya fruit to increase milk production so that mothers provide exclusive breastfeeding Key words : adequacy breat milk, young papaya fruit, postpartum women

The theory of planned behaviour in exploring dietary diversity practices among mothers in informal settlements in Kenya

One of the leading causes of malnutrition, which contributes to morbidity and mortality in children, is lack of dietary diversity. Despite remarkable improvement in exclusive breastfeeding in Kenya, there are still poor dietary diversity practices among children aged 6-24 months. Limited studies have applied the Theory of Planned Behaviour (TPB) to examine the factors that influence dietary diversity practices in informal settlements in Kenya. The objective of this qualitative study was to explore behavioral, normative, control beliefs, intention, and dietary diversity practices, based on the TPB. The study sites were Kibera in Nairobi, Manyatta A in Kisumu, and Kaptembwo in Nakuru. Participants were 64 mothers of children aged 6-24 months selected using purposive sampling. Nine focus groups, each comprising of 5-10 mothers were conducted and the data analyzed using thematic analysis. Using a focus group guide, based on the TPB, mothers described salient beliefs regarding their attitude, subjective norms and perceived control of dietary diversity. Analysis of the data showed that some mothers had intended to introduce solid foods at six months. However, barriers such as mother not feeding well, baby’s hunger, perceived insufficient breast milk production, and return to work led to earlier introduction of foods. Most mothers indicated their intention to give a variety of foods to their children but were hindered by barriers such as poverty/inadequate money, non-availability of food at home, and inadequate knowledge about complementary feeding. Friends, health professionals, fathers, neighbours and friends were cited as most salient referents that influenced the dietary diversity practices. The most frequently provided starchy foods were chappatis, mandazis, potatoes, rice, weetabix, porridge, and ugali. In conclusion, the results indicate that mothers had positive attitude towards dietary diversity. The ‘significant others’ who mostly influenced dietary diversity practices were health professionals, fathers, and friends. Future interventions need to target mothers' perceived child-feeding responsibilities, influence subjective norms, and increase parents' perceived control over child feeding.

Acupuncture to Boost Breast Milk in Postpartum Hypogalactia: Randomized Controlled Trial

Background: Breast milk is appropriate and useful but the exclusive breastfeeding rate in Thailand was quite low at only 23.1%. Hypogalactia is one of the important barriers of breastfeeding. Studies in Asia and the west have shown that acupuncture could boost breast milk. However, some articles had controversial result. There has been no study to assess efficiency of acupuncture in early postpartum hypogalactia. Objective: To compare the efficacy of acupuncture and conventional treatment for stimulating breast milk in early postpartum hypogalactia at 48 hours. Materials and Methods: A randomized, prospective, clinical trial was used for the present study. Sixty postpartum hypogalactic women of term gestation in postpartum ward in Charoenkrung Pracharak Hospital between March 1, 2020 and February 28, 2021 were enrolled. They were randomized into acupuncture and control groups. In the study group, mothers received once a day acupuncture at 13 acupoints without electrode for three consecutive days by qualified Traditional Chinese Medicine practitioner other than conventional treatment. Breast milk quantity were measured at day 1, day 7, and day 14 after the intervention. Results: Mean age of all participants was 29.72±5.96 year, mostly primigravida, delivered by vaginal route. Mean milk volume in the treatment group were significantly higher than the control group (p<0.05) with day 1 at 19.00±22.25 versus 5.97±6.08 mL, day 7 at 78.10±60.38 versus 40.17±28.82 mL, and day 14 at 128.33±64.86 versus 75.00±57.96 mL. The amount of breast milk in the treatment group were 3-fold, 2-fold, and 1.7-fold times more than the control group at day 1, day 7, and day 14, in respective order (p<0.05). Conclusion: Accurate acupuncture intervention could boost breast milk production in early postpartum hypogalactia at 48 hours. Keywords: Postpartum hypogalactia; Acupuncture; Traditional Chinese Medicine (TCM)

Literature Review: Penerapan Pijat Oksitosin Untuk Meningkatkan Pengeluaran ASI Pada Ibu Post Partum

The success of breastfeeding can be interfered by several things, such as the lack of milk production. However, this problem can be overcome by implementing Oxytocin Massage. This study was carried out to describe the implementation of Oxytocin Massage to increase milk production in postpartum mothers. This study was a literature review of three articles taken from Google Scholar with the keyword “Oxyoticn Massage” and “milk production”, in the form of fulltext articles, publisjed during 2015 – 2017. From 102 respondents of the three articles, 94.4% aged 20 – 35 years, 70.8% were multiparous, 78.1% had secondary education level, and 93.7% did not mork. The result showed that 90.2% of the respondents who received Oxytocin Massage produced sufficient amount of milk. Meanwhile, ony 41.2% of the respondents who did not received Oxytocin Massage could produce enough. In conclution, the implementation of Oxytocin Massage could increase milk production in postpartum mothers. Therefore, nursing staff are suggested to implement Oxytocin Massage to postpartum mothers to help them increase their milk production.Keywords: Oxytocin massage; breast milk production; postpartum mother AbstrakKeberhasilan menyusui dipengaruhi oleh beberapa hal seperti kurangnya pengeluaran ASI, yang dapat diatasi salah satunya dengan pijat oksitosin. Karya tulis ilmiah ini bertujuan untuk menggambarkan penerapan pijat oksitosin untuk meningkatkan pengeluaran ASI pada ibu post partum berdasarkan literature review. Desain karya tulis ilmiah berupa literature review dengan jumlah artikel tiga yang diambil dari google scholar dengan kata kunci “pijat oksitosin” dan “produksi ASI”, berupa artikel fulltext, terbit tahun 2015-2017. Hasil analisis karakteristik responden dari tiga artikel menunjukkan jumlah responden 102, 94,4% berusia 20-35 tahun, 70,8% paritas multipara, 78,1% berpendidikan menengah, 93,7% tidak bekerja. 41,2% responden pada kelompok yang tidak mendapatkan pijat oksitosin, dalam kategori cukup, sedangkan pada kelompok yang mendapatkan pijat oksitosin, hampir semua responden memiliki produksi ASI yang cukup, yaitu 90,2%. Kesimpulannya pijat oksitosin mampu meningkatkan pengeluaran ASI pada ibu post partum. Saran bagi tenaga keperawatan agar menerapkan pijat oksitosin kepada ibu post partum untuk membantu meningkatkan pengeluaran ASI.Kata kunci:Pijat oksitosin; produksi ASI; ibu post partum