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.

Manfaat Pijat Oketani dan Teknik Menyusui terhadap Derajat Putting Susu Lecet

ABSTRAK Faktor penyebab utama kejadian puting susu lecet adalah teknik menyusui, perawatan payudara, monoliasis pada mulut bayi, putting susu terpapar zat iritan, serta lidah bayi yang pendek sehingga mengalami nipple crack.Tujuan penelitian untuk mengetahui manfaat pijat oketani dan teknik menyusui terhadap derajat putting susu lecet. Metode menggunakan desain quasi exsperimen dengan pendekatan Non equivalent control group design. Populasi adalah semua ibu menyusui dengan putting susu lecet dengan sampel 20 orang yang dianalisa secara univariate dan bivariant dengan instrument lembar observasi derajat putting susu lecet. Hasil menunjukan ada pengaruh pijat oketani dan tehnik menyusui pada kelompok intervensi dengan p value 0,004, kelompok kontrol dengan p value 0,000. Dan tidak ada perbedaan efektifitas pijat oketani dan teknik menyusui yang benar dengan kejadian putting susu lecet dengan p value 0,830. Kata kunci : pijat oketani; teknik menyusui; putting susu lecet; ibu menyusui ABSTRACTThe main factors causing the occurrence of nipple blister are breastfeeding techniques, breast care, monoliasis in the baby's mouth, nipples are exposed to irritants, and the baby's tongue is short so that he experiences nipple crack. The purpose of this study was to determine the benefits of oketani massage and breastfeeding techniques on the degree of sore nipples. Method used a quasy-experimental design with a non-equivalent control group design approach. The population was all breastfeeding mothers with nipple blister with a sample of 20 people who were analyzed univariately and bivariantly with an instrument of observation sheet on the degree of nipple blister. The results showed that there was an effect of Oketani massage and breastfeeding technique on the intervention group with p value 0.004, control group with p value 0.000. And there is no difference in the effectiveness of oketani massage and correct breastfeeding technique with the incidence of sore nipples with a p value of 0.830.Keywords: oketani massage; breastfeeding technique; sore nipples; breastfeeding mothers

Health Services of Breast Engorgement on the Postpartum Mothers at Bone Regency South Sulawesi

Breast milk consists of the nutrients and immunity needed for the growth and development of babies in the first months. Breastfeeding until the end of two years is recommended because it has physiological and psychological benefits for both mother and baby. Lactation failure is often caused by several lactation problems, one of which is the problem of breast engorgement. Postpartum mothers with breast engorgement due to incomplete emptying process of the mammae with breast pain when it is pressed. The purpose of this study is to determine the factors that influence the breast engorgement in postpartum mothers. The research design is a quantitative analytical survey with a cross-sectional approach with a population of 50 respondents and a sample of 35 respondents with purposive sampling technique, data analysis using univariate and bivariate analysis. The results showed that there is a relationship between breastfeeding techniques and the occurrence of breast engorgement with the results of the chi square test statistical test obtained p-value 0.02α<0.05, there is a relationship between the condition of the nipple and the occurrence of breast engorgement with the results of the chi square statistical test -value = 0.01α<0.05, and there is a relationship between breast care and the occurrence of breast engorgement with the chi square test statistical test results obtained -value = 0.03α<0.05. There is a relationship between breastfeeding techniques, the condition of the mother's nipples, and breast care with the occurrence of breast engorgement. Keywords: Breast Engorgement, Breastfeeding Technique,Nipple condition, Breast Care.

THE RELATIONSHIP BETWEEN BREAST CARE IMPLEMENTATION AND POST PARTUM MOTHER'S MILK PRODUCTION AT PMB VERONIKA SINAGA BATAM CITY

Breast care is one of the most important efforts for post partum mothers with the aim of facilitating the production of breast milk.In order to reduce child morbidity and mortality, the United Nations Children's Fund (UNICEF) and the World Health Organization (WHO) in 2005 recommended that infants be breastfed for at least six months.The success rate of breastfeeding in Indonesia in 2013 was 54.3%,(Kemenkes RI, 2014). The success rate of breastfeeding in the Riau Islands in 2013 was 52.6%,(Kemenkes RI, 2014).Exclusive Breast Milk Coverage in Batam City 47% in 2017. The low coverage of exclusive breastfeeding may be due to the low awareness of the importance of breast care to support the production of breast milk,(Dinas Kesehatan Kota Batam, 2018).The purpose of this study was to explain the relationship between the implementation of breast care and the expenditure of breast milk in post partum mothers.The method used by the author is a descriptive type, in the form of research with a case study method or approach, with visits during the postpartum period to respondents aged 25 years P2A1 at PMB Veronika Sinaga Batam City and carried out 3 times.From the results of the study, it was shown that the breast care provided to the respondents went smoothly and there was an increase in the expenditure of breast milk after breast care was carried out.The conclusion in this study based on the results of the assessment and examination it was found that breast care for postpartum mothers was very influential, respondents were able to carry out breast care independently well, and the authors were able to apply midwifery care through a midwifery management approach and documented by the SOAP method.

THE RELATIONSHIP BETWEEN BREAST CARE IMPLEMENTATION AND POST PARTUM MOTHER'S MILK PRODUCTION AT PMB VERONIKA SINAGA BATAM CITY

Breast care is one of the most important efforts for post partum mothers with the aim of facilitating the production of breast milk.In order to reduce child morbidity and mortality, the United Nations Children's Fund (UNICEF) and the World Health Organization (WHO) in 2005 recommended that infants be breastfed for at least six months.The success rate of breastfeeding in Indonesia in 2013 was 54.3%,(Kemenkes RI, 2014). The success rate of breastfeeding in the Riau Islands in 2013 was 52.6%,(Kemenkes RI, 2014).Exclusive Breast Milk Coverage in Batam City 47% in 2017. The low coverage of exclusive breastfeeding may be due to the low awareness of the importance of breast care to support the production of breast milk,(Dinas Kesehatan Kota Batam, 2018).The purpose of this study was to explain the relationship between the implementation of breast care and the expenditure of breast milk in post partum mothers.The method used by the author is a descriptive type, in the form of research with a case study method or approach, with visits during the postpartum period to respondents aged 25 years P2A1 at PMB Veronika Sinaga Batam City and carried out 3 times.From the results of the study, it was shown that the breast care provided to the respondents went smoothly and there was an increase in the expenditure of breast milk after breast care was carried out.The conclusion in this study based on the results of the assessment and examination it was found that breast care for postpartum mothers was very influential, respondents were able to carry out breast care independently well, and the authors were able to apply midwifery care through a midwifery management approach and documented by the SOAP method.

PELATIHAN CARA PERAWATAN PAYUDARA PADA IBU HAMIL TRIMESTER III DI DESA BANTARJAYA KECAMATAN PEBAYURAN KABUPATEN BEKASI TAHUN 2021

ABSTRAKData Survei Demografi dan Kesehatan Indonesia tahun 2015 menyebutkan bahwa terdapat ibu nifas yang mengalami Bendungan ASI sebanyak 35.985 atau (15,60 %) ibu nifas (Meihartati, 2017). Hasil studi pendahuluan di Desa Bantarjaya tahun 2021 dengan wawancara dari 10 ibu menyusui, 7 ibu menyusui yang mengalami bendungan ASI dan penyebabnya pada saat hamil dan nifas tidak melakukan perawatan payudara. Perawatan payudara seharusnya dilakukan saat kehamila secara teratur agar produksi ASI saat menyusui cukup. Tujuan kegiatan ini adalah agar ibu hamil bisa melakukan perawatan payudara secara rutin untuk persiapan ibu saat menyusui karena pentingnya ASI maka dilakukan Pelatihan Perawatan Payudara Pada Ibu Hamil Trimester III Di Desa Bantarjaya Kecamatan Pebayuran Kabupaten Bekasi Tahun 2021.Kegiatan dilaksanakan pada hari Jumat 21 Mei 2021, bertempat di Balai Desa Bantar Jaya Kecamatan Pebayuran. Sasaran kegiatan ini adalah ibu hamil trimester III yang bertempat tinggal di Desa Bantar Jaya sebanyak 43 orang. Metode kegiatan yang digunakan dalam pengabdian ini ada berupa pelatihan cara perawatan payudara pada ibu hamil trimester III di Desa Bantarjaya Kecamatan Pebayuran Kabupaten Bekasi tahun 2021. Alat yang digunakan berupa alat peraga (phantom), video cara perawatan payudara, leafleat dan poster yang terkait materi yang akan disampaikan dalam pelatihan tersebut.Hasil nilai pretest dan posttest dari 43 responden memiliki pengetahuan sedang tentang cara perawatan payudara yaitu nilai rata-rata sebesar 75,96%, setelah penyuluhan nilai rata-rata menjadi 90,4% (Pengetahuan Baik). Berdasarkan nilai pretes dan posttest tersebut ada peningkatan pengetahuan dari responden (14,34%). Hasil nilai praktik menunjukkan sebelun dilakukan pelatihan, dari 43 responden memiliki keterampilan yang cukup dalam melakukan perawatan payudara (nilai rata-rata 75,2%), setelah evaluasi nilai rata-rata menjadi 97,7% (Keterampilan Baik). Ada peningkatan keterampilan dari responden setelah evaluasi (22,5%).Kegiatan pelatihan payudara pada ibu hamil trimester III untuk mempersiapkan ibu hamil dalam pemberian ASI Eksklusif pada masa nifas. Dalam kegiatan ini masih kurangnya pengetahuan dan kemampuan ibu hamil melakukan perawatan payudara. Dengan diadakannya pelatihan cara perawatan payudara bagi ibu hamil trimester III, dapat meningkatkan pengetahuan dan kemampuan ibu hamil dalam melakukan cara perawatan payudara. Kata Kunci : pelatihan; cara perawatan payudara; ibu hamil trimester III ABSTRACTAccording to the demography survey and Indonesian health in 2015, it stated that there were 35.985 or (15,60%) of the postpartum mothers encountered the dam breast milk (Meihartati, 2017). The preliminary study result in Bantar Jaya village, 2021 said that there were 7out 10 of Breast feeding mothers by interview had the dam breast milk. It was all because when they were pregnant and after the postpartum, they did not do the breast care treatment. In fact, the breast care treatment should be done regularly during the pregnancy in order to produce the enough breast milk. This activity aimed to encourage and support the pregnant women to do the breast care treatment regularly during the pregnancy. It was because breast milk was the important thing after the birth, so it required the training of breast care treatment to the third trimester of pregnant women in Bantar Jaya village Pabayuran district Bekasi regency 2021.The activity was conducted on Friday, 21st 2021 in village hall of Bantar Jaya, Pabayuran District. The target activity was 43 of third trimester of pregnant women who lived in Bantar Jaya Village. the method activity of this dedication applied the breast care training to the third trimester of pregnant women in Bantar Jaya Village, Pabayuran district, Bekasi Regency in 2021. The activity instruments were phantom, breast care treatment video, leaflet and poster which were filled by the training materials.The pretest and posttest result score stated that there 43 respondents which had the moderate knowledge of breast care, and it was 75, 96%. After the counseling, the 43 respondents’ knowledge increased to 90,4% (good knowledge). Based on the pretest and posttest, there was some enhancement of respondents’ knowledge to 14, 34%. The practical score showed that before having the counseling, the respondents only got the enough skill to do the breast care (the average score was 75,2%). However, after evaluating, the 43 respondents’ knowledge increased to 97, 7% (good skill). Furthermore, there was some skill enhancement of 43 respondents after having the evaluation (22, 5%).The breast care training activity to third trimester of pregnant women aimed to those pregnant women to get well prepared during pregnancy to do the exclusive breast feeding after the birth. In this activity, previously, they were still lack of breast care knowledge. By having this activity, there was enhancement of knowledge and capability of pregnant women in doing the breast care treatmentKeywords: counseling; breast care treatment; third trimester of pregnant women

Implementasi Kelas Ibu Hamil (Penyuluhan Perawatan Payudara Masa Kehamilan dan Menyusui di Puskesmas I Denpasar Utara)

This community service aims to provide education to pregnant women in the second and third trimesters about the benefits of breast care during pregnancy and breastfeeding. The method used in this service is to provide online counseling about breast care during pregnancy and breastfeeding during class for pregnant women. Participants in this service program are pregnant women in the second and third trimesters who take part in the pregnant women class program at Puskesmas I, North Denpasar. After being given counseling, there was an increase in knowledge of pregnant women about breast care during pregnancy and breastfeeding.

Knowledge about Care of Pregnant Mothers during the Covid-19 Pandemic

BACKGROUND: China reported a case of pneumonia known as severe acute respiratory syndrome coronavirus to the World Health Organization of unknown cause in Wuhan City. Regulation Number 6 of 2018 concerning Health Quarantine regulates the basic provisions of the PSBB. Health services at the primary care are very limited, one of which is the care of pregnant women which is an activity that monitors and supports the health of normal pregnant women and detects normal pregnancies. AIM: The purpose of this study was to describe the knowledge of pregnant women about the care of pregnant women during the COVID-19 pandemic at the Jayengan primary health care. METHODS: This study uses a crosssectional design, the sample selection using purposive sampling with a sample of 40 respondents. Data collection was carried out using questionnaires made by researchers and filled out by respondents. Then, the data that have been collected is processed using software. RESULTS: The results showed that the value of the sub-variable understanding of pregnant women with an average value of 100, the sub-variable time of visit to pregnant women had an average value of 72.5, the sub-variable of breast care for pregnant women had an average value of 79.16, sub-variable nutrition variables in pregnant women have an average of 75.63, the tetanus toxoid immunization sub-variable for pregnant women got an average value of 76.66, the pregnancy check-up sub-variable got an average value of 97.5, and the care of pregnant women who were confirmed to have COVID-19 got an average score of 55.93. CONCLUSION: The conclusion shows that the average knowledge level of respondents is sufficient.

To Evaluate the Effect of an Educational Programme on Breast Care Attentiveness among Young Mothers after Childbirth

The postpartum period, also known as the puerperium and the "fourth trimester," refers to the time after delivery when maternal physiologic changes related to pregnancy return to the non-pregnant state. From the day of delivery to six-eight weeks after delivery is termed as the fourth trimester. A few days after birth, the mother’s breast will swell with milk and become tender swollen, firm, and painful breasts. If the breasts are severely engorged, they are very swollen, hard, shiny, warm, and slightly lumpy to the touch. This is called engorgement. Breast care is necessary postnatally since this will avoid complications such as mastitis – infection caused due to trapped milk. Post natal education on breast care is much needed for all mothers. Mastitis, for example, is an infection that causes inflammation of the breast tissue. It’s most commonly caused by milk trapped in the breast. Untreated mastitis can lead to complications such as a collection of pus in the clogged milk ducts. Often, even well educated women seem to know very less about breast care post childbirth. Hence the present study was framed to assess on how much knowledge the new mothers possess about breast care (sample size: 60). From the results obtained we conclude that all the new mothers post the awareness rendered about breast care acquired good or adequate knowledge regarding the same when compared to pre-test. This emphasizes the need for public health interventions and awareness programs to educate as well as minimize the related complications.

Prevalence of different breast lesions in women of southern Punjab, Pakistan, characterized on high-resolution ultrasound and mammography

Background The aim of the study is to characterize the breast lesions on high-resolution Ultrasound and digital mammography to find the patterns and prevalence of different breast lesions in different age groups of our population. Results This prospective study was conducted at a breast care clinic of a tertiary care hospital from Jan 2018 to Dec 2019. Patients with breast-related complaints were enrolled. Patients under the 35 years of age were evaluated on High-Resolution Ultrasound (HR-USG) and those over 35 years of age on digital Mammography. Any lesion on digital mammography was characterized on HR-USG. Fine Needle Aspiration (FNAC) and Trucut biopsy was done where pathological correlation required. Data of all enrolled patients were recorded and analyzed. Patients with known cases of carcinoma breast on follow-up were excluded from the study. Total 6850 patients enrolled in our breast care clinic during study period. 5111 were above the age of 35 years while 1739 were under the age of 35 years. No lesion could be found in 3915 patients and were reported normal. 2935 patients were found to have different breast lesions. The frequency of different lesions was different in both age groups. The overall frequency of lesions was as malignancy 16.2%, benign lesions including Fibroadenoma, simple cysts, Lipoma and Galactocele 16%, inflammatory lesions including abscess 7.86% and Duct Ectasia 2.75%. Conclusions In developing countries where mass screening programs are deficient, Breast Care clinics in tertiary care hospitals have a noteworthy role in early detection of breast cancer and other breast lesions.