This research uses quasi experiment post test only design. The study used consecutive sampling. The independent variable Method (Stimulation Endorphin,Oxytosin and Sugestive), dependent variable Smoothness of breast milk and Uteric Involution. data collection using observation sheets. The study population and sample were 30 respondents with purposive sampling technique. The results of the study of 30 respondents, 15 respondents were not given speos method therapy almost all respondents, namely 13 respondents not producing smooth milk (86.6%) and 10 respondents were abnormal Uterus (66.67%), while 15 respondents were given Method (Stimulation endorphin, oxytocin and suggestive) almost All respondents, 14 respondents, were producing breast milk smoothly (93.3%). T-test results obtained pvalue = 0,000 ≤ α = (0.05), so that Ha is accepted. There is an influence of Method (Stimulation endorphin, oxytocin and suggestive) to increase milk production and involution of the uterus in post partum

Background: Bacterial vaginosis is commonly experienced by women of reproductive age. The Nugent score is the gold standard for diagnosing bacterial vaginosis. Prebiotic Glucomannan hydrolysates (GMH) as a therapy in the treatment of bacterial vaginosis and has an immunomodulatory effect on the immune system and provides cellular immunity. The purpose of this study was to examine the effects of GMH and BV Gel on Nugent scores, Treg cell presentation, and TGF β levels in bacterial vaginosis of women of childbearing age. Subjects and Method: This was an experimental study. A sample of 24 women aged 20 to 45 years old with bacterial vaginosis (Nugent score ≥7) was divided into 4 groups: oral antibiotic group metronidazole (500mg), combination of GMH (300mg) and metronidazole, 5 ml BV Gel tube, and combination of GMH and BV Gel scores. The dependent variables were GMH and BV Gel administrations. The independent variables Nugent score, Treg presentation, and TGF-β level. Nugent score, Treg cell presentation, and TGF β level were measured on day-0, day-11, and day-22. The data were analyzed by one way Anova. Results: The results of the analysis after treatment on day 22 showed that the GMH and BV gel were able to reduce Nugent scores, increase Treg cell presentation and TGF β levels in bacterial vaginosis of women of childbearing age. Conclusion: GMH as an alternative therapy for bacterial vaginosis compared with antibiotic treatment can improve normal vaginal flora and stimulate the immune system in vitro and in vivo significantly.

Background: Cervical cancer is the fourth most prevalent cancer in women. Pap smear and visual inspection acetic acid (VIA) are essential screening tests to early detect cervical cancer. However, the use of screening tests remained low among women of reproductive age in Nganjuk district, East Java. This study aimed to determine the effectiveness of health education using flip chart and video on knowledge about early detection of cervical cancer among women of reproductive age in Nganjuk district, East Java. Subjects and Method: A randomized control trial conducted in Rejoso, Nganjuk, East Java, from October to November 2019. A sample of 120 women of reproductive age was randomized into two groups: (1) Experiment group that received health education using a flip chart and video, and (2) Control group that received no intervention. The dependent variable was knowledge of early detection of cervical cancer. The independent variable was health education using a flip chart and video. The data were collected using questionnaire. The data were analyzed by independent t-test. Results: After the intervention, knowledge about early detection of cervical cancer in the experimental group (Mean= 80.40; SD= 10.54) was higher than the control group (Mean= 70.53; SD= 9.68), and it was statistically significant (p <0.001). Conclusion: Health education using a flip chart and video is effective in improving knowledge about early detection of cervical cancer among women of reproductive age. Keywords: early detection, cervical cancer, health education, women of reproductive age Correspondence: Ike Nurrochmawati. School of Health Sciences Satria Bhakti, Nganjuk. Jl. Panglima Sudirman VI, Nganjuk, East Java. Email: ike.nurrochma@gmail.com. Mobile: +6282141578108. DOI: https://doi.org/10.26911/the7thicph.02.36

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