Latar Belakang : Salah satu upaya yang dapat dilakukan untuk merangsang hormon oksitosin agar terjadi onset laktasi adalah dengan dilakukan pijat pada ibu postpartum. Pijat yang dimaksud ialah pijat laktasi dan pijat oksitosin.Tujuan : Penelitian ini bertujuan untuk mengetahui hubungan onset laktasi pada ibu postpartum dengan jenis pijat yang diberikan.Metode : Desain penelitian menggunakan Quasy Eksperimen, dengan rancangan Non-Equivalent Control Group Design. Besar sampel 40 ibu postpartum di Praktik Mandiri Bidan (PMB) di Kota Palangka Raya. Teknik pengambilan sampel secara purposive sampling. Analisis yang digunakan adalah uji Chi Square dan regresi logistik berganda.Hasil : Ibu yang mendapatkan pijat laktasi semakin besar kemungkinan onset laktasinya cepat. Ibu yang mendapatkan pijat laktasi, 75% mengalami onset laktasi lebih cepat. Dari nilai OR dapat disimpulkan bahwa ibu yang mendapatkan pijat laktasi mempunyai kecenderungan dengan onset laktasi cepat sebesar 5.57 kali lebih besar dibandingkan ibu yang mendapatkan pijat oksitosin. Disimpulkan onset laktasi pada ibu postpartum yang mendapatkan pijat laktasi lebih cepat daripada ibu postpartum yang mendapatkan pijat oksitosin. Inisiasi menyusu dini, paritas, dan indeks masa tubuh terbukti tidak mempunyai pengaruh yang signifikan terhadap onset laktasi pada ibu postpartum. Rekomendasi pijat laktasi menjadi salah satu layanan dalam praktik bidan mandiri.

Di Indonesia prevalensi anemia pada remaja putri usia 18-24 tahun sebesar 27.2%. Penyebabnya kehilangan darah secara kronis, kurangnya asupan zat besi, penyerapan zat besi yang tidak adekuat, serta meningkatan kebutuhan akan zat besi. Anemia menyebabkan penurunan imunitas, konsentrasi belajar, kebugaran dan produktifitas pada remaja putri. Bila dibiarkan dapat memberikan efek dikemudian hari seperti hamil dengan anemia serta berpengaruh pada bayi yang dilahirkan. Tujuan penelitian ini untuk mengetahui hubungan asupan zat besi, lama menstruasi, dan usia menarche terhadap kejadian anemia pada remaja putri. Jenis penelitiananalitik observasional dengan desain case control dengan total sampel sebanyak 56 remaja putri. Pengambilan sampel menggunakan metode proportionate stratified random sampling. Hasil penelitian menunjukkan bahwa asupan gizi kurang berisiko 0.551 kali (95%CI 0.139-2.179) mengalami anemia sedang. Lama menstruasi tidak normal berisiko 0.340 kali (95%CI 0.90-1.278) dan usia menarche tidak normal berisiko 0.833 kali (95%=0.202-3.435) mengalami anemia ringan. Kesimpulan ada hubungan yang signifikan antara asupan zat besi dengan kejadian anemia pada remaja putri. Saran bagi remaja putri agar meningkatkan asupan zat besi dengan mengkonsumsi makanan yang mengandung gizi seimbang

Massage in Postpartum Mothers with Lactation Onset. Massage can be used as a non-pharmacological therapy to stimulate oxytocin to speed up the of onset lactation. If the onset of lactation happens quickly, then it should be breastfed as a baby's first nutrition life. This type of massage is a massage include massage lactation and oxytocin. The purpose of this study was to determine the difference in onset of lactation in postpartum mothers based on the type of massage given. The study design using Quasy Experiment, with the draft Non-Equivalent Control Group Design. The sampling technique was purposive sampling. The total sample was 40 mothers postpartum in Praktik Independent Midwive Ni Made Nuriasih and Praktik Independent Midwives Winanti in the city of Palangkaraya, then divided into 2 groups, 20 mothers postpartum performed postpartum maternal lactation massage and 20 mothers do massage oxytocin. A statistical test was using Independent T-test. The statistical analysis showed that mothers who do massage postpartum lactation had an average the onset of 35.05 hours of lactation. While the postpartum mother performed the oxytocin massage, there was a slower onset of lactation with an average of 49.14 hours. There was a significant difference in the average onset of lactation in postpartum women who performed lactation massage with postpartum mothers who performed oxytocin massage, where the onset of lactation in postpartum mothers performed lactation massage faster than postpartum mothers who performed oxytocin massage (p-value of 0.002). So, massage on postpartum mothers, especially lactation massage can be used as additional services to mothers after childbirth to facilitate the production and expenditure of breast milk, to support exclusive breastfeeding.

The failure to implement Exclusive Breast Milk (ASI) is often obtained in the early period after delivery because the milk has not yet been released is a reason for mothers to provide formula milk. This activity aims to provide lactation massage education for third-trimester pregnant women to increase breastfeeding. The activity was carried out in four meetings. The implementation of the activity went well, and the majority of participant characteristics were ideal (80%), multi-parity (70%), mothers with low education levels (70%), and mothers working as IRT (90%). It is hoped that outreach activities on lactation massage for pregnant women can be used as a routine program for health centers and health workers so that they can assist and prepare pregnant women with knowledge about exclusive breastfeeding before delivery.

Background: Nutritional status is an important factor for assessing someone in good health or not suffering from diseases due to nutritional disorders. Abnormal nutritional status disrupts reproductive function. In this case, nutritional status is associated with the age of menarche. It is known that early age menarche has a risk of breast cancer. Objective: To determine the relationship between nutritional status and age of menarche. Method: Using a cross-sectional design. The sample size of 50 respondents, was selected using simple random sampling. Data collection includes assessing nutritional status, employment, and education of parents, both fathers and mothers, and physical activity using the PAQ-C questionnaire. Analysis of the data used in this study is the Chi-Square test and logistic regression test. Results: The results of the bivariate analysis showed a significant relationship between father's education and physical activity on the age of menarche with a p-value <0.05 and the results of the multiple logistic regression test showed there was a relationship between overweight status and physical activity on the age of menarche with a p-value < 0.05. Conclusion: Overweight nutritional status and mild physical activity show a significant relationship to the age of early menarche.