Background: Musa balbisiana Colla, known as Jantung Pisang Klutuk/Pisang Batu, is considered as a traditional food that can increase breast milk production. Little is known about its benefit in Indonesia. Thus, to examine the impact of musa balbisiana colla on the production of breast milk is needed.Objective: This study aims to examine the effect of the extract of banana flower (Musa balbisiana Colla) to increase milk production of breastfeeding mothers.Methods: This  was a quasy-experimental study with pre-posttest control group design. This study was conducted in the working area of the Health Center (Puskesmas) of Pesantren II in January – February 2017. There were 16 respondents were recruited by accidental sampling, divided to intervention group (8 respondents) and control group (8 respondents). Randomization was performed to select the respondent in each group. The quantity of milk production was measured based on the volume of milk production, while the quality of milk production was based on the levels of prolactin in early (pre) and late (post) using Electro chemilumi-nescence Immunoassay (ECLIA) method. Independent t-Test was used to analyze the data.Results: Findings showed that the mean of the volume of the breast milk production in the experiment group was 470.681 ml, and in the control group was 364.650 ml with SD 113.502. While the mean of prolactin levels in the experiment group was 35.337 nanogram, and in the control group was -38.381 nanogram. There was a significant effect of consuming Musa balbisiana Colla extract on the volume of breast milk production (p-value 0.003) and prolactin levels (p-value 0.001) (<0.05).Conclusion: There was a significant effect of banana flower (Musa balbisiana Colla) extract on breast milk production and prolactin level in breastfeeding mothers. The findings of this study could be used to be alternative daily menu for postpartum mothers and a solution for midwives to deal with those who have inadequate production of breast milk and low prolactin levels.

Primigravida women mostly experience prolonged progress of labor due to the stiff birth canal. There are several positions of labor that may accelerate cervix dilatation process including squatting. This study aimed to determine the effect of left lateral position and squatting position on the progress of the active phase of the first stage of labor among primigravida women. This was a pre-experimental study with Pre test - post test approach. The population was all primigravida women in labor at Private Practive Midwife Istikomah, Amd.Keb., Sampung Subdistrict, Ponorogo District, taken  with an accidental sampling technique which obtained 9 respondents. The independent variable was labour position, while the dependent variable was duration of the active phase of the first stage of labor. The data collection instrument used here was observation sheet. The results were analyzed using Paired sample T-test (α=0,05). The results showed that before the application of left lateral and squatting positions in VT 1, all 9 respondents (100%) had normal labour progress and after the application of left lateral and squatting positions in VT 2, most respondents (77.8%) had labour progress in short category. The analysis obtained a p-value=0.000<α=0.05. Thus, there was an effect of left lateral position and squatting position on the progress of the active phase of the first stage of labor among primigravida women. The combination of squatting and left lateral positions during labour seems to accelerate the progress of the active phase of the first stage of labor with minimal side effects.

Family planning is an attempt to measure the number of children and the desired birth spacing of children. The Government of Indonesia then launched a program or method to prevent and delay pregnancy. Acceptors' attitudes about side effects were related to factors consisting of age, education and parity. The purpose of this study was to determine the relationship between contraceptive selection factors and attitudes of family planning acceptors at the Sifa Husada Nganjuk Clinic. The research design used is Correlational Analysis with a Cross-Sectional approach. Independent variables are factors that influence the choice of implant contraception. The dependent variable is the attitude of KB acceptors in dealing with the side effects of implants. The population in this study were all family planning acceptors at Sifa Husada Nganjuk Clinic with a sample of 54 respondents taken using the Cluster Random Sampling technique. Analysis using Chi Square and Spearman Rho with error rate (α = 0.05). The results showed that factor 1) Age value p = 0.808. 2) Education p = 0.403. The conclusion of this study is that there is a relationship between age and education factors with the attitude of family planning acceptors about the side effects of implants at Sifa Husada Nganjuk Clinic.