BACKGROUND:The success of a woman in following the exclusive breastfeeding program is determined by the significant effort of a woman in giving breast milk and providing additional food to the baby. This problem can be solved by using the vibration effect on the postpartum mother’s breast through DC Motor Vibratory (DMV) system.AIM:Therefore, the research aims to analyse the effectiveness of DMV among postpartum woman on giving breast milk. This intervention will assist to stimulate the prolactin hormone and to remove the oxytocin hormone of the breast milk.METHODS:The study is a quasi-experiment, with only post-test design and control group. The sample of the study included 76 postpartum women in University of Sumatera Utara (USU) Hospital and maternity clinic in Medan, Indonesia with accidental sampling technique. The data were collected by using questionnaires, such as demographic questionnaire and observation of breast milk expenditure. The study was analysed by using the Mann-Whitney test.RESULTS:The Result of the study showed that the DMV could accelerate the process of breastfeeding for a postpartum woman with a significant value of p < 0.05.CONCLUSION:The research concluded that DMV could be applied in the postnatal care process, especially in stimulating breast milk expenditure.

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Insufficient milk production is a major problem for mothers who have just given birth and affects the health condition of postpartum mothers. One of the actions that can be taken to increase milk production and improve the health of postpartum mothers is to consume foods that can increase breast milk production, namely ingredients that contain galactagogue substances. Several types of herbal plants that are often consumed by postpartum mothers after giving birth to increase breast milk in North Sumatra, especially the city of Medan, are making vegetables from the bangun-bangun leaves. Bangun-bangun leaves contain the main ingredients, namely carvakrol, thymol, humulene, undecanal, terpinene, cymene, caryophyllene oxide, terpineol and salinene whose nutritional content and composition helps to stimulate breast milk production.during the Covid 19 pandemic. The intervention was carried out by giving 100 grams of bangun-bangun leaves and consumed 3 times a day starting from the time the mother gave birth until 7 days. Breast milk production was assessed from the time the first breast milk was released and the health condition of the postpartum mother was assessed by measuring vital signs and assessing health conditions while still adhering to health protocols. The study was conducted in Medan Johor, North Sumatra Province and the sample in this study consisted of 60 people consisting of 30 intervention groups and 30 control groups according to the inclusion criteria. Collecting data using a questionnaire consisting of demographic data, data on the first day of breastfeeding, and data on health conditions in postpartum mothers before and after the intervention. Data analysis was carried out using dependent and independent t-tests. The results of the study showed that there was an effect of intervention on consumption of bangun-bangun leaves on breast milk production using an independent t-test with a p value of 0.010 and an intervention for consumption of bangun-bangun leaves with postpartum mother's health condition with a p-value of 0.001. The results of this study are expected to be a solution and intervention in the care of postpartum mothers who have problems in spending milk production and are able to improve health conditions, especially during the Covid 19 pandemic.

The elderly is prone to suffer from physical illness and experience hospitalization due to physiological decline.  Researches showed that the majority of the family caregivers are females, who are responsible for the caregiving delivery.This study aims to explore the female caregiver stress caring for hospitalized elderly with chronic illness at USU Hospital, Medan. This research is a qualitative study with a phenomenological approach. The sampling technique was the purposive sampling method with several criteria; female with mild to high stress level, the prominent caregivers in the family, and had been caring the elderly for more than 1 year.  The female caregivers would be assessed for stress levels with the Zarit Burden Inventory instrument, which is commonly used to assess the stress burden of caregivers caring for the elderly.  The data collection is conducted through in-depth interview.  The data are transcribed and analysis for sub-theme and theme.  The research result found nine participants with an age range of 32-67 years. All participants are the elderly daughter’s and spouses.  The stress score is 15-25 which means that the participants are experiencing mild-moderate to severe stress ranges.  The thematic analysis revealed four main themes namely; (1) Financing elderly, (2) Caregiver fatigue, (3) Experiencing negative relationship, and (4) Indonesian culture associated with female gender. According to the research result, it should be a basis data for further research related to the elderly caregivers.  Therefore, the need for the specific interventions is provided for the elderly and the caregivers who are vulnerable to stressful conditions.

Introduction about breast cancer is very important in order to decrease new cases through the efforts of prevention and early detection to make it easier to recognize the risk factors and symptoms of breast cancer. This community service activities aiming to identify women's ability to detect early breast cancer. This community service activities performed on May  to October 2018 in the UPT PUSKESMAS PB SELAYANG II Medan. The method of implementation of community service activities started by measuring the level of knowledge about society and the cadre of breast cancer, followed by the giving of material (counseling) about breast cancer by SADARI.  Results dissemination instruments of knowledge work in the area of women's health centers on breast cancer obtained that 30 women (60%) have less knowledge about breast cancer. For it to do a follow-up to train cadres and taught to the community to recognise and assess the risk factors in a sustainable way next taught how about SADARI techniques and further stages need to be done breast exam by using breasligh.