Nyeri selama fase persalinan dapat mempengaruhi frekuensi jantung, napas, bahkan tekanan darah dan stress sehingga menganggu hormon okstitosin yang bekerja untuk persalinan. Literature review dilakukan pada studi penatalaksanaan nyeri persalinan. 3 database dan 2 sumber grey literature diditelaah untuk memperoleh informasi terkait penatalaksanaan nyeri persalinan. 32 literatur diperoleh dari hasil penyaringan data dengan menggunakan framework PEOS. Beberapa faktor nyeri, dampak, penatalaksanaan, respon dan dukungan yang dibutuhkan selama menghadapi nyeri persalinan diperoleh dari proses ekstraksi data. Pemahaman tentang hal berkaitan nyeri, pengembangan terapi, dan dukungan adekuat sangat diperlukan dalam rangka meningkatkan kualitas layanan kebidanan khususnya persalinan.Labor pain affects to heart beat frequency, breath rate, blood pressure, and stress. As a result, oxytocin may does not work properly during labor process. A literature review study was conducted to provide information related to labor pain management. 3 databases and 2 grey literatures analyzed and 32 literatures extracted by PEOS framework. Some factors related to labor pain, impacts, managements, responses, and supports needed during labor gained from data extraction. A clearly understanding related labor pain, developing therapy technique, and adequate support are needed in order to improve the quality of midwifery care on labor.

A midwife service area is pregnancy and normal childbirth. One of multipurpose childbirth tools which is easily available for women is birth ball. The tool is useful to shorten childbirth duration, make the childbirth more efficient, help mother feel more comfortable, and help in the descents of fetal head. Scientific literatures about the use of birth ball for childbirth are considered rare. The purpose of this study is to conclude and examine literatures that are connected to the effectiveness of birth ball exercise on labor. The data were articles published within 2008-2018 from Pubmed and Cochrane Library and were selected by using literature elimination strategies. O f the initial 374 articles that were verified, this study analyzed 5 articles which met the inclusion criteria. Birth ball exercise was effective to reduce pain during childbirth. The duration and interval of uterus contraction was longer. There are statistically significant differences between birth ball exercise that was done in class compared to those done at home in childbirth duration phase I and II. The use of birth ball resulted higher the efficacy in the active phase of childbirth. It shows that the efficacy has an impact for about 30-40% at delivery. W o m e n p r a c t i c i n g birth ball exercise used fewer epidural anesthesia and fewer Caesar operation. Birth ball exercise was effective to reduce pain during childbirth in latent and active phase, the duration and contraction interval on uterus were longer, having effect to childbirth duration phase I and II, mother efficacy in childbirth is higher, less using epidural anesthesia and caesarean sections.

Quantitative research aims to identify the omega fatty acids in exclusive breast milk (ASI) Exclusive. The data analysis used data chromatogram Gas Chromatography-Mass Spectrometry (GC-MS). The data generated is breast milk (ASI) had higher levels of omega-3 fatty acids amounting to 28.24%, omega-6 and omega of 0.57% 9 at 26.56%. The conclusion from this study is there is the content of omega-3, omega-6, omega-9 fatty acids in breast milk (ASI). Highest levels of omega fatty acids in breast milk is the omega-3 fatty acid that is equal to 28.24%.Keywords: milk, omega fatty acids, GC-MS

The existence of an instrument to measure mothers’ perception on exclusive breastfeeding and infant feeding nutrition is needed. The purpose of this study is to determine the validity and reliability of Iowa Infant Feeding Attitude Scale (IIFAS) in Indonesia community. This study is an pilot study for the next research. The result shows that the feeding attitude scale has validity with Cronbach alpha was 0.87. Item number 17 was deleted. These results indicate that the instrument has validity and reliability to implement among breastfeeding mothers in Indonesia in order to determine their perception on breastfeeding.

Early Initiation Breastfeeding (EIB) giving a chance to improve bounding attachment between mother and her infant. Moreover, EIB help to decrease the incidence of postpartum hemorrhage, increase the continuing and period of breastfeeding. The study was conducted to describe the process of EIB in one of district hospital in Yogyakarta Province, Indonesia. A descriptive quantitative method was used to describe factors related to the process of EIB. 150 mothers who giving birth on the period of data collection were recruited as samples. The results show that the number of EIB is 44,7%. The most reason as the obedience of EIB is the limitation number of health care provider (42,86%).