A mother is the primary caregiver for her baby. However, sometimes mothers feel less confident in caring for their babies. They need to be assisted with education about baby care to increase their confidence and be more skilled in caring for their babies. This study aims to determine the effect of health education using leaflet and phantom on the skills of mothers to care for babies. The method used is a quasi-experimental approach with a pretest-posttest control group design approach. The research was conducted in the postpartum room at RSUD dr. M. Haulussy with samples of primiparous mothers consisting of 30 intervention groups and 30 control groups determined by purposive sampling technique. Data were obtained through questionnaires and checklists and analyzed using the Wilcoxon, Man Whitney and Chi square tests. The results showed a change in the improvement of maternal skills after health education as much as 80% of mothers in the intervention group, while in the control group it was 50%. Health education during the taking hold period by using media/tools such as leaflets and phantoms was proven to have an effect on the mother's skills in caring for the baby.
The problem of early breastfeeding has a negative impact on the baby’s life. The decrease in breast milk production in the first day after giving birth can be caused by a lack of stimulation of the hormones prolactin and oxytocin which play a very important role in the smooth production of breast milk. Efforts to stimulate the hormones prolactin and oxytocin in the mother after giving birth other than expressing breast milk can be done by doing breast care or massage. The purpose of this study was to determine the effect of oxytocin massage on breast milk production in Dr. M. Haulussy Hospital and Prof. J. A. Latumeten Hospital Level II Ambon. This research is expected to increase understanding and community participation in providing oxytocin massage to postpartum mothers and become input for other hospitals in providing oxytocin massage. The type of research used is a quasi experimental design. The sample was the first day postpartum women who were treated at Dr. M. Haulussy Hospital Ambon and Level II Hospital Prof. J.A. Latumeten Ambon on 29 September – 30 November 2018. Processing and analysis using the Mann Whitney test. The results showed that the production of breast milk in postpartum mothers after being given oxytocin massage intervention all (100%) had good breast milk production and the results of statistical tests using the Wilcoxon test obtained a P-value = 0.000 (p-value <0.05), meaning that there was an effect of oxytocin massage. on the milk production of postpartum mothers.
One of the most common complaints felt by young women during menstruation is menstrual pain or dysmenorrhea, and has different degrees of pain in each person ranging from mild to severe. Dysmenorrhea is pain accompanied by pain and is a common problem experienced by women of different age levels, not a few women experience the discomfort of having menstruation. Dysmenorrhoea is a medical condition that occurs during menstruation or menstruation characterized by pain or pain in the abdominal and pelvic areas that can interfere with daily activities and require treatment. This situation is also accompanied by nausea, vomiting, and fainting. These complications can actually be prevented and treated but there is no awareness of adolescents seeking health services. In this case, in case of abdominal pain, the client Ms. A immediately buys an over-the-counter analgesic drug at the drugstore/dispensary. Treatment efforts are to encourage the client to give warm compresses, the curled up position like a fetus is the best sleeping position to relieve pain, distracting techniques, doing light exercise, Support from parents and health workers (midwives) is continuously needed to be able to overcome the problems experienced by the client.
Secara psikologis ibu nifas memiliki perasaan mudah marah dan mudah sedih. Sebagian besar ibu pasca melahirkan sering merasa diabaikan oleh orang yang dicintainya, sehingga mengalami kecemasan yang kemudian berubah menjadi stress. Studi kasus ini menggambarkan Ny. M ibu nifas hari ke tiga yang merasa kelelahan dalam mengurus anak dan rumah tangga dan kurangnya dukungan suami. Upaya yang dilakukan adalah dengan memberikan penjelasan kepada Ny.M dan suami bahwa bahwa Ny. M berada pada peruode Taking hold yaitu Ny.M masih sangat membutuhkan bantuan dan dukungan dari orang-orang terdekatnya dalam merawat bayi. Asuhan kebidanan yang diberikan dapat mengurangi kecemasan yang dialami oleh ibu. Dukungan dan pendampingan dari keluarga dan berkelanjutan dari tenaga kesehatan sangat diperlukan untuk memperoleh hasil asuhan yang optimal.
Pain due to uterine contractions causes discomfort that is shown by various individual responses. When facing the delivery process, not all mothers can calmly face the process, so health workers, especially midwives, must be able to provide quality care. Efforts to reduce labor have been carried out, there are various ways that do not hinder the labor process and are not harmful to the fetus. One of them with non-pharmacological therapy, namely therapeutic communication. This study aims to determine the effectiveness of therapeutic communication on the intensity of labor pain in the active phase of the first stage. This research was conducted in RSUD dr. M. Haulussy Ambon. The research design used was a quasi-experimental design with only a post-test with a control group using a questionnaire and a pain scale observation sheet. The results of the study obtained a p value of 0.003 which means that there is a difference in pain intensity in the first stage of the active phase between the intervention groups. The conclusion of the study is that therapeutic communication effectively affects the intensity of labor pain and as a midwife may be able to apply therapeutic communication as an effort to reduce pain.
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