Angka Kematian Ibu (AKI) di Indonesia akibat perdarahan post partum mempunyai peringkat tertinggi. Wilayah kerja Puskesmas Mandala masih terjadi kasus subinvolusi uterus akibat kurangnya pengetahuan ibu nifas tentang proses involusi uterus. Setelah persalinan, kondisi tubuh ibu secara anatomi akan mengalami perubahan, salah satunya adalah kembalinya rahim pada ukuran semula. Proses ini disebut dengan involusi uterus (Ambarwati, 2010). Penelitian penelitian ini bertujuan untuk menganalisis faktor-faktor yang mempengaruhi terjadinya proses involusi uterus selama masa nifas di wilayah kerja puskesmas Mandala Kabupaten Lebak Provinsi Banten. Jenis Penelitian yang digunakan observasional analitik dengan rancangan penelitian cross sectional, dengan analisis Data Univariat, bivariat dan multivariat, sample penelitian sebanyak 47 orang. Hasil penelitian dari analisis univariat berdasarkan proses laktasi masih ditemukan ibu nifas yang memberikan laktasi kurang baik sebanyak 13 orang (27,7%), mobilisasi terbatas sebanyak 6 orang (12,8%), menu tidak seimbang sebanyak 4 orang (8,5%), sebagian besar ibu nifas telah melahirkan anak lebih dari satu kali (multipara) sebanyak 29 orang (61,7%), ibu nifas yang mengalami involusi yang tidak normal sebanyak 4 orang (8,5%). Untuk hasil analisis bivariate variable laktasi, mobilisasi dan nutrisi, Secara bivariat diperoleh rata–rata P Value = kurang dari 0,05 (P<α) yang berarti terdapat hubungan yang signifikan dan sedangkan yang tidak berhubungan adalah paritas dengan hasil P Value = lebih dari 0,05 (P>α). Hasil analisis multivariate keempat variabel independen tidak signifikan memberikan pengaruh pada variable dependen dengan nilai p > 0,05. Faktor-faktor yang berhubungan dengan involusi uterus pada ibu nifas adalah laktasi, mobilisasi dan nutrisi, dan yang tidak berhubungan adalah paritas. analisis multivariate dari keempat variable yaitu (laktasi, mobilisasi, nutrisi, dan paritas )   ternyata tidak ada pengaruh signifikan dengan involusi uterus.

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Stunting is a chronic nutritional problem caused by multifactor, one of which is the lack of maternal knowledge about exclusive breast milk. Kader Posyandu who is the chosen person in the community becomes an extension of the health workers in providing health information so that the knowledge needed is needed in order to be able to convey the information obtained. The aim of the study was to increase cadre knowledge regarding stunting prevention with Exclusive breast milk through monopoly games.  This type of research pre-experimental design one group pretest – posttest. The sample used in this study is the population of Posyandu cadres of Tambakbaya village of Cibadak Kab.Lebak District which is as many as 45 people. Intervention in this research is a monopoly game that has been modified which is in accordance with the purpose of the research.  The results obtained that the monopoly game MonAS has a significant influence on the increase in the knowledge of posyandu cadres regarding stunting. With the results of this study is expected to be a new method in dreaming health information to cadres, namely through games.

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Background: Decreasing number of ovarian follicles triggers the occurrence of menopause. Menopause is a natural phenomenon in reproductive health. However, delayed menopause can increase the number of cancer-triggering hormones. Deceleration of menopause can be affected by an increase in the number of pregnancy and birth that stimulate the prose-up regulating for anti-Mullerian hormone (AMH). The hormone may indicate an increase in the number of follicles. Nutritional status and decreased cortisol level in a person experiencing stress are also suspected to affect the deceleration of menopause. This study aimed to determine the associations between parity, nutrition status, level of stress, and delayed menopause in Tangerang, West Java. Subjects and Method: This was an analytic observational study using case control design. This study was carried out at Elderly Clinic, Sukamulya subdistrict, Tangerang, West Java. A sample of 150 women were selected for this study consisting 101 women experiencing late menopause (case) and 41 women experiencing normal menopause (control) using purposive sampling. The dependent variable was age of menopause. The independent variables were parity, nutritional status, and psychological stress. The data on parity were obtained from medical record. Stress level was measured by questionnaire, including data on physical, task, role, and interpersonal demands. Nutritional status was measured by body mass index (BMI). The data were analyzed by multiple logistic regression. Results: Delayed menopause was associated with increased parity (OR= 3.49; 95% CI= 1.56 to 7.81; p=0.002), higher BMI (OR= 1.79; 95% CI= 0.79 to 4.06; p= 0.160), and lower stress (OR= 0.15; 95% CI= 0.06 to 0.34; p<0.001). Conclusion: Delayed menopause is associated with increased parity, higher BMI, and lower stress.