ABSTRAKPersalinan adalah suatu kondisi fisiologis yang normal terjadi dalam kehidupan terutama bagi perempuan. Perubahan peran dan proses perawatan bayi baru lahir akan memicu timbulnya masalah psikologis. Kecemasan adalah salah satu masalah psikologis yang dirasakan oleh perempuan yang baru pertama melahirkan (Primipara). Kecemasan akan mempengaruhi proses laktasi (menyusui) bagi sebagian ibu primipara yang mengalami masalah psikologis. Tujuan studi kasus ini yaitu untuk memberikan gambaran studi kasus penerapan asuhan keperawatan pada ibu post partum primipara yang mengalami kecemasan. Metode ini menggunakan desain penelitian dekriptif dengan pendekatan studi kasus. Penelitian dilakukan pada dua klien yang merupakan seorang ibu primipara dan mengalami kecemasan dalam proses laktasi di ruang nifas RSUD Dr.Soedirman. Hasil penelitian didapatkan penurunan tanda dan gejala kecemasan (klien 1 sebanyak 14.3% dan klien 2 sebanyak 12.5%). Terdapat perbedaan peningkatan kemampuan afektif, dengan peningkatan terbanyak pada klien 2 yaitu sebanyak 3 skor (60%) sedangkan klien 1 sebanyak 2 skor (40%). Studi kasus ini direkomendasikan untuk peningkatan asuhan keperawatan pada pasien yang mengalami kecemasan dalam proses laktasi.Kata kunci : Persalinan, Primipara, Kecemasan, Gangguan laktasi ANXIETY IN PRIMIPHARA POSTPARTUM MOTHERS WITH LACTATION TROUBLE ON MATERNITY WARD ABSTRACTLabor or delivery is a normal physiological condition happens in life, especially to women. Changes in the role and process of newborn-baby care will lead to psychological problems. Anxiety is one of psychological problems that happens to primiphara mothers. Anxiety will affect the process of lactation (breastfeeding) for some primiphara mothers with psychological problems. This study is to provide an overview of a case study of nursing care for primiphara postpartum mothers who have problem with breastfeeding because of anxiety. This scientific paper is an analytical descriptive with a case study approach. The study was conducted on two primiphara mothers with anxiety in their breastfeeding. Data were obtained through interview, observation, and documentation. After having nursing care, there was a decrease in anxiety (patient 1: from 44.6% to be 30.3%, patient 2: from 32.1% to be 19.6 %). Besides, there is a difference in the increase of affective ability, with the highest increase patient 2 (60%) while patient 1 (40%). It is advisable for nurses to provide nursing care for primiphara postpartum mother with breastfeeding problem caused by anxiety.

Coronavirus Disease 2019 or better known as COVID-19 is an infectious disease caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). It is known that this virus can attack the reproductive organs and cause changes in the menstrual cycle in the form of a longer menstrual cycle, heavier blood flow, longer duration and increased pain levels. This study aims to determine the relationship between positive history of COVID-19 and changes in menstrual patterns in women of childbearing age at Poltekkes Kemenkes Bengkulu in 2022. The research design used was observational analytic with a retrospective approach. The research population was all female lecturers and students of the Bengkulu Ministry of Health Poltekkes, totaling 2696 people. The sample in this study was 155 people who were taken by purposive sampling technique. Data were analyzed using chi square test. The results showed that 125 people (80.6%) had a positive history of COVID-19 and most people (54.2%) experienced changes in menstrual patterns. A total of 40 people (25.8%) experienced re-infection with COVID-19. Based on the results of the bivariate analysis using the chi square test, the p value = 0.000 (p-value < 0.05), it means that there is a significant effect for a positive history reinfection with changes in menstrual patterns at the Health Polytechnic of the Ministry of Health Bengkulu.