AbstrakPenurunan tinggi fundus uteri (Involusi) pada masa nifas  merupakan proses kembalinya uterus seperti sebelum hamil. Faktor yang mempercepat involusio uteri seperti mobilisasi dini dan senam nifas. Di PMB Muara Enim telah di galakkan senam nifas dan mobilisasi dini secara bersamaan, namun belum dilihat efektivitasnya. Penelitian ini bertujuan untuk mengetahui pengaruh senam nifas dan mobilisasi dini dengan involusi uterus pada ibu post partum di PMB kelurahan Muara Enim Kabupaten Muara Enim tahun 2020.Penelitian ini menggunakan metode quasyeksperiment dengan desain pretest posttest with control group design. Penelitian ini dilaksanakan pada bulan Mei – Oktober 2021 di PMB kelurahan Muara Enim Kabupaten Muara Enim tahun 2020. Subjek penelitian ini adalah ibu nifas normal di PMB yang memenuhi kriteria inklusi serta bersedia menjadi responden dengan menanda tangani lembar persetujuan setelah diberikan inform concent. Besar sampel yaitu 60 orang yang dibagi menjadi kelompok intervensi dan kontrol masing-masing 30 orang. Analisis data menggunakan uji beda tidak berpasangan.Hasil penelitian didapatkan, Pada kelompok intervensi lebih banyak yaitu -6,01±1,25 cm dibandingkan dengan kelompok kontrol yaitu -7,87±1,36. Adanya perbedaan secara signifikan menunjukkan  bahwa ada Pengaruh senam nifas dan mobilisasi dini terhadap involusi uterus pada ibu post partum di PMB Kelurahan kota Muara Enim  (ρ<0,000). Disarankan bagi ibu nifas untuk melaksanakan mobilisasi dini dan senam nifas untuk mempercepat proses involusio uteri.Kata Kunci:involusio uteri,mobilisasi dini,senam nifas AbstractThe decrease in uterine fundal height (involution) during the puerperium is a process of the return of the uterus as before pregnancy. Factors that accelerate uterine involution such as early mobilization and postpartum gymnastics. At PMB Muara Enim, puerperal gymnastics and early mobilization have been promoted simultaneously, but their effectiveness has not been seen. This study aims to determine the effect of postpartum gymnastics and early mobilization with uterine involution in post partum mothers in PMB, Muara Enim sub-district, Muara Enim Regency in 2020. This study uses a quasi-experimental method with a pretest posttest design with a control group design. This research was conducted in May – October 2021 at PMB, Muara Enim sub-district, Muara Enim Regency in 2020. The subjects of this study were normal postpartum mothers in PMB who met the inclusion criteria and were willing to become respondents by signing the consent form after being given informed consent. The sample size is 60 people who are divided into intervention and control groups of 30 people each. Data analysis used unpaired difference test. The results obtained, the intervention group was more -6.01±1.25 cm compared to the control group which was -7.87±1.36. The existence of a significant difference indicates that there is an effect of postpartum exercise and early mobilization on uterine involution in post partum mothers in PMB, Muara Enim urban village (ρ<0.000). It is recommended for postpartum mothers to carry out early mobilization and postpartum exercises to accelerate the process of uterine involutionKeywords:early mobilization, postpartum exercise, uterine involution

Abstrak  Air Susu Ibu (ASI) memiliki manfaat jangka pendek dan jangka panjang yang merupakan makanan terbaik bagi bayi. Kecukupan produksi ASI merupakan kunci sukses pemberian ASI eksklusif pada bayi. Namun demikian pada awal postpartum produksi ASI masih sedikit dan bila tidak distimulasi akan menyebabkan produksi ASI berkurang. Salah satu upaya stimulasi produksi ASI adalah dengan melakukan terapi woolwich massage dan akupunktur di titik GB21. Penelitian ini bertujuan untuk mengetahui pengaruh metode pijat woolwich dan Akupuntur titik GB 21 terhadap produksi ASI di Praktik Mandiri Bidan Novitri tahun 2020Rancangan penelitian yang digunakan dalam penelitian ini adalah quasy eksperimen dengan desain Pretest-Posttest with Control Group. Subjek penelitian adalah ibu nifas normal yang memenuhi kriteria inklusi  yaitu ibu nifas dan bayi usia 1 hari,ibu bersalin normal dengan bayi aterm,tunggal dan sehat,Berat badan bayi ≥2500 – 3000 gr, Tidak ada alergi logam/baja dan bersedia mengikuti prosedur penelitian sedangkan kriteria eksklusi adalah ibu atau bayi sakit,Ibu yang  memiliki riwayat operasi pada payudara dan masalah pada payudara, seperti putting susu datar atau tenggelam,bayi yang mengalami kelainan kongenital serta ibu yang merokok dan atau mengkonsumsi alkohol.Jumlah sampel yang diteliti adalah sebanyak 90 pasien, masing-masing 30 pasien kelompok Back Rolling Massage, 30 kelompok Akupunktur titik GB 21 dan 30 pasien tanpa intervensi. Penelitian ini dilakukan pada bulan September-Oktober 2020. Analisis data menggunakan uji T paired dan uji one way anovaHasil penelitian didapatkan rata-rata selisih berat badan bayi sebelum dan setelah penelitian. Selisih berat badan pada kelompok kontrol adalah -148,33 (79,3) gram, pada kelompok Terapi Woolwich adalah 36,66 (196,05) gram, pada kelompok Akupunkur GB 21 adalah -26,67 (53,71) gram. Hasil uji statistik menunjukkan ada perbedaan yang bermakna berat badan setelah penelitian pada ketiga kelompok (pvalue 0,000). Kesimpulan terapi woolwich massage lebih efektif dalam meningkatkan produksi ASI..  Kata kunci:  Akupunktur GB 21, produksi ASI, woolwich massage    Abstract Breast milk (ASI) has short-term and long-term benefits which is the best food for babies. Adequate milk production is the key to the success of exclusive breastfeeding for infants. However, in the early postpartum period, breast milk production is still low and if it is not stimulated, it will cause milk production to decrease. One of the efforts to stimulate breast milk production is by doing woolwich massage therapy and acupuncture at the GB21 point. This study aims to determine the effect of the Woolwich massage method and GB 21 acupuncture on breast milk production at the Novitri Midwife Independent Practice in 2020The research design used in this study was a quasi-experimental design with a Pretest-Posttest with Control Group design. The subjects of the study were normal postpartum mothers who met the inclusion and exclusion criteria. The number of samples studied were 90 patients, 30 patients in the Back Rolling Massage group, 30 in the GB 21 Acupuncture group and 30 patients without intervention. This research was conducted in September-October 2020. Data analysis used paired T test and one way ANOVA testThe results of the study obtained the average difference in baby weight before and after the study. The difference in body weight in the control group was -148.33 (79.3) grams, in the Woolwich Therapy group was 36.66 (196.05) grams, in the GB 21 Acupuncture group it was -26.67 (53.71) grams. The results of statistical tests showed that there was a significant difference in body weight after the study in the three groups (p-value 0.000). Woolwich massage therapy group is more effective in increasing milk production.

Back pain and anxiety during pregnancy can cause discomfort and interfere with activities in meeting daily needs. Endorphin massage is known to reduce back pain and make a person calmer so that it can reduce anxiety, but research on the effect of endorphin massage in dealing with back pain and anxiety is still minimally reviewed. The study aims to should be to find out the effect of endorphin massage for back pain and anxiety in third trimester pregnant women. The one-group pretest-posttest research method used a quasi-experimental design involving 42 respondents from 2 selected villages using a purposive sampling technique. The endorphin massage intervention was carried out 18 times with 2 observations, during the pretest and after the end of the intervention 18 times. After the analysis using the t-test, it is known that endorphin massage affects reducing back pain and anxiety in pregnant women. The analysis's findings demonstrated that there was an intervention effect on anxiety and back pain, with a p-value of 0.000, compared to a p-value of 0,042 for the control group. It was concluded that there is influence of endorphins to inhibiting back pain, enhancing comfort during pregnancy and it is very important to educate pregnant women about physical and psychological discomfort so that they can be anticipated in carrying out their daily activities. It is also recommended to consider the presence of the husband when implementing this activity.

ABSTRAKMasalah gizi remaja merupakan kelanjutan dari masalah gizi pada usia anak yaitu anemia defisiensi gizi serta kelebihan dan kekurangan berat badan, kekurangan zat besi dapat menyebabkan anemia, remaja membutuhkan lebih banyak untuk menggantikan zat besi yang hilang bersamaan dengan darah haid. Anemia pada remaja putri sampai saat ini masih untuk tinggi, menurut WHO prevalensi anemia dunia berkisar 40-88%. mayoritas murid SMA Negeri 1 Muara Enim adalah remaja putri yang rentan menderita anemia, maka perlu dilakukan penyuluhan anemia pada remaja putri. Tujuan dari pengabdian masyarakat ini untuk meningkatkan pengetahuan remaja putri tentang anemia. Metode pemberdayaan dalam kegiatan pengabmas ini menggunakan metode Ceramah Tanya jawab. Penyuluhan dilakukan pada remaja putri kelas 10 IPA A SMA Negeri 1 Muara Enim pada Juli 2019 yang diiukti oleh 30 orang remaja putri. Kegiatan di awali dengan persiapan, memasang ex-banner, penjelasan materi dengan metode ceramah tanya jawab dan evaluasi. Sebelum dilaksanakan penyuluhan dilakukan pre-test kemudian setelah penyuluhan dilakukan post-test. Implikasi dalam kegiatan pengabdian masyarakat ini terdapat peningkatan pengetahuan remaja putri tentang anemia. Diharapkan setelah dilakukannya kegiatan ini, para remaja putri dapat mencegah terjadinya anemia pada masa remaja dengan meningkatkan pola konsumsi pangan menjadi beragam, bergizi, berimbang dan aman. Kata Kunci : anemia; pengetahuan; remaja putri ABSTRACTAdolescent nutritional problems are a continuation of nutritional problems at a young age, namely nutritional deficiency anemia, and excess and underweight, iron deficiency can cause anemia, and adolescents need more to replace iron lost along with menstrual blood. Until now, anemia in young women is still high, according to WHO the world prevalence of anemia ranges from 40-88%. the majority of students at SMA Negeri 1 Muara Enim are young girls who are prone to anemia, so it is necessary to carry out counseling on anemia for young women. The purpose of this community service is to increase young women's knowledge about anemia. The empowerment method in community service activities uses the question-and-answer lecture method. Counseling was carried out for young girls in class 10 IPA A at SMA Negeri 1 Muara Enim in July 2019 which was attended by 30 young women. The activity begins with preparation, putting up ex-banners, and explaining the material using the question and answer and evaluation lecture method. Before the counseling was carried out, a pre-test was carried out, then after the counseling, a post-test was carried out. The implication of this community service activity is an increase in the knowledge of young women about anemia. It is hoped that after carrying out this activity, young women can prevent the occurrence of anemia in adolescence by increasing food consumption patterns to be diverse, nutritious, balanced, and safe. Keywords : anemia; knowledge; teenage girl