Background: Dysmenorrhea is pain during menstruation in lower abdomen, and is not due to other diseases. Effleurage massage and consuming green coconut water are considered able to reduce menstrual pain. However, little is known about the effect of the combination between the two interventions.Objective: To compare the effectiveness of effleurage massage and in combination with green coconut water on pain, anxiety, and ß-endorphin level in teenage girls with menstrual pain (dysmenorrhea).Design: A quasy experiment with pretest-posttest approach design with control group. There were 36 samples recruited in this study by purposive sampling, which were divided into a massage therapy group, the combination therapy group, and a control group. Menstrual pain was measured using Numeric Rating Scale, while anxiety was measured using Zung Self rating Anxiety Scale (ZSAS), and endorphin level using ELISA (Enzyme-Linked Immunosorbent Assay). One way anova test and repeated anova were performed as a bivariate analysis. Mancova and post hoc anova were used for multivariate analysis.Result: The combination of massage and green coconut water was more effective in reducing pain (p 0.013) and anxiety levels (p 0.000), and in increasing β-endorphin  (p 0.029) with significant value of <0.05 compared to the massage therapy alone.Conclusion: The combination of effleurage massage and green coconut water had significant effect in decreasing anxiety and pain levels, and increasing β-endorphin levels in teenage girls with painful periods (dysmenorrhea); and more effective than performing effleurage massage only. It is suggested that this combination therapy could be used as an alternative therapy for women with dysmenrrohea.

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Background: High blood pressure during pregnancy can pose significant problems such as preeclampsia, eclampsia, and premature birth. Thus, early prevention is needed. Consuming tomato (lycopersium commune) juice is considered effective to reduce blood pressure in pregnant women.Objective: This study aims to examine the effect of tomato juice on the decrease in blood pressure of pregnant women with hypertension in pregnancyMethods: This study was a quasy experiment with pretest-posttest control group. This research was conducted at the working area of the Community Health Center of Magelang in July 2016 - January 2017. The target population of this study was pregnant women in trimester I, II, and III with high blood pressure. There were 30 samples selected using consecutive sampling, with 15 assigned in the experiment and control group. Wilcoxon Test was performed for data analysis.Results: There was a statistically significant difference in systolic and diastolic blood pressure before and after given tomato juice with p = 0.001 (<0.05).Conclusion: Consuming tomato juice can be one of the efforts to reduce blood pressure in pregnant women with hypertension.

Post partum hypertension contributes to maternal mortality. Postpartum hypertension management can be in the form of pharmacological therapy, but it causes side effects for mother and baby. Several studies have shown that chayote can play a role in lowering blood pressure. This research aimed to prove the effect of chayote extract on reducing blood pressure in postpartum with hypertension. Quasy experiment pretest and posttest control group design. The number of samples was 19 interventions and 19 controls. The intervention group received 400 mg of chayote extract and 10 mg of nifedipine, while the control group received only 10 mg of nifedipine. The intervention was carried out for 7 days. The treatment group experienced significant changes in systolic blood pressure and diastolic blood pressure with p value = 0.000 compared to the control group. The chayote extract has a significant effect on reducing blood pressure in postpartum with hypertension

Background: Sweet potato leaf is assumed to be one of alternative herbs that can increase breast milk production. However, there was no studies found in the literature that examine the sweet potato leaves to increase the levels of prolactin and milk production.Objective: To examine the effect of sweet potato (Ipomoea batatas L.) leaf on the levels of prolactin and milk production in postpartum mothers.Methods: This was a Quasy experimental study with pretest-posttest design with control group, conducted on November 2016 to December 2016 in the Health Center (Puskesmas) of Boyolali I. Thirty respondents were selected using consecutive sampling, which were divided to be 15 respodents in intervention group and 15 respondents in control group. Enzyme-linked immunosobent assay (ELISA) was used to measure prolactin levels, while breast milk production was measured based on the volume of breast milk and baby’s weight. Data were analzed using Independent t-test and paired t-test.Results: Finding showed that there was a significant difference in prolactin levels between the intervention (270.43) and control group (156.28) after intervention  with p-value 0.000, and a significant difference in breast milk production in terms of breast milk volume (intervention group 136.33; and control group 119) with p-value 0.028; and baby’s weight (intervention group 3030.3; and control group 2787.33) with p-value 0.000.Conclusion: There was  a significant effect of sweet potato (Ipomoea batatas L.) leaf on the levels of prolactin and breast milk production. Thus, it could be suggested that sweet potato leaves should be considered to be one of alternative treatements for health care providers, especially for midwives to help breastfeeding mothers in increasing their breast milk production and prolactin levels. Further research is needed to examine all factors affecting breast milk production.