Latar Belakang: Tindakan sectio caesarea (SC) menyebabkan nyeri yang menimbulkan berbagai masalah, salah satunya masalah laktasi. Sebanyak 68% ibu post sectio caesarea mengalami kesulitan dengan perawatan bayi, bergerak naik turun dari tempat tidur dan mengatur posisi yang nyaman selama menyusui akibat adanya nyeri. Akibat rasa nyeri tersebut menyebabkan pasien menunda pemberian ASI sejak awal pada bayinya. Posisi biologic nurturing baby led feeding merupakan salah satu posisi menyusui yang direkomendasikan bagi ibu nifas post SC karena lebih rileks. Selama ini penanganan ibu nifas dengan nyeri masing dengan pemberian analgetik peroral, sedangkan posisi menyusui biologic nurturing baby led feeding belum diterapkan.Tujuan: Penelitian ini untuk menganalisis adanya penurunan nyeri pada ibu post sectio caesaria pasca intervensi biologic nurturing baby led feedingMetode: Penelitian ini merupakan penelitian Quasi-eksperiment, dengan rancangan one group pretest-postest design. Penelitian dilakukan di RSUD Goeteng Taruna Dibrata Purbalingga. Populasi penelitian adalah seluruh ibu yang melahirkan secara SC, sampel yang digunakan sebanyak 41 responden yang diambil secara purposive sampling. Instrument untuk menilai nyeri menggunakan Numeric Rating Scale (NRS). Data dianalilis dengan menggunakan uji WilcoxonHasil: Hasil penelitian menunjukan sebanyak 28 dari 41 responden (68,3%) mengalami penurunan skala nyeri pasca intervensi biologic nurturing baby led feeding. Hasil analysis menunjukkan terdapat penurunan nyeri yang bermakna pada ibu post SC sebelum dan sesudah intervensi biologic nurturing baby led feeding (p<0,01)Kesimpulan: Intervensi biologic nurturing baby led feeding dapat menurunkan nyeri pada ibu post sectio caesarea

Gout is also associated with various diseases such as hypertension, cardiovascular disease, diabetes mellitus and other types of metabolic diseases. The mechanism of the occurrence of Arthritis Gout in metabolic diseases is due to increased kidney workload. Gout Arthritis is also related to hypertension and obesity. This study aims to analyze the correlation of obesity and hypertension with Gout Arthritis. This is a cross sectional study. The sampling technique used in this study was accidental sampling. The sample of this study were 157 people in Posbindu (Integrated development post), Bina Keluaga Lansia (Elderly foster care), and Bina Keluarga Remaja (Training post for parents to educate children) at Toyareka, Kemangkon, Purbalingga. The research data are primary data obtained from interviews and examination of uric acid levels. The research instrument used were measurement tool of uric acid (nesco) and questionnaires about hypertension and obesity. Analysis was carried out by bivariant (chi square) test. The results of the study showed the correlation between obesity and gout arthritis with chi square results p = 0.000. Therefore, there is a relationship between hypertension and gout arthritis with chi square results p = 0.007.

Background: Comprehensive care during the puerperium is needed because this period is a critical period for both mother and baby. The prevalence of anemia in postpartum mothers according to WHO, amounted to 41.8% while in Indonesia the incidence of anemia was relatively high at 63.5%. The incidence of anemia in postpartum mothers will not have an impact on the nutritional status of the breastfed babies, and can be a factor in stunting cases. Preliminary studies in Ledug Village, Banyumas Regency, January-April 2018 period showed that in addition to the incidence of 3 infant deaths and low birth weight infants, a high incidence of postnatal maternal anemia was still found, reaching 60%. The aim: purpose of this study was to study and understand holistic care midwifery care for postpartum mothers with anemia. Method: This qualitative research used a descriptive observational method with a case study approach. The case study subjects were 1 anemic puerperal woman in ledug village, Banyumas regency, Central Java. The data collected through in-depth interviews, direct observation, and document study. Data analysis was performed descriptively based on 7 steps of Varney and SOAP. The results showed that postpartum mothers with anemia who had a history of anemia during pregnancy (HB 10.2 grams / dL) gave birth to babies with low birth weight, and although mothers breastfeed their babies exclusively for 2 weeks but the baby's weight gain was only 300 grams and height is the same as at birth, which means less than normal. After getting postnatal nutrition counselling and regular postpartum visits by the midwife, on the 4th postpartum visit it is known that maternal HB increases to 11.7 grams / dl or the mother no longer suffers from anemia as the baby's weight rises according to her age which is up to 800 grams / month. Conclusion: So that proper comprehensive obstetric care for postpartum mothers with anemia was able to improve their condition which had an impact on improving the weight gain of the breastfed babies.

Desa Ledug Kembaran Banyumas yang  mempunyai permasalahan tingginya angka morbiditas dan mortalitas ibu dan bayi pada masa nifas serta rendahnya cakupan ASI esklusif. Tahun 2017 cakupan ASI esklusif hanya 68%, dikarenakan ASI tidak keluar, putting lecet dan nyeri jahitan, 3% ibu mengalami infeksi pada luka perineum, serta rendahnya cakupan KB, 276 PUS dari 854 PUS belum menjadi akseptor KB. Periode Januari- April 2018 terdapat 3 Angka Kematian Bayi. Permasalahan tersebut dapat dikarenakan belum adanya kelompok pendukung ibu nifas, kurangnya sarana informasi perawatan bayi baru lahir, perawatan ibu nifas, dan Pemilihan Metode KB. Pada Maret 2018 ada 28 kader posyandu belum mengetahui bentuk dukungan bagi ibu nifas.  Kegiatan ini bertujuan untuk membentuk kelompok pendamping ibu nifas (KP-Nifas) di Desa Ledug yang diharapkan mampu mengoptimalkan peran  kader dalam  memberdayakan ibu nifas dan keluarganya, agar ibu dan bayinya melewati masa nifas dengan sehat dan menyenangkan. Tahapan kegiatan yang dilaksanakan dalam pembentukan KP Nifas tersebut antara lain: 1) Perijinan, 2) Koordinasi, 3) Pembuatan Materi 4) pelatihan Kader, 5) Pembentukan KP Nifas, dan 6) Pelaksanaan posyandu dengan KP Nifas. Target Luaran dhasil kegiatan ini adalah publikasi pada jurnal ilmiah, terbentukanya KP Nifas, tersedianya buku saku KP nifas, leaflet perawatan ibu nifas, perawatan bayi baru lahir dan manajemen ASI esklusif beserta videonya yang berfungsi membantu meningkatkan pengetahuan dan kesadaran masyarakat tentang pentingnya perawatan dan dukungan bagi ibu nifas dan menyusui esklusif. Kehadiran Kelompok Pendamping ibu nifas ini dapat memudahkan akses informasi di posyandu yang  dilaksanakan setiap bulan oleh masyarakat untuk berkonsultasi berbagi pengalaman serta informasi antara ibu nifas, kader dan tenaga kesehatan sehingga dapat meminimalisasi masalah-masalah selama masa nifas serta meningkatkan cakupan ASI ekslusif. Keywords - Kelompok Pendamping Ibu Nifas, Kader, Posyandu

Background: As we know that breastfeeding saves children under five lives every year, especially during the Covid-19 pandemic. The facts show that only 43% of infants 0-6 months are exclusively breastfed. The limited time for breast milk expression in between the mother's work routine needs to be supported by an efficient and effective pump. This study aimed to assess the type of breast pump not affect to pain scale, milk production, and pumping time in breastfeeding mothers. Methods: This research is a cross-sectional study with a sample of 36 breastfeeding mothers in Banyumas Regency. They were chosen by distributing survey invitations through the WhatsApp group with a background breastfeeding mothers. Data was collected using the Google form, and analyzed using the Chi Square statistical test with a significance level of 95% (Alpha 0.05). Results: Chi-Square analysis test shows the Asymp value. Sig. (2-sided) for the relationship between the type of Breast Pump and the Pain Scale, the volume of breast milk expressed, and the duration of pumping are 0.001; 0.905; 0.620, so only pain scale which less than α >0,05, the others are more than α >0,05. This result means any correlation between the type of breast pump with pain scale but no correlation with the amount of milk expressed, and the time spent pumping. Conclusion: There is no relationship between the type of breast pump, the amount of milk expressed, and  the time spent pumping, but any correlation between pain scale. So breastfeeding mothers can choose any breast pump that fits their needs and consider other factors influencing breastfeeding success.