Oketani massage can stimulate the strength of the pectoralis muscle to increase milk production. Acupressure can increase endorphins, reduce pain, and make the body more relaxed. This study was to determine the effect of the combination of Oketani massage and acupressure on prolactin levels in post Sectio Caesarea (SC) mothers. This research was quasi-experimental with a pretest and posttest control group design. The study's results using the independent sample T-test analysis showed no difference in prolactin levels before breast treatment and a combination of Oketani and acupressure massage. There was a significant difference (p=0.002) in the treatment group after combining Oketani massage and acupressure for post SC mothers and prolactin levels after receiving breast care. This study showed a significant difference (p=0.002) in the treatment group after a combination of Oketani massage and acupressure for post SC was performed. In addition, there was a difference in prolactin levels in the treatment group before and after a combination of Oketani massage and acupressure with an average increase in prolactin levels, which was 151 g/ml (SD±101) (p=0.001). However, there was no difference in the control group. Oketani massage combined with acupressure can be given to post SC mothers.

Breastfeeding is a natural process, but often mothers do not succeed in breastfeeding or stop breastfeeding early. Therefore, mothers need help so that the breastfeeding process is more successful. Breast care is an action to care for the breasts, especially during the puerperium (breastfeeding period) to expedite the release of breast milk. Breast care is very important during pregnancy to breastfeeding. This is because the breast is the only producer of breast milk which is the staple food for newborns, so it must be done as early as possible. The assessment in this case study was conducted on a P3A0 mother. From the results of the examination, it was found that the breasts looked tense, the nipple areola looked dirty and the milk had not come out. From the results of further studies, the mother complained of lack of sleep because her baby often cried. Based on these complaints, midwifery care was carried out, namely postpartum breast care, guiding positions and breastfeeding techniques that were good and correct and KIE regarding nutrition in postpartum mothers. Routine breast care can accelerate milk production. The role of the midwife to support the success of breastfeeding in postpartum.

Efforts to improve the health status of mothers and babies are one form of investment in the future. The success of maternal and infant health efforts can be seen from the Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) indicators. Women die from complications during and after pregnancy and childbirth. The main complications that cause almost 75% of all maternal deaths are severe postpartum bleeding, infection, high blood pressure during pregnancy (pre-eclampsia and eclampsia), complications from childbirth, and unsafe abortion. This study provides information about changes in hemoglobin levels after childbirth in postpartum mothers. Under normal circumstances, both normal delivery and normal delivery will lose blood less than 500 cc. Where the loss of blood will have an impact on the decrease in hemoglobin levels. Research conducted by the author at Al Fatah Hospital Ambon on postpartum maternal patients in the postpartum room supported by examination of hemoglobin levels. Data analysis using Paired Sample Test. The results of this study showed that the average decrease in Hb levels in postpartum mothers was 1,2 gr%. Normal delivery is the process of expelling the products of conception (fetus and placenta) that are already months old or can live outside the womb through the birth canal or through other means, either with the help or without the help of one's own strength. In normal delivery there is no episiotomy process. Bleeding occurs only in broken blood vessels around the cervix or tears in the birth canal.

Latar belakang dan tujuan: Provinsi Maluku adalah salah satu dari daerah di Indonesia dengan prevalensi anemia dan malaria ibu hamil cukup tinggi. Penelitian ini bertujuan untuk mengetahui hubungan antara konsumsi tablet besi dan infeksi malaria dengan anemia pada ibu hamil di Kota Ambon. Metode: Penelitian ini menggunakan rancangan cross-sectional. Jumlah sampel sebanyak 83 ibu hamil trimester III yang dipilih dengan menggunakan multistage random sampling. Konsumsi tablet besi dikumpulkan melalui wawancara, infeksi malaria dikumpulkan dari rekam medis ibu hamil dan data anemia dikumpulkan dari hasil pemeriksaan kadar hemoglobin dengan menggunakan hemometer digital. Analisis data dilakukan secara univariat, bivariat (chi-square test) dan multivariat (regresi logistik).Hasil: Hasil analisis multivariat menunjukkan hubungan yang bermakna antara anemia dengan konsumsi tablet besi dengan OR=4,570 (95%CI: 1,174-17,788), dan infeksi malaria dengan OR=20,216 (95%CI: 4,773-85,620).Simpulan: Infeksi malaria dan konsumsi tablet besi terbukti berhubungan dengan anemia pada ibu hamil di Kota Ambon.

Secara psikologis ibu nifas memiliki perasaan mudah marah dan mudah sedih. Sebagian besar ibu pasca melahirkan sering merasa diabaikan oleh orang yang dicintainya, sehingga mengalami kecemasan yang kemudian berubah menjadi stress. Studi kasus ini menggambarkan Ny. M ibu nifas hari ke tiga yang merasa kelelahan dalam mengurus anak dan rumah tangga dan kurangnya dukungan suami. Upaya yang dilakukan adalah  dengan memberikan  penjelasan  kepada Ny.M dan suami bahwa bahwa Ny. M berada pada peruode Taking hold yaitu Ny.M masih sangat membutuhkan bantuan dan dukungan dari orang-orang terdekatnya dalam merawat bayi. Asuhan kebidanan yang diberikan dapat mengurangi kecemasan yang dialami oleh ibu. Dukungan dan pendampingan dari keluarga dan berkelanjutan dari tenaga kesehatan sangat diperlukan untuk memperoleh hasil asuhan yang optimal.