Objective: to know the relationship of internal factors (knowledge, skills, motivation, and workload) and external factors (leadership, procedure, facility, and supervision) with K4 coverage of village midwives in the working area of Banjar District Health Department. Method: This research is an observational analytic study with cross sectional approach. Questionnaires and checklists were collected from 135 village midwives whose samples were taken by stratified random sampling technique in 15 sub-districts to determine factors related to achievement of K4 coverage in the Banjar District Health Department. Processing and data analysis using univariate analysis, chi square analysis and logistic regression analysis. Result: The result of univariable analysis are good for knowledge and motivation with 41,5% and 54,1%. Skilled and moderate workloads of 60% and 41.5%. Non-compliance with the procedure (SOP) of 51.1%. While the leadership and supervision performed by midwife coordinator from health center and health department is less than 56,3% and 53,3%, supported by complete facility 63% from low K4 coverage achievement is 60%. The result of Chi-Square analysis shows that there are correlation between internal factors (knowledge, skill, motivation, and workload), external factors (leadership, procedure, facility and supervision) with K4 coverage of p value <0,05. The result of logistic regression test of external factor is the most dominant variable is the procedure (p value = 0.001), the strength of the relationship can be seen from the value of Exp (B) that is the procedure with the achievement of K4 coverage (OR = 33,34). For internal factor is knowledge (p value = 0,020), strength of relation can be seen from value Exp (B) that is procedure with achievement of K4coverage (OR = 4,918). Conclusion: this research is internal and external factor in village midwife related to achievement of K4 coverage that obedience to SOP is a priority which must be overcome so that policy need to treat SOP and coaching / refreshing to increase knowledge in all Puskesmas Kabupaten Banjar.

ABSTRAKLatar Belakang: Pada saat menyusui ibu-ibu yang baru saja melahirkan sering mengalami masalah  saat menyusui yaitu masalah pada puting seperti puting terbenam, puting lecet, atau puting masuk kedalam. Masalah lainnya adalah pembengkakan payudara, infeksi payudara, ASI yang sedikit, dan teknik menyusui yang salah. Upaya untuk mengurangi nyeri pembengkakan pada payudara adalah dengan menggunakan tanaman yang memiliki khasiat obat herbal yaitu lidah buaya..Tujuan: Mengetahui efektifitas pemberian kompres Aloe Vera terhadap nyeri pembengkakan payudara pada ibu menyusui:Literatur Review.Metode: Penelitian ini menggunakan pendekatan studi literatur dengan menggunakan beberapa sumber yang dipilih berdasarkan kriteria yang telah diterapkan peneliti..Hasil: Dari 10 jenis literatur terdapat literatur  menyatakan bahwa ada pengaruh pemberian kompres aloe vera dalam menurunkan pembengkakan payudara dan 1 literatur manyatakan kompres aloe vera dapat menurunkan intensitas nyeri payudara serta penigkatan jumlah ASI.Simpulan: Kompres gel aloe vera dapat digunakan sebagai alternatif dalam menurunkan pembengkakan payudara karena gel aloe vera dapat mendilatasi  pembuluh  darah  sehingga  pembengkakan  menurun. Kata Kunci: Menyusui, Kompres Aloe Vera  dan Nyeri Pembengkakan PayudaraBackground: When breastfeeding, mothers who have just given birth often experience problems during breastfeeding, namely problems with the nipples such as immersed nipples, blistered nipples, or ingrown nipples. Other problems are breast engorgement, breast infection, low breast milk, and incorrect breastfeeding techniques. Efforts to reduce the pain of swelling in the breasts are to use plants that have herbal medicinal properties, namely Aloe Vera.Objective: : Knowing the effectiveness of giving Aloe Vera compresses on breast engorgement pain in nursing mothers : Literature Review.Method: This study uses a literature study approach using several sources selected based on predetermined criteria, the researcher.Results: From 10 types of literature, there is literature stating that there is an effect of giving aloe vera compresses in reducing breast swelling and 1 literature states that aloe vera compresses can reduce the intensity of breast pain and increase the amount of breast milk.Conclusion: Aloe vera gel compresses can be used as an alternative in reducing breast engorgement because aloe vera gel can dilate blood vessels so that the swelling decreases. Keywords: Breastfeeding, Aloe Vera Compress and Breast Engorgement Pain

Latar Belakang : Sekitar 50-90% wanita hamil memiliki keluhan mual dan muntah (Morning Sickness). Salah satu komplikasi yang terjadi pada kehamilan adalah mual muntah yang jika tidak ditangani akan menjadi mual muntah berlebihan (Hiperemesis Gravidarum) Pemberian rebusan jahe dan vitamin B6 merupakan salah satu alternatif terapi yang dapat digunakan membantu ibu dalam mengatasi morning sickness.Tujuan : Mengetahui efektifitas rebusan jahe dan Vitamin B6 dalam mengatasi morning sickness: Literatur ReviewMetode : Penelitian ini menggunakan pendekatan literatur review dengan menggunakan beberapa sumber melalui Google Schoolar, Portal Garuda, dan Pubmed.Hasil : Database yang didapatkan dari 10 literatur menyatakan bahwa ada pengaruh pemberian rebusan jahe dan vitamin B6 dalam mengatasi morning sickness, 6 literatur mengatakan rebusan jahe  saja dapat mengatasi morning sickness dan 4 literatur menyatakan bahwa vitamin B6 dapat menurunkan frekuensi morning sickness. Dari 10 literatur terdapat 3 literatur menyatakan bahwa rebusan jahe dikombinasikan dengan Vitamin B6 lebih efektif menurunkan frekuensi dan mengatasi morning sicknessKesimpulan : Berdasarkan literatur review dari 10 jurnal penelitian didapatkan rebusan jahe lebih efektif mengatasi morning sickness daripada vitamin B6. Kata Kunci : Morning Sickness, Rebusan Jahe, Vitamin B6. Introduction : 50-90% of pregnant women complain of nausea and vomiting (Morning Sickness). One of the complications that occur in pregnancy is nausea and vomiting, which if left untreated will lead to excessive nausea and vomiting (Hyperemesis Gravidarum). Ginger and vitamin B6 decoction is an alternative therapy that can be used to help mothers overcome morning sickness..OBJECTIVE: Knowing the efficacy of ginger and vitamin B6 decoction in overcoming morning sickness: Literature ReviewMethods : This study uses a literature review approach using several sources through Google Schoolar, Garuda Portal, and Pubmed.Results : The database obtained from 10 literature states that there is an effect of giving boiled ginger and vitamin B6 in overcoming morning sickness, 6 literatures say that ginger stew alone can overcome morning sickness and 4 literatures state that vitamin B6 can reduce the frequency of morning sickness. From 10 literatures, there are 3 literatures stating that ginger decoction combined with Vitamin B6 is more effective in reducing the frequency and overcoming morning sickness.Conclusions : Based on the literature review from 10 research journals, it was found that ginger decoction was more effective in dealing with morning sickness than vitamin B6. Keyword : Morning sickness, Ginger Stew, Vitamin B6.