Hesti, Kadek Yuli
Belitung Nursing Journal

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EFFECT OF COMBINATION OF BREAST CARE AND OXYTOCIN MASSAGE ON BREAST MILK SECRETION IN POSTPARTUM MOTHERS

Belitung Nursing Journal Vol 3, No 6 (2017): November-December 2017
Publisher : Belitung Nursing Journal

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Abstract

Background: Optimal nutrition from an early age can be achieved through exclusive breastfeeding (ASI). Lack of milk production is one reason why mothers decide to give formula milk to their babies. Preliminary study at Public Health Center of Batealit Jepara indicated that 60% of mothers unable to breastfeed optimally, thus, breast care and oxytocin massage are proposed to increase milk secretion in postpartum mothers.Objective: To examine the effect of combination of breast care and oxytocin massage on breast milk secretion in postpartum mothers.Methods: This was a quasy experimental study with non-randomized control trial with pretest-posttest control group, conducted in the working area of the Community Health Center of Batealit of Jepara from December 5, 2016 to January 15, 2017. There were 44 postpartum mothers recruited in this study using purposive sampling, which 22 assigned in the experiment and control group. Data were analyzed using dependent t-test and Mann Whitney test.Results: There was a significant increase of breast milk secretion in the experiment and control group with p-value 0.000 (<0.05). In the experiment group, there was an increase of breast milk seceretion from 17.09 to 220.91 cc, and in the control group there was also an increase from 17.09 to 72.00 cc. The mean difference of breast milk secretion between pretest and posttest in the experiment group was 203.82 and in the control group was 54.90 with p-value 0.000 (<0.05)Conclusion: There was a significant increase of breast milk secretion in postpartum mothers after given the combination of oxytocin massage and breast care in the experiment group compared with the education and counseling about breast care in the control group. Thus, this result can be used as an evidence to perform oxytocin massage and breast care to increase the secretion of breast milk in postpartum mothers. 

Hubungan Faktor Risiko Umur, Indeks Massa Tubuh, Kebiasaan Olahraga dan Konsumsi Kafein dengan Gejala Osteoporosis pada Akseptor KB DMPA di Wilayah Puskesmas Tengaran

JURNAL KEBIDANAN Vol 8, No 1 (2018): Oktober (2018)
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

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Abstract

Osteoporosis is a health problem that results in a high incidence of morbidity, disability, decreased quality of life and mortality. Decreasing bone mass density (DMT) in women is associated with decreased estrogen levels as a contributing factor in bone formation. This can occur due to several factors such as pregnancy, breastfeeding, and long-term use of contraception, including Depo Medroxy Progesterone Acetate (DMPA) contraception. (Tahir, 2009).This study uses a cross-sectional design. The population in this study were all DMPA KB acceptors in the Tengaran Health Center area, Semarang Regency. The sample in this study were 81 respondents. Data analysis in this study was Univariate and Bivariate using nonparametric statistical test, namely chi-square test.The results of this study indicate that there was a correlation between age risk factors with symptoms of osteoporosis in DMPA KB acceptors in the Tengaran Region Health Center (p <0.05). There was no correlation between the risk factors for body mass index with symptoms of osteoporosis in DMPA KB acceptors in the Tengaran Region Health Center (p> 0.05) There is no correlation between risk factors for exercise habits with symptoms of osteoporosis in DMPA KB acceptors in the Tengaran Region Health Center (p> 0.05). There is no correlation between risk factors for caffeine consumption and symptoms of osteoporosis in DMPA KB acceptors in the Tengaran Region Health Center (p> 0.05).The intake of nutrients that contain enough calcium is very necessary for DMPA KB acceptors, especially women who experience cessation of the menstrual cycle as an effort to prevent osteoporosis. Screening osteoporosis could be planned, especially DMPA KB acceptors aged over 35 years