MEDICA (International Medical Scientific Journal)

The Effect of Family Administered Oxytocin Massage on Milk Flow in Breastfeeding Mothers for 0-6 Months

2025-11-05T04:21:46+00:00

Exclusive breastfeeding for infants aged 0–6 months is essential for optimal growth and development. One approach to support effective breastfeeding is the oxytocin massage technique, which provides psychological benefits such as relaxation, stress reduction, and increased maternal confidence and stimulates prolactin release, a hormone involved in breast milk production. This study aimed to analyze the effect of oxytocin massage performed by family members, supported by an instructional booklet, on breast milk production among breastfeeding mothers with infants aged 0–6 months in the working area of the Sungai Durian Community Health Center. This quantitative study used a pre-experimental one-group pretest–posttest design. A total of 37 respondents participated. Breast milk flow was assessed before and after the oxytocin massage intervention. Data were analyzed using the Wilcoxon test. The findings showed a significant improvement in breast milk flow following the intervention. Before the oxytocin massage, the mean breast milk flow score was 3.62 (range: 3–5), indicating poor milk flow. After the intervention, the mean score increased to 6.62 (range: 6–8), indicating good milk flow. The Wilcoxon test yielded a p-value of 0.000 (<0.05), demonstrating a statistically significant increase. In conclusion, oxytocin massage performed by family members using an instructional booklet significantly increases breast milk flow in mothers breastfeeding infants aged 0–6 months.

The Effect of Health Education Using A Pocket Book About Hepatitis B on The Knowledge of Prospective Brides

2025-11-05T04:19:37+00:00

Hepatitis, an inflammation of the liver caused by a virus, accounts for 1.1 million deaths globally each year, with 96% caused by hepatitis B and C. The National Program prioritizes the Prevention of Mother-to-Child Transmission (PPIA), as 95% of hepatitis B transmissions occur vertically. Health education, which aims to change unhealthy behaviors, is more effective when supported by educational media such as pocket books, which are small, informative, visually appealing, and easy to carry, allowing individuals to access the material anytime. This study aimed to analyze the effect of health education using pocket books on Hepatitis B knowledge among brides-to-be at the Pahauman Community Health Center in Landak District. A quasi-experimental design with a pre-post test without a control group was employed, involving 31 female brides-to-be selected through total sampling. Participants received health education via pocket books, and their knowledge of Hepatitis B was assessed before and after the intervention. The results showed that after the intervention, the average knowledge score was 93.10, with a median of 90 and a standard deviation of 6.231, ranging from 80 to 100. Statistical analysis demonstrated a significant improvement in knowledge, with a p-value of 0.000 (p<0.05). In conclusion, health education using pocket books significantly enhanced the knowledge of prospective brides regarding Hepatitis B at the Pahauman Community Health Center in Landak District.

The Effect of Red Binahong Extract (Andredera cordifolia (Ten.) Steenis) on Healing of Cesarean Section Surgical Wounds

2025-11-05T04:17:29+00:00

Cesarean section is an artificial delivery procedure involving an incision in the abdominal wall and uterus, which can cause pain at the suture site for up to six months. Binahong leaves are known to have properties that accelerate wound healing, both externally and internally. This study aims to determine the effect of binahong leaf extract on wound healing after cesarean section at the Sambas Regional General Hospital, Sambas Regency. This study used a quantitative method with a quasi-experimental design and a posttest nonequivalent control group design. Sampling was conducted using non-probability sampling with purposive sampling techniques, involving 34 respondents. The Shapiro-Wilk normality test showed that the data were not normally distributed (p<0.05), so the analysis was continued with the Mann Whitney non-parametric test. The test results showed a p-value of 0.000, which means that there was a significant difference between the intervention and control groups. Thus, the administration of binahong leaf extract had an effect on accelerating the healing of cesarean section wounds. The conclusion of this study is that binahong leaf extract significantly accelerates the average healing of post-cesarean section wounds at Sambas Regional General Hospital, making it a potential adjunct therapy in post-surgical care.

The Effectiveness of Yogurt and Papaya Juice Consumption on Constipation Incidence in Third Trimester Pregnant Women

2025-11-05T04:14:47+00:00

Constipation in pregnant women in their third trimester is a significant health problem with a prevalence of 9.67% at the Rasau Jaya Community Health Center. If not properly treated, constipation can trigger serious complications such as hemorrhoids and bleeding, so an effective solution is needed to improve the quality of life of pregnant women. This study aims to determine the effectiveness of yogurt and papaya juice consumption in treating constipation in pregnant women in their third trimester at the Rasau Jaya Community Health Center, Kubu Raya District. This study used a quantitative method with a quasi-experimental design and a two-group pre-post test approach. The results showed different effectiveness between the two interventions. In the yogurt group, the mean constipation score decreased from 21.65 before the intervention to 10.40 after the intervention, indicating that constipation was resolved (indicator value <15). Statistical test results showed a p-value of 0.000, proving the effectiveness of probiotic yogurt in treating constipation. Meanwhile, in the papaya juice group, the mean score decreased from 22.10 before the intervention to 18.50 after the intervention. Although there was a decrease in the mean score, constipation in this group was not completely resolved, even though the p-value of 0.000 also indicated the effectiveness of papaya juice. In conclusion, yogurt proved to be more effective than papaya juice in treating constipation in pregnant women in their third trimester at the Rasau Jaya Community Health Center, Kubu Raya District.

The Effect of Counseling Using E-Booklets on The Knowledge of Mothers with Infants Aged 0-6 Months about Exclusive Breastfeeding

2025-11-05T04:12:04+00:00

Globally, the rate of exclusive breastfeeding in the first six months is low. Exclusive breastfeeding is defined as feeding a baby breast milk from birth for six months, without adding or substituting any other food or drink (except medicine, vitamins, and minerals). Exclusive breastfeeding during the first six months of a baby's life is an important practice, but its coverage is still low in some regions. In West Kalimantan, exclusive breastfeeding coverage in 2023 reached 49.1%, while in Pontianak City it was only 38.7%, far below the national target of 80%. This study used a pre-experimental design with a one-group pretest-posttest approach to analyze the effect of health education through E-booklets on breastfeeding mothers' knowledge about exclusive breastfeeding. A total of 30 respondents, mothers with infants aged 0-6 months at PMB Marsini Karni, were selected using total sampling technique. Data were analyzed using the Wilcoxon test. The results showed a significant increase in knowledge after the intervention. Before the education was provided, the median knowledge score was 64, and after the E-booklet was provided, the median score increased to 86. Statistical testing yielded a p-value of 0.001 (< 0.05), indicating a significant improvement in breastfeeding mothers' knowledge following the intervention. In conclusion, health education delivered through E-booklets was effective in increasing breastfeeding mothers’ knowledge about exclusive breastfeeding.