Journal Title: JkM (Jurnal kebidanan Malahayati) Initials: JkM Online ISSN: 2579-762X Print ISSN:2476-8944 Editor in Chief: Neneng Siti Lathifah Frequency: Each Month Publisher: LPPM Universitas Malahayati JKM (Jurnal Kebidanan Malahayati) provides a platform to publish in the field of midwifery and the journal also seeks to advance the quality of research by introducing or outlining new methods in the field of midwifery health for publications including midwifery and core health sciences. This journal contains manuscripts on Health Sciences which include: Midwifery care, Nutrition, Psychology, community midwifery, Reproductive health, Elderly Health, Public Health
Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati
Copyright of all articles published in this journal remains with the author.
The Effect Of Balanced Nutrition Intake Education With Animated Videos On The Knowledge Of Mothers Under Five In Sidomulyo Village, Mesuji District Mesuji Regency
Latar Belakang: Gizi seimbang penting untuk tumbuh kembang balita. Ketidakseimbangan gizi dapat menyebabkan stunting, wasting, dan menurunkan kualitas hidup anak. WHO mencatat 148,1 juta anak di dunia mengalami stunting, dan 45 juta wasting. Di Indonesia, prevalensi stunting sebesar 15,8% dan gizi kurang 12,9%. Di Desa Sidomulyo, 18% balita mengalami stunting dan 6% wasting. Rendahnya literasi ibu balita membuat edukasi gizi konvensional kurang efektif. Video animasi dipilih sebagai media edukasi karena bersifat visual, menarik, dan mudah dipahami. Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh edukasi gizi seimbang menggunakan video animasi terhadap pengetahuan ibu balita. Metode: Jenis penelitian kuantitatif, rancangan quasy eksperimen desain two group pretest and posttest. Populasi seluruh ibu Balita sebanyak 328 balita dengan sampel 82 dibagi menjadi 2 kelompok yaitu 41 pada kelompok video dan 41 pada kelompok lembar balik menggunakan teknik simple random sampling. Pengumpulan data menggunakan lembar observasi. Analisis data secara univariat dan bivariat. Hasil: Hasil penelitian diketahui rata-rata pengetahuan ibu balita kelompok video animasi sebelum edukasi 74,32 dan sesudah adalah 88,56 sedangkan rata-rata pengetahuan ibu balita kelompok lembar balik sebelum adalah 72,15 dan sesudah adalah 81,00. Ada pengaruh edukasi asupan gizi seimbang dengan video animasi terhadap pengetahuan ibu balita di Desa Sidomulyo Kec.Mesuji Kabupaten Mesuji Tahun 2025 (p-value = 0,000). Kesimpulan: Edukasi gizi seimbang menggunakan video animasi efektif meningkatkan pengetahuan ibu balita. Saran Saran bagi ibu balita rutin menonton media edukasi digital tentang gizi seimbang dan mempraktikkan isi pesan dalam menu harian balita untuk meningkatkan status gizi anak secara berkelanjutan. Kata Kunci: Edukasi Gizi, Ibu Balita, Pengetahuan, Video Animasi ABSTRACT Background: Balanced nutrition is crucial for the growth and development of toddlers. Poor nutritional balance can lead to stunting, wasting, and reduced quality of life in children. According to the World Health Organization (WHO), 148.1 million children worldwide experience stunting, and 45 million suffer from wasting. In Indonesia, the prevalence of stunting is 15.8% and undernutrition is 12.9%. In Sidomulyo Village, 18% of toddlers are stunted, and 6% suffer from wasting. Low maternal health literacy has rendered conventional nutrition education less effective. Animated videos were chosen as an educational medium because they are visual, engaging, and easy to comprehend. Purpose: This study aimed to assess the effect of balanced nutrition education delivered through animated videos on the knowledge of mothers of toddlers. Methods: This quantitative study employed a quasi-experimental design with a two-group pretest–posttest approach. The population comprised 328 mothers of toddlers, with a sample of 82 respondents divided equally into two groups: 41 in the animated video group and 41 in the flipchart group, selected through simple random sampling. Data were collected using observation sheets and analyzed using univariate and bivariate methods. Results: The findings revealed that the average knowledge score of mothers in the animated video group increased from 74.32 before education to 88.56 after education, whereas in the flipchart group, it rose from 72.15 to 81.00. Balanced nutrition education using animated videos had a significant effect on improving mothers’ knowledge in Sidomulyo Village, Mesuji District, Mesuji Regency, 2025 (p-value = 0.000). Conclusion: Balanced nutrition education using animated videos effectively increases the knowledge of mothers of toddler. Suggestion: It is recommended that mothers routinely engage with digital educational media on balanced nutrition and apply the information to their toddlers’ daily diets to improve child nutrition sustainably. Keywords: Nutrition education, mothers of toddlers, knowledge, animated videos
Copyright (c) 2026 JKM (Jurnal Kebidanan Malahayati)
The Effect Of Consumption Of Moringa Leaf Extract On Increasing Breast Milk Production In Post Partum Women
Latar Belakang: Produksi ASI yang sedikit dan tidak lancar dapat membuat bayi mendapat nutrisi yang kurang optimal. Hal ini dipengaruhi oleh nutrisi ibu. Salah satu nutrisi yang dapat dikonsumsi ibu yaitu tanaman kelor karena mengandung senyawa fitosterol yang berfungsi meningkatkan dan memperlancar produksi ASI (efek laktogogum). Cakupan ASI eksklusif berdasarkan hasil data yang didapatkan dari Kesgazi Puskesmas Pakuan Aji pada persalinan tahun 2022 yaitu hanya mencapai 45,5% dari standar pelayanan minimal kabupaten sebesar 50%. Tujuan: Tujuan penelitian untuk mengetahui pengaruh konsumsi ekstrak daun kelor terhadap peningkatkan produksi ASI pada ibu post partum di Wilayah Kerja Puskemas Pakuan Aji Lampung Timur tahun 2023. Metode: Jenis penelitian ini adalah kuantitatif, rancangan penelitian Quasi Eksperimental dengan pendekatan post test only with control group design. Populasi pada penelitian ini adalah seluruh ibu post partum di wilayah kerja Puskesmas Pakuan Aji sebanyak 53 orang. Teknik sampel yang digunakan purposive sample dengan jumlah responden sebanyak 32 orang (16 kelompok kontrol dan 16 kelompok intervensi). Analisis data yang digunakan yaitu analisa univariat dan bivariat dengan uji T independen. Hasil: Rata-rata jumlah ASI pada kelompok kontrol sebelum intervensi sebanyak 19,238 dan sesudah intervensi sebanyak 23,369 ml. Rata-rata jumlah ASI pada kelompok intervensi sebelum intervensi sebanyak 19,913 dan sesudah intervensi sebanyak 26,594 ml. Kesimpulan: Hasil uji t Independen mendapatkan p-value 0,000 yang berarti ada pengaruh konsumsi ekstrak daun kelor terhadap peningkatan produksi ASI di Wilayah Kerja Puskemas Pakuan Aji Lampung Timur tahun 2023. Saran: Diharapkan dengan dilakukan penelitian ini dapat meningkatkan pengetahuan dan kesadaran bagi ibu dalam meningkatkan kualitas ASI ekslusif dan meningkatkan produksi ASI dengan ekstrak daun kelor. Kata Kunci: Produksi ASI, Ibu Nifas, Ekstrak Daun Kelor ABSTRACT Background: Production of breast milk that is small and not smooth can make the baby get less than optimal nutrition. This is influenced by the mother's nutrition. One of the nutrients that can be consumed by mothers is the Moringa plant because it contains phytosterol compounds which function to increase and facilitate milk production (lactogogum effect). Exclusive breastfeeding coverage based on the results of data obtained from Kesgazi Pakuan Aji Public Health Center at delivery in 2022, namely only reaching 45.5% of the district minimum service standards of 50%. Purpose: The aim of the study was to determine the effect of consuming Moringa leaf extract on increasing breast milk production in post partum mothers in the Working Area of the Pakuan Aji Public Health Center, East Lampung, in 2023. Methods: This type of research is quantitative, a quasi-experimental with a post test only with control group design. The population in this study were all post partum mothers in the working area of Pakuan Aji Public Health Center, totaling 53 post partum mothers. The sample technique used was a purposive sample with a total of 32 post partum mothers divided into 16 control groups and 16 intervention groups. The data analysis used was univariate and bivariate analysis with the independen T test. Results: The mean of amount of breast milk in the control group before the intervention was 19,238 and after the intervention was 23,369 ml. The mean of amount of breast milk in the intervention group before the intervention was 19,913 and after the intervention was 26,594 ml. Conclusion: Independent t test obtained p-value 0.000 <α (0.05), which means that there was an effect of consumtion of Moringa leaf extract on increasing of breast milk production in the Pakuan Aji Public Health Center East Lampung in 2023. Suggestions: It is hoped that this research can increase knowledge and awareness for mothers in improving the quality of exclusive breastfeeding and increasing breast milk production with Moringa leaf extract. Keywords: Breast Milk Production, Postpartum Mothers, Moringa Leaf Extract
Copyright (c) 2026 Jurnal Kebidanan Malahayati
The Effect Of Counseling On Anxiety In Perimenopausal Women In The Work Area Of Way Panji Public Health Center Lampung Selatan In 2022
Latar Belakang: Perimenopause merupakan masa menjelang meopause sampai usia 48 tahun. Ada banyak faktor yang mempengaruhi kecemasan ibu perimenopause dalam menghadapi masa menopause diantaranya yaitu pengetahuan, sikap, dukungan keluarga, kondisi ekonomi dan gaya hidup. Salah satu pendekatan terpenting untuk meningkatkan kesehatan wanita perimenopause adalah konseling tentang menopause. Tujuan : diketahui pengaruh konseling dengan kecemasan pada wanita perimenopause di wilayah kerja Puskesmas Way Panji Kabupaten Lampung Selatan tahun 2022. Metode: Penelitian ini kuantitatif dengan pendekatan one group pretest-postest desain. Populasi dalam penelitian ini adalah wanita perimenopause di wilayah kerja Puskesmas Way Panji Kabupaten Lampung Selatan, yang berusia 45-49 tahun dengan jumlah sebanyak 98 orang dengan sampel yang digunakan sebanyak 30 responden. Pangambilan data dengan lembar observasi. Analisis data secara univariat dan bivariat (uji t). Hasil : diketahui kecemasan pada wanita perimenopause sebelum diberikan konseling adalah 20,4 dan sesudah diberikan konseling adalah 10,9. Ada pengaruh konseling dengan kecemasan pada wanita perimenopause di wilayah kerja Puskesmas Way Panji Kabupaten Lampung Selatan tahun 2022 dengan nilai (p-value = 0,000). Kesimpulan : Terdapat pengaruh konseling dengan kecemasan pada wanita perimenopause di wilayah kerja Puskesmas Way Panji Kabupaten Lampung Selatan tahun 2022. Saran: diharapkan tenaga kesehatan khususnya Bidan secara umum memberikan dan melakukan penyuluhan atau konseling tentang kesehatan reproduksi pada masa menopause. Kata Kunci : Kecemasan pada wanita perimenopause dan konseling ABSTRACT Background: Perimenopause is the period leading up to menopause until the age of 48 years. Many factors influence anxiety in perimenopausal women in dealing with menopause, including knowledge, attitudes, family support, economic conditions, and lifestyle. One of the most important approaches to improving perimenopausal women's health is by conducting counseling about menopause. Purpose: to determine the effect of counseling on anxiety in perimenopausal women in the work area of Way Panji public health center, Lampung Selatan in 2022. Methods: This study is a quantitative study with one group pretest-posttest design approach. The population in this study were 98 perimenopausal women aged 45 – 49 years in the work area of Way Panji public health center, Lampung Selatan. Then, the sample in this study was 30 respondents. The data were collected using an observation sheet. Then, univariate and bivariate data analysis used t-test. Results: the results of this study showed that anxiety in perimenopausal women before being given counseling was 20.4 and after being given counseling was 10.9. It means that there is an effect of counseling on anxiety in perimenopausal women in the work area of Way Panji public health center Lampung Selatan in 2022 with the p-value = 0.000. Conclusion: there was an effect of counseling on anxiety in perimenopausal women in the work area of Way Panji public health center Lampung Selatan in 2022. Suggestion: it is hoped that health workers, especially midwives, provide and carry out counseling about reproductive organs' health during menopause. Keywords: anxiety in perimenopausal women, counseling
The Effect Of Performing Baby Massage On Sleep Quality In Babies Aged 3-6 Months At Aulia'S Home, Padang City
Latar Belakang: Masa bayi dikenal adalah sebagai golden period atau masa emas yang sangat menentukan arah menuju pertumbuhan dan perkembangan seorang anak di masa selanjutnya, Berdasarkan data yang di dapatkan Di Indonesia cukup banyak bayi yang mengalami masalah tidur, yaitu sekitar 44,2% bayi mengalami gangguan tidur seperti sering terbangun di malam hari, Salah satu terapi non farmakologis untuk mengatasi masalah tidur bayi adalah baby massage Sedangkan dampak yang terjadi dari segi Psikologinya meliputi emosi bayi tidak stabil, cemas, tidak konsentrasi, kemampuan kognitif dan menggabungkan pengalamannya lebih rendah. Tujuan: untuk Mengetahui Pengaruh pelaksanaan terapi baby massage terhadap Kualitas tidur bayi usia 3-6 bulan di rumah Aulia Kota Padang Tahun 2026 Metodologi: Metode penelitian ini menggunakan Pra-eksperimen dengan teknik Purposive Sampling One grup Pretest-Post-Test,Variabel yang diteliti yaitu Pelaksanaan terapi baby massage sebagai variabel independen dan kualitas tidur sebagai variabel dependen,Populasi pada penelitian ini adalah Seluruh ibu yang memiliki bayi usia 3-6 bulan yang berada di rumah Aulia Kota Padang tahun 2026 yang berjumlah Adalah 20 responden, sedangkan waktu penelitian selama ± 1 bulan tahun 2026. Hasil Penelitian: Hasil penelitian diketahui bahwa sebelum di berikan terapi Baby Massage terhadap 20 responden (100%) semuanya yang mengalami gangguan kualitas tidur sedangkan Setelah diberikan intervensi 17 responden mengatakan bahwa lebih dari separoh adalah (85%) yang mengalami tidur baik dan kurang dari separoh yaitu 3 responden (15%) yang mengalami gangguan kualitas tidur kurang baik, Kesimpulan : Ada Pengaruh Pelaksanaan terapi Baby Massage Terhadap Kualitas Tidur Pada Bayi Usia 3-6 Bulan di rumah Aulia Kota Padang Tahun 2026. Saran: saran Bagi bidan praktisi sebaiknya lebih meningkatkan lagi kemampuan dalam memberikan asuhan kebidanan secara komplementer yang berfokus pada pelayanan preventif yang salah satunya yaitu pelaksanaan Terapi Baby Massage untuk mengoptimalkan pertumbuhan dan perkembangan bayi nya dengan baik. Kata Kunci :,Pelaksanaan, Terapi Baby Massage , Kualitas tidur bayi. ABSTRACT Background: The infant period is known as the golden period, which is very crucial in determining the direction of a child's growth and development later on. Based on the data obtained, quite a lot of babies in Indonesia experience sleep problems, with around 44.2% of babies having sleep disorders such as frequently waking up at night. One non-pharmacological therapy to address baby sleep problems is baby massage. Meanwhile, the psychological impacts include unstable emotions, anxiety, lack of concentration, lower cognitive abilities, and difficulty integrating experiences.Objective: To find out the effect of implementing baby massage therapy on the sleep quality of babies aged 3-6 months at Baby Care Bdn Yanti, S.ST, Padang City, in 2026. Purpose: to find out the effect of baby massage therapy on the sleep quality of babies aged 3-6 months at Aulia House in Padang City in 2026. Methodology: This research used a pre-experimental method with purposive sampling and a one-group pretest-posttest design. The variables studied were the implementation of baby massage therapy as the independent variable and sleep quality as the dependent variable. The population in this study included all mothers with babies aged 3-6 months at Aulia House in Padang City in 2026, totaling 20 respondents, and the research was conducted over approximately 1 month in 2026.Purpose: to find out the effect of baby massage therapy on the sleep quality of babies aged 3-6 months at Aulia House in Padang City in 2026. Methodology: This research used a pre-experimental method with purposive sampling and a one-group pretest-posttest design. The variables studied were the implementation of baby massage therapy as the independent variable and sleep quality as the dependent variable. The population in this study included all mothers with babies aged 3-6 months at Aulia House in Padang City in 2026, totaling 20 respondents, and the research was conducted over approximately 1 month in 2026. Conclusion: There is an effect of implementing Baby Massage therapy on the sleep quality of babies aged 3-6 months at Baby Care Bdn Yanti, S.ST, Padang City in 2026. Suggestion: For practicing midwives, it's better to further improve their skills in providing complementary midwifery care that focuses on preventive services, one of which is carrying out Baby Massage Therapy to optimize the baby's growth and development properly. Keywords: Implementation, Baby Massage Therapy, Baby's sleep quality.
The Effect Of Using A Family Planning Decision-Making Aid (Abpk) On Acceptors’ Interest In Choosing Intrauterine Device (Iud) Contraception At Kupang Kota Public Health Center, Bandar Lampung
Menurut WHO, Keluarga Berencana (KB) membantu pasangan mencegah kehamilan yang tidak direncanakan, mengatur jarak kelahiran, dan menentukan jumlah anak. Keluarga Berencana (KB) adalah upaya meningkatkan kesejahteraan dengan membantu individu atau pasangan mencegah kehamilan yang tidak diinginkan, merencanakan kehamilan diinginkan, serta menentukan jumlah dan jarak kelahirannya. Tujuan penelitian untuk mengetahui pengaruh penggunaan alat bantu pengambilan keputusan (ABPK) terhadap minat akseptor dalam pemilihan alat kontrasepsi IUD (Intra Uterin Device) di Puskesmas Kupang Kota Bandar Lampung Tahun 2025. Metode penelitian ini memakai metode kuantitatif. Penelitian ini dilaksanakan bulan Mei tahun 2025 di Puskesmas Kupang Kota Bandar Lampung Tahun 2025, rancangan pre-eksperimental desain One Group Pretest-Postest Design, Populasi penelitian ini akseptor KB baru di Puskesmas Kupang Kota Bndar Lampung pada bulan Januari 2025 sebanyak 25 akseptor baru. Jumlah sampel penelitian ini 25 responden, dengan non probability sampling berjenis total sampling. Uji yang digunakan yaitu uji Wilcoxon Hasil Rata-rata minat Akseptor sebelum diberikan intervensi konseling menggunakan Lembar ABPK adalah 41,20 dengan nilai minimum 34 dan nilai maksimum 57 2. Rata-rata minat Akseptor setelah diberikan intervensi konseling menggunakan Lembar ABPK meningkat menjadi 52,28 dengan nilai minimum 40 dan nilai maksimum 65 dimana terdapat selisih skor ratarata (11,08) 3. Ada Pengaruh Penggunaan Alat Bantu Pengambilan Keputusan (ABPK) Terhadap Minat Akseptor Dalam Pemilihan Alat Kontrasepsi IUD (Intra Uterin Device) di Puskesmas Kupang Kota Bandar Lampung Tahun 2025 (p-value =0,000) Kata Kunci : ABPK, Kontrasepsi IUD, minat akseptor ABSRACT According to the World Health Organization (WHO), family planning helps couples prevent unplanned pregnancies, regulate birth intervals, and determine the desired number of children. It is an effort to improve well-being by assisting individuals or couples in preventing unwanted pregnancies, planning desired pregnancies, and determining the number and spacing of their children. This study aimed to determine the effect of using a family planning decision-making aid (ABPK) on acceptors’ interest in choosing intrauterine device (IUD) contraception at Kupang Kota Public Health Center, Bandar Lampung, in 2025. This quantitative study was conducted in May 2025 at Kupang Kota Public Health Center using a pre-experimental one-group pretest–posttest design. The study population consisted of 25 new family planning acceptors in January 2025, all of whom were included in the sample using total sampling (non-probability sampling). Use Wilcoxon Test The results showed that the average interest score of acceptors before counseling with the ABPK sheet was 41.20 (minimum score: 34; maximum score: 57). After counseling, the average score increased to 52.28 (minimum score: 40; maximum score: 65), with a mean difference of 11.08. A significant effect was found between the use of the decision-making aid (ABPK) and acceptors’ interest in choosing IUD contraception (p-value = 0.000). Keywords: ABPK, IUD contraception, acceptors’ interest
The Relationship Between Knowledge, Physical Activity, And Body Image Perception And Chronic Energy Deficiency (Ced) Among Adolescent Girls At Sma Negeri 6 Metro City
Latar Belakang: Kekurangan Energi Kronis (KEK) merupakan salah satu masalah gizi pada remaja putri yang dapat memengaruhi pertumbuhan, kesehatan reproduksi, dan kualitas sumber daya manusia di masa mendatang. Hasil prasurvei di SMA Negeri 6 Kota Metro tahun 2024 menunjukkan bahwa 36,77% siswi mengalami KEK. Tujuan: Penelitian ini bertujuan menganalisis hubungan pengetahuan, aktivitas fisik, dan persepsi body image dengan kejadian Kekurangan Energi Kronis (KEK) pada remaja putri di SMA Negeri 6 Kota Metro. Metode: Penelitian kuantitatif analitik dengan desain cross-sectional dilakukan pada 124 dari 337 siswi yang dipilih menggunakan teknik simple random sampling. Kejadian KEK ditentukan berdasarkan pengukuran Lingkar Lengan Atas (LILA) dengan titik potong <23,5 cm. Data pengetahuan, aktivitas fisik, dan persepsi body image dikumpulkan menggunakan kuesioner yang telah diuji validitas dan reliabilitas. Analisis data menggunakan uji Chi-square dengan penyajian Odds Ratio (OR), 95% Confidence Interval (95% CI), dan nilai p. Hasil: Sebanyak 48,4% responden mengalami KEK. Terdapat hubungan yang bermakna antara pengetahuan dengan kejadian KEK (p=0,015; OR=2,694; 95% CI: 1,192–6,088), aktivitas fisik dengan kejadian KEK (p=0,040; OR=2,248; 95% CI: 1,032–4,899), serta persepsi body image dengan kejadian KEK (p=0,020; OR=5,471; 95% CI: 1,131–26,462). Kesimpulan: Terdapat hubungan yang bermakna antara pengetahuan, aktivitas fisik, dan persepsi body image dengan kejadian KEK pada remaja putri di SMA Negeri 6 Kota Metro. Upaya peningkatan edukasi gizi, penerapan aktivitas fisik yang sesuai, dan pembentukan persepsi body image yang positif perlu terus didukung sebagai bagian dari promosi kesehatan remaja. Kata Kunci: KEK, Pengetahuan, Aktivitas Fisik, Persepsi Body Image, Remaja Putri. ABSTRACT Background: Chronic Energy Deficiency (CED) is a nutritional problem among adolescent girls that may adversely affect growth, reproductive health, and future quality of life. A preliminary survey conducted at SMA Negeri 6 Kota Metro in 2024 showed that 36.77% of female students experienced CED. Objective: This study aimed to analyze the relationship between nutritional knowledge, physical activity, and body image perception and the incidence of Chronic Energy Deficiency (CED) among adolescent girls at SMA Negeri 6 Kota Metro. Methods: This quantitative analytic study employed a cross-sectional design involving 124 of 337 female students selected using simple random sampling. CED was determined based on Mid-Upper Arm Circumference (MUAC) measurement, with a cut-off point of <23.5 cm. Data on nutritional knowledge, physical activity, and body image perception were collected using validated and reliable questionnaires. Data were analyzed using the Chi-square test, and the results were presented as Odds Ratios (ORs), 95% Confidence Intervals (95% CIs), and p-values. Results: A total of 48.4% of respondents were classified as having CED. Significant associations were found between nutritional knowledge and CED (p=0.015; OR=2.694; 95% CI: 1.192–6.088), physical activity and CED (p=0.040; OR=2.248; 95% CI: 1.032–4.899), and body image perception and CED (p=0.020; OR=5.471; 95% CI: 1.131–26.462). Conclusion: Nutritional knowledge, physical activity, and body image perception were significantly associated with the incidence of Chronic Energy Deficiency (CED) among adolescent girls. Efforts to improve nutrition education, promote appropriate physical activity, and foster a positive body image should be strengthened as part of health promotion programs for adolescent girls. Keywords : Body image perception, Chronic Energy Deficiency (CED), Nutritional knowledge, Physical activity, Adolescent girls.
The Effect Of Baby Massage On The Quality Of Sleep Of Babies Aged 0-12 Months
Latar Belakang: Menurut World Health Organization (WHO) tahun 2012 yang dipublikasikan dalam jurnal Pediatrics mengungkapkan bahwa sekitar 33% bayi mengalami gangguan tidur. Menurut studi tahun 2004 oleh Sekartini dan Adi yang dilakukan di lima kota besar di Indonesia yakni , Jakarta, Bandung, Medan, Palembang, dan Batam 51,3% bayi mengalami gangguan tidur. Pijat bayi merupakan bentuk terapi sentuhan yang berfungsi sebagai salah satu metode perawatan terpenting bila dilakukan secara teratur dapat membantu mengubah gelombang otak yang membuat bayi tidur lebih nyenyak. Tujuan: dilakukannya penelitian ini adalah untuk mengetahui pengaruh pijat bayi terhadap kualitas tidur bayi usia 0 – 12 bulan di PMtB Feby Yulistia S.Tr.Keb.,S.KM Bandar Lampung Metode: Penelitian ini menggunakan desain Quasi-Eksperimental dengan rancangan one group pretest-posttest design. Dilaksanakan dari Januari sampai Juni di PMB Feby Yulistia,S.Tr.Keb.,S.KM Bandar Lampung. Responden pada penelitian ini adalah sebanyak 30 orang bayi usia 0-12 bulan. Analisis data dengan cara analisis univariat dan bivariat menggunakan uji Wilcoxon. Hasil: Hasil penelitian ini menunjukan kualitas tidur bayi usia 0-12 bulan sebelum diberikan pijat bayi rata-rata kualitas tidur bayi kurang dengan nilai 3,10, sesudah diberikan pijat bayi rata-rata kualitas tidur bayi baik dengan nilai 4,73. Hasil uji wilcoxon diperoleh nilai p-value sebesar 0,000 (<0.05) artinya terdapat perbedaan yang bermakna antara sebelum dan sesudah diberikan pijat bayi. Kesimpulan: ada pengaruh pemberian pijat bayi terhadap kualitas tidur usia 0-12 bulan. Saran: menambah motivasi bagi petugas kesehatan dalam memberikan edukasi tentang pijat bayi kepada masyarakat khususnya orang tua untuk meningkatkan kualitas tidur bayi Kata Kunci : Gangguan tidur, kualitas tidur, pijat bayi. ABSTRACT Background: According to the World Health Organization (WHO) in 2012 published in the journal Pediatrics revealed that about 33% of babies experience sleep disorders. According to a 2004 study by Sekartini and Adi conducted in five major cities in Indonesia, namely, Jakarta, Bandung, Medan, Palembang, and Batam, 51.3% of babies experience sleep disorders. Baby massage is a form of touch therapy that serves as one of the most important treatment methods when done regularly can help change the brain waves that make babies sleep better. Objective: this study was conducted to determine the effect of baby massage on the sleep quality of infants aged 0-12 months at PMtB Feby Yulistia S.Tr.Keb., S.KM Bandar Lampung Method: This study used a Quasi-Experimental design with a one group pretest-posttest design. Held from January to June at PMB Feby Yulistia, S.Tr.Keb., S.KM Bandar Lampung. Respondents in this study were as many as 30 infants aged 0-12 months. Data analysis by means of univariate and bivariate analysis using the Wilcoxon test. Results: The results of this study showed that the sleep quality of infants aged 0-12 months before being given baby massage the average infant sleep quality was less with a value of 3.10, after being given baby massage the average infant sleep quality was good with a value of 4.73. Wilcoxon test results obtained a p-value of 0.000 (<0.05) meaning that there is a significant difference between before and after baby massage. Conclusion: there is an effect of baby massage on sleep quality aged 0-12 months. Suggestion: increase motivation for health workers in providing education about baby massage to the community, especially parents to improve the quality of baby sleep Keywords: Sleep disorders, sleep quality, baby massage.
The Effect Of Aloe Vera Compresses On Breast Swelling In Postpartum Mothers In The Working Area Of The Pakuan Aji East Lampung Health Center
According to World Health Organization (WHO) and UNICEF data, exclusive breastfeeding coverage in infants under 6 months is 41% and is targeted to reach 70% by 2030 (2021 in Global Breastfeeding Scorecard, 2021). Child growth standards applied around the world according to WHO emphasize breastfeeding from birth to 6 months of age (exclusive breastfeeding). After that the baby starts to be given complementary foods until the age reaches 2 years and continues to breastfeed. The purpose of this study was to determine the effect of aloe vera compress (Aloe Vera) on breast swelling in postpartum mothers in the Pakuan Aji Health Center Working Area, East Lampung in 2023. This type of quantitative research with quasy experimental with pre test and post test design approach.This research was conducted at Pakuan Aji Health Center Work Area of East Lampung.The number of samples in this study were 16 respondents of postpartum mothers. The analysis in the study used univariate and bivariate analysis with the T-test technique. The results of the mean value of the incidence of breast swelling in breast milk dams before aloe vera compresses in the Pakuan Aji Health Center Working Area in East Lampung in 2023 mean 5.19, SD 0.750. The results of the mean value of the incidence of breast swelling in breast milk dams after aloe vera compresses (aloe vera) mean 2.38, SD 0.885. Conclusion The results of the P value of 0.000 which means that Ha is accepted, which means that there is an effect of aloe vera compresses on breast milk dams in postpartum women in the Pakuan Aji Health Center Working Area, East Lampung in 2023. With this research, it is hoped that respondents will be able to apply therapy in the form of aloe vera compresses to reduce breast swelling in postpartum women if they later find the same cases and problems outside of this study. Keywords : aloe vera, breast milk dam, postpartum period ABSTRAK Menurut data Organisasi Kesehatan Dunia (WHO) dan UNICEF, cakupan pemberian ASI eksklusif pada bayi di bawah 6 bulan adalah 41% dan ditargetkan mencapai 70% pada tahun 2030 (2021 dalam Global Breastfeeding Scorecard, 2021). Standar pertumbuhan anak yang diterapkan di seluruh dunia menurut WHO menekankan pemberian ASI sejak lahir hingga usia 6 bulan (pemberian ASI eksklusif). Setelah itu bayi mulai diberi makanan pendamping hingga usia 2 tahun dan dilanjutkan dengan pemberian ASI. Tujuan penelitian ini adalah untuk mengetahui pengaruh kompres lidah buaya (Aloe Vera) terhadap pembengkakan payudara pada ibu pascapersalinan di Puskesmas Pakuan Aji, Lampung Timur pada tahun 2023. Jenis penelitian ini adalah penelitian kuantitatif dengan eksperimen semu dengan pendekatan desain pre-test dan post-test. Penelitian ini dilakukan di Puskesmas Pakuan Aji, Lampung Timur. Jumlah sampel dalam penelitian ini adalah 16 responden ibu pascapersalinan. Analisis dalam penelitian ini menggunakan analisis univariat dan bivariat dengan teknik uji-T. Hasil nilai rata-rata kejadian pembengkakan payudara pada ASI sebelum kompres lidah buaya di Puskesmas Pakuan Aji, Lampung Timur tahun 2023 adalah 5,19, SD 0,750. Hasil nilai rata-rata kejadian pembengkakan payudara pada ASI setelah kompres lidah buaya adalah 2,38, SD 0,885. Kesimpulan: Hasil nilai P 0,000 berarti Ha diterima, yang berarti terdapat pengaruh kompres lidah buaya terhadap ASI pada ibu pascapersalinan di Puskesmas Pakuan Aji, Lampung Timur tahun 2023. Dengan penelitian ini, diharapkan responden dapat menerapkan terapi berupa kompres lidah buaya untuk mengurangi pembengkakan payudara pada ibu pascapersalinan jika di kemudian hari menemukan kasus dan masalah serupa di luar penelitian ini. Kata kunci: lidah buaya, ASI, pascapersalinan
Effect Of Lactation Counseling On Maternal Breastfeeding Knowledge Among Postpartum Mothers At Rsud Tuanku Imam Bonjol Lubuk Sikaping
Pengetahuan yang memadai tentang menyusui merupakan faktor penting bagi ibu nifas dalam memulai dan mempertahankan praktik menyusui yang tepat. Konseling laktasi merupakan salah satu strategi yang direkomendasikan untuk meningkatkan pengetahuan dan kepercayaan diri ibu selama periode awal masa nifas. Namun demikian, bukti mengenai efektivitas konseling laktasi di rumah sakit daerah masih terbatas. Penelitian ini bertujuan untuk menganalisis pengaruh konseling laktasi terstruktur terhadap pengetahuan ibu nifas tentang menyusui di RSUD Tuanku Imam Bonjol Lubuk Sikaping. Penelitian ini menggunakan desain quasi-experimental dengan rancangan posttest-only nonequivalent control group yang dilaksanakan pada bulan April hingga Mei 2026. Sebanyak 30 ibu nifas dibagi ke dalam kelompok intervensi (n = 15) dan kelompok kontrol (n = 15). Kelompok intervensi memperoleh konseling laktasi terstruktur yang diberikan secara individual oleh bidan terlatih dalam dua sesi, masing-masing berdurasi 30 menit, sedangkan kelompok kontrol memperoleh edukasi rutin masa nifas sesuai standar pelayanan rumah sakit. Pengetahuan ibu tentang menyusui diukur menggunakan kuesioner yang diadaptasi dari Sutrisminah (2020) yang terdiri atas 10 butir pertanyaan. Setiap jawaban benar diberi skor 1 dan jawaban salah diberi skor 0, sehingga skor total berkisar antara 0–10. Analisis data dilakukan menggunakan uji Independent Samples t-test dengan tingkat kemaknaan p < 0,05. Hasil penelitian menunjukkan bahwa rata-rata skor pengetahuan menyusui pada kelompok intervensi lebih tinggi dibandingkan kelompok kontrol (6,67 ± 0,82 vs. 2,80 ± 0,78). Perbedaan rerata skor sebesar 3,87 poin (95% CI: 3,27–4,47) menunjukkan adanya peningkatan pengetahuan yang bermakna secara statistik (p < 0,001). Konseling laktasi terstruktur secara signifikan meningkatkan pengetahuan ibu nifas tentang menyusui dibandingkan dengan edukasi rutin masa nifas. Integrasi konseling laktasi terstruktur ke dalam pelayanan rutin masa nifas berpotensi meningkatkan kesiapan ibu dalam menerapkan praktik menyusui yang tepat. Penelitian selanjutnya disarankan melibatkan jumlah sampel yang lebih besar, menggunakan instrumen yang telah tervalidasi, serta melakukan tindak lanjut dalam jangka waktu yang lebih panjang untuk mengevaluasi apakah peningkatan pengetahuan ibu dapat berdampak pada praktik menyusui yang lebih baik dan keberhasilan pemberian ASI eksklusif. Kata Kunci : Ibu Nifas, Konseling Laktasi, Pengetahuan menyusui ABSTRACT Adequate breastfeeding knowledge is essential for postpartum mothers to initiate and maintain appropriate breastfeeding practices. Lactation counseling is a recommended strategy to improve maternal understanding and confidence during the early postpartum period; however, evidence regarding its effectiveness in regional hospitals remains limited. This study aimed to determine the effect of structured lactation counseling on maternal breastfeeding knowledge among postpartum mothers at RSUD Tuanku Imam Bonjol Lubuk Sikaping. A quasi-experimental study with a posttest-only nonequivalent control group design was conducted from April to May 2026 involving 30 postpartum mothers. Participants were allocated into an intervention group (n = 15) and a control group (n = 15). The intervention group received structured lactation counseling delivered individually by trained midwives in two 30-minute sessions, whereas the control group received routine postpartum education. Maternal breastfeeding knowledge was assessed using a 10-item questionnaire adapted from Sutrisminah (2020). Each correct response was scored as one point, yielding a total score ranging from 0 to 10. Data were analyzed using an independent samples t-test with a significance level of p < 0.05. The intervention group achieved a significantly higher mean breastfeeding knowledge score than the control group (6.67 ± 0.82 vs. 2.80 ± 0.78). The mean difference was 3.87 points (95% CI: 3.27–4.47), indicating a statistically significant improvement in breastfeeding knowledge (p < 0.001). Structured lactation counseling significantly improved maternal breastfeeding knowledge compared with routine postpartum education. Integrating structured lactation counseling into routine postpartum services may enhance maternal preparedness for appropriate breastfeeding practices. Further studies involving larger sample sizes, validated measurement instruments, and longer follow-up periods are recommended to determine whether improvements in breastfeeding knowledge translate into improved breastfeeding practices and exclusive breastfeeding outcomes. Keywords: Breastfeeding Knowledge, Lactation Counseling, Postpartum Mothers
The Association Between Complete Immunization Status And The Occurrence Of Acute Respiratory Infection (ARI) Among Toddlers At Yosomulyo Public Health Center
Infeksi saluran pernapasan akut (ISPA) salah satu penyebab mordibitas dan mortalitas balita di seluruh dunia berdasarkan data World Health Organization 2024 ISPA menyerang 20% anak usia <5 tahun secara global, berdasarkan data SKI tahun 2023 prevalensi ISPA diindonesia sebesar 24,2%,(Kemenkes RI, 2023). Berdasarkan data Profil Kesehatan Provinsi Lampung tahun 2023 kasus ISPA balita mencapai 211.890 kasus (23,3%), tahun 2023 kasus ISPA di Kota Metro sebanyak 6.342 kasus (35,9%), (Dinkes Kota Metro, 2023). Tahun 2023 kasus ISPA di Puskesmas Yosomulyo sebesar 1.296 kasus (38%) (Dinkes Kota Metro, 2023). Berdasarkan data prasurvei 2024 di Puskesmas Yosomulyo kasus ISPA sebesar 1.094 presentase (32%). Penelitia ini bertujuan untuk mengetahui hubungan status imunisasi dengan kejadian ISPA pada Balita di Puskesmas Yosomulyo. Jenis penelitian ini adalah kuantitatif analitik dengan desain cross-sectional. Populasi pada penelitian adalah seluruh balita yang berkunjung di Puskesmas Yosomulyo dengan jumlah populasi 3.411 balita, dan sampel penelitian berjumlah 94 balita yang dipilih menggunakan teknik accidental sampling. Imunisasi lengkap didefinisikan sebagai upaya meningkatkan kekebalan tubuh dan pembatasan terhadap penyakit menular (Nur, 2015). Verifikasi data status imunisasi dilakukan melalui rekam medis serta wawancara menggunakan kuesioner kepada orang tua. Kejadian ISPA didefinisikan sebagai radang akut yang menyerang sistem saluran pernapasan atas (Maryunani, 2021). Kejadian ISPA dipengaruhi oleh berbagai faktor seperti status imunisasi, status gizi, berat badan lahir, pemberian ASI eksklusif, vitamin A, paparan asap rokok, ventilasi rumah, kepadatan hunian, dan pendidikan orang tua. (Aryunani, 2021). Analisis data dilakukan secara Univariate dan Bivariat dengan Uji Chi Square dengan menentukan tingkat kepercayaan 95% Hasil penelitian proporsi status imunisasi tidak lengkap pada balita sebesar (31,9%), proporsi kejadian ISPA sebesar (45,7%). Hasil uji statistik ada hubungan status imunisasi dengan kejadian ISPA pada balita di Puskesmas Yosomulyo didapatkan p value = 0,000 dan OR 27,000. Peneliti berharap agar pihak Puskesmas Yosomulyo dapat mengoptimalkan verifikasi kelengkapan status imunisasi balita melalui pemantauan Buku KIA dan rekam medis, serta meningkatkan program edukasi kesehatan bagi orang tua balita. Kata Kunci: Balita, ISPA, status imunisasi ABSTRACT Acute Respiratory Infection (ARI) is one of the leading causes of morbidity and mortality among toddlers worldwide. According to the World Health Organization (2024), ARI affects approximately 20% of children under five years of age globally. In Indonesia, the 2023 Indonesian Health Survey (SKI) reported an ARI prevalence of 24.2% among children under five (Ministry of Health of the Republic of Indonesia, 2023). Based on the 2023 Lampung Provincial Health Profile, there were 211,890 ARI cases (23.3%) among toddlers. In Metro City, 6,342 ARI cases (35.9%) were reported in 2023 (Metro City Health Office, 2023). At Yosomulyo Public Health Center, 1,296 ARI cases (38%) were recorded in 2023, while preliminary survey data in 2024 reported 1,094 ARI cases (32%). This study aimed to determine the association between complete immunization status and the occurrence of Acute Respiratory Infection (ARI) among toddlers at Yosomulyo Public Health Center. This quantitative analytic study employed a cross-sectional design. The study population consisted of 3,411 toddlers who visited Yosomulyo Public Health Center, and 94 toddlers were selected using accidental sampling. Complete immunization was defined as the administration of all recommended vaccines according to the national immunization schedule to enhance immunity and protect against vaccine-preventable diseases (Nur, 2015). Immunization status was verified through medical records and interviews with parents using a structured questionnaire. ARI occurrence was defined as an acute inflammation affecting the upper respiratory tract (Maryunani, 2021). ARI occurrence may be influenced by several factors, including immunization status, nutritional status, birth weight, exclusive breastfeeding, vitamin A supplementation, exposure to cigarette smoke, household ventilation, housing density, and parental education (Maryunani, 2021). Data were analyzed using univariate and bivariate analyses with the Chi-square test at a 95% confidence level. The results showed that 31.9% of toddlers had incomplete immunization, while 45.7% experienced ARI. Statistical analysis demonstrated a significant association between immunization status and ARI occurrence among toddlers at Yosomulyo Public Health Center (p =0.000; OR = 27.00). The findings suggest that Yosomulyo Public Health Center should strengthen the verification of toddlers' immunization status through regular monitoring of the Maternal and Child Health (MCH) Handbook and medical records, as well as enhance health education programs for parents to improve complete immunization coverage and reduce the occurrence of ARI among toddlers. Keywords: Toddlers,acute respiratory infections, immunization status
The Effect Of Prenatal Yoga On Reducing Low Back Pain In Second And Third Trimester Pregnant Women
Latar Belakang: Prevalensi low back pain (LBP) pada ibu hamil mencapai 50–80%, menjadikannya salah satu masalah kesehatan yang signifikan karena berpengaruh terhadap kualitas hidup dan aktivitas sehari-hari. Diindonesia 20% ibu hamil mengalami low back pain dengan tingkat nyeri ringan, 50% nyeri sedang, dan 30% nyeri berat. Dampak apabila LBP tidak segera diatasi hingga masa postpartum. Prenatal yoga merupakan salah satu metode non-farmakologis yang direkomendasikan untuk mengatasi keluhan muskuloskeletal pada ibu hamil, termasuk LBP. Tujuan penelitian ini yaitu diketahui pengaruh prenatal yoga dalam mengurangi low back pain pada ibu hamil trimester II dan trimester III. Metode: Jenis penelitian ini adalah kuantitatif. rancangan menggunakan quasy eksperimental, yaitu dengan pendekatan pre-post test control grup design. Populasi dalam penelitian ini terdiri dari ibu hamil yang berada pada trimester II dan III dan terdaftar sebagai sasaran pada bulan maret di Puskesmas Way Kandis, dengan jumlah sampel sebanyak 32 orang, menggunakan teknik sampling purposive sampling. Uji stastistik menggunakan uji Uji T Independen. Hasil: Rata-rata skala nyeri low back pain pada kelompok intervensi pretest 50,63 yaitu skala nyeri sedang dengan standar defiasi 11,236 yang menunjukkan bahwa sebagian besar peserta memiliki skor nyeri yang mendekati rata-rata, dan pada nilai posttest 35,6 yaitu skala nyeri ringan dengan standar defiasi 8,921. Sedangkan rata-rata skala nyeri low back pain pada kelompok kontrol pretest 52,50 yaitu skala nyeri sedang dengan standar defiasi 10 dan posttest 51,25 yaitu skala nyeri sedang dengan standar defiasi 9,574. Hasil uji statistik diperoleh p-value= 0,000 (p-value < α (0,05). Kesimpulan: Adanya pengaruh prenatal yoga terhadap low back pain pada ibu hamil trimester II dan trimester III di Puskesmas Way Kandis Tahun 2025. Saran: Diharapkan bagi tenaga kesehatan agar dapat meningkatkan pengetahuan tentang manfaat prenatal yoga dalam mengurangi low back pain pada kehamilan. Kata Kunci : low back pain , nyeri, prenatal yoga ABSTRACT Background: The prevalence of low back pain (LBP) in pregnant women reaches 50–80%, making it a significant health problem as it affects quality of life and daily activities. In Indonesia, 20% of pregnant women experience mild LBP, 50% moderate LBP, and 30% severe LBP. If left untreated, LBP can persist into the postpartum period. Prenatal yoga is one of the recommended non-pharmacological methods to address musculoskeletal complaints in pregnant women, including LBP. The purpose of this study is to determine the effect of prenatal yoga in reducing low back pain among pregnant women in the second and third trimesters. Methods: This study used a quantitative method with a quasi-experimental design, employing a pre-post test control group approach. The population consisted of pregnant women in their second and third trimesters who were registered as participants in March at Way Kandis Primary Health Care. A total sample of 32 respondents was selected using purposive sampling. Statistical analysis was conducted using the independent t-test. Results: The mean low back pain score in the intervention group at pretest was 50.63 (moderate pain) with a standard deviation of 11.236, indicating that most participants had pain scores close to the mean. At posttest, the mean score decreased to 35.6 (mild pain) with a standard deviation of 8.921. In the control group, the mean pretest score was 52.50 (moderate pain) with a standard deviation of 10, and the posttest mean score was 51.25 (moderate pain) with a standard deviation of 9.574. The statistical analysis showed p-value = 0.000, (p < α = 0.05). Conclusion: There is a significant effect of prenatal yoga on reducing low back pain in second and third trimester pregnant women at Way Kandis Primary Health Care in 2025. Suggestions: It is recommended that healthcare workers increase awareness and provide education about the benefits of prenatal yoga in reducing low back pain during pregnancy. Keywords: : low back pain, pain, prenatal yoga
Effectiveness Of Nipple Stimulation On The Amount Of Postpartum Bleeding In Women In The Fourth Stage Of Labour At Pmb Triana Firliyanti Sy, S.Tr.Keb Karang Anyar Lampung Selatan
Perdarahan postpartum merupakan penyebab sekitar 30% dari keseluruhan kematian akibat perdarahan. Tujuan penelitian ini untuk mengetahui stimulasi puting susu terhadap jumlah pengeluaran perdarahan pada ibu persalinan kala IV di PMB Triana Firliyantisy,S.TR.Keb Karang Anyar Lampung Selatan Tahun 2025 Metode penelitian dengan jenis kuantitatif, Penelitian di laksanakan PMB Triana Firliyantisy, S.TR.Keb Karang Anyar Lampung Selatan pada Januari-Juni 2025. Desain penelitian pra eksperimen yaitu intact group comparison two grup pretest-postest . Populasi seluruh ibu bersalin normal di PMB Triana Firliyantisy, S.TR.Keb Karang Anyar Lampung Selatan berdasarkan katong persalinan sebayak 48 ibu dan jumlah anggota sampel 32, teknik non-probabilitay dengan teknik purposive sampling. Rata-rata sebelum diberikan stimulasi puting susu (kelompok intervensi) 311,38 sesudah 134,56, sebelum pemantauan (kelompok kontrol) 323,06, sesudah pemantauan (kelompok kontrol) 164,75. Hasil nilai p value 0,000≤ α (0,05) yang artinya H0 ditolak dan Ha diterima. Nilai p value 0,004≤ α (0,05) artinya ada perbedaan pada kelompok intervensi dan kelompok kontrol terhadap jumlah pengeluaran perdarahan pada ibu persalinan kala IV di PMB Triana Firliyantisy, S.TR.Keb Karang Anyar Lampung Selatan Tahun 2025. Diharapkan dengan dilakukan penelitian ini dapat meningkatkan pengetahuan responden dalam penatalaksanaan perdarahan kala IV dengan metode non farmakologi. Kata kunci : stimulasi puting susu, perdarahan kala IV, persalinan ABSTRACT Post partum bleeding is responsible for approximately 30% of overall mortality due to bleeding. The aim of this study is to investigate nipple stimulation on the amount of bleeding in women in the fourth stage of labour at PMB Triana Firliyantisy, S.TR.Keb Karang Anyar Lampung Selatan in 2025. Method type of research is quantitative, research conducted at PMB Triana Firliyantisy, S.TR.Keb Karang Anyar Lampung Selatan from January to June 2025. The design of the pre-experimental research is an intact group comparison two group pretest-posttest. The population consists of all normal delivering mothers at PMB Triana Firliyantisy, S.TR.Keb Karang Anyar Lampung Selatan based on the childbirth registration of 48 mothers and the number of sample members is 32, using a non-probability technique with purposive sampling. The average results before nipple stimulation (intervention group) was 311.38 and after was 134.56, before monitoring (control group) was 323.06, and after monitoring (control group) was 164.75. The p-value result was 0.000≤ α (0.05) which means H0 is rejected and Ha is accepted. The p-value of 0.004≤ α (0.05) indicates a difference between the intervention group and the control group regarding the amount of bleeding in mothers during the fourth stage of labour at PMB Triana Firliyantisy, S.TR.Keb Karang Anyar, South Lampung in 2025. It is hoped that this research will increase respondents' knowledge in managing fourth stage bleeding using non-pharmacological methods. Keywords: nipple stimulation, fourth stage bleeding, childbirth