Health and Scientfic Journal (ARCANA)

COLD WATER COMPRESS FOR BREAST ENGORGEMENT MANAGEMENT IN A BEREAVED POSTPARTUM MOTHER: A CASE REPORT

2026-03-06T02:34:23+00:00

The postpartum period is often accompanied by breast engorgement, causing breast tenderness and pain, particularly in mothers who have experienced infant loss because milk production continues without emptying. This condition creates physical suffering and infection risk, which worsens the mother's psychological state. This study aimed to evaluate the effectiveness of cold water compresses through a case study of Mrs. A, 36 years old, in the working area of Mojo Community Health Center, Kediri. The method applied was cold compress intervention to the breast area for 10 minutes, three times daily, for 21 days (January 5–26, 2025). Results showed significant reduction in pain scale from 7 to 1 (85.7% reduction), decreased breast circumference from 98 cm to 85 cm (13.3% reduction), and gradual cessation of milk production by day 21. This effectiveness occurs through vasoconstriction mechanism reducing blood flow to mammary glands, thereby suppressing lactation metabolic activity (suppression of lactation). In conclusion, cold water compresses effectively reduce pain and suppress milk production in postpartum mothers who have lost their babies.

MIDWIFERY CARE FOR THE POSTPARTUM AND BREASTFEEDING PERIOD IN MRS. P P1001 AT 6 HOURS POSTPARTUM USING BACK MASSAGE TO STIMULATE OXYTOCIN HORMONE

2026-03-06T06:43:37+00:00

The postpartum period is a physiological adaptation phase that plays an important role in the success of exclusive breastfeeding. However, some mothers experience delayed breast milk secretion in the early postpartum period, which may affect breastfeeding success. Therefore, effective interventions are needed to improve breast milk production and ejection, one of which is oxytocin massage. This study aimed to provide postpartum and breastfeeding midwifery care with the application of oxytocin massage to Ny. P P1001 at 6 hours postpartum to support breast milk secretion. The method used was a case study approach applying the Varney 7-step midwifery management and SOAP documentation. Data were collected through interviews, observation, physical examination, and maternal health record documentation. The results showed that during the initial visit the mother reported that breast milk had not been expressed. After receiving breastfeeding education and routine oxytocin massage during the early postpartum period, breast milk was successfully expressed and flowed smoothly on the second postpartum day. The mother also appeared more relaxed, experienced no breast engorgement, and uterine involution as well as perineal wound healing progressed normally. In conclusion, oxytocin massage is effective in stimulating breast milk production and ejection, improving maternal comfort, and can be applied as a safe and simple non-pharmacological intervention in postpartum midwifery care to support exclusive breastfeeding success.

BREAST CARE FOR POSTPARTUM TO OVERCOME BREAST ENGORGEMENT

2026-03-06T02:23:28+00:00

Background: Postpartum care is essential because this phase is prone to complications, so health services for postpartum mothers play a crucial role in early detection and prevention of complications. In East Java, the number of postpartum visits has declined over the past three years. In 2024, Kediri Regency ranked second-lowest in complete postpartum care coverage with a score of 58.62%, which is still far from the target of 95%. One aspect of postpartum care coverage is breast examination and the recommendation for exclusive breastfeeding. Problems that occur during breastfeeding include blocked milk ducts, which cause pain, fever, redness, and hardening or swelling of the breasts, which are signs of milk duct blockage. Method: This study employed a descriptive observational design with a case study approach involving Mrs. F P1001, who experienced a blocked milk duct on the fifth day postpartum at the Mojo Community Health Center. Results: The assessment results showed that Mrs. F complained of breast pain, and the breast examination revealed redness and tenderness. The intervention provided included information, education, and communication (IEC) on proper breastfeeding techniques, advising the mother to express breast milk to help empty the breasts, and performing breast care. Conclusion: After breast care was performed, Mrs. F said that the breast pain she felt had decreased

MATERNITY CARE FOR PRIMIGRAVIDA WOMEN WITH OBESITY IN THE THIRD TRIMESTER OF PREGNANCY: A CASE STUDY

2026-03-06T02:17:46+00:00

Obesity during pregnancy is one of the risk factors that can increase the incidence of maternal and perinatal complications, especially in the third trimester. This condition is influenced by lifestyle changes, an unbalanced diet, and a lack of physical activity during pregnancy. This case study aims to provide midwifery care for pregnant women in their third trimester who are obese. The method used was a case study with a Continuity of Care (COC) approach on Mrs. R, aged 30 years, primigravida, 31 weeks pregnant, with a body mass index ≥30 kg/m². Data collection was carried out through interviews, observations, physical examinations, anthropometric measurements, and review of midwifery documentation. The results of the assessment showed that the mother was obese without any pregnancy complications. Midwifery care was provided through several visits, which included routine pregnancy monitoring, weight gain control, balanced nutrition education, recommendations for safe physical activity, and antenatal classes. During the support period, the condition of the mother and fetus was monitored within normal limits without signs of complications. The conclusion of this study shows that continuous midwifery care through the COC approach plays an important role in pregnancy monitoring and prevention of complications in pregnant women with obesity, as well as increasing mothers' awareness of the importance of a healthy lifestyle during pregnancy.

MIDWIFERY CARE FOR MULTIGRAVIDA PREGNANT WOMEN WITH LOWER BACK PAIN

2026-02-26T02:51:24+00:00

Lower back pain is one of the discomforts often experienced by pregnant women, especially in the third trimester, and can interfere with the mother's activities and quality of life. The problem in this report is how to implement comprehensive midwifery care for a 24-year-old G3P1A1 pregnant woman with a gestational age of 32–33 weeks who experiences lower back pain. The method used was a case study with a Varney midwifery care management approach, which includes assessment, data interpretation, problem identification and potential diagnosis, planning, implementation, and evaluation of care. Data collection was carried out through anamnesis, physical examination, and supporting examinations at the Ngadiluwih Community Health Center in Kediri Regency. The findings showed that the lower back pain experienced by the mother was related to physiological changes during pregnancy, weight gain, and changes in posture. The midwifery care provided included education, warm compresses, gym ball exercises, pregnancy exercises, the use of kinesio taping, and acupressure. The evaluation showed a decrease in back pain complaints and an increase in maternal comfort after continuous care was provided. The conclusion of this report is that the application of comprehensive midwifery care in accordance with Varney's management is effective in helping to reduce lower back pain in pregnant women in the third trimester and improving maternal well-being during pregnancy.