Journal of Health Sciences (Johes)

Postpartum Midwifery Care Using Oxytocin Massage and Deep Breathing Exercises to Reduce Breast Milk Congestion at the Mira Hartati, S.Tr. Keb., Bd. Maternity Clinic in 2026.

Melisa — 2026-07-28

Breast engorgement is a common problem experienced by postpartum mothers during the first week after childbirth and can cause pain, breast swelling, and interfere with the flow of breast milk. One nonpharmacological approach that can be used to address this condition is oxytocin massage combined with deep breathing exercises. This case study aims to provide midwifery care to a postpartum mother using oxytocin massage and deep breathing exercises as interventions to reduce breast engorgement at the Mira Hartati, S.Tr. Keb., Bd Midwifery Clinic in 2026. The method used was a descriptive case study. Data collection was conducted using primary data—including interviews, observations, examinations, and direct interventions—as well as secondary data obtained from postpartum maternal registers, medical records, maternal and child health (MCH) records, and relevant literature. Data collection took place from June 1–3, 2026, at the Mira Hartati, S.Tr. Keb., Bd., Maternal and Child Health Clinic. The results of the care provided showed that after the oxytocin massage and deep breathing exercise interventions, the mothers’ conditions improved, as indicated by softer breasts, reduced pain, decreased breast engorgement, smoother milk flow, and greater comfort during breastfeeding. Midwifery care involving oxytocin massage and deep breathing exercises demonstrated a reduction in breast engorgement among postpartum mothers.

Midwifery Care for Infants with Cough and Cold (BAPIL) Massage Intervention at the Suriani, S.Keb., Bd., Midwifery Clinic in Tanjung Beringin in 2026

Aulia Trissa Pratiwi — 2026-07-28

Cough and cold (BAPIL) is one of the most common health conditions in infants and can cause discomfort, sleep disturbances, and a decreased appetite for breastfeeding. One nonpharmacological approach that can be used to help reduce the symptoms of cough and cold is the cough and cold massage intervention. This case study aims to provide midwifery care for infants using a cold and cough massage intervention (BAPIL) at the Suriani S. Keb.Bd Midwifery Clinic in Tanjung Beringin in 2026, employing Varney’s seven-step midwifery management approach. The method used was a descriptive method with a case study approach involving a 3-month-old infant with a cough and runny nose. Data collection was conducted through medical history, observation, physical examination, documentation, and a literature review. Midwifery care was provided over four days through four visits, including a cough-and-runny-nose massage intervention and education for the mother on infant care. The evaluation results showed that after receiving care, the infant was no longer fussy, no longer had a cough or runny nose, had improved sleep quality, was breastfeeding adequately, and appeared more cheerful. Massage interventions for coughs and colds have a positive effect on infants’ health, thereby helping to achieve the goals of midwifery care. Parents are encouraged to monitor their infants’ health more actively, maintain a clean environment, meet their nutritional needs—especially through breastfeeding—and take their infants to a health facility immediately if any warning signs are detected.

Midwifery Care for Breastfeeding Mothers Using Hypnobreastfeeding Techniques to Increase Breast Milk Production at the Nursiah Tandem Hilir I Maternal and Child Health Clinic in 2026

Nurhaliza — 2026-07-28

Suboptimal breast milk production is one of the causes of low rates of exclusive breastfeeding success. This condition can be influenced by psychological factors such as stress and anxiety, which inhibit the release of the hormone oxytocin. One nonpharmacological approach that can be used is the application of the hypnobreastfeeding technique. This case study aims to provide midwifery care to breastfeeding mothers by applying the hypnobreastfeeding technique to increase breast milk production at the Nursiah Tandem Hilir I Maternity Clinic in 2026, using Varney’s seven-step midwifery management approach. The method used was a descriptive case study of Mrs. I, a P1A0 woman on her 7th postpartum day, who complained of low breast milk production. Data collection was conducted through interviews, observations, physical examinations, documentation, and the administration of hypnobreastfeeding interventions. The results showed that after applying hypnobreastfeeding techniques for 7 days in the morning and evening, breast milk volume increased from 30 ml to 50 ml each time the technique was performed, breastfeeding frequency increased to 8–9 times in 24 hours, breastfeeding duration increased to 15–20 minutes, the infant breastfed on demand, and fell into a deep sleep after feeding. Based on the results of the case study, it can be concluded that the use of the hypnobreastfeeding technique can increase breast milk production and let-down, thereby supporting the success of exclusive breastfeeding.

The Relationship Between Coping Mechanisms and Anxiety Levels in Patients with Chronic Kidney Disease Undergoing Hemodialysis at Dr. R.M. Djoelham Binjai Regional General Hospital in 2025

Nana Rita Tarigan — 2026-07-28

Chronic kidney disease is a progressive condition that requires lifelong hemodialysis treatment. The hemodialysis process not only causes physical changes but also affects patients’ psychological well-being, particularly anxiety. One factor believed to play a role in reducing anxiety levels is family support. This study aims to determine the relationship between family support and anxiety levels in hemodialysis patients at Dr. R.M. Djoelham Binjai Regional General Hospital. This study used a cross-sectional design with a sample size of 45 respondents selected using total sampling. Data were collected using validated and reliable questionnaires on family support and anxiety, and then analyzed using the chi-square test at a 95% confidence level (α = 0.05). The results showed that the majority of respondents 24 people (53.3%) received good family support, and the majority 23 people (51.1%) did not experience anxiety. Bivariate analysis revealed a significant association between family support and anxiety levels among hemodialysis patients (p = 0.000). Patients who receive good family support tend to have lower levels of anxiety than patients who receive less support from their families. It is concluded that family support is significantly associated with anxiety levels in patients undergoing hemodialysis at Dr. R.M. Djoelham Binjai Regional General Hospital. Therefore, family involvement needs to be increased as part of nursing care efforts to help reduce patients’ anxiety during hemodialysis therapy.

Community Nursing Intervention Models for Strengthening Community Environmental Health After Floods: A Systematic Literature Review and Its Implications for Langkat Regency

Yusra — 2026-07-28

Floods are hydrometeorological disasters that significantly affect environmental health by disrupting access to clean water, damaging sanitation facilities, and increasing the risk of environment-related diseases. Community nursing plays a crucial role in supporting post-flood recovery through promotive, preventive, and community empowerment interventions. This study aimed to synthesize evidence on community nursing intervention models for strengthening environmental health after floods and to explore their implications for Langkat Regency. A systematic literature review was conducted following the PRISMA 2020 guidelines. Articles published between 2020 and 2026 were retrieved from PubMed, Scopus, ScienceDirect, CINAHL, and ProQuest, appraised using the Joanna Briggs Institute (JBI) Critical Appraisal Checklist, and analyzed through narrative synthesis. The findings indicate that common interventions include health education, promotion of Clean and Healthy Living Behaviors (PHBS), clean water provision, environmental sanitation improvement, infectious disease control, health cadre empowerment, cross-sectoral collaboration, psychosocial support, and public health surveillance. The synthesized evidence resulted in a community nursing intervention model comprising post-flood assessment, environmental risk identification, intervention planning, community-based implementation, cross-sectoral collaboration, and monitoring and evaluation. This model may guide community nurses, primary health care centers, and local governments in strengthening environmental health and community resilience, particularly in flood-prone areas such as Langkat Regency.