Education on Strategies to Increase Breast Milk Production Through Continuity of Care Midwifery as a Management Strategy for Physiological Neonatal Jaundice on the Sixth Day of Life: A Case Study of Mrs. P in the Working Area of the 9 November Community Health Center, Banjarmasin, 2025

Herni Herni, Zaiyidah Zaiyidah, Siti Fatimah, Mariani Mariani

Abstract


Abstract: Background: Limited maternal knowledge of breastfeeding techniques and milk expression may contribute to inadequate breast milk production and increase the risk of neonatal jaundice. Objective: To implement education on strategies to increase breast milk production to fulfill newborn nutritional needs and prevent physiological neonatal jaundice. Methods: This case study employed comprehensive midwifery care management through subjective and objective data collection, diagnosis, implementation, and evaluation. Results: Continuity of Care (CoC) midwifery care was provided through education on increasing breast milk production. The mother received education on frequent breastfeeding, proper positioning and attachment, adequate nutrition and fluid intake, sufficient rest, and breast care. Following the intervention, breastfeeding frequency and milk production improved, while the infant’s skin yellowing gradually decreased. Conclusion: Education through the CoC approach improved maternal knowledge and breastfeeding practices and supported the reduction of physiological neonatal jaundice. Impact: CoC combined with breastfeeding education can support breastfeeding success and neonatal health.

Abstrak: Latar Belakang: Kurangnya pengetahuan ibu tentang teknik menyusui dan pemerahan ASI dapat menyebabkan produksi ASI tidak optimal serta meningkatkan risiko ikterus neonatorum. Tujuan: Menerapkan edukasi mengenai strategi peningkatan produksi ASI untuk memenuhi kebutuhan nutrisi bayi dan mencegah ikterus neonatorum fisiologis. Metode: Studi kasus ini menggunakan manajemen asuhan kebidanan komprehensif melalui pengumpulan data subjektif dan objektif, diagnosis, pelaksanaan, dan evaluasi. Hasil: Asuhan kebidanan Continuity of Care (CoC) diberikan melalui edukasi peningkatan produksi ASI. Ibu diberikan edukasi mengenai frekuensi menyusui, posisi dan perlekatan yang tepat, asupan nutrisi dan cairan yang cukup, istirahat, serta perawatan payudara. Setelah intervensi, frekuensi menyusui dan produksi ASI meningkat, sedangkan warna kuning pada kulit bayi berangsur berkurang. Kesimpulan: Edukasi melalui pendekatan CoC meningkatkan pengetahuan dan praktik menyusui serta mendukung penurunan ikterus neonatorum fisiologis. Dampak: Pendekatan CoC yang dikombinasikan dengan edukasi menyusui dapat mendukung keberhasilan menyusui dan kesehatan neonatus.


Keywords


Newborn; Neonatal Jaundice; Neonate; Education.

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References


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