Asuhan Keperawatan Post Partum dengan Sectio Caesarea (SC) dengan Masalah Menyusui Tidak Efektif di Ruang Mawar RSUD dr. H. Soewondo Kendal
DOI:
https://doi.org/10.62951/unggulan.v2i4.2343Keywords:
Ineffective Breastfeeding, Maternal Recovery, Oxytocin Massage, Postpartum Care, Sectio CaesareaAbstract
This study examines postpartum nursing care for mothers undergoing Sectio Caesarea (SC) with the primary nursing diagnosis of ineffective breastfeeding. The purpose is to evaluate the effectiveness of oxytocin massage intervention in improving breastfeeding outcomes in post-SC mothers. The study was conducted in Mawar Ward, RSUD dr. H. Soewondo Kendal, involving four patients experiencing delayed lactation, difficulty in baby latching, and psychological challenges such as anxiety and lack of confidence. The intervention was based on the Indonesian Nursing Intervention Standards (SIKI), focusing on observation, therapeutic actions, education, and collaboration with healthcare teams and family members. Oxytocin massage was performed 2–3 times daily, complemented by warm compresses, breastfeeding position training, and emotional support. The results indicated significant improvements: increased breast milk production, better baby latching, reduced maternal anxiety, and higher self-confidence in breastfeeding. This evidence-based approach highlights that comprehensive postpartum nursing care—integrating physical, psychological, and family support—plays a crucial role in ensuring breastfeeding success and overall maternal recovery after SC.
References
ACOG. (2020). Cesarean delivery and postoperative care guidelines. Washington, DC: American College of Obstetricians and Gynecologists.
Cunningham, F. G., Leveno, K. J., Bloom, S. L., Dashe, J. S., Hoffman, B. L., Casey, B. M., & Spong, C. Y. (2022). Williams obstetrics (26th ed.). New York: McGraw-Hill Education.
East, C., Sherwin, S., & King, J. (2020). Effect of relaxation and positioning on post-operative pain in women undergoing caesarean section. BMC Pregnancy and Childbirth, 20(1), 112. https://doi.org/10.1186/s12884-020-2782-7
Fitriyani, A., Wahyuni, S., & Arifin, M. (2021). Efektivitas pijat oksitosin terhadap produksi ASI pada ibu post sectio caesarea. Jurnal Kebidanan dan Kesehatan Tradisional, 6(2), 55–61. https://doi.org/10.37341/jkkt.v6i2.2230
Gizzo, S., Noventa, M., Fagherazzi, S., Lamparelli, L., Anis, O., & D’Antona, D. (2015). Update on anesthesia for cesarean delivery: Focus on the effect of anesthetic techniques on the incidence of chronic pain. Current Pharmaceutical Design, 21(7), 888–898.
Kementerian Kesehatan Republik Indonesia. (2022). Buku panduan pelayanan kesehatan ibu nifas. Jakarta: Direktorat Kesehatan Keluarga, Kemenkes RI.
Manuaba, I. B. G. (2019). Ilmu kebidanan, penyakit kandungan dan keluarga berencana untuk pendidikan bidan. Jakarta: EGC.
Mohrbacher, N. (2020). Breastfeeding answers made simple: A guide for helping mothers. USA: Hale Publishing.
NANDA International. (2021). NANDA International nursing diagnoses: Definitions and classification 2021–2023. New York: Thieme Medical Publishers.
Nivethitha, M., & Muthumari, S. (2020). Effectiveness of breast massage and warm compress on lactation among postnatal mothers. International Journal of Health Sciences and Research, 10(6), 181–187.
Persatuan Perawat Nasional Indonesia (PPNI). (2017). Standar diagnosa keperawatan Indonesia (SDKI). Jakarta: DPP PPNI.
Potter, P. A., & Perry, A. G. (2020). Fundamentals of nursing: Concepts, process, and practice (10th ed.). St. Louis: Mosby Elsevier.
Rahmawati, F., Sundari, N., & Putri, D. P. (2020). Pengaruh dukungan suami terhadap tingkat kecemasan ibu menyusui post sectio caesarea. Jurnal Keperawatan Respati Yogyakarta, 7(1), 23–30.
Rosyidah, A., & Susanti, Y. (2022). Faktor yang mempengaruhi keberhasilan inisiasi menyusu dini (IMD) pada ibu post sectio caesarea. Jurnal Kebidanan Malahayati, 8(1), 45–53.
Setyorini, L., Anggraeni, S., & Sari, M. D. (2021). Efektivitas mobilisasi dini terhadap percepatan pemulihan post operasi sectio caesarea. Jurnal Ilmu dan Teknologi Kesehatan, 9(1), 25–31.
Smeltzer, S. C., & Bare, B. G. (2014). Buku ajar keperawatan medikal bedah Brunner & Suddarth (8th ed., Vol. 1). Jakarta: EGC.
UNICEF. (2021). Early initiation of breastfeeding: The key to survival and health of infants. New York: UNICEF.
World Health Organization (WHO). (2019). Guideline: Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services. Geneva: World Health Organization.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Pelayanan Unggulan : Jurnal Pengabdian Masyarakat Terapan
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
