M. Ulin Nuha, Mudhoifah, Murti Nuryati, Siti Khomsatun

Asuhan Keperawatan Post Partum dengan Sectio Caesarea (SC) dengan Masalah Menyusui Tidak Efektif di Ruang Mawar RSUD dr. H. Soewondo Kendal

Introduction

Asuhan keperawatan post partum dengan sectio caesarea (sc) dengan masalah menyusui tidak efektif di ruang mawar rsud dr. H. Soewondo kendal. Pelajari asuhan keperawatan postpartum bagi ibu SC dengan masalah menyusui tidak efektif. Intervensi pijat oksitosin terbukti meningkatkan produksi ASI dan kepercayaan diri ibu.

Abstract

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.

Review

This study addresses a highly pertinent clinical issue concerning postpartum nursing care for mothers who have undergone Sectio Caesarea (SC) and are experiencing ineffective breastfeeding. The central aim was to evaluate the effectiveness of oxytocin massage as an intervention to improve breastfeeding outcomes. Conducted in a specific hospital setting and involving a multi-faceted approach that included physical, psychological, and family support, the abstract reports promising results. These include increased breast milk production, improved baby latching, reduced maternal anxiety, and enhanced self-confidence in breastfeeding, suggesting a positive impact on the participating mothers. A key strength of this work lies in its practical relevance to maternal-child health and its focus on a common post-SC complication. The described intervention, rooted in the Indonesian Nursing Intervention Standards (SIKI), demonstrates a structured and comprehensive approach to care. The integration of oxytocin massage with warm compresses, breastfeeding position training, and emotional support highlights a holistic understanding of the challenges faced by new mothers after SC. The reported improvements in both physiological and psychological aspects of breastfeeding are encouraging and underscore the potential benefits of such a targeted nursing intervention. However, the methodology as presented in the abstract has significant limitations. The study was conducted with a very small sample size of only four patients, which severely restricts the generalizability of the findings and the ability to draw robust conclusions about the *effectiveness* of the intervention. Without a larger, more diverse cohort and, ideally, a comparative control group, it is difficult to definitively attribute the observed improvements solely to the oxytocin massage and associated care, or to rule out other confounding factors. Therefore, while this study offers valuable preliminary observations and highlights a promising approach, its findings should be interpreted with caution. Future research should prioritize larger-scale studies with more rigorous designs, such as randomized controlled trials, to validate these findings and build stronger evidence for the efficacy of oxytocin massage in this population.

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