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                <text>The relationship between midwife communication and the level of satisfaction of pregnant women in antenatal care services at the UPTD Kotanopan Health Center, Mandailing Natal Regency, North Sumatra Province in 2024</text>
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                <text>World Health Organization (WHO) data on national health status in achieving the Sustainable Development Goals (SDGs) targets states that globally around 830 women die every day due to complications during pregnancy and childbirth, with an MMR of 216 per 100,000 live births (WHO, 2019). As many as 99 percent of maternal deaths due to pregnancy, childbirth or birth problems occur in developing countries. The MMR ratio is still considered quite high as targeted to be 70 per 100,000 live births in 2030 (WHO, 2019). WHO estimates that more than 585,000 mothers die each year during pregnancy or childbirth.&#13;
Research Objectives The Relationship Between Effective Midwife Communication and the Level of Satisfaction with Antenatal Care Services in Pregnant Women at the Kotanopan Health Center UPTD, Mandailing Natal Regency, North Sumatra Province in 2024. Quantitative research method using a Cross-Sectional approach. This study uses an extensive dataset to see many cases and relationships between variables. The results of the study showed a significant relationship between midwife attitudes (P value = 0.000 &lt;α value = 0.05) and midwife communication (P value = 0.000 &lt;α value = 0.05) with satisfaction with antenatal care services for pregnant women at the Community Health Center.</text>
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                <text>Kamelia Sinaga, Rolasnih Lilista Simbolon, Herna Rinayanti Manurung, Srimiuliani Putri Bakara, Nova Cristiana Sianturi, Rinny Niska</text>
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                <text>EFEKTIVITAS ALEOVERA DAN MADU TERHADAP LAMANYA PENYEMBUHAN LUKA DIABETES DI DESA BANGUN REJO KECAMATAN TANJUNG MORAWA</text>
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                <text>Latar belakang: Diabetes adalah kondisi Kesehatan yang sangat umum terjadi pada populasi&#13;
&#13;
lanjut usia. Menurut data International Diabetes Federation (IDF) prevalensi Diabetes melitus (DM) pada tahun 2021 sebesar 10,5% (537 juta orang dewasa) pada 1 dari 10 orang dengan umur 20-79 tahun hidup dengan diabetes diseluruh dunia. Menurut data International Diabetes Federation (IDF) prevalensi Diabetes melitus (DM) pada tahun 2021 sebesar 10,5% (537) juta orang dewasa) pada 1 dari 10 orang dengan umur 20-79 tahun hidup dengan diabetes diseluruh dunia. Menurut sumber data oleh Riset Kesehatan Dasar [1]. Tujuan: untuk mengobservasi proses lamanya penyembuhan luka diabetes selama perawatan menggunkan aleovera dan madu Metode: Penelitian ini merupakan penelitian Quasy Experiment dengan menggunakan rancangan teknik independen sampel t test. Populasi dalam penelitian ini adalah lansia yang menderita luka diabetes berjumlah 20 orang. Teknik pengambilan sampel dilakukan dengan purposive sampling ditentukan berdasarkan kriteria sampel. Analisa data mengunakan uji Independen 1-test. Hasil penelitian ini menunjukan bahwa dari hasil observasi yang dilakukan selama tujuh hari perawatan luka menggunakan aleovera dan madu dari 20 lansia didapatkan hasil, dari 10 lansia yang dilakukan perawatan luka menggunkan Aleovera menjukan bahwa luka mengalami degenerasi rata-rata dihari ke 3 setelah dilakukan implementasi perhari yaitu mayoritas 6 orang (60%) dengan kondisi luka mengalami degenerasi, sedangkan perawatan luka yang dilakukan dengan Madu menunjukan bahwa dari 10 responden mengalami degenerasi luka di hari ke tiga sebanyak 7 orang (70%). Hasil uji Independent test menunjukan nilai p 0,000, dimana 0,000 &lt; 0.05. Hal ini membuktikan bahwa Perawatan luka. menggunakan aleovera dan madu berpengaruh terhadap penyembuhan luka diabetes. Kesimpulan: Perawatan luka menggunakan madu, luka akan berdegenerasi dihari ke 3 sabanyak 6 orang (60, Perawatan luka menggunakan madu, lukaakan berdegenerasi dihari ke 3 sabanyak 6 orang (60%), Hasil analisa data uji statistik Independent text didapatkan nilai signifikasi (p) sebesar 0,000 &lt;(0.05) sehingga dapat disimpulkan bahwa ada perbedaan rata-rata lama penyembuhan luka antara kelompok madu dan aleovera. &#13;
Kata Kunci: Aleovera, Madu, penyembuhan Luka Diabetes</text>
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                <text>Indra Agussamad, Tetti Seriati Situmorang, Kamelia Sinaga, Ingka Kristina Pangaribuan, Dessy Surya Sartika, Indra Harta Wandi Bangun</text>
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                <text>The Effect of Lavender Aromatherapy Towards Reducing Menatory &#13;
Pain (Dysmenore) in Midwife Graduate Students in STIKes Mitra &#13;
Husada Medan </text>
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                <text>Aromaterapi Lavender &#13;
Dismenore &#13;
Penurunan Nyeri </text>
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                <text>Dysmenorrhea is menstrual pain that is often experienced by women during menstruation. During menstruation there is an increase in prostaglandin levels (PGE 2) which can cause pain during menstruation (dysmenorrhea). Dysmenorrhea can be treated in two ways, namely pharmacologically and non-pharmacologically. Aromatherapy Lavender is a non-pharmacological way to relieve menstrual pain (dysmenorrhea). The purpose of this study was to determine the effect of relaxation with lavender aromatherapy on reducing menstrual pain (dysmenorrhea) in undergraduate students of Midwifery at STIKes Mitra Husada Medan. Methods: This research is a type of pre-experimental research with the One Group Pretest-Post test design approach. The sample in this study were students who experienced dysmenorrhea as many as 20 respondents who were taken using purposive sampling technique, the test used was the Spearman Rank test with an error rate of α = 0.05. Results: In the study, the average menstrual pain of respondents before giving lavender aromatherapy on a scale of 4 were 15 respondents, while after giving decreased with a scale of 2 were 16 respondents. Based on the results of statistical analysis, it is found that ρ value = 0.001 &lt;α = 0.05, this shows that Ho is rejected and Ha is accepted. Conclusion: From the results of the above research, it can be concluded that there is an effect of lavender aromatherapy on reducing menstrual pain (dysmenorrhea) in undergraduate students of Midwifery, STIKes Mitra Husada Medan. Suggestions for students are expected to be able to apply this non- pharmacological therapy to reduce menstrual pain (dysmenorrhea). And suggestions for STIKes Mitra Husada Medan in order to facilitate aromatherapy and a comfortable room for the implementation of therapy for students.</text>
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                <text>Herna Rinayanti Manurung</text>
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                <text>E f e k t i f i t a s  K e c e p a t a n Pengeluaran Kolostrum Dengan P i j a t Oksitosin Dan Perawatan TotokPayudara Pada Ibu Postpartum Di Rumah Sakit Mitra Sejati Medan</text>
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                <text>Pijat Oksitosin</text>
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                <text>Optimalisasi Skrining Pranikah Calon Pengantin (CATIN) Dalam Menghadapi Prakonsepsi Di KUA Medan Johor Tahun 2025</text>
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                <text>Kesehatan prakonsepsi merupakan bagian dari kesehatan menyeluruh perempuan dan laki-laki selama masa reproduksi. Skrining pranikah dilakukan sebagai langkah awal untuk memastikan kesehatan calon ibu dan anak sedini mungkin, bahkan sebelum proses pembuahan terjadi. Kesehatan reproduksi adalah suatu keadaan sejahtera secara fisik, mental, dan sosial secara utuh, tidak semata-mata bebas dari penyakit atau kecacatan pada semua hal yang berkaitan dengan sistem reproduksi serta fungsi dan prosesnya. Studi literatur ini bertujuan untuk memperoleh informasi lebih lanjut mengenai aspek-aspek yang berkaitan dengan pelaksanaan skrining pranikah pada calon pengantin. Studi literatur ini dilakukan untuk mengkaji skrining pranikah terhadap calon pengantin dalam kaitannya dengan kesehatan reproduksi. Hasil kajian menunjukkan bahwa skrining pranikah sangat penting untuk dilakukan karena hasil jurnal menunjukkan peningkatan pengetahuan dan minat perempuan usia subur untuk melakukan skrining pranikah dalam rangka mempersiapkan calon ibu dan anak. Tujuan dari kegiatan pengabdian masyarakat ini adalah untuk membantu menurunkan angka kematian ibu (AKI) dan angka kematian bayi (AKB) dengan memberdayakan calon pengantin. Hasil kegiatan dilakukan dengan memberikan edukasi tentang pencegahan anemia pada remaja putri menggunakan buku saku remaja PATEN yang dilakukan dengan metode ceramah dan tanya jawab untuk memberdayakan calon pengantin. Kegiatan berlangsung selama 1 minggu, dari tanggal 7 hingga 14 Juni 2025, di Kantor Urusan Agama (KUA) Medan Johor. </text>
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                <text>Implementasi Self Monitoring Iron Supplementation Card Yang Service Excellent Pada Ibu Hamil Untuk Pemantauan Kepatuhan Konsumsi Tablet Tambah Darah Pada Ibu Hamil Di Desa Bangun Rejo Kecamatan Tanjung Morawa Kabupaten Deli Serdang Provinsi Sumatera Utara Tahun 2025</text>
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                <text>Anemia pada kehamilan masih menjadi masalah kesehatan masyarakat dengan prevalensi yang tinggi di Indonesia. Salah satu upaya pencegahan anemia adalah melalui konsumsi Tablet Tambah Darah (TTD). Namun, kepatuhan ibu hamil dalam mengonsumsi TTD masih rendah akibat kurangnya pemantauan dan dukungan pelayanan yang optimal. Kegiatan ini bertujuan untuk meningkatkan kepatuhan konsumsi TTD pada ibu hamil melalui implementasi kartu pemantauan mandiri yang dikombinasikan dengan pendekatan pelayanan prima dari tenaga kesehatan. Kegiatan dilaksanakan di Desa Bangun Rejo, Kecamatan Tanjung Morawa, Kabupaten Deli Serdang dengan melibatkan 15 ibu hamil trimester II dan III. Intervensi dilakukan dalam bentuk edukasi, distribusi kartu pemantauan konsumsi TTD, pendampingan kader. Evaluasi dilakukan melalui pre–post test, observasi penggunaan kartu, dan wawancara terstruktur. Hasil kegiatan menunjukkan signifikansi dalam kepatuhan konsumsi TTD, dari 33% menjadi 83% ibu hamil yang mengonsumsi secara rutin setelah selesai intervensi. Penggunaan kartu pemantauan efektif dalam membangun kesadaran dan keterlibatan ibu serta keluarga. Pelayanan prima dari tenaga kesehatan juga meningkatkan kepuasan ibu terhadap layanan kesehatan. Kombinasi kartu pemantauan dan pelayanan prima terbukti efektif sebagai strategi peningkatan kepatuhan konsumsi TTD pada ibu hamil. Intervensi ini direkomendasikan untuk diterapkan secara lebih luas dalam upaya pencegahan anemia kehamilan.</text>
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                <text>Ariska Fauzianty</text>
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            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
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                <text>2025</text>
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                <text>Indonesia</text>
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                <text>Efektivitas Promosi Kesehatan Terhadap Kepatuhan, Self Efficacy Dan Konsumsi Tablet Fe Pada Ibu Hamil Di Klinik Sarfina</text>
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            <name>Description</name>
            <description>An account of the resource</description>
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                <text>Anemia pada kehamilan masih menjadi masalah kesehatan di global dengan tingkat kejadian yang tinggi, salah satunya akibat ketidakpatuhan ibu hamil dalam mengonsumsi tablet tambah darah (TTD). Promosi kesehatan merupakan strategi penting untuk meningkatkan efikasi diri dan kepatuhan ibu hamil dalam mengonsumsi TTD. Penelitian ini bertujuan untuk mengetahui efektivitas promosi kesehatan terhadap self-efficacy, kepatuhan, dan konsumsi tablet tambah darah di Klinik Sarfina melalui pendekatan kuantitatif dengan quasi experiment desain pendidikan intervensi digital. Subjek penelitian berjumlah 20 ibu hamil yang menerima suplementasi tablet tambah darah (TTD). Instrumen yang digunakan adalah kuesioner MMAS-8 dan media leaflet. Analisis data menggunakan uji wilcoxon. Hasil menunjukkan bahwa terdapat peningkatan signifikan tingkat self-efficacy, kepatuhan, dan konsumsi TTD pada kelompok intervensi setelah diberikan promosi kesehatan melalui media leaflet secara signifikan (p&lt;0,05). Promosi kesehatan yang dilakukan dengan media leaflet secara digital efektif dalam meningkatkan efikasi diri, kepatuhan dan konsumsi TTD pada ibu hamil. Saran bagi bidan dan tenaga kesehatan agar memberikan promosi kesehatan yang lebih terstruktur dan terukur, salah satunya melalui media leaflet dan dilakukan secara rutin dalam pelayanan antenatal care.</text>
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            <description>An entity primarily responsible for making the resource</description>
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                <text>Ariska Fauzianty, Nova Isabella Mariance Br. Napitu, Yesica Geovany Sinaga, Friza Novita Sari Sitorus</text>
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            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
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              <elementText elementTextId="10709">
                <text>2025</text>
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            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="10710">
                <text>Indonesia</text>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
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                <text>Pengaruh Pemberian Jus Kurma Susu Terhadap Peningkatan Kadar Hb Pada Ibu Hamil Dengan Anemia Ringan Di Pmb Eka Nova Kecamatan Sekayam Provinsi Kalimantan Barat Tahun 2025</text>
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          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
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                <text>Jus kurma susu, hemoglobin, anemia, ibu hamil</text>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
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                <text>Latar belakang: Anemia pada ibu hamil merupakan masalah kesehatan global yang dapat memengaruhi kesehatan ibu dan janin. Salah satu bentuk intervensi nonfarmakologis adalah pemberian jus kurma susu.&#13;
Tujuan: Untuk mengetahui pengaruh pemberian jus kurma susu terhadap peningkatan kadar hemoglobin (Hb) pada ibu hamil dengan anemia ringan.&#13;
Metode: Jenis penelitian kuantitatif dengan desain pra-eksperimental menggunakan pendekatan pretest-posttest. Sampel sebanyak 28 ibu hamil dengan anemia ringan di PMB Eka Nova, Kecamatan Sekayam. Analisis data menggunakan uji Wilcoxon.&#13;
Hasil: Terdapat peningkatan kadar Hb yang signifikan setelah intervensi pemberian jus kurma susu (p&lt;0,05).&#13;
Kesimpulan: Jus kurma susu efektif meningkatkan kadar Hb pada ibu hamil dengan anemia ringan.</text>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="10714">
                <text>Friza Novita Sari Sitorus, Santi Janariah, Yesica Geovany Sianipar, Sonia Novita Sari, Ariska Fauzianty, Risnalia Tarigan</text>
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          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="10715">
                <text>2025</text>
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            </elementTextContainer>
          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="10716">
                <text>Indonesia</text>
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  <item itemId="2569" public="1" featured="0">
    <fileContainer>
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        <src>https://old-repository.mitrahusada.ac.id/files/original/49295422d9a5e66ea8e043a6554ba21f.pdf</src>
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          <elementContainer>
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              <name>Title</name>
              <description>A name given to the resource</description>
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                <elementText elementTextId="7617">
                  <text>Similarity</text>
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    <elementSetContainer>
      <elementSet elementSetId="1">
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
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                <text>Peningkatan Kesiapan Persalinan Melalui Edukasi Mandiri Bagi Ibu Hamil Trimester Ketiga Di PMB Shinta Kota Medan Provinsi Sumatera Utara Tahun 2025</text>
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            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="10718">
                <text>Kesiapan persalinan, edukasi mandiri, ibu hamil, trimester ketiga</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="10719">
                <text>Mempersiapkan persalinan adalah salah satu strategi terpenting untuk mengurangi risiko kesulitan bagi ibu dan bayi. Namun, banyak ibu hamil, terutama yang berada di trimester ketiga, belum sepenuhnya memahami tanda-tanda persalinan, cara melahirkan bayi, dan cara mempersiapkan rujukan. Ibu hamil yang akan melahirkan sering mengalami kecemasan akibat ketidakmampuan mereka mengatasi ketidaknyamanan akibat perubahan mental dan fisik yang terjadi selama kehamilan. Program pengabdian masyarakat ini bertujuan untuk meningkatkan kesiapan ibu hamil trimester ketiga menghadapi persalinan melalui pembelajaran mandiri berbasis e-book edukasi. Kegiatan pengabdian masyarakat ini berlangsung di PMB Shinta, Kecamatan Medan Johor, Kota Medan, melibatkan tiga puluh dua calon ibu. Kegiatan meliputi diskusi kelompok kecil, konseling, pembagian e-book, serta pembagian e-book, serta pemeriksaan prenatal dan postnatal untuk evaluasi. Hasil dari pengabdian masyarakat ini menunjukkan bahwa para peserta kini lebih memahami dan siap menghadapi proses persalinan. Ibu hamil dapat memperoleh pengetahuan dasar yang dibutuhkan sebelum melahirkan melalui publikasi elektronik ini. Tujuan dari inisiatif pengabdian masyarakat ini adalah untuk meningkatkan kesiapan ibu hamil trimester ketiga menghadapi persalinan melalui pembelajaran mandiri berbasis e-book edukasi.</text>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="10720">
                <text>Marta Armita Silaban</text>
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          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="10721">
                <text>2025</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="10722">
                <text>Indonesia</text>
              </elementText>
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    <fileContainer>
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              <name>Title</name>
              <description>A name given to the resource</description>
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                  <text>Similarity</text>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
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                <text>The Effectiveness Of Using A Wearable Breast Pump To Increase Breast Milk Production And Breastfeeding Comfort Among Working Mothers At Rosalina Munthe Primary Clinic, Kwala Bekala, Medan Johor District, North Sumatra Province In 2025</text>
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          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
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              <elementText elementTextId="10724">
                <text>wearable breast pump; working mothers; breast milk production; breastfeeding comfort</text>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
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                <text>Many working mothers struggle to maintain exclusive breastfeeding because of time constraints and inadequate lactation facilities. The wearable breast pump is a technological innovation designed to improve breast milk production and breastfeeding comfort, especially for working mothers. Objective: To determine the effectiveness of wearable breast pumps in increasing breast milk production and breastfeeding comfort among working mothers at Klinik Pratama Rosalina Munthe, Kwala Bekala, Medan Johor. Methods: This study uses a pre-experimental one-group pretest–posttest design. A total of 40 breastfeeding working mothers were selected using accidental sampling. Instruments included breast milk volume logs and a breastfeeding comfort questionnaire. Data were analyzed using the Wilcoxon test and Spearman correlation test. Results: After using a wearable breast pump, there was a significant increase in breast milk production (p=0.000) and breastfeeding comfort (p=0.000). There was also a positive correlation between milk production and breastfeeding comfort (r=0.654; p=0.000). Conclusions: The wearable breast pump is effective in increasing breast milk production and breastfeeding comfort among working mothers. It serves as a strategic solution to support successful breastfeeding in the context of employment.</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
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              <elementText elementTextId="10726">
                <text>Anna Waris Nainggolan,  Erin Padilla Siregar,  Sri Rezeki, Novita Andriani Simanjorang, Imarina Tarigan, Riska Muliana</text>
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            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
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              <elementText elementTextId="10727">
                <text>2025</text>
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            <name>Language</name>
            <description>A language of the resource</description>
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              <elementText elementTextId="10728">
                <text>English</text>
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