Asuhan Keperawatan pada Ibu Usia Produktif terkait dengan Manajemen Laktasi di Wilayah Kerja Puskesmas Medan Johor

Abstract

Productive-age mothers with limited knowledge about lactation management are at greater risk of failing to provide exclusive breastfeeding, as insufficient understanding can affect their mindset and behavior in the breastfeeding process. This study aimed to provide nursing care related to lactation management to improve the knowledge and breastfeeding skills of productive-age mothers in the working area of Medan Johor Health Center. The method used was the nursing process through a case study approach involving five clients, covering assessment, nursing diagnosis, planning, implementation, and evaluation. Data were collected directly through interviews, observation, and physical examination of clients who were breastfeeding or had a history of breastfeeding difficulties. Four out of five clients showed a deficit in knowledge regarding breastfeeding techniques and breast care, while one client experienced ineffective breastfeeding related to improper breastfeeding position, indicated by minimal milk output. The interventions were carried out through lactation management education. The evaluation results showed an improvement in knowledge and breastfeeding skills in the four clients, as well as better positioning and breastfeeding effectiveness in the client with ineffective breastfeeding. The innovation of this activity lies in the direct involvement of clients in breastfeeding practice and the participation of families as a support system. This activity has the potential to be further developed through continuous education involving health cadres.