As health service providers, nurses are at a high risk of COVID-19 infection, as are their family members who live with them. This study aimed to explore nurses’ actions to protect their families from COVID-19 in Indonesia. This qualitative descriptive study included seventeen nurses who were chosen using the snowball sampling technique. The semi structured interviews explored nurses’ actions and behavior, and comparative analysis was performed to analyze the data. The study identified four themes: nurses modified their behavior and environments to protect their families, provided supplements and nutritious food, enhanced their families’ knowledge and awareness of COVID-19, and protected their families from social stigma. Nurses play active roles in the health of their family members. The government should support nurses in their roles so that they can remain healthy while caring for COVID-19 patients, and not transmit COVID-19 to their own families.

This article reports a systematic review of articles published between 2009 and 2019 focusing specifically on the experiences of international students studying at Indonesian universities. We used such international databases as PubMed and CINAHL, and a national database, SINTA. The articles abstracted in such databases were screened out using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. The analysis of the six selected articles found that international students studying in Indonesia encountered such challenges as cultural adaptations, language problems, and differences in the educational system. The international students also experienced health care systems different from those of their home country. This empirical evidence suggests that prospective international students who plan to study in Indonesia should be well-informed of both academic and non-academic matters that they may encounter or they may have to anticipate.

A high-risk pregnancy is a condition that increases the risk of complications in pregnant women and fetuses compared to normal pregnancies. One key to preventing high-risk in pregnancy is women's knowledge. This study aimed to describe the knowledge of pregnant women about high-risk pregnancies in the PHC Ganeas, Sumedang. The study was a descriptive quantitative research. The number of samples was 146 pregnant women who visited the PHC of Ganeas. The samples were selected using es using stratified random sampling technique. The instrument of this study used a questionnaire consisting of 50 statements. The results showed that 61 respondents (41.0%) were categorized into high-risk pregnancies. The levels of knowledge were 131 respondents (89.7%) had moderate knowledge, 7 respondents (4.8%) had good knowledge, and 8 respondents (5.5%) had insufficient knowledge. The conclusion in this study is that the majority of respondents belong to high-risk pregnancies, and have a moderate level of knowledge. Knowledge of pregnant women in the PHC of Ganeas should be improved by developing an extension program and information about high-risk pregnancies.Keywords: pregnant women, high-risk pregnancy, knowledge

OXYTOCIN MASSAGE FOR POST PARTUM MOTHERS

Tujuan: Tujuan dari literature review ini adalah untuk mengidentifikasi terapi non-farmakologi untuk meningkatkan produksi ASI pada ibu post-partum. Metode: Pencarian publikasi menggunakan 4 database yaitu: PubMed, CINAHL, Scopus, dan Proquest. Kriteria inklusi penelitian ini adalah sampel ibu menyusui, artikel merupakan penelitian yang menggunakan desain RCT atau quasi-experimental, intervensi non farmakologi untuk meningkatkan produksi susu, menggunakan bahasa Inggris, full text, dan setting waktu 10 tahun terakhir (2012-2022). Adapun kriteria eksklusi yang digunakan yaitu artikel tidak berbahasa Inggris pada abstrak, artikel merupakan proceeding, skripsi, thesis, editorial, dan buku, serta tidak melibatkan ibu menyusui atu ibu post-partum pada penelitiannya. Hasil: Hasil pencarian didapatkan 8 artikel yang sesuai. Intervensi terapi akupresur, terapi relaksasi, dan pemberian teh herbal dapat digunakan untuk meningkatkan produksi ASI pada ibu menyusui atau ibu post-partum. Kesimpulan: Dari delapan artikel tersebut menyatakan bahwa intervensi akupresur, terapi relaksasi, dan pemberian teh herbal efektif dalam meningkatkan produksi ASI pada ibu menyusui atau ibu post-partum.

Early initiation of breastfeeding (IMD) is a program recommended by the government in increasing the breastfeeding success, achieving exclusive breastfeeding and reducing the infant mortality rates. The IMD is a process of mothers initiates breastfeeding within one hour after delivery of their baby. During an hour, the baby looks for his mother's nipples without help. This would be useful to increase the ability of the baby's sucking reflex. The IMD is implemented in the delivery room as part of the APN procedure, however limited study in Indonesia assessed the IMD procedure. This study is aimed to assess the implementation of IMD and the sucking reflect of newborns in a hospital in Bandung city. This design of the study was the quantitative descriptive approach. The samples were 30 newborns. The samples were chosen using the accidental sampling technique. There were two types of instruments which are an observation sheet to check the procedure of IMD, and an instrument to assess babies’ sucking reflex including rooting, sucking, and swallowing reflexes. The study findings described in a frequency distribution. This study found that 100% of deliveries were carried out IMD inappropriately, and 86.7% of babies' sucking reflects were not achieved. The study concluded that the implementation of IMD was not maximal, and would be affected babies had not succeeded in breastfeeding. It is expected that the hospital would implement IMD as the standard of maternity services.Keywords: Early Breastfeeding Initiation, Reflect