© 2020 International Journal of Nursing and Midwifery Science (IJNMS) This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. e- ISSN: 2686-2123 http://ijnms.net/index.php/ijnms p- ISSN: 2686-0538 ORIGINAL RESEARCH

“MADURA’S POSTPARTUM HERBAL MEDICINE” IN THE EYES OF MOTHER IN POSTPARTUM PERIOD

Sri Yunita Suraida Salat 1, Ahmaniyah 2, Emdat Suprayitno 3 Universitas Wiraraja Email : [email protected], [email protected], [email protected]

ABSTRACT Keywords

Many cultures in are directly related to postpartum care, one of which is consuming postpartum . Postpartum is a herbal concoction processed from several medicinal ingredients used for maternal care during the postpartum. This study aims to obtain an overview of the views of postpartum mothers on the postpartum herbal medicine that they consume during the postpartum period. Starting by understanding about the reasons why mothers consume herbal medicine, their knowledge about postpartum herbal Herb, medicine and the perception of the benefits obtained from consuming the Postpartum postpartum herbal medicine. The design of this study is a qualitative study with a period phenomenological approach with a total of 20 postpartum mothers and their families as respondents who were taken using purposive sampling technique. The technique of collecting data by means of direct observation through in-depth interviews. The results showed that apart from the existence of tradition, the reason of the mother consumed herbal medicine during the postpartum period they knew the benefits of consuming herbal medicine. Mothers also feel these benefits directly. Based on the results of the study, it can be concluded that 20 postpartum mothers who consume postpartum herbal medicine have different points of view about postpartum herbal medicine, but in general, so far mothers have felt a direct benefits of consuming postpartum herbal medicine both in the recovery process of the postpartum period and in increasing breast milk production.

INTRODUCTION process of rejuvenating the reproductive The postpartum period is the organs to their pre-pregnancy form period after the delivery process which (MIRONG, 2018). During lasts approximately 6 weeks. This period thepostpartum period, the mother will is also known as the recovery period, experience many physical and because during this period there is a psychological changes that cause some

248 International Journal of Nursing and Midwifery Science (IJNMS),Volume 4, Issue 3, December 2020 discomfort. Therefore, special monitoring benefits of postpartum herb to facilitate and care for postpartum mothers is needed breastfeeding, which resulted in 100% to ensure that the postpartum mother does of mothers who consumed postpartum not experience problems that can lead to herb gain a swift breast milk production complications during the postpartum (Kumalasari et al., 2014). This means that period. Many cultures in Indonesia are postpartum herbal medicine does have directly related to postpartum care, one of benefits for postpartum mothers. which is consuming postpartum herb. It is Each region in Indonesia has a a herbal ingredients derived from several mixture of herbal medicine with different medicinal plant ingredients used for ingredients. This is due to the absence of maternal care during the postpartum standardization of the ingredients and period. measurements used in making puerperal In general, drinking herbal herb. As previously researched by Ratih medicine has become a habit for Sakti Prastiwi in 2018 that uyup-uyup Madurese people, especially for mothers. herb or puerperal herb in the Tegal The ability to drink it has been introduced district consists of such as: kencur, to a child from an early age. Therefore, , lempuyang, temu giring, the habit of drinking herbal medicine is and katuk leaves (prastiwi, 2018). This is inherent in the life of the Madurese different from the existing postpartum community. One of the herbs that is still herbal ingredients in Madura. The frequently consumed and has become a concoction of Madura puerperal herb is tradition of the Madurese community is much more complete, where Madura herb postpartum herb or what is known as consists of many spices according to the papeja herb. Sumenep Regency is one of variant.Therefore, even though there are the areas where the community still currently many drugs for postpartum care, adheres to the traditions and culture the Madurese community, especially the passed down by their ancestors. This can people of Sumenep Regency, still choose be proven by the results of a preliminary to drink puerperal herb as one of the study conducted on 12 postpartum postpartum treatments with the belief that mothers in May 2019. The 12 postpartum these herbs provide many benefits. mothers s aid that all of them consumed This research was conducted with postpartum herb during the postpartum the aim of knowing with certainty the period. The frequency of drinking views and opinions of postpartum herbal medicine from 12 postpartum mothers on the puerperal herb that they mothers was different, 8 postpartum consumed during the postpartum period. mothers consumed it once a day and Starting to know about the reasons for the 4 postpartum mothers consumed it twice mother to consume the postpartum herb, a day. The people of Sumenep Regency the form of the herbal medicine believe that puerperal herb provides consumed, the knowledge of the many benefits for the health of mothers postpartum mother about the puerperal and babies, such as maintaining stamina herb and the benefits of consuming it. and the health of postpartum mothers, accelerating the process of uterine METHOD reduction, preventing infection and This study uses a qualitative accelerating milk production. In 2014, research design with a phenomenological Kumalasari conducted a study on the approach, where the researcher intends to

249 International Journal of Nursing and Midwifery Science (IJNMS),Volume 4, Issue 3, December 2020 understand the events experienced by the Reason Frequenc % respondents holistically. The theme of this Nu1 oPfe rsonal y9 45 research is to focus on the reasons for the m2 pwFoilsrlcet padr tu 1 55 mother to consume the postpartum herb, Total m mother 12 10 Table 1 above shows that of the 20 the form of the herbal medicine consumed, 0 0 postpartum mothers in Saronggi the postpartum mother's knowledge about Subdistrict, Sumenep postpartum herb and the benefits obtained Regency in March - July 2020, more than from the postpartum herb. This research half consumed puerperal herb under conducted on March to July 2020 in the coercion from others, namely 11 work area of the Saronggi public health postpartum mothers (55%). center. The postpartum mothers in this area are still adhere to the culture 2. The form of postpartum herbs consuming herbal medicine. Respondents consumed were taken using purposive sampling Table 2. Frequency distribution based technique with the criteria on the form of postpartum herb for postpartum mothers who live in the consumed in Saronngi research location, consume postpartum District, Sumenep Regency herb, and are willing to become research respondents. There were 20 respondents Respondent in this study. During respondent Num Form of Frequency % recruitment, the researcher was assisted 1 hFelurbid 15 75 by a midwife of the Saronggi public 2 Capsule 5 25 health center. Meanwhile, to ensure the Total 20 100 accuracy of the data, researchers also Table 2 above shows that of the 20 conducted interviews with families and postpartum mothers in Saronggi makers of postpartum herbs consumed by Subdistrict, Sumenep postpartum mothers as information on Regency in March - July 2020, most of triangulation. The data collection them consumed puerperal herbs in liquid technique uses direct observation by form, namely 15 postpartum mothers conducting in-depth interviews with (75%). respondents who are then analyzed 3. Mother's knowledge about the qualitatively through the data reduction puerperal herb consumed stage - data presentation - drawing Table 3: Frequency distribution based on conclusions. Researchers also checked maternal knowledge about postpartum the data using triangulation techniques herb consumed in (Huberman, 2014). Saronngi District, Sumenep Regency

RESULT Re T 1 The reason why mothers drink N Know sKpn % Do % oFtreq % herbal medicine u1 lHedgeerbs o1n 6 n7ot 3 au2le nc 1 Table 1. The frequency distribution is m2 tHyeperb s dw31e 58 k3n o 51 y02 01 3 Herbs 2 1 0 0 2 1 based on the reasons why mothers drink ingre n7t 5 w 5 0 0 Tablbee n3e fiabo0v e 0shows that o0f the 200 the puerperal herb dients 0 postpt artum mothe0r s in Saronggi Distric0t , in Saronngi District, Sumenep Regency Sumenep Regency

Respond ent 250 International Journal of Nursing and Midwifery Science (IJNMS),Volume 4, Issue 3, December 2020 in March - July 2020, more than half consume postpartum herb during the next knew about each type or variant of the postpartum period, namely 17 postpartum postpartum herb they consumed, namely mothers (85%). 13 postpartum mothers (65%), most of them also knew about The ingredients DISCUSSION and contents in the puerperal herb were Theme 1: Reasons for Mothers 17 postpartum mothers (85%) and all of Consume Herbal Medicine them could know the general benefits of The reasons for postpartum postpartum herb, namely 20 postpartum mothers to consume herbal medicine mothers (100%). during the postpartum period are very 4. The benefits felt by postpartum diverse. The first reason is the advice and mothers from consuming the coercion by relatives, such as husbands, postpartum herbsTable 4: Frequency mothers, in- laws and grandmothers. This distribution based on the benefits felt by happened to 11 respondents, where 7 postpartum mothers from postpartum herb respondents stated that they consumed in Saronngi District, Sumenep Regency herbal medicine during childbirth because they were forced by their parents, Respo namely mothers and grandmothers. Nu Be nFdreequnt en % While 4 other respondents stated that m1 nFefel the c2y 1 they consumed herbal medicine because 2 ibDote n enfotit feel the 0 0 of advice and coercion from the mother- Total 2 1 benefit 0 in-law. The 11 respondents were told by Table 4 above show0s that of 0the 20 the family that postpartum herb postpartum mothers in S0a ronggi consumption is a local tradition that must Subdistrict, Sumenep preserved additionally benefit the Regency in March - July 2020, all of postpartum mothers. The benefit such as them felt the benefits of the postpartum rejuvenate reproductive organs, the herb they consumed, namely 20 vagina becomes not slippery, the postpartum mothers (100%). postpartum blood is smooth and does not 5. The desire to consume postpartum smell fishy. Breastmilk production herbs again at the next postpartum increased and enhance mothers health. period. This can be seen from several expressions Table 4: Frequency distribution based on of respondents as follows: the desire to consume puerperal herb "Forced by the mother, so that the again at the next delivery in Saronngi postpartum blood is smooth and the District, Sumenep Regency breast milk is a lot" (R5) "You are told to

drink herbal medicine so that the Desire of Responde postpartum period is smooth and the No consumin nF rekuensi % genetics can remain doormat" (R6) 1 gK eeph erbalo n 1 85 "At the wish of the parents, he said he 2 mcNotoends isucumirneeing 73 15 Total 2 10 must drink herbal medicine during the Table 4 above sh0o ws that o0f the 20 postpartum period postpartum mothers in Saronggi so that his genetics are maintained" Subdistrict, Sumenep (R10) The second reason is that mothers Regency in March - July 2020, most of consume the puerperal herb on their own the postpartum mothers will still will. 9 respondents stated that they

251 International Journal of Nursing and Midwifery Science (IJNMS),Volume 4, Issue 3, December 2020 consumed it on their own desires on the puerperal herb in liquid form and 5 post- grounds to preserve traditions and knew partum mothers in capsule form. This about the benefit. They believe that the condition means that most postpartum herbs they consume will provide many mothers in the Saronggi sub-district are benefits for postpartum mothers. This can used to drinking liquid herbal medicine. be seen from the expressions of This is evidenced by several expressions respondents such as: of respondents when asked why they "I drink on my own accord because chose this herbal medicine: this is a tradition and by drinking "Drinking liquid herbal medicine, has puerperal herb, postpartum blood does always been used to drink herbal not smell fishy and can quickly recover" medicine in liquid form" (R1) (R1) "Drinking liquid herbal medicine, the "On their own desires because the name is herbal medicine yes liquid ma'am" puerperal herb can maintain genetalia (R3) health" (R11) "Buying liquid herbal medicine directly "On their own desires because the to drink because it is fresher if you puerperal herbs can facilitate the release drink herbal medicine directly" (R7) of postpartum blood and breast milk" "It's better just to drink liquid herbal (R13) medicine ma'am" (R13) After further examination, it is "Drinking liquid herbal medicine, because known that mothers get information it doesn't feel like a capsule" (R15) about the benefits of postpartum herb This data is reinforced by the family's from the experiences of their closest statement which confirms that the 15 people such as relatives, cousins and also respondents have been used to drinking friends who have previously consumed liquid herbal medicine since they were postpartum herb. This is the main reason children. The habit of drinking herbal for mothers wanting to consume medicine is not only practiced by the puerperal herb during the postpartum people of Sumenep district, but also by period. the Madurese community in general. Not only during the postpartum period, the Theme 2: Forms of Postpartum Herb habit of drinking herbal medicine is also consumed practiced during pregnancy, known as The results showed that the herbs " ayu" or “jamu Kandung”. This consumed by 20 respondents were habit cannot be separated from the obtained by buying or ordering the tradition of the Madurese community existing postpartum herb sellers. From the which assumes that herbal medicine is a results of interviews conducted with 2 medium in facilitating th e delivery different postpartum herb sellers, all stated process and can keep the mother's uterus that they sell postpartum herb with 3 types healthy after childbirth (Imron, 2013). In of preparations. Namely liquid form that addition, the habit of drinking herbal can be drunk directly, powder form which medicine is also practiced by mothers just must be brewed with water first and before menstruation to improve capsule form. Of the 3 types, the ones most menstrual flow, vaginal rejuvenate herb interested in are liquid and powder forms. and herbal medicine to maintain the Of the 20 post-partum mothers, 15 mother's health (“Uji Antifung. Ramuan post-partum mothers consume the

252 International Journal of Nursing and Midwifery Science (IJNMS),Volume 4, Issue 3, December 2020 Tradisonal Madura „Subur Kandungan,‟” consists of several types of herbal 2016). medicine that must be drunk sequentially during the postpartum period which Theme 3: Knowledge of mothers about provides the property of facilitating the consume puerperium herb discharge of postpartum blood, breast This study also revealed the milk, overcoming stiff pains, digestive mother's knowledge about the problems, irregular menstruation, postpartum herb she consumed during eliminating unpleasant body odor and the postpartum period. Starting from infection (Handayani et al., 2012). This the variants of postpartum herbs, was also confirmed by dr. Lestari stated postpartum herbal ingredients and the that the puerperal herb is a package of properties of postpartum herbs. herbal medicine used in caring for mothers during the postpartum period 1) Variants of postpartum herb which consists of papeja or laxative The results showed that of the 20 herbal medicine which is taken for the respondents, all stated that the mothers first 20 days during childbirth, followed consumed different types of herbal by herbal medicine to clean dirty blood medicine during the postpartum period. known as orang aring herb. Then the After further interviews, of the 20 mother will drink the Sambedan herb mothers who consumed different types of which functions to cleanse the white herbal medicine, there were 13 blood, followed by bangkes herb to slim respondents who clearly knew each the stomach and finally the sari rapet herb variant of the postpartum herb they or white (Lestrai,dr. 2003). consumed. While 7 other respondents did The above conditions illustrate that most not know for sure each type of herbal respondents have knowledge of the types variant they consumed. the reason that of herbs they the order and preparation of herbal consume during childbirth. medicine is parents or mother-in-law. The data is matched with data obtained 2) Ingredients/ Properties of the from the results of interviews with 2 Puerperal Herb postpartum herb sellers who state that To find out the exact concoction postpartum herb is divided into of postpartum herb, the researcher visited 4 variants during the postpartum period, 2 makers and sellers of postpartum herb namely: where postpartum mothers bought the 1. Papejje herb: Herb for postpartum day herb. From the results of the interview, 1-10 information shows that the ingredients of 2. Parem herb: Herb for postpartum day the postpartum herb consumed by 10-20 respondents are: 3. Bangkes herb: Herb for postpartum day 1. Papejje herb: turmeric, Temu Ireng, 20-30 halba, Adas, Polasare, , 4.Pkak herb: Herb for postpartum day 30- Sintok, Jengatep, Ketumbar, Kayu 40 angina, Samarantok, Daun parabes, temu Each variant of these herbs has different giring, kencur. properties. As explained by Handayani, 2. Parem herb: turmeric, Temu Ireng, Madurese people are accustomed to halba, Adas, Polasare, cinnamon, consuming jamu maternity which Pandieng, Sintok,

253 International Journal of Nursing and Midwifery Science (IJNMS),Volume 4, Issue 3, December 2020 Jengatep, Ketumbar, Kayu angina, postpartum period has a positive impact Samarantok, Daun parabes. on the health of obu in general. 3. Bangkes herb: tuermeric, Temu 3) The properties of the postpartum herb Ireng, halba, Adas, Polasare, There are 4 variants of herbal medicine in cinnamon,Pandieng, Sintok, Jengatep, Madura with different properties, namely: Ketumbar, Kayu angina, Samarantok, 1. Papejje herb is useful for enhancing Daun parabes, Lengkuas. breastfeeding 4. Pakak herb: Majakani, Majakeleng, 2. Parem herb is useful for shrinking the betel nut, Kayu rapat, white uterus pomegranate, Kunci pepet, Temukunci, 3. Bangkes herb is useful for removing halba, Congcong pandan, Jelawe, Jinten white blood ireng, Adas, Polasare, Masoji. 4. Pakak herb is useful for tightening the The results showed that out of 20 vagina respondents, 17 respondents could The results showed that the 20 respondents name some of the postpartum herbal could mention the general properties of the ingredients they consumed as seen from puerperal herbs they consumed. Namely to several expressions of respondents: facilitate breastfeeding and blood discharge "The clear ingredients are turmeric, during the postpartum period, but only 9 pomegranate, betel, , ginger, respondents knew for sure the benefits of cinnamon and many other ingredients" each type / variant. This condition (R13) illustrates that all postpartum mothers who "I don't really know the full extent, but consume the herbal medicine forcibly or on what is certain is that in the puerperal their own will know the efficacy of the herb there are ingredients of betel, postpartum herb they drink. turmeric, ginger, pomegranate, meeting ireng" Theme 4: Benefits felt by mothers from "What I know about puerperal herbs is consuming the postpartum herb from betel, turmeric, tamarind, The results showed that postpartum mothers pomegranate, prabes leaves, cinnamon, experienced various benefits from the temu ireng, addas" (R18) postpartum herbs, including: "Each type seems to have different 1) Swift the production of breast milk ingredients according to its properties, This benefit was conveyed by 16 but what is clear is that there are respondents who felt that during the ingredients such as turmeric, temu lawak, consumption of the puerperal herb, their cinnamon, prabes leaves, if I'm not milk production was enhanced. Some of the mistaken, the latter contains areca nut, expressions of respondents are as follows: white pomegranate and dense wood" "Yes, I have a lot of breastmilk production" (R19) (R2) Although not all ingredients can be fully "Postpartum blood comes out smoothly and mentioned by the mother, this is breastmilk production is also a lot, no body sufficient to illustrate that the 17 odor either" (R18) respondents were not only consuming "Breast milk production is a lot, the body is the puerperal herbs but also knew very fit faster, the postpartum blood is also well about the content. Mothers believe smooth" (R19) that the consumption of herbs during the If we look at the ingredients of postpartum herbs consumed by mothers,

254 International Journal of Nursing and Midwifery Science (IJNMS),Volume 4, Issue 3, December 2020 there are several ingredients that function production of the hormone oxytocin, to increase production, such as: which functions to facilitate 1. Adas (Foeniculum vulgare) breastfeeding (Prabasiwi et al., 2015). Adas (Foeniculum vulgare) is a plant that 2) Enhance postpartum blood excretion contains flavonoids and coumarins which 20 respondents stated that during the are included in the phytosrtrogen group that consumption of the puerperal herb, the can stimulate breast milk production (“Studi postpartum blood was excreted smoothly Etnobotani Pengobatan Tradisional and clean faster. As for some of the Untuk Perawatan Wanita Di Masyarakat expressions of respondents regarding these Keraton Surakarta Hadiningrat,” 2014). benefits: 2. Biji Halba "My puerperal blood comes out smoothly, Biji halba which is contained in puerperal and doesn't smell like rancid like normal herb besides being antiviral, it also functions puerperal to increase breastmilk production (“Studi blood" (R5) Etnobotani Pengobatan Tradisional Untuk "My postpartum discharge is smoother and Perawatan Wanita Di Masyarakat Keraton faster" (R7) Surakarta Hadiningrat,” 2014). "The body is fresher, the blood that comes 3. Temulawak (curcuma xanthorrhiza) out doesn't smell fishy and is clean and temu ireng/black (curcuma quickly" (R13) "Postpartum blood comes aeruginosa) out smoothly and milk production is also Temulawak (curcuma xanthorrhiza) and a lot, no body odor either" (R18) temu ireng (curcuma aeruginosa) useful in increasing the mother's appetite during the "Breast milk production is a lot, the body puerperium then increase the amount of is fit faster, the postpartum blood is also breastmilk production (Kumalasari et al., smooth" (R19) 2014). The postpartum herbs that mothers 4. Kencur ( galanga) consume contain several ingredients that Kencur (Kaempferia galanga) besides function to facilitate functioning in preventing vaginal postpartum blood, such as: discharge, it also provides a feeling of 1. Kunyit (curcuma domestica) warmth and freshness on the body so as Kunyit (curcuma domestica) contains lots to provide a sense of comfort and calm of nutrients needed by mothers during psychologically. This condition can childbirth such as protein, curcumin, indirectly stimulate the production of the potassium, carbohydrates, phosphorus, hormone oxytocin, which functions to vitamin C and fat so that they have many facilitate breastfeeding (Prabasiwi et al., health benefits. Apart from being a 2015). fertilizing womb, turmeric also improve 5. Temu Giring (curcuma heyneana) menstrual blood and postpartum blood Similar to Kencur, Temu giring excretion. (curcuma heyneana), which is also an 2. Lengkuas () ingredient in postpartum Lengkuas (Alpinia galanga) functions to herb, gives a feeling of warmth, calm and smooth postpartum blood (FEZIH freshness to the postpartum mother's FATHIMAH NISYAPURI1, JOHAN body. This condition can indirectly keep ISKANDAR2, 2018) the mother's psychological condition 3. Betel nut (Areca catechu) more stable so that it can stimulate the

255 International Journal of Nursing and Midwifery Science (IJNMS),Volume 4, Issue 3, December 2020 Betel nut (Areca catechu) function as apart Six respondents stated that they felt the from excavating neatness, Areca nut also healing process of their perinium wounds functions as a laxative for menstrual and was drier because of consuming the postpartum blood. (FEZIH FATHIMAH puerperal herb. As for some of the NISYAPURI1, JOHAN ISKANDAR2, expressions of respondents regarding 2018) these benefits: 3) Refreshing the body "It feels good in my body. The feeling of Eight respondents stated that while fatigue that is usually felt is also reduced. consuming the postpartum herb she felt My perinium was also very dry, my fresher and healthier. The fatigue and pain postpartum blood was also clean quickly. " that is usually felt by the postpartum (R4) mother decreases. As for some of the "The puerperal blood is smooth, my expressions of respondents regarding these perinum's wound is dry, even though it's benefits: still 3 days. Breast “My body feels fresh like taking vitamins. milk is also a lot. " (R10) My postpartum blood is also cleaner. Asi a "I have a lot of breast milk, the puerperal lot ”(R3) blood is smooth and doesn't smell bad, the "It feels good in my body. The feeling pain in my perinium wound is also gone, of fatigue that is usually felt is also the wound is dry quickly." (R12) reduced. My perinium was also very dry, The benefits felt by the mother due to the my postpartum blood was also clean properties of some of the ingredients of the quickly. " (R4) Madura puerperium "The body is fresher, the blood that comes herbs such as: out doesn't smell fishy and is clean a. White pomegranate (Punica quickly" (R13) The benefits felt by the granatum) mother due to the properties of some of White pomegranate (Punica granatum) is the ingredients of the Madura puerperium used in puerperal herb because it herbs such as: functions as an antibacterial, antihypertensive (Handayani et al., 2012) a. Anginan wood (Usnea thallus) b. Sintok (Cinnamomum sintoc Bl) Anginan wood (Usnea thallus) contains Sintok has an anti-inflammatory function vitamin c, lycuin and hydrate charcoal that can speed up the wound healing which functions to relieve fatigue and process aches (FEZIH FATHIMAH (FEZIH FATHIMAH NISYAPURI1, JOHAN ISKANDAR2, NISYAPURI1, 2018). JOHAN b. Adas (Foeniculum vulgare) ISKANDAR2, 2018) In addition to facilitating breastmilk, Adas c. Adas (Foeniculum vulgare) is also used as anti-inflammatory and anti- Adas in addition to facilitating pain breastfeeding, it is also used as anti- (“Studi Etnobotani Pengobatan inflammatory and anti-pain (“Studi Tradisional Untuk Perawatan Wanita Di Etnobotani Pengobatan Tradisional Untuk Masyarakat Perawatan Wanita Di Masyarakat Keraton Keraton Surakarta Hadiningrat,” 2014). Surakarta Hadiningrat,” 2014). 4) Faster healing of perineal wounds. d. Betel nut (Areca catechu)

256 International Journal of Nursing and Midwifery Science (IJNMS),Volume 4, Issue 3, December 2020 Betel nut (Areca catechu) has properties as "The puerperal blood gets cleaner, the white an antiseptic so that it can help speed up the blood too. Besides that, it doesn't smell and wound healing process during the doesn't itch. Breast milk production is also quite puerperium (FEZIH FATHIMAH a lot "(R20) NISYAPURI1, JOHAN ISKANDAR2, The benefits felt by the mother due to the 2018) properties of some of the ingredients of the e. Rapet wood (Parameria laevigata) Madura puerperium herbs such as: The content of Parameria laevigata bark, a. White pomegranate (Punica granatum) wood and roots contains flavonoids and Apart from being antibacterial, Pomegranate polyphenols, the leaves also contain puih (Punica granatum) also has properties in saponins and tannins. Saponins can cleaning dirty blood during childbirth. This inhibit the growth of colon cancer and help white pomegranate is also used in extracting cholesterol levels become normal. Tannins ingredients because it can treat vaginal discharge are an astringent in the intestinal tract, they (Handayani et al., 2012) can reduce the secretion of fluids in the b. Temukunci (Boesenbergia pandurata) intestines, so that the water content in Rejuvenate the vagina, smooth digestion, human feces decreases so as to prevent puerperal fever, nourish the womb. c. Kunci diarrhea. In several studies, it is stated that Pepet (Kaempferia Angustifolia) : the polyphenol group has a role as Key Pepet or in Latin Kaempferia Angustifolia antioxidants that are good for health. has many health properties. The key content of Polyphenol antioxidants can reduce the risk pepet is believed to function as rapet juice, to of heart and blood vessel disease and overcome and prevent vaginal discharge and cancer. Flavonoids, function: blood body slimming. circulation throughout the body and d. Black (): slimming herb, prevent blockages in blood vessels; reduce natural contraception cholesterol content and reduce fat Black cumin (Nigella sativa) also used in the herb accumulation on blood vessel walls; reduce Madura nifas. Jinten Ireng is fused as a slimming the level of risk of coronary heart disease; herb and natural contraception commonly used contains anti- inflammatory (anti- by mothers in Madura.0 inflammatory); functions as an anti- oxidant; helps reduce pain in case of e. Betel nut (Areca catechu) bleeding or swelling. Betel nut (Areca catechu) has properties as a 5) Eliminate vaginal discharge / white rejuvenate the vagina, antiseptic, menstrual blood clean faster. laxative, body slimming (FEZIH FATHIMAH Eleven respondents stated that they felt the NISYAPURI1, JOHAN ISKANDAR2, benefits of the postpartum herb, one of 2018) which was the rapid discharge of white f. Majakani blood. As for some of the expressions of Majakani used to treat vaginal discharge respondents regarding these benefits: experienced by mothers during childbirth "My milk production is increasing, the (Handayani et al., 2012). white blood that comes out is also fast and it doesn't feel itchy" (R1) Theme 5: The desire to drink Jamu Nifas in "It feels fresh to the body, reduces vaginal the next delivery discharge too, the white blood that comes out doesn't itch like usual" R (11) From the results of the research, 17 of the 20 respondents still want to consume puerperal herb

257 International Journal of Nursing and Midwifery Science (IJNMS),Volume 4, Issue 3, December 2020 in the next postpartum period because they have Penelitian Sistem experienced quite a lot of benefits from Kesehatan. consuming it so far. Meanwhile, the other 3 https://doi.org/10.22435/bps respondents were still hesitant to consume k.v2i1Feb.1568 herbal medicine because it was dependent on the mother's condition in the next postpartum period. Huberman, M. B. M. dan A. M. (2014). Analisis Data Kualitatif, Buku CONCLUSIONS Sumber Tentang Metode-Metode Based on the results of the study, it can Baru. In Penerbit Universitas Indonesia be concluded that 20 postpartum women who (UI-Press). consume puerperal herb have different https://doi.org/Http://uipress.ui.ac.i perspectives in viewing postpartum herb, but in d. general, mothers feel the benefits directly from the postpartum herb they have consumed so far both in the process of recovering the Imron, A. (2013). Implementasi Kebijakan postpartum period and in increasing breast milk Kesehatan “Libas 2+” Sebagai production. . Therefore, the culture of Upaya Menurunkan Angka consuming herbal medicine during the postpartum period is still being carried out Kematian Ibu dan Bayi di Kabupaten today by the Madurese community, especially Sampang. Jurnal Kebijakan the people of Saronngi District, Regency. Kesehatan Indonesia.

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