Khasiat daun sirih hijau dan merah sebagai tanaman khas papua dalam penurunan pembengkakan payudara ibu nifas post sc

Background: Breastfeeding is essential for the healthy growth and development of infants, but it often fails due to a lack of maternal preparation during pregnancy. A common problem is breast engorgement, which has a prevalence of approximately 65-75% among breastfeeding mothers. If left untreated, this condition can lead to complications such as blocked milk ducts, mastitis, and breast abscesses. One local Papuan wisdom to address this problem is the use of green and red betel leaves, which contain compounds such as flavonoids, tannins, and essential oils that have analgesic and anti-inflammatory effects. Purpose: To analyze the efficacy of green and red betel leaves, native to Papua, in reducing breast engorgement in post-cesarean section mothers. Method: A quasi-experimental study with a pretest-posttest control group design. The sample consisted of 20 postpartum mothers experiencing breast engorgement (10 participants in the green betel group and 10 participants in the red betel group) at the Khomba Waliyauw Community Health Center. The intervention consisted of warm betel leaf compresses for 20 minutes twice daily (morning and evening), followed by breast care according to standard operating procedures (SOP). The level of swelling was measured using the Six-Point Swelling Scale (SPES) on days 5, 12, 19, and 26. Results: This study demonstrated a significant effect in reducing breast swelling in both groups (p=0.05). The significance value for the green betel leaf group was 0.007 and for the red betel leaf group 0.004. The effectiveness of red betel leaf compresses was proven to be more effective in reducing swelling than green betel leaf compresses in postpartum women after cesarean section (p-value 0.029