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Abstract : Breast engorgement in mothers after giving birth is a problem that often causes discomfort and pain. While there are various conventional methods to treat this swelling, interest in natural alternatives is increasing. The solution has attracted attention is the use of purple cabbage leaves as a therapy to reduce breast swelling. This study aims to investigate the effect of giving cold purple cabbage leaf compresses on breast swelling in postpartum mothers. The method used in this research is a quasi-experiment with one group pretest-posttest design. The research sample consisted of 41 postpartum mothers who were selected using the method of purposive sampling. The analysis used with wilcoxon test. This research was carried out at the Nurtiana Ginting Clinic, Serdang Bedagai Regency, from October 2022 to April 2023. The results of the study showed that there was a significant difference between the average reduction in breast swelling before and after giving cold purple cabbage leaf compresses, and p-value of 0.000. This research makes an important contribution in identifying alternative treatment solutions that can be used by health nurse practitioners and the wider community to help postpartum mothers deal with breast swelling. In the further this research will be advantage of postpartum care which focuses on developing natural or herbal therapies that are beneficial for the health of mother and baby, so that this research has the potential to improve the quality of life of postpartum mothers and babies and help in achieving goals. holistic and sustainable care.