The Effect Of Combining Oxytocin Massage And Breast Care On Breast Milk Adequacy In Postpartum Mothers In The Working Area Of Poncowati Health Center, Central Lampung Regency, 2024
Keywords:
Breast Milk, Postpartum Mother, Breast Care, Oxytocin MassageAbstract
According to WHO in 2021, only 42% of countries provided exclusive breastfeeding from the target of 75%. In Lampung Province, there was a decrease in coverage of infants less than 6 months receiving exclusive breastfeeding from 76.76% in 2022 to 76.20%. Breastfeeding failure is often caused by several problems, one of which is insufficient milk production. Non-pharmacological methods to increase milk production are oxytocin massage and breast care. Oxytocin massage functions to stimulate the oxytocin reflex, calming the mother, so that breast milk flows naturally, while breast care is an action to care for the breasts, especially to facilitate breastfeeding. The research aim was to determine the effect of combining oxytocin massage and breast care on breast milk adequacy in postpartum mothers. The research method was pre-experimental using a one-group pre-posttest design approach by providing oxytocin massage intervention. It was given to postpartum mothers on days 5-9 twice daily, morning and evening. The population in this study was 42 breastfeeding postpartum mothers. The sampling technique used purposive sampling with a sample size of 20 postpartum mothers. Indicators of breast milk adequacy were seen from urination frequency, feeding frequency, and changes in baby's weight. This research was conducted in the Poncowati Health Center Area, Central Lampung Regency in 2024. Data analysis used the Wilcoxon test (for urination and feeding frequency) and Paired Sample Test (for baby's weight changes). Research results showed the average baby feeding frequency before was 7 times and after was 10 times, baby urination frequency before was 6 times and after was 8 times, baby weight before was 3094 grams and after was 3301.5 grams. The conclusion with p-values for feeding 0.000 (<0.05), baby urination 0.000 (<0.05), and baby weight 0.000 (<0.05) means there is an effect of combining oxytocin massage and breast care on breast milk adequacy in postpartum mothers. The research suggests that postpartum mothers can perform a combination of oxytocin massage and breast care as therapy to increase milk production.
References
Ardiyanti, H., Rista, DA. (2023). Pengaruh Pijat Oksitosin Terhadap Produksi ASI Pada Ibu Nifas di BPM Noranita Kurniawati. Jurnal Kebidanan.
Ardhiyani, M., Fauziah, L., Halimatus, S. (2020). Pengaruh Pemberian Kombinasi Perawatn Payudara dan Pijat Oksitosin Terhadap Produksi ASI pada Ibu Post Partum. Jurnal Kebidanan : Kediri.
Arvianti, R. A. (2018). Pengaruh Pemberian Sari Kacang Hijau Pada Ibu Nifas Terhadap Produksi ASI Di Kota Bengkulu. Karya Tulis Ilmiah. Jurusan Kebidanan Poltekkes Kemenkes Bengkulu, Bengkulu.
Astutik, et.al. (2019). Method (Stimulation Endorphin, Oxytosin and Sugestive) to Increase . Pekalongan : PT. Nasya Expanding Management.
Badan Pusat Statistik. (2024). Presentase Bayi Usia Kurang Dari 6 Bulan Yang Mendapatkan ASI Ekslusif Menurut Provinsi (2021-2023). Jakarta : Badan Pusat Statistik.
Dahlan, S, M. (2020). Besar Sampel dan Cara Pengambilan Sampel. Yogyakarta: Salemba Medika.
Departemen Kesehatan RI. (2016). Manajemen Laktasi. Departemen Kesehatan : Jakarta: Depkes RI
Dinas Kesesehatan Provinsi Lampung. (2024). Profil Kesehatan Provinsi Lampung tahun 2023. Lampung: Dinas Kesehatan Provinsi Lampung.
Dinni,. R.L,. Legina. A. (2021). Pijat Oksitosin Sebagai Langkah Awal Gentel Breasfending. Malang : CV. Pustaka Learning Center
Doko, T., et al. (2019). Pengaruh Pijat Oksitosin Oleh Suami Terhadap Peningkatan Produksi ASI Pada Ibu Nifa. Jurnal Keperawatan Silampari. Vol 2, No 2. doi: http//doi.org/10.31539/jks.v2i2.529.
Elisabeth, S., Endang, P. (2022). Asuhan Kebidanan Masa Nifas dan Menyusui. Yogyakarta : PT Pustaka Baru
Eni, A., & Wulandari, F. (2019). Pengaruh Pijat Oksitosin Terhadap Peningkatan Produksi Asi Pada Ibu Post Partum Di Puskesmas Balaraja. Jurnal Keperawatan, 3(2), 18–30.
Ernawati T., Ernik R. (2020). Perawatan Payudara Dan Pijat Oksitosin Meningkatkan Produksi Asi Pada Ibu Post Partum . Jurnal Kebidanan . Vol 6, No 2, April 2020 : 255-263
Febriani, A., Yulita, N., Juwita, S. (2020). Efektivitas Pemberian Soybean (Glycine Max) dalam Peningkatan Asi Ibu Menyusui di Wilayah Kerja Puskesmas Kota Pekanbaru. Journal of Midwifery Science : Pekanbaru
Feti, K., & Noor, Y. (2023). Pengaruh Kombinasi Perawatan Payu Dara (Breast Care) dan Pijat Oksitosin terhadap bendungan payudara dan produksi ASI ibu postpartum. Journal of Research and Knowledge.
Ibrahim, F. (2021). Penerapan Pijat Oksitosin dan Marmet untuk Meningkatkan Produksi ASI Ibu Nifas. Journal Midwifery. Jurusan Kebidanan Politeknik Kesehatan Gorontalo, 6(2), 73.
Indonesia, Profil Kesehatan. (2019). Profil Kesehatan Indonesia. Teluk Betung: Dinas Kesehatan Profinsi Lampung
Juliastuti, D. (2017). Asuhan Kebidanan Pada Ibu Nifas. Pekalongan: PT. Nasya Expading Management
Kemenkes RI. (2019). Profil Kesehatan Indonesia Tahun 2020. Jakarta: Kementrian Kesehatan Republik Indonesia
Monika F., B,. (2014). Buku Pintar ASI dan Munyusui. Jakarta: Noura Books (PT Mizan Publika).
Mustika, D. N., et.al. (2018). Buku Ajar Asuhan Kebidanan Nifas. Surabay : In Akademi Kebidanan Griya Husada.
Nugraheni, D. E. (2017). Metode SPEOS (Stimulasi Pijat Endorphin, Oksitosin,
Dan Segestif). Dapat Meningkatkan Produksi ASI Dan Peningkatan
Berat Badan Bayi. Jurnal Kesehatan
Nurliza., Imelda, D. (2019). Pengaruh Pijat Oksitosin dan Breascare terhadap Produksi ASI Ibu Nifas di Klinik Utama AR Pasar Rebo. Jurnal Ilmiah Kesehatan . Jawa Barat
Purnanto,B. (2015). Resep Herbal Tradisional. Yogyakarta: Madya pustaka
Sari, T. D. (2018). Faktor-Faktor Yang Berhubungan Dengan Produksi Air Susu Ibu (ASI) Ekslusif Pada Ibu Menyusui Di Wilayah Kerja Puskesmas Plus Mandiangin Kota Bukittinggi Tahun 2018. Jurnal Kesehatan.
Sarumi, Rasniah,. (2022). Kelancaran Pemberian ASI Ekslusif. Pekalongan: PT. Nasya Expading Management
Sestu, I.,Yuni, S. (2022). Pijat oksitosin untuk meningkatkan ASI. Pekalongan, Jawa Tengah: PT. Nasya Expading Management
Silviani, et al,. (2023). Pengaruh terapi pijat oksitosin tehadap kelancaran ASI Pada Ibu nifas. Jurnal Stikesda Mudayana.
Sugiyono. (2018). Metode Penelitian Kuantitatif,Kualitatif, dan Kombinasi (Mixed Methods).Bandung : Alfabeta
Sujarweni, Wiratna (2022). Metodelogi Penelitian. Yogyakarta : PT. Pustaka Baru
Sutanto, V. A. (2018). Asuhan Kebidanan Nifas dan Menyusui. Yogyakarta: Pustaka Baru Press
WHO. (2023). World Breastfeeding Week. Diakses pada tangga 1 Agustus 2023.
Zubaidah, et al. (2021). Asuhan Keperawatan Nifas. Yogyakarta : CV Budi Utama
