scholarly journals The Role of Endorphin Stimulation, Oxytocin Massage and Suggestive Technique (SPEOS) in Improving Breast Milk Production among Breastfeeding Mother at Primary Health Center in Cimahi Tengah, West Java, Indonesia

2019 ◽  
Author(s):  
Hemi Hemi Fitriani ◽  
Ismafiaty . ◽  
Syifa Nadira

Inadequatemilksupplyduringthefirstfewdays’after delivery become concern from most of the women. Indonesia Health Research and Development Agency in 2010 stated that the failure of exclusive breastfeeding commonly caused by insufficient milk production. The intervention of SPEOS (EndorphinStimulation, Oxytocin Massage, and Suggestive Technique) methods are offered to post-partum mothers in increasing breast milk supply. This study aimed to identify the influence of SPEOS on breast milk supply among post-partum mothers at Primary Health Care in Cimahi Tengah Indonesia. Quasi-experimental research with non-equivalent control group design was conducted. A total of 20 postpartum mothers were involved in this studyby using accidental sampling technique. The data were taken from March to April 2018 through observation on the amount of breast milk by pumping in two times observation including before and after the SPEOS method applied. The data were analyzed by t-independent test. Ethical approval was obtained from Health Research and Ethics Committee of Institute of Health Science Jenderal Achmad Yani Cimahi No. 005/KEPK/II/2018. The result shows that the intervention group produces more breast milkasmuchas3,74cconthethirddaysoftheexperimentthanthecontrolgroup(2,04 cc).Bivariateanalysisshowspvalue0,001.Therefore,SPEOS methods gives significant influences on breast milk supply among post partum mothers. Conclusions SPEOS methods are effective in increasing low breast milk supply amongpost-partummothers.

2019 ◽  
Vol 12 (1) ◽  
pp. 60-66
Author(s):  
Kusumastuti , ◽  
Umi Laelatul Qomar ◽  
Siti Mutoharoh

Abstract: Lactation is the whole breastfeeding process from breastmilk produced to the baby's process of sucking and swallowing milk. The process of lactation is strongly influenced by the hormone prolactin and oxytocin. Expulsion of prolactin and oxytocin hormones can be stimulated by massage one of them with woolwich massage and oxytocin massage. Determine the effect of combination of Woolwich and oxytocin massages on breast milk production of postpartum mother. Thepresent study used quasi non-equivalent control group design experiment with data analysis using chi-square. The study revealed the differences of breast milk production of the Woolwich massage group and the oxytocin massage compared to the control group. The subjects were0-7 days post-partum mothers who breastfed their baby exclusively, amounting to 22 respondents in each group. Variables of breast milk production, the combination of Woolwich and oxytocin massage have p-value of  higher than 0.05 so it is not statistically significant but clinically it showed that the breast milk production of intervention group had 17% higher than the control group. Although there was no significant effect of the combination of Woolwich and oxytocin massage on breast milk production but there was clinically differenceof outcomes that is visible in intervention groups.  


2018 ◽  
Vol 2 (1) ◽  
pp. 57
Author(s):  
Sri Rahayu ◽  
Aris Sugiarto

Abstract Bleeding is a cause of maternal mortality in Indonesia. Several efforts have been done to decrease maternal mortality, one of them is maternity counseling program (continuty of care/CoC model) in Central Java province. Post partum bleeding can be prevented by giving oxytocin, in a form of oral intranasal, intramuscular and with oxytocin massage to stimulate oxytocin hormone. Oxytocin hormone may elicit uterine contraction and help to increase breast milk production. The purpose of the research is to ascertain the effectiveness of oxytocin massage towards uteri involution and breast milk production of post partum mother. This research uses quasi experiment method with 43 mothers given the treatment and 43 post partum mothers as control. Some of breast milk production respondents who were given massage treatment show enhancement proven by weight gain from birth weight. While uteri involution shows respondents in control group experiencing abnormal involution (37,2 %) and the rests experiencing normal involution, whilst intervention group shows normal involution process (62,8%) and the rests experiencing abnormal involution process which proven by the decline of Fundus height as well as the theory. It is found that post partum mothers who were given intervention, experiencing normal uteri involution and increasing breast milk production so they can breastfeed exclusively. Key words: Oxytocin massage, uteri involution, breast milk production, post partum mother


2020 ◽  
Vol 8 (4) ◽  
pp. 416
Author(s):  
Anita Liliana ◽  
Melania Wahyuningsih

Abstract Adequacy of milk production in the newborns will affect the success of exclusive breastfeeding. Not all postpartum mothers are able to increase milk production in the postpartum period. Acupressure at the meridian points is one way to increase milk production in postpartum mothers. This study aims to determine the effect of acupressure therapy on increasing breast milk production in postpartum mothers at PKU Muhamadiyah Bantul. This study was a quantitative study  a quasi-experimental research design with pre-test and post-test nonequivalent control group. The number of respondents in each group was 17 people. The treatment given was acupressure at the meridian points for 5 minutes on days 2 and 3of poatpartum. Breastfeeding adequacy was assessed before treatment and on day 4 postpartum. Data were analyzed by Mc Nemar analysis. The results showed that there was a significant difference in breast milk production before and after acupressure with p value of 0.000 (p value <0.05). There was a significant difference in breast milk production in the control group before and after being given the breastfeeding technique leaflet p value 0.001 (p value <0.05). Conclusion: There is no significant difference in breast milk production after being given acupressure and after being given leaflets about breastfeeding techniques at PKU Muhamadiyah Bantul p value 0.100 (p value> 0.05).  Keywords: acupressure, breast milk production, postpartum


2018 ◽  
Vol 3 (1) ◽  
pp. 76
Author(s):  
Elvika Fit Ari Shanti

Abstrak: Produksi ASI yang kurang dan lambat keluar dapat menyebabkan ibu tidak memberikan ASI pada bayinya dengan cukup. Selain hormon prolaktin, proses laktasi juga bergantung pada hormon oksitosin, yang dilepas dari hipofise posterior sebagai reaksi terhadap penghisapan putting. Rolling massage salah satu terapi relaksasi yang bertujuan menstimulasi saraf pusat pada hipofisis posterior dan anterior sehingga dapat meningkatkan produksi ASI khususnya pada ibu post partum dan memberikan kenyamanan dan rileksasi setelah persalinan. Adapun tujuan penelitian adalah mengetahui efektifitas produksi ASI pada ibu post partum dengan massage rolling (punggung) di BPM Sri Sukeni Sleman. Metode penelitian ini adalah Quasi Experimental Design dengan rancangan penelitian two group post test design. Kelompok kontrol adalah ibu postpartum tanpa dipijat Massage roliing dan kelompok perlakuan adalah kelompok ibu postpartum yang dipijat masssage Roliing. Analisis data menggunakan uji independent t test dan paired sample t test. Hasil penelitian uji t sampel menunjukkan bahwa ada perbedaan yang bermakna (p=0.023<) produksi ASI (berat badan bayi) antara kelompok kontrol ( 2687,07 ± 160,155) dengan kelompok perlakuan (2846,13± 198,968). Perbedaan ini terlihat pada rerata berat badan bayi pada kelompok perlakuan lebih besar dibandingkan dengan kelompok. Massage rolling memengaruhi produksi ASI di BPM Sri Sukeni Sleman Tahun 2017. Abstract: The inadequate, slow production of breast milk makes mothers unable to provide enough breast milk to their babies. Besides the prolactin hormone, the lactation process also depends on oxytocin hormone which is secreted from the posterior hypophysis as a reaction on nipple suckling. Rolling massage is one of the relaxation therapy which aims to stimulate the central nerve on posterior and anterior hypophysis, so the breast milk production can be increased, particularly in the postpartum mothers, and comfort and relaxation after childbirth can be provided. This research aims to investigate the effectiveness of breast milk production in the postpartum mothers with massage rolling (back) in Sri Sukeni Community Empowerment Agency, Sleman. The methodology in this research is Quasi-Experimental Design with two-group posttest design. The control group is postpartum mothers without massage rolling and the treatment group is postpartum mother treated with the massage rolling. Data analysis used the independent t-test and the paired sample t-test. The research shows the result that in samples of t-test, there is a meaningful difference (p = 0.023<) in breast milk production (weight of baby) between control group (2,687.07 ± 160.155) and treatment group (2,846.13 ± 198.968). This difference is shown in the average weight of baby in treatment group which is higher compared with the control group. Massage rolling affects breast milk production in Sri Sukeni Community Empowerment Agency, Sleman in 2017.


1970 ◽  
Vol 5 (2) ◽  
pp. 46
Author(s):  
Astri Dwi Ningrum ◽  
Ira Titisari ◽  
Finta Isti Kundarti ◽  
Arika Indah Setyarini

The decrease of breast milk production of postpartum mother in the early breast feeding process that become a problem for mother to provide breast milk  early on her baby. Based on a preliminary study of the lowest exclusive breastfeeding rate coverage in the Kediri city is at Sukorame Public Health Center. This is because many postpartum mothers who felt less that give their milk formula or food other than breast milk in early lactation. The breast milk production could be stimulated by the use of intervention  marmet technique. The purpose of this study was to investigate the influence of giving marmet technique to the breast milk production of the postpartum mother. This study is a quasi-experimental research design with post-test only control group design. The population in this study were all post partum mothers who met the inclusion criteria for the study in BPM working area of Sukorame Public Health Center Kediri City. The sampling technique is consecutive sampling with a sample of 26 respondents. Data collection was done by dividing into 2 groups: the experimental group and the control group and to assess the breast milk production using the observation sheet of breast milk production. Data analysis technique used is the Fisher Exact Test Test. The results obtained p value count (0.0074) < = (0.05) then H0 is rejected, meaning that there is the effect of giving marmet technique to the breast milk production. The conclusion of this study was the Marmet technique affects breast milk production of post partum mother. Giving Marmet technique can be applied to help the adequacy of breast milk production. Suggestions researchers is that all medical person can continue to support the improvement of service quality by taking into account maternal postpartum milk production that can impact the breastfeeding process. Keywords: marmet technique, breast milk production, post partum


Author(s):  
Sagita Darmasari ◽  
Eryani Putri ◽  
Indah Rahmadaniah

According to UNICEF improper Behaviourand less of knowledge contributed to the death of  a child, one of them, namely the mothers do not realize the importance of breast feeding. According to Basic Medical Research percentage of breastfeeding pattern <1 hourin 2010 i.e. 29,3% and increased to 34,5% in 2013. The breastfeeding patterns 1-6 the first hour of the in 2010 as many as 40,7% and decreased to 35,2% in 2013. A few methods to help improve the ASI production such as oxytocin massage methods, marmet technique, warm compresses, massase rolling (back), breast care, and methods of SEMOS (Stimulation of Endorphin Massage, Oxytocin and Suggestive). This research aimed to know the effectiveness combination of the mermet technique and oxytocin message against the breast milk production of  mothers postpartum. This research used quasi alphabets experiment withpost testmenthods only with control group design. The results of using independent T-bivariat test obtained p value 0,007 < ? (0,05) which means therewas a significant influence between breast milk production of mother postpartum group intervene the breastmilk production of mother postpartum with control group with an average of breast milk production of 30 respondents were  divided into two groups that was 15 respondents of the intervention group obtained 1,113cc whereas 15 respondents of control group obtained 0,547cc. The combination of the marmet technique and oxytocin massage and was effective to stimulatehormone prolactin spending that would stimulate the cells of the alveoli and contain myoepithelial for breast milk  Production of mothers postpartum process on the first days after birth..


2021 ◽  
Vol 8 (4) ◽  
pp. 286
Author(s):  
Sri Dinengsih ◽  
Cholisah Suralaga

<p><em>Mothers that give birth with </em><em>section caesaria</em><em> (SC) often experience difficulty to get a adequate breast milk production. Various kinds of effort have been conducted to overcome this problem, including pharmacological intervention. One of the medicines that could be possibly used is domperidon. Domperidon is an antagonist receptor of peripheral dopamine that works by choking inhibition effect of prolactin secretion facilitated by dopamine to improve breast milk production</em><em>.The research aimed to unveil the effect of </em><em>domperidon toward breast milk production on mother that give birth with SC in I</em><em>ndonesia. This is a<strong> </strong></em><em>quasi-experiment<strong> </strong>research with two groups<strong> </strong>post-test only design. The sample of this research 30 were post sectio caesarea patients consisting of 15 patients in intervention group and 15 patients in control group. Purposive sampling was used in the research to get the samples. The instrument used was observation sheets. Result analysis was conducted by calculating the frequency distribution and bivariate</em><em> analysis with </em><em>Mann Whitney</em><strong><em> </em></strong><em>test.<strong> </strong>The average score of breast milk production among </em><em>post-SC mother in the intervention group was 22,60, while the average score of breast milk production among post-SC mother in control group was 15,47, Asymp. value Sig (2 tailed) 0,020 (0,020 &lt; 0,05)</em><em>. </em><em>Domperidone has been approved to have a significant effect to improve breast milk production on post-SC mothers. Improving breast milk production could be conducted non-pharmacologically, but pharmacological therapy could also be considered if the non-pharmacological therapy doesn’t work well in improving breast milk production.</em><em></em></p>


2019 ◽  
Vol 7 (1) ◽  
pp. 25
Author(s):  
Leni Marlina ◽  
Dora Samaria ◽  
Theresia Theresia

The exclusive breastfeeding in Indonesia has not yet reached the national level target. Data from Private Hospital in West Jakarta found that there were only 60% of mothers who gave exclusive breast feeding in 2016, 38% of whom said they were unsuccessful due to low breast milk. The method that can be used to increase milk production is Hands on Pumping (HOP) technique, HOP is a technique of flushing the breast milk by relying on the strength of our thumb and index finger. To observe the effect of HOP on breast milk production in post partum mothers. We employed a quasi experimental design with pre and post test design, with the control group. The sample size was 68 mothers post multiparous partum with criteria 34 as the HOP experimental group and 34 post partum mothers as the control group (without HOP). On the third day of the intervention group there was a significant increase in breast milk production from the first day. The experimental group received HOP intervention (34 mothers) with a rise of 121.08 ml. This means that there is a difference in milk production before and after treatment. On the third day, the results of the p value are 0,000, with p value &lt;0.05, which brought to the conclusion that there was an influence of HOP on breast milk production. HOP can significantly increase milk production. Next researcher is recommended to conduct similar research by paying attention to other factors that also affect breast milk production, such as psychological, nutrition, maternal breast conditions, and hormones.


2017 ◽  
Vol 3 (2) ◽  
pp. 95-101
Author(s):  
Ima Candra Kusuma ◽  
Onny Setiani ◽  
Umaroh Umaroh ◽  
Noor Pramono ◽  
Melyana Nurul Widyawati ◽  
...  

Background: Sweet potato leaf is assumed to be one of alternative herbs that can increase breast milk production. However, there was no studies found in the literature that examine the sweet potato leaves to increase the levels of prolactin and milk production.Objective: To examine the effect of sweet potato (Ipomoea batatas L.) leaf on the levels of prolactin and milk production in postpartum mothers.Methods: This was a Quasy experimental study with pretest-posttest design with control group, conducted on November 2016 to December 2016 in the Health Center (Puskesmas) of Boyolali I. Thirty respondents were selected using consecutive sampling, which were divided to be 15 respodents in intervention group and 15 respondents in control group. Enzyme-linked immunosobent assay (ELISA) was used to measure prolactin levels, while breast milk production was measured based on the volume of breast milk and baby’s weight. Data were analzed using Independent t-test and paired t-test.Results: Finding showed that there was a significant difference in prolactin levels between the intervention (270.43) and control group (156.28) after intervention  with p-value 0.000, and a significant difference in breast milk production in terms of breast milk volume (intervention group 136.33; and control group 119) with p-value 0.028; and baby’s weight (intervention group 3030.3; and control group 2787.33) with p-value 0.000.Conclusion: There was  a significant effect of sweet potato (Ipomoea batatas L.) leaf on the levels of prolactin and breast milk production. Thus, it could be suggested that sweet potato leaves should be considered to be one of alternative treatements for health care providers, especially for midwives to help breastfeeding mothers in increasing their breast milk production and prolactin levels. Further research is needed to examine all factors affecting breast milk production.


2021 ◽  
Vol 2 (1) ◽  
pp. 70-77
Author(s):  
Fadilah Widyaningsih ◽  
Tri Marini SN

Banana blossom is a food that has many benefits and is easily obtained by the community because it can be easily planted in the yard of the house. Banana blossom processing in the community can be done by boiling and steaming. Banana blossom also contains protein, minerals (especially phosphorus, calcium and iron) and a number of vitamins A, B1 and C. There are many reasons for mothers do not give exclusive breastfeeding to their babies. However, what is most often found is insufficient breast milk. There are several factors that influence milk production, one of which is the food factor. One of the efforts to increase breastmilk production that will be carried out is by giving Kepok Banana blossom Simplicia. This study aims to determine the effect of Kepok banana blossom simplicia on increasing breast milk production in postpartum mothers at Nurhayati and Nining Pelawati Midwifery Pratama Clinic, Lubuk Pakam sub district in 2019. This type of research was a Quasi Experiment with a Non Equivalent Control Group design and purposive sampling. Samples were normal postpartum mothers from day 7 to day 21 with parity of 1-2 and were willing to take part in the study through informed consent. Based on the results of the Wilcoxon Rank test and the Mann-Whitney test, it was obtained a p-value of 0.000 (α <0.05), which means that there was a significant effect on the simplicia of Kepok banana blossom on increasing milk production in postpartum mothers and it is expected that it can be used as an effort to increase milk production in postpartum mothers and to meet the needs of babies without having formula milk.      


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