scholarly journals Effectiveness of Stimulation of Endorphin, Oxytocin, and Suggestive Massage Method on the Breast Milk Production in Postpartum Mothers at General Hospital, South Tangerang, Banten

2020 ◽  
Author(s):  
Dewi Susanti ◽  
◽  
Keyword(s):  
Breast Milk ◽  
General Hospital ◽  
Milk Production ◽  
Control Group ◽  
Contributing Factors ◽  
Breast Milk Production ◽  
Independent Variable ◽  
Postpartum Mothers ◽  
Experimental Group ◽  
Stimulation Of

ABSTRACT Background: The rate of exclusive breastfeeding in Indonesia reduced to 50% in 2019, far from the national target of 80% in 2014. One of the contributing factors is the inadequate breastmilk production of mothers, especially in the first and second days after birth. This study aimed to examine the effectiveness of stimulation of endorphin, oxytocin, and suggestive (SPEOS) massage method on breast milk production in postpartum mothers at General Hospital, South Tangerang, Banten. Subjects and Method: A randomized control trial was conducted at General Hospital, South Tangerang, Banten, from July to August 2020. A sample of 80 postpartum mothers was randomized into two groups: (1) Experimental group that received SPEOS massage method conducted for 10 minutes, and (2) Control group that received no intervention allocated into two groups. The dependent variable was the production of breastmilk. The independent variable was massage with the SPEOS method. The data were collected by measuring the volume (ml) of breastmilk. The data were analyzed by Mann-Whitney test. Results: After the intervention, mean of breastmilk production in postpartum mothers in the experimental group (Mean= 46.55) was higher than the control group (Mean= 34.45), and it was statistically significant (p= 0.018). Conclusion: Breastmilk production in postpartum mothers increases with the stimulation of endorphin, oxytocin, and suggestion massage method. Keywords: SPEOS, massage, breastmilk production, postpartum mothers Correspondence: Dewi Susanti. Program Study of Diploma-III Midwifery, Academy of Midwifery Karya Bunda Husada. Email: [email protected]. Mobile: +6285213230340. DOI: https://doi.org/10.26911/the7thicph.03.73

scholarly journals THE EFFECT OF TEMULAWAK (CURCUMA XANTHORRHIZA OR JAVANESE GINGER) ON THE BREAST MILK PRODUCTION OF POST PARTUM MOTHERS AT NINGSIH INDEPENDENT MIDWIFE TAWANGMANGU

2018 ◽  
Vol 2 (2) ◽  
pp. 30-34
Author(s):  
Endah Widhiastuti ◽  
Bambang Yunianto ◽  
Sri Sugiyartiningsih
Keyword(s):  
Breast Milk ◽  
Milk Production ◽  
Post Partum ◽  
The Body ◽  
Control Group ◽  
P Value ◽  
Breast Milk Production ◽  
Curcuma Xanthorrhiza ◽  
Postpartum Mothers ◽  
Experimental Group

Background of Study: Herbs as Indonesia’s cultural heritage have been used hereditary in many generations. One of them is temulawak (Curcuma xanthorrhiza Roxb). The immunomodulator (Immunostimulant) is a compound that can boost the immunity mechanism of the body, specifically as well as non-specifically. Rahman (2007) stated that temulawak is taken from rhizomes which consists of 64% starch, 1,6 – 22% curcumin and 1,48 – 1,63 % essential oil that believed to be able to improve the kidney’s work and to serve as anti-inflammatory. Because of these many benefits of temulawak and the phenomena of drinking herbs habits by postpartum women particularly in Javanese culture, then the researchers were encouraged to do a research on temulawak as a breast milk booster. Objective: To study the effect of giving temulawak on the breast milk production of postpartum mothers at independent midwife NINGSIH with the indicator of the babies’ weight gain, urination frequency, breastfeeding frequency and the length of babies’ sleep after being breastfed. Method: The research is a quasi-experiment and the research design is a Static Group Comparison in which observation method is applied. The population of this research is women in their postpartum time until the 14-day period after childbirth in Ningsih independent midwife during the research. The sample is all the qualified population who meets the requirement. The technique of the sampling is purposive sampling. The independent variable is the use of temulawak. The dependent variable is the milk production in breastfeeding in 14-day period after childbirth. The T-test is used for analyzing. The Result of the Study:The result of the study showed that the weight of the babies in the experimental group gained 535 grams in average and in the control group gained 270 in average. The urination frequency of the babies in the experimental group was 7.5 times in average and in the control group was 5.05 times. The breastfeeding frequency in the experimental group was 9.35 times in average and in the control group was 6.85 in average. After being breastfed, the babies in the experimental group spent 1.93 hours of sleeping in average, whereas the babies in the control group spent less than normal. In conclusion, there was only 1 person (5%) in the control group who had a good production of breast milk whereas in the experimental group, there were 14 persons (70%). Therefore, it can be concluded from the study that there was a significant effect on the use of temulawak to the production of breast milk of postpartum mothers with p value of 0,000 and alpha value of 0,05. Conclusion : There is a significant effect on the use of temulawak in increasing milk production in lactation in postpartum period

PENGARUH PEMBERIAN PUDING SARI PEPAYA TERHADAP PRODUKSI ASI PADA IBU POSTPARTUM DI BPM SUGIHARTI LUBUK PAKAM TAHUN 2020

2021 ◽  
Vol 2 (1) ◽  
pp. 78-84
Author(s):  
Nurul Azizah Hasibuan ◽  
Evi Desfauza
Keyword(s):  
Breast Milk ◽  
Milk Production ◽  
Exclusive Breastfeeding ◽  
Control Group ◽  
P Value ◽  
Breastfeeding Initiation ◽  
Not Given ◽  
Breast Milk Production ◽  
Postpartum Mothers ◽  
Experimental Group

Introduction: One of the obstacles that occur in postpartum mothers is not giving exclusive breastfeeding. According to UNICEF data (2018) the coverage of exclusive breastfeeding in the world is only around 36%. Papaya fruit provision to postpartum mothers is one of the efforts to increase breast milk production, the aim of this study was to find out the effect of papaya juice pudding provision to breast milk production in postpartum mothers at Sugiharti midwifery clinic of Lubuk Pakam in 2020. Methods: This type of research was Quasi Experiment with a Posttest Only Control Group design and the sampling used was purposive sampling. Samples were 30 postpartum mothers, namely 15 experimental groups who gave papaya juice pudding and 15 control groups who were not given papaya juice pudding with the inclusion criteria of normal postpartum mothers, infants who were given early breastfeeding initiation, mothers who did not consume drugs, herbal / Other breastfeeding smoothing supplements, willing to take part in the research through Informed Consent, were given in the experimental group papaya juice pudding while in the control group papaya juice pudding was not given. Results and Discussion: This research on giving papaya juice pudding was conducted for 7 consecutive days and then measured the volume of breast milk using Breastpump. Based on the results of the study showed that the average milk production of the experimental group was 128.00 and the average milk production of the control group was 91.20, so the difference in breast milk production was 36.8. Then it can be seen that the results of the Independent T-Test test obtained a P-Value of 0.000 (α <0.005). Conclusion: The provision of papaya juice pudding has an effect on increasing breast milk production in postpartum mothers. It is suggested to midwifery clinic to utilize papaya fruit which can be processed into papaya juice pudding to increase breast milk production in postpartum mothers so that mothers give exclusive breastfeeding to their babies.

scholarly journals PENGARUH TERAPI AKUPRESUR TERHADAP PENINGKATAN PRODUKSI ASI PADA IBU POST PARTUM DI PKU MUHAMADIYAH BANTUL

2020 ◽  
Vol 8 (4) ◽  
pp. 416
Author(s):  
Anita Liliana ◽  
Melania Wahyuningsih
Keyword(s):  
Breast Milk ◽  
Milk Production ◽  
Post Partum ◽  
Control Group ◽  
P Value ◽  
Breast Milk Production ◽  
Significant Difference ◽  
Before And After ◽  
Increase Milk Production ◽  
Postpartum Mothers

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

scholarly journals EFEKTIFITAS PRODUKSI ASI PADA IBU POST PARTUM DENGAN MASSAGE ROLLING (PUNGGUNG)

2018 ◽  
Vol 3 (1) ◽  
pp. 76
Author(s):  
Elvika Fit Ari Shanti
Keyword(s):  
Treatment Group ◽  
Breast Milk ◽  
Milk Production ◽  
Post Partum ◽  
Community Empowerment ◽  
T Test ◽  
Control Group ◽  
Breast Milk Production ◽  
Quasi Experimental ◽  
Postpartum Mothers

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.

scholarly journals THE IMPACT OF HANDS ON PUMPING ON THE LEVEL OF BREAST MILK PRODUCTION ON POST PARTUM MOTHERS

2019 ◽  
Vol 7 (1) ◽  
pp. 25
Author(s):  
Leni Marlina ◽  
Dora Samaria ◽  
Theresia Theresia
Keyword(s):  
Breast Milk ◽  
Milk Production ◽  
Post Partum ◽  
Control Group ◽  
P Value ◽  
The Third ◽  
Breast Milk Production ◽  
Hands On ◽  
Increase Milk Production ◽  
Experimental Group

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.

scholarly journals EFFECT OF CONSUMING TEMULAWAK (CURCUMA XANTHORRHIZA ROXB.) EXTRACT ON BREAST MILK PRODUCTION IN POSTPARTUM MOTHERS

2017 ◽  
Vol 3 (5) ◽  
pp. 603-611
Author(s):  
Chyntia Desbriyani ◽  
Soeharyo Hadisaputro ◽  
Titi Suherni ◽  
Ari Suwondo ◽  
Supriyana Supriyana
Keyword(s):  
Breast Milk ◽  
Milk Production ◽  
Dominant Factor ◽  
Control Group ◽  
Control Group Design ◽  
Breast Milk Production ◽  
Equivalent Control ◽  
Increase Milk Production ◽  
Curcuma Xanthorrhiza ◽  
Postpartum Mothers

Background: The dominant factor inhibiting breastfeeding is the lack of milk production. The extract of temulawak (curcuma xanthorrhiza Roxb) is considered having an effect to increase breast milk production.Objective: To examine the effect of temulawak (curcuma xanthorrhiza Roxb) extract to increase milk production in postpartum mothers in the working area of Ambarawa Community Health Center.Methods: This was a quasy-experimental study with non-equivalent control group design conducted on October-December 2016. There were 38 respondents included using consecutive sampling, with 19 assigned in the intervention and control group. Paired t-test and independent test were used for data analysis.Results: Findings showed that there were significant increases of prolactin hormone (p = 0.000), breast milk volume (p = 0.001), baby’s urinary frequency (p = 0.001), baby’s defecation frequency (p = 0.000), and baby’s sleep duration (p = 0.000) after given temulawak (curcuma xanthorrhiza Roxb) extract.Conclusion: Temulawak (curcuma xanthorrhiza Roxb) extract has a significant effect in increasing breast milk production and prolactin levels in postpartum mothers. Thus, it is recommended that temulawak (curcuma xanthorrhiza Roxb) extract can be an option for postpartum mother to increase milk production.

scholarly journals PERBEDAAN ANTARA KOMBINASI MASSAGE WOOLWICH DAN MASSAGE ROLLING DENGAN TEKNIK MARMET TERHADAP PRODUKSI ASI PADA IBU NIFAS DI WILAYAH KERJA PUSKESMAS KARANG PULE

2020 ◽  
Vol 2 (2) ◽  
pp. 129
Author(s):  
Juninda Nurfija ◽  
Ni Nengah Arini Murni
Keyword(s):  
Public Health ◽  
Breast Milk ◽  
Health Center ◽  
Milk Production ◽  
T Test ◽  
Control Group ◽  
Consecutive Sampling ◽  
Breast Milk Production ◽  
Post Test ◽  
Postpartum Mothers

ASI eksklusif merupakan salah satu program yang cukup sulit dikembangkan karena berkaitan dengan berbagai permasalahan sosial di masyarakat. Untuk mencegah dan menangani masalah laktasi tersebut, maka dimungkinkan sebuah intervensi yaitu Kombinasi Masssage Woolwich dan Massage Rolling serta Tekhnik Marmet. Dilakukannya penelitian ini yaitu guna mengetahui adanya perbedaan Kombinasi Masssage Woolwich dan Massage Rolling dengan Tekhnik Marmet terhadap produksi ASI ibu nifas di wilayah kerja Puskesmas Karang Pule. Penelitian ini menggunakan rancangan penelitian Quasi Eksperiment dengan menggunakan rancangan post test only design with control group. Populasi penelitian ini adalah seluruh ibu nifas di wilayah kerja Puskesmas Karang Pule, sampel diambil dengan consecutive sampling dengan jumlah 34 orang. Analisis data menggunakan Independent T- test untuk mengetahui adanya perbedaan produksi ASI antara dua kelompok intervensi. Produksi ASI pada kelompok intervensi kombinasi massage woolwich dan massage rolling didapatkan rata-rata yaitu 29,12 cc. Sementara produksi ASI pada kelompok dengan tehnik marmet didapatkan rata-rata yaitu 22,35 cc. Uji statistik yang digunakan adalah Independent T-test didapatkan hasil nilai t sebesar 2,617 dan signifikansi (p) 0,013 < 0,05. Ada Perbedaan antara kombinasi massage woolwich dan massage rolling dengan tekhnik  marmet terhadap produksi ASI ibu nifas di wilayah kerja Puskesmas Karang Pule Tahun 2019. Exclusive breastfeeding is one program that is quite difficult to develop because it is related to various social problems in the community. To prevent and deal with the problem of lactation, an intervention is possible, namely a combination of wolwich massage, Rolling Massage and Marmet Technique. This research is conducted to find the different of woolwich massage combination and rolling massage with marmet technique to milk production of postpartum mother in the working area of Karang Pule Public Health Center in 2019. This study used a Quasi Experiment design using a post test only design with control group. The population was all postpartum mothers at working area of Karang Pule Public Health Center, samples were taken with consecutive sampling with a total of 34 people. Data analysis used the Independent T-test to determine the differences in ASI production between the two intervention groups. Breast milk production in the intervention group combined of woolwich massage and rolling massage obtained an average of 29.12 cc. While breast milk production in the group with the marmet technique was obtained an average of 22.35 cc. The statistical test used is the Independent T-test, the results of the t value are 2.617 and the significance (p) is 0.013 <0.05. There is a difference between the combination of massage woolwich and rolling massage with marmet techniques on the production of breast milk for postpartum mothers in the work area of the Karang Pule Health Center in 2019.

PENGARUH PEMBERIAN SIMPLISIA JANTUNG PISANG KEPOK TERHADAP PENINGKATAN PRODUKSI ASI PADA IBU POST PARTUM DI PBM NURHAYATI DAN KLINIK PRATAMA NINING PELAWATI KEC. LUBUK PAKAM TAHUN 2020

2021 ◽  
Vol 2 (1) ◽  
pp. 70-77
Author(s):  
Fadilah Widyaningsih ◽  
Tri Marini SN
Keyword(s):  
Breast Milk ◽  
Milk Production ◽  
Post Partum ◽  
Rank Test ◽  
Control Group ◽  
P Value ◽  
Control Group Design ◽  
Food Factor ◽  
Breast Milk Production ◽  
Postpartum Mothers

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.      

scholarly journals Efektifitas Sayur Pepaya Muda dan Sayur Daun Kelor terhadap Produksi ASI pada Ibu Post Partum Primipara

2019 ◽  
Vol 10 (1) ◽  
pp. 84
Author(s):  
Warjidin Aliyanto ◽  
Rosmadewi Rosmadewi
Keyword(s):  
Weight Gain ◽  
Breast Milk ◽  
Milk Production ◽  
Control Group ◽  
Average Increase ◽  
Breast Milk Production ◽  
Primary Data Analysis ◽  
Significant Difference ◽  
Postpartum Mothers ◽  
Leaf Vegetables

<p>Mother's milk (ASI) have a role a very important role in the baby's growth process that starts from the beginning of its birth, so it is expected that breast milk production in postpartum mothers can meet the needs of babies at the beginning of their lives. The problem in this study was that 54% of primipara postpartum mothers had not yet produced breast milk on day 3 or 4. According to Istiqomah et al (2014), Zakaria's research (2016), the papaya fruit and Moringa leaf act as Laktogogum which can increase milk production and facilitate breast milk expenditure. This study aims to determine the effectiveness of consumption of young papaya vegetables and Moringa leaf vegetables on breast milk production in postpartum primipara mothers in the independent practice of midwives in Bandar Lampung City in 2018. The indicators used to determine breast milk production are seen from baby weight gain at 30 days first life. This type of research is quantitative research using the Quasi-experimental design, namely Non-Equivalent Control Group Design. The subjects of the study were 90 primiparous postpartum mothers. Data collection uses primary data. Analysis using the Independent Sample T-Test. The results showed increased breast milk production in primipara postpartum mothers who consumed young papaya vegetables seen from the average increase in baby weight at 30 days at 930 grams and primipara postpartum mothers who consumed kelor leaf vegetables on average baby weight gain 1270 gram. Whereas in primipara postpartum mothers who did not consume young papaya and kelor leaf vegetables, the average increase in body weight of infants aged 30 days were 847 grams. There was a significant difference in breast milk production in primiparous postpartum mothers between those who consumed young papaya vegetables and Moringa leaf vegetables to increase infant weight at 30 days with p-value 0.001. As for effectiveness, consumption of vegetable Moringa leaves is more effective at increasing the baby's weight at 30 days of age compared to consuming young papaya vegetables. </p>

scholarly journals EFFECTIVENESS OF BREAST CRAWL BY MIDWIVES TO INCREASE BREAST MILK PRODUCTION AMONG POSTPARTUM MOTHERS

2020 ◽  
Vol 6 (3) ◽  
pp. 94-98
Author(s):  
Sultina Sarita ◽  
Syahrianti Syahrianti ◽  
Nurnasari P
Keyword(s):  
Breast Milk ◽  
Milk Production ◽  
Community Health Centers ◽  
Sampling Technique ◽  
Control Group ◽  
Control Group Design ◽  
Breast Milk Production ◽  
Pocket Book ◽  
Significant Difference ◽  
Postpartum Mothers

Background: Normal Childbirth Care or APN is a standard or a reference for childbirth assistance and a breast crawl, or called IMD, in Indonesia; however, there is lack of its implementation in the midwifery practice. Breast crawl is considered effective in increasing breast milk production among postpartum mothers.Objective: The aim of the study was to determine the effectiveness of breast crawl by midwives to increase the breast milk production in postpartum mothers in Kendari, Indonesia.Methods: True experimental study with posttest only control group design. A total of 30 midwives participated using a total sampling technique. Respondents were given intervention regarding the implementation of breast crawl using the breast crawl pocket book as a research instrument. Data were analyzed using Mann-Whitney test to determine the differences in respondents who were given IMD intervention using the breast crawl pocket book and the control group who did not use the breast crawl pocket book.Result: There was a significant difference between respondents who were given intervention using pocket books and the control group who did not use pocket books with p = 0.039 (0.05).Conclusion: There was a significant difference between the breast milk production of postpartum mothers who were given breast crawl intervention and those who were not given breast crawl intervention by midwives. This intervention is therefore recommended as one of midwifery cares in the community health centers.

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