scholarly journals Effect of Banana Inflorescence (Musa Paradisiaca L.) on Breast Milk Production

2020 ◽  
Vol 10 (2) ◽  
pp. 117-123
Author(s):  
Sri Wulan ◽  
Desri Meriahta Br Girsang

The World Health Organization (WHO) recommends that babies get exclusive breastfeeding during the first 6 months, but many breastfeeding mothers are unable to give their milk because of lack of milk production. Based on the profile of the Republic of Indonesia Ministry of Health, 2017 the achievement of babies receiving exclusive breastfeeding in the North Sumatra region is still relatively low, only reaching 45.74%, the figure is far below compared to other provinces such as West Nusa Tenggara reaching 87.35%, West Sumatra 68.32 %, South Sumatra 60.36%, DKI Jakarta 67.40% and Riau province 57.65%. The purpose of this study was to determine the effect of banana inflorescence on milk production. This research used  the Eksperimen method with Pretest-Posttest With Control Group design, with the technique of taking Simple Random sampling with a sample size of 20 people, 10 experimental groups and 10 control groups. Data collection began in May-June 2020 using observation sheets and measuring cups (cc). This research used the univariate analysis with Paired T-Test and Bivariate Analysis with Independent T Test, with a significance level of 95%. The results showed an in the Eksperimen group who were given a 459 cc banana infloresence decoction and an average value in the Control group 310 cc which meant there were differences in milk production around 149 cc and p. 0.01 (0.05). Conclusion  banana inflorescence influence to  breast milk production in nursing mothers 0-6 months old.

2019 ◽  
Vol 15 (2) ◽  
pp. 113
Author(s):  
Rini Rahmayanti ◽  
Yola Yolanda

Indonesia is still categorized as low in 2017, only 35.73% with a target of 50%. West Sumatra Province occupies the fifth position with exclusive breastfeeding coverage of 73.6%. The percentage of babies with exclusive breastfeeding in the city of Padang in 2017 was 74.77% of the target of 80%. Andalas Puskesmas has the lowest exclusive breastfeeding coverage of 59.84%. The purpose of this study was to determine the relationship between hormonal contraceptive use and breast milk production in breastfeeding mothers in the Kubu Village in the Parak Karakah Work Area of the Andalas Padang Health Center in 2019. This type of research was analytic with a cross sectional design. The population of mothers who have babies aged 1-6 months is 268 people with a sample of 73 people. Purposive sampling technique. Analyzed univariately using a frequency distribution table and bivariate using the Chi-Square statistical test. Univariate analysis results showed there were more than half (57.5%) with insufficient milk production. More than half (67.1%) use hormonal birth control. The results of bivariate analysis have a relationship between the use of hormonal contraception with the production of breast milk (X2h> X2t). The conclusion is that there is a relationship between hormonal contraceptive use factors, and milk production. It is expected that health workers can provide counseling to nursing mothers by providing health education about efforts to increase milk production. 


2021 ◽  
Vol 7 (3) ◽  
pp. 548-554
Author(s):  
Magfirah Magfirah ◽  
Idwar Idwar

Background: Decreased levels of endorphins and oxytocin are known to be one of the factors causing breast milk production problems in the first days after birth. Low levels of these hormones are also an obstacle in exclusive breastfeeding. Endorphin Massage can provide a feeling of calm and comfort during lactation, thereby increasing the response of the posterior pituitary to producing the hormone oxytocin to increase let down reflex.Research Objectives: to determine the effect of Endorphin Massage on Breastfeeding Expenditures in Post Partum Mothers in the Work Area of Langsa Lama Public Health Center, Langsa City.Methods: This type of research is a quasi experiment, with a post test only control group design approach. The number of samples of 20 respondents, divided into 2 groups (Endorphin Massage and control) each of 10 respondents.Results: The results of the independent T test showed that the mean value of the Endorphin Massage treatment group was 8.50 and the control group was 4.90 (0.000) with p <0.05. The results of this study indicated an increase in milk production in the group that received the Endorphin Massage compared to the control group.Conclusions There is an effect of the Endorphin Massage method on breastfeeding in post partum motherssuggestions: . It is hoped that health workers can apply the Endorphin Massage method to post partum mothers in an effort to increase milk production. Keywords: Endorphin Massage, Breast Milk Production ABSTRAK Latar Belakang:  Penurunan kadar endorfin dan oksitosin diketahui sebagai salah satu faktor penyebab masalah produksi ASI pada hari-hari pertama setelah bayi lahir. Rendahnya kadar hormon tersebut juga menjadi kendala dalam pemberian ASI Eksklusif.  Endorphin Massage dapat memberikan rasa tenang dan nyaman selama masa laktasi sehingga meningkatkan respon hipofisis posterior untuk memproduksi hormon oksitosin dalam meningkatkan let down reflex.Tujuan Penelitian: diketahui  Pengaruh Endorphin Massage Terhadap Pengeluaran ASI Pada Ibu Post Partum Di Wilayah Kerja Puskesmas Langsa Lama Kota Langsa.Metode Penelitian: Jenis penelitian quasi experiment, dengan pendekatan post test only control group design. Jumlah sampel 20 responden, dibagi menjadi 2 kelompok (Endorphin Massage dan kontrol) masing-masing 10 responden.Hasil Penelitian: Hasil uji independen T test didapatkan nilai rerata  kelompok perlakuan Endorphin Massage sebesar  8,50 dan kelompok kontrol 4,90 (0,000) dengan p < 0,05.  Hasil penelitian ini menunjukkan adanya peningkatan produksi ASI pada kelompok yang mendapatkan Endorphin Massage dibandingkan kelompok kontrol.Kesimpulan: Terdapat pengaruh metode Endorphin Massage terhadap pengeluaran ASI pada ibu post partumSaran diharapkan kepada petugas kesehatan agar dapat menerapkan metode Endorphin Massage kepada ibu post partum dalam upaya meningkatkan produksi ASI. Kata Kunci: Endorphin Massage,Pengeluaran ASI


2021 ◽  
Vol 7 (1) ◽  
pp. 93-98
Author(s):  
Yuliati Shoffiyah ◽  
Achmad Farich ◽  
Dainty Maternity ◽  
Ike Ate Yuviska

ABSTRACT : THE EFFECT OF GIVING MORINGA CAPSULES ON BREAST MILK PRODUCTIONBackground In Indonesia, the proision of breastfeeding eclusiely for si months just reached 30.2% case is still far from the target that 80% regard it in because of lack of awareness of society in encouraging an increase in the proision of breastfeeding eclusiely , lack of knowledge of mothers , families and communities about the importance of breastfeeding eclusiely . The purpose of this study was to determine the effect of morngaoliefera leaf capsules on breast milk production in the working area puskesmas of Gedung Sari Lampung entral Health enter in 2019.MethodsThis type of uantitatie research with a research design using a pre experimental approach with a pretest and post test with control group design . Samples of all nursing mothers were 40 people. The population of breastfeeding mothers is 79 people. 20 people as a group eperiment and 20 people as a group control with the techniue of sampling purposive sampling .Anilsa the data to test T-test independent.Results of the study is to show the aeragefreuency before administration of the capsule leaes of oringa to the production of breast milk in the region work PuskesmasGedung Sari entral Lampung in 2019 ie 26.50 , the aeragefreuency after administration of the capsule leaes of oringa to the production of breast milk in the region work Puskesmasuilding Sari Lampung The middle of 2019 is 80.50 , and there is an influence of giingoringa leaf capsules to the production of breast milk in the working area of the Sari Lampung entral Health enter in 2019 . ConclusionT test results obtained p value 0,000 <α (0 , 05 there is an effect of consumption of Moringa leaf capsules on milk production).  Suggestions for the public are expected that mothers want to consume Moringa leaf capsules in accordance with the recommendations because Moringa capsules can increase milk production.eKeywords   : Moringa leaf capsules giving, Production ASI Abstrak  Latar Belakang Di Indonesia pemberian ASI eksklusifselamaenambulanbarumencapai 30,2% halinimasihjauhdari target yaitu 80% halini di karenakan rendahnya kesadaran masyarakat dalam mendorong peningkatan pemberian ASI eksklusif, kurangnya pengetahuan ibu, keluarga serta masyarakat tentang pentingnya ASI eksklusif.Tujuan dari penelitian ini adalah mengetahui pengaruh pemberian kapsul daun kelor terhadap produksi ASI di wilayah kerja Puskesmas Gedung Sari Lampung Tengah Tahun 2019. Metode Jenis penelitian kuantitatif dengan rancangan penelitian menggunakan pendekatan pre experimental dengan rancangan pretest dan post test with control group. Populasi ibu menyusui sebanyak 79 orang. Sampel seluruh ibu menyusui sebanyak 40 orang. 20 orang sebagai kelompok eksperimen dan 20 orang sebagai kelompok kontrol dengan teknik sampling purposive sampling. Analisa data dengan uji T-test independent.Hasil penelitian ini menunjukan rata-rata  frekuensi sebelum pemberian kapsul daun kelor terhadap produksi ASI di wilayah kerja Puskesmas Gedung Sari Lampung Tengah Tahun 2019 Tahun 2019 Yaitu 26.50, rata-rata frekuensi sesudah pemberian kapsul daun kelor terhadap produksi ASI di wilayah kerja Puskesmas Gedung Sari Lampung Tengah Tahun 2019 Yaitu 80.50, serta ada pengaruh pemberian pemberian kapsul daun kelor terhadap produksi ASI di wilayah kerja Puskesmas Gedung Sari Lampung Tengah Tahun 2019 .Kesimpulan ada pengaruh konsumsi kapsul daun kelor terhadap produksi ASI.Saran untuk masyarakat diharapkan para ibu mau mengkonsumsi kapsul daun kelor sesuai dengan anjuran karena kapsul kelor dapat meningkatkan produksi ASI.Kata kunci           : Pemberian Kapsul Daun Kelor, Produksi ASI


2021 ◽  
Vol 8 (2) ◽  
pp. 97
Author(s):  
Bunga Tiara Carolin ◽  
Jenny Anna Siauta ◽  
Irma Damayanti

ABSTRAKASI mengandung gizi tinggi yang sangat bermanfaat untuk kesehatan bayi, bahkan WHO merekomendasikan bayi untuk mendapatkan ASI eksklusif selama 6 bulan. Pencapaian ASI eksklusif di Indonesia belum mencapai angka yang diharapkan. Menurut Kemenkes RI pada  (2018) cakupan pemberian ASI eksklusif hanya 36% yang akan memberikan dampak negatif terhadap status kesehatan gizi, serta tingkat kecerdasan anak. Tujuan penelitian untuk mengetahui pengaruh pemberian buah papaya muda terhadap produksi ASI pada ibu post partum. Penelitian ini menggunakan quasy experiment dengan two group with pretest and postest design. Sampel berjumlah 30 ibu post partum yang melahirkan normal. Uji statistik yang digunakan adalah paired T-Test dan Independet T-Test. Rata-rata skor kecukupan ASI pada kelompok eksperimen sebelum diberikan buah pepaya muda adalah 5,93 dan sesudah adalah 14,60. Rata-rata kecukupan ASI pada kelompok kontrol sebelum adalah 6,60  dan sesudah adalah 7,86. Analisis bivariat menggunakan Independent t-test diperoleh p value = 0,00. Hal ini berarti ada perbedaan yang signifikan kecukupan ASI pada kelompok eksperimen dan kelompok kontrol. Buah pepaya muda terbukti menstimulasi produksi ASI. Oleh karena itu diharapkan bagi bidan unuk dapat memberikan penyuluhan tentang manfaat buah pepaya muda guna meningkatkan produksi ASI agar ibu memberikan ASI eksklusif. Kata Kunci : kecukupan ASI; buah pepaya muda; ibu post partum ABSTRACTBreast milk contains high nutrition which is very beneficial for the health babies, even WHO recommends babies to get exclusive breastfeeding for 6 months. The achievement of exclusive breastfeeding in Indonesia has not reached the expected number. According to the Indonesian Ministry of Health (2018) the coverage of exclusive breastfeeding is only 36% which will have a negative impact on the nutritional health status and the level of intelligence of children. The purpose of the study was to determine the effect of papaya fruit on breast milk production in post partum women. This study used a quasy experiment with two groups with pretest and posttest design. A sample of 30 postpartum women who gave birth normally. Data analysis had been done by paired T-Test and Independent T-Test. The average adequacy rate of postpartum women in the experimental group before being given raw papaya fruit was 5.93 and after 14.60. The mean postpartum breastfeeding adequacy rate in the control group before was 6.60 and after 7.86. Bivariate analysis using Independent t-test obtained p value = 0.00. There is a significant difference in the adequacy of breast milk in the experimental group and the control group. Papaya fruit is proven to stimulate breast milk production. Therefore, it is hoped that midwives can provide counseling about the benefits of young papaya fruit to increase milk production so that mothers provide exclusive breastfeeding Key words : adequacy breat milk, young papaya fruit, postpartum women


2021 ◽  
Vol 5 (2) ◽  
pp. 1271-1274
Author(s):  
Khalidah Khalidah ◽  
Eka Sutrisna

Smooth milk production is very important to meet the baby's nutritional and nutritional needs. One of the most effective methods to increase milk production and reduce mother's stress while breastfeeding is to combine the BASOKU method (breastcare, oxytocin massage and husband's support) and regulate diet. This method is by doing breast massage, oxytocin massage on the spine as an effort to release the hormone oxytocin which can stimulate more milk production, coupled with the husband's support in exclusive breastfeeding for his baby. Mother's diet regulation that can increase milk production.The aim of the study was to determine the effectiveness of the combination of the BASOKU method and diet on increasing breast milk production at PMB Santi Yosina, Syamtalira Bayu District, North Aceh Regency.This type of research is a quasi-experimental research with a two-group posttest only design. The stages of the research are: The first stage of this research is to explain to postpartum mothers and their families about the BASOKU method and the diet that will be applied to mothers. The second stage is monitoring the increase in infant weight gain in those who receive treatment and those who do not receive the BASOKU method and diet. The population of this study were all postpartum mothers who gave birth at PMB Santi Yosina. The sample in this study used purposive sampling as many as 17 people in the control group and 17 people in the treatment group. Data were analyzed using paired t-test.The study was conducted from April to September 2021. The results of the univariate analysis showed that most of the increase in breast milk production in postpartum mothers in the intervention group in the 140-200 gram category was 15 people (88.2%) while in the control group in the <140 category. grams by 14 people (82.4%). The results of the bivariate analysis showed that there was a difference between the combined use of the BASOKU method on increasing breast milk production in postpartum mothers with a p value of 0.000. The technology readiness level of this research is 2.


2021 ◽  
Vol 6 (2) ◽  
pp. 167-171
Author(s):  
Sofia Mawaddah ◽  
Novia Karlawaty

The low coverage of exclusive breastfeeding is a challenge for midwives to be more active in promoting health about the importance of exclusive breastfeeding for infant growth. The low coverage of exclusive breastfeeding can have an impact on the quality of life for future generations of the nation and also on the national economy. One of the efforts to increase the rate of breast milk secretion and production is through the use of traditional herbal medicines such as katuk leaf tea. The aim of this study was to determine the effectiveness of katuk leaf tea. on milk production in postpartum mothers on day 4-7. This research method is a quasi-experimental post-test-only non-equivalent control group design with a sample size of 30 postpartum mothers who meet the inclusion criteria. The statistical test of this study is the independent T-test. The results showed that there was an effect of giving katuk leaf tea on increasing breast milk production in postpartum mothers with a P-Value = 0.000 (<0.05).


2021 ◽  
Vol 3 (3) ◽  
pp. 459-465
Author(s):  
Ayu Martiana ◽  
Rilyani Rilyani ◽  
Rahma Elliya

ABSTRAK ASI merupakan makanan yang terbaik bagi bayi produksi ASI dipengaruhi oleh beberapa faktor yaitu faktor nutrisi, perawatan payudara, isapan dan frekuensi menyusui, sosial budaya dan faktor psikologis. Data di Kabupaten Lampung Utara yang memberikan ASI secara eksklusif pada tahun 2015 sebesar 45,5% lebih rendah bila dibandingkan tahun 2016 yaitu 48% dari target 80%, bila dibandingkan di Lampung Timur pencapaian ASI eksklusif sebesar 54,3%. (Dinas Kesehatan Kabupaten Lampung Utara, 2017). Data RSD H.M Ryacudu Kotabumi pada Tahun 2016 cakupan pemberian ASI eksklusif sebesar 57,4% lebih tinggi bila dibandingkan Tahun 2017 dari jumlah bayi 73 yang memberikan ASI secara eksklusif sebesar 54,8. Tujuan penelitian untuk mengetahui hubungan tingkat kecemasan ibu post partum primipara dengan produksi asi di ruang nifas RSD H.M Ryacudu Kotabumi Tahun 2019Jenis penelitian kuantitatif dengan pendekatan Crossectional.   Populasi seluruh ibu post partum primipara yang ada di Ruang Nifas RSD H.M Ryacudu Kotabumi, sebanyak 87 responden tercatat dari tanggal 2- 29 April 2019.. Pengambilan sampel menggunakan teknik total sampling. Analisa menggunakan analisis univariat dan bivariat menggunakan chi squareHasil prasurvey terhadap 10 orang ibu post partum primipara di RSD H.M Ryacudu Kotabumi   menyimpulkan bahwa didapati 4 orang ibu atau (40,0%) tidak mengalami kecemasan paska melahirkan, dan dapat memberikan ASI eksklusif dengan baik kepada anaknya. Sedangkan sebanyak 6 orang ibu atau (60,0%) mengalami kecemasan paska melahirkan yaitu dengan gejala gelisah, gugup, bingung, sangat waspada, ketakutan, dan mengalami hambatan seperti menunda-nunda dalam pemberian ASI kepada anaknya. Kata Kunci      : Tingkat kecemasan, Produksi Asi ANXIETY IN PRIMIPHARA POSTPARTUM MOTHERS WITH BREAST MILK PRODUCTION ABSTRACT Breast milk is the best food for babies. Breast milk production is influenced by several factors, namely nutrition, breast care, suction and frequency of breastfeeding, socio-cultural and psychological factors. Data in North Lampung Regency that exclusively provided breast milk in 2015 was 45.5% lower compared to 2016, which was 48% of the target of 80%, compared to in East Lampung the achievement of exclusive breastfeeding was 54.3%. (North Lampung Regency    1Health Office, 2017). RSD Mayjen HM Ryacudu Kotabumi data in 2016 the coverage of exclusive breastfeeding was 57.4% higher compared to 2017 of the number of 73 babies who exclusively provided breast milk at 54.8. The purpose of this study was to determine the relationship of anxiety levels of postpartum primipara mothers with breast milk production in the puerperal room of H.M Ryacudu Hospital in Kotabumi 2019This type of quantitative research with a cross-sectional approach. The population of all primipara postpartum mothers in the post-partum room of RSDH.M Ryacudu Kotabumi, as many as 87 respondents were recorded from 2- 29 April 2019 .. Sampling using total sampling techniques. Analysis using univariate and bivariate analysis using chi-squareThe results of pre-survey of 10 primipara postpartum mothers in H.M Ryacudu Kotabumi Hospital concluded that 4 mothers or (40.0%) did not experience postpartum anxiety, and were able to give exclusive breast milk to their children. While as many as 6 mothers or (60.0%) experience postpartum anxiety that is with symptoms of anxiety, nervousness, confusion, extreme caution, fear, and experiencing obstacles such as procrastinating in giving breast milk to their children. Keywords: Anxiety Level, Breast Milk Production 


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.


2020 ◽  
Vol 5 (1) ◽  
pp. 51
Author(s):  
Nursari Abdul Syukur ◽  
Endah Wahyutri ◽  
Erma Putri

Background: Breast milk spending is a very complex interaction between mechanics, nerves, and hormons. The decrease and production of breast milk production in the first days after delivery can be caused by a lack of stimulation of prolactin and oxytocin hormons. Caesarea section does not allow the mother to breastfeed her infant more flexibly, with adaptation to the pain, so she should be able to support the health worker thoroughly about the lactation process. Purpose: to know the difference of endorphin, oxytocin and combination effect on breast milk production in Postoperative section of caesarea section. Research design: quasi experimental design type post test only non equivalent control group design. The population in this study were all postoperative mothers caesarea section, 10 samples for each treatment. Group 1 : endorphin massage, group 2 (control) : the oxytocin massage, and group 3 : the combine massage. Results: Combination massage is the best method to produce the highest amount of ASI because the largest Sig p value is (1,000) where the level is significant <0.05. So H0 this study was rejected means that there is a significant difference between the production of breast milk from the combination massage compared with the two massage done separately. Conclusion: It is expected during childbirth the midwife can develop and implement independent non-pharmacological midwife actions to help increase milk production


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..


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