scholarly journals PENGARUH PERAWATAN PAYUDARA TERHADAP KELANCARAN PRODUKSI ASI PADA IBU POSTPARTUM DI PUSKESMAS KASSI-KASSI, MAKASSAR

2021 ◽  
Vol 12 (1) ◽  
pp. 11
Author(s):  
Sitti Mukarramah

Breast Milk is an essential intake containing complete nutrition required for infant growth and health. Its protein is much higher than formula milk. One of the methods to improve breast milk production is Breast care. Breast care is helpful for the reflex of the release and increasing the volume of breast milk. This study aimed to determine the effect of breast care on milk production on postpartum mothers at Kassi-Kassi Health Center Makassar. The study applied "Experimental Quasy" with "Nonrandomized Control Group, Pretest-Posttest Design." The study involved 30 participants taken purposively from February to April 2018. The data were analyzed statistically with an independent sample t-test. The study found a significant difference in breast milk production between the experimental group and the control group with t count of 10,512 with df 58 is 2,000 (10,512 > 2,000) and ρ < 0,05 (0,000 < 0,05). Therefore, health workers, particularly midwives, educate and promote breast care to the community and postpartum mothers to support the first 1000 days of life. Air Susu Ibu (ASI) merupakan asupan penting terhadap tumbuh kembang dan kesehatan bayi. Salah satu cara untuk meningkatkan produksi ASI yaitu dengan melakukan perawatan payudara. Perawatan payudara bermanfaat untuk melancarkan refleks pengeluaran dan meningkatkan volume ASI. Tujuan penelitian ini adalah untuk menilai pengaruh perawatan payudara terhadap produksi ASI pada ibu postpartum di Puskesmas Kassi-Kassi Kota Makassar. Jenis penelitian ini adalah “Quasy Eksperimental” dengan rancangan “Nonrandomized Control Group, pretest-posttest Design”. Teknik pengambilan sampel adalah Purposive Sampling. Besar sampel untuk penelitian ini adalah 30 orang. Penelitian ini dilakukan pada bulan Februari – April 2018. Analisis statistik yang digunakan dalam penelitian ini adalah uji independent sample t-test. Hasil penelitian menunjukkan bahwa terdapat perbedaan produksi ASI yang signifikan antara kelompok perlakuan dengan kelompok kontrol dengan nilai t hitung sebesar 10,512 lebih besar dari t tabel sebesar 2,000 dan nilai ρ = 0,000 < 0,05. Produksi ASI lebih tinggi pada ibu yang melakukan perawatan payudara jika dibandingkan dengan ibu yang tidak melakukan perawatan payudara. Hal tersebut menunjukkan bahwa terdapat pengaruh perawatan payudara terhadap kelancaran produksi ASI pada ibu postpartum di Puskesmas Kassi-Kassi Kota Makassar. Edukasi ibu hamil tentang pentingnya perawatan payudara mesti tetap ditingkatkan untuk mendukung 1000 hari pertama kehidupan anak.

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.


2020 ◽  
Vol 2 (2) ◽  
pp. 129
Author(s):  
Juninda Nurfija ◽  
Ni Nengah Arini Murni

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.


2019 ◽  
Vol 2 (1) ◽  
pp. 68-73
Author(s):  
Ika Nur Saputri ◽  
Desideria Yosepha Ginting ◽  
Ilusi Ceria Zendato

Newborns do not need any other intake besides breast milk, but not a few found postpartum mothers who give formula milk to their babies because milk production is little or not smooth, especially in the first days of life. The purpose of this study was to determine the effect of oxytocin massage on breast milk production in postpartum mothers. This type of research was pre-experimental with the One Group Pre and Post Test Design. The population in this study were all postpartum mothers in June at the Nining Pelawati Clinic in 2019. The sample in this study was postpartum mothers with inclusion and exclusion criteria totaling 10 people. ASI production data is taken using a measuring cup which is then analyzed. Based on the results of the Wilcoxon Signed Rank Test, the average postpartum maternal breast milk production before oxytocin massage was 9.90 while the mean postpartum maternal breast milk production after oxytocin massage was 13.50. There was a significant effect of oxytocin massage on milk production with p-value = 0.008 (p ≤ 0.05). It is recommended for health workers to be able to carry out oxytocin massage to increase milk production in postpartum mothers.


2019 ◽  
Vol 10 (1) ◽  
pp. 84
Author(s):  
Warjidin Aliyanto ◽  
Rosmadewi Rosmadewi

<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>


2020 ◽  
Vol 6 (3) ◽  
pp. 94-98
Author(s):  
Sultina Sarita ◽  
Syahrianti Syahrianti ◽  
Nurnasari P

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.


2021 ◽  
Vol 2 (2) ◽  
pp. 136
Author(s):  
Yushida Yushida ◽  
Evi Zahara

Background: Breast milk is the main source of nutrition for babies from birth until they are able to digest other nutritional sources after 6 months of age. Failure in the breastfeeding process is often caused by maternal factors, namely breastfeeding. Actions to facilitate milk production include the oxytocin massage method.Objective: The aim of the study was to analyze the effect of oxytocin massage compared to counseling on breastfeeding techniques using leaflets on the milk production of primiparous postpartum mothers.Methods: The study used a quasi-experimental study with a pretest-posttest design. The sample selection was accidental sampling with inclusion and exclusion criteria, which consisted of 30 postpartum mothers who were divided into 2 groups, 15 respondents were given oxytocin massage and 15 respondents were given leaflets. The data analysis method was univariate and bivariate using Paired T-test and Independent T-test.Results: The results showed that the oxytocin massage treatment had a p-value= 0.000 (p < 0.05) meaning that there was a difference between before and after treatment. The control group had a p-value= 0.432 (p > 0.05) meaning that there was no difference between before and after treatment. There was a significant difference between the treatment group compared to the control group.Conclusion: Oxytocin massage has a significant effect in increasing milk production in primiparous postpartum mothers. Oxytocin massage is more effective than counseling using leaflet media to increase breast milk production.


2019 ◽  
Vol 8 (1) ◽  
pp. 8-15
Author(s):  
Luh Yunita Yunita ◽  
Ni Nengah Arini Murni ◽  
Mutiara rachmawati Suseno

In order to achieve success in exclusive breastfeeding care is needed for postpartum care in the first days of post partum to help maximize breast milk production. There are various ways that can be done to help increase milk production by using certain massage techniques, especially in the back area such as the SPEOS Method (Endorphin, Oxytocin and Suggestive Massage Stimulation) and the Marmet Technique. The purpose of this study is knowing the differences in the SPEOS Method (Stimulation of Endorphin, Oxytocin and Suggestive Massage) with the Marmet Technique on the milk production of postpartum mothers in the working area of ​​Karang Pule Health Center. This study uses quasi experimental with a post test only design with control group. This research was conducted in April 2019. The study population was all postpartum mothers in the working area of ​​Karang Pule Health Center. The research sample was 34 people. Data analysis using Independent T-test. The characteristics of this study which postpartum mothers were mostly aged 20-35 years with 88.2% presentation, the education level of most senior high schools with a presentation of 47.1%, most mothers did not work with presentations at 76.5% and mostly multiparous parity that is equal to 82.4%. After a statistical test using Independent T-Test significance value (p) of 0.043 <0.05 means that there is a difference between the use of the SPEOS method and the Marmet Technique. The Conclusion this study there is a difference between the SPEOS Method and the Marmet Technique of Breast milk Production in the work area of ​​Karang Pule Health Center


2018 ◽  
Vol 12 (02) ◽  
Author(s):  
Muliani Muliani ◽  
Gusman Arsyad ◽  
Tasya Nurlaila Dilla

ABSTRACT The prevalence of exclusive breastfeeding is low. In 2016, the exclusive ASI coverage of Kamonji Public Health Center was 57.89% in Palu City. The method used to launch ASI production is a combination of breast care and oxytocin massage. This is because the method works to help stimulate the hormone prolactin and oxytocin and prevent blockage of the milk ducts. The purpose of this study was to find out the effectiveness of the combination of breast care and oxytocin massage on breast milk production in postpartum mothers at BPM Setia in the Kamonji Community Health Center work area. This type of research is quasi experimental, with posttest-only control design. Replication formula is used for the selection of subjects with a total of 32 subjects, using consecutive sampling technique. The intervention was given from the first day to the third day postpartum and then observation was made. Data normality test using the Shapiro-Wilk test, data analysis using independent t-test.          The results obtained by the significance value of 0.004 with the mean number of combination groups was 4.49 cc and the control group was 3.23 cc. The mean difference between the two groups was 1.26 cc. The conclusion of this study is a combination of breast care and oxytocin massage effective against breast milk production in postpartum mothers. Based on the results of this study it is suggested to develop services by providing combined intervention for postpartum mothers to help increase breastfeedingKeywords : Breast feeding, breast care, oxytocin massage


MEDISAINS ◽  
2021 ◽  
Vol 19 (3) ◽  
pp. 67
Author(s):  
Setyo Mahanani Laksonowati ◽  
Runjati Runjati ◽  
Ta'adi Ta'adi ◽  
Donny Kristanto Mulyantoro ◽  
Kholifah Kholifah

Background: Breast milk is the best food for babies, needed for optimal growth and development. The lack of milk production influences the low coverage of exclusive breastfeeding. Increasing breast milk production could be done non-pharmacologically, using warm herbal compresses as breast care.Purpose: Analyze the effect of warm herbal compresses as breast care on oxytocin hormone and postpartum mother's milk production. Methods: Quasi-experimental design pretest-posttest with the control group, respondents were 36 normal mothers on the third day of postpartum; 18 respondents intervention group, and 18 respondents control group. Warm herbal compresses were provided once per day with 20 minutes on each breast for three days. The oxytocin hormone was measured pre and post three days of treatment, the volume of breast milk was measured pre, post 2, and 3 days of treatment.Results: The intervention group's average difference in oxytocin hormone was 24.65 pg/ml, the control group was 2.48 pg/ml (p<0.01). The average increase in milk production pre and post-three days of treatment in the intervention group was 32,250 ml. In the control group, 26,472 ml (p<0.01), there was a significant difference in the average milk production between the two groups.Conclusion: Warm herbal compresses as breast care affects the oxytocin hormone and postpartum mother's milk production.


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