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

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 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 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


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


2020 ◽  
Vol 5 (1) ◽  
pp. 214
Author(s):  
Sumirah Budi Pertami ◽  
Budiono Budiono ◽  
Ira Rahmawati

Background: Exclusive breastfeeding is the gold standard of infant feeding in the first six months of their life. In Indonesia, breastfeeding practice has become a social norm among women. However, some women have experienced inadequate breast milk production especially in the first and second days after birth. This study aimed to investigate the effect of endorphin and oxytocin massage on breast milk production among primiparous postpartum women and their baby weight. Methods: a quasi-experimental design was utilized with pre-test and post-test control group design.  The population in this study were 175 postpartum mothers in  Lawang Primary Health Care Indonesia. Forty  postpartum mothers were selected and allocated to the intervention and control groups. Ten women were received endorphin massage, ten were given oxytocin massage, ten mothers were received the combination of endorphin and oxytocin massage and the remaining ten were allocated into the control group. The dependent variables were breast milk production and infant body weight, whereases the independent variables were endorphin massage, oxytocin massage and combination of endorphin and oxytocin massages. Data were analyzed by using t-test followed by One Way ANOVA Test with α = 0.05 Results: The results indicated differences between the four group regarding the breast milk production and an increase in baby weight with p = 0, 00<α = 0, 05 and p = 0.046 <α = 0.05 respectively. Conclusion: According to the results, the combination of endorphin and oxytocin massage is the most effective technique to increase breast milk production among postpartum women and therefore, facilitating the baby weight gain in the first six months of their life.


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.


EMBRIO ◽  
2015 ◽  
Vol 7 ◽  
pp. 1-21
Author(s):  
Setiawandari Setiawandari

This research is motivated by 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. The delay of breast milk production could be stimulated by the use of intervention of mamet technique and oxytocin massage. This study aims to understand the difference between the influence of mamet technique and oxcytocin massage toward the production of breast milk of the postpartum mother in RSIA IBI Surabaya. This research is an experiment study using pre and post test only design with control group. Using a total sample technique, this research was conducted toward 40 postpartum mothers. The technique of data analysis applied in this study is normality data test, t-pair test, and t-independent test. The result of this research shows that there has been an influenced of mamet technique toward the production of breast milk of those postpartum mothers p=0,000 and there has been influenced of oxytocin massage toward the production of breast milk of those postpartum mothers p=0,000. There is no difference influence between mamet technique and oxytocin massage toward the production of breast milk of the postpartum mothers p=0,893. Based on the result, it can be concluded that: (1) mamet technique has increased the production of breast milk of the postpartum mother; (2) oxytocin massage has increased the production of breast milk of the postpartum mother; (3) there is no difference influence between mamet technique and oxytocin massage in increasing the production of breast milk of the postpartum mother in RSIA IBI Surabaya


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


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


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


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