Care related to milk expression to promote breast milk production among mothers of preterm infants in early postpartum: A literature review

Abstract Background Although breastfeeding guidelines for infants admitted to the neonatal intensive care unit (NICU) have been introduced in Japan, these guidelines have not been reflected in practice. To improve this situation, it is important for nurses and nurse-midwives to acquire knowledge of appropriate care. This study examined changes in nurse-midwives’ knowledge, attitude, and implementation of appropriate care after implementing an education program focused on early essential care for breast milk expression among mothers of preterm infants. Methods This pre- and post-intervention study using a single group was conducted from June 2018 to May 2019 and enrolled 36 nurse-midwives in one perinatal medical center. The education program content included nurses’ roles in early essential care for milk expression and the necessary care to promoting breast milk production among mothers of preterm infants. The nurse-midwives’ knowledge and attitude on care were investigated 3 months before (pre-1), just before (pre-2), just after (post-1), and 3 months after (post-2) the program. The nurse-midwives’ care implementation was investigated at pre-1, pre-2, and post-2. During this time, 11 mothers (before: 7, after: 4) reported the status of milk expression for 10 days after birth. Results The mean knowledge scores of the nurse-midwives at post-1 and post-2 were significantly higher than that at pre-2 (post-1: p < 0.001, post-2: p < 0.001). The attitude on care scores at post-1 and post-2 were significantly higher than that at pre-2 (post-1: p < 0.001, post-2: p = 0.010). The care implementation score at post-2 was significantly higher than that at pre-2 in eight items (e.g., Q7 Explain about the effect of initiating milk expression early and assist mothers in it). However, the education program did not cause any changes in the mothers’ initiation and frequency of milk expression, and breast milk volume after birth. Conclusions The significant increases in the knowledge, attitude on care, and care implementation scores of the nurse-midwives suggest the beneficial effects of the education program. The small number of mothers in the survey on the practice of breast milk expression limited the full determination of the benefits of the education program for nurse-midwives.

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Comparison Of Effectiveness Benefits Of Providing Young Papaya Fruit Extract And Breast Care For Normal Postpartum Mother's Breast Milk Production: Systematic Review

STRADA JURNAL ILMIAH KESEHATAN ◽

10.30994/sjik.v9i2.446 ◽

2020 ◽

Vol 9 (2) ◽

pp. 1141-1150

Author(s):

Ewith Widya Mareta ◽

Ari Suwondo ◽

Imam Djamaluddin

Keyword(s):

Systematic Review ◽

Data Analysis ◽

Breast Milk ◽

Literature Review ◽

Milk Production ◽

Urban Areas ◽

Fruit Extract ◽

Breast Milk Production ◽

Breast Care ◽

Comparison Of Effectiveness

Background: The consumption of breast milk in Indonesia is still very concerning, the household health survey (SKRT) explains that in 2014 there was only 4-12% of breast milk coverage in urban areas. In 2015, the amount of formula feeding to babies aged 0-6 months was 16.7%, then increased in 2017 to 27.9%. Objective: To determine the comparison of the effectiveness of the benefits of giving young papaya extract and breast care to the production of normal postpartum mother's milk. Methods: This study uses the Systematic Review or Systematic Literature Review (SLR) method and uses the PRISMA protocol as data analysis. Results: The results of data analysis on the effectiveness of young papaya fruit extracts were more effective, with effect size values of 1.02 and the 1.1 Conclusion: The provision of young papaya fruit extract is more effective against breast milk production.

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METODE SPEOS (STIMULASI PIJAT ENDORPHIN, OKSITOSIN, DAN SUGESTIF) DALAM MENINGKATKAN PRODUKSI ASI IBU POST PARTUM

Jurnal Ilmu Keperawatan Maternitas ◽

10.32584/jikm.v4i1.752 ◽

2021 ◽

Vol 4 (1) ◽

pp. 1-14

Author(s):

Ranida Arsi ◽

Sri Rejeki ◽

Achmad Zulfa

Keyword(s):

Breast Milk ◽

Literature Review ◽

Milk Production ◽

Exclusive Breastfeeding ◽

Full Text ◽

Post Partum ◽

Flow Diagram ◽

Exclusion Criteria ◽

Breast Milk Production ◽

The Brain

Background: Breast milk is the best food that babies need in the first 6 months of life. The success of exclusive breastfeeding is determined at the beginning of offering ASI on the first day of birth. Exclusive breastfeeding can be constrained by the limited production of breast milk. The SPEOS methods is an alternative to help increase breastfeeding. The SPEOS (Endorphin, Oxytocin, and Suggestive Massage Stimulation) methods is a combination of endorpine, oxytocin, and suggestive massage stimulation carried out sequentially which will feel relaxation that stimulates the brain to release endorphin, prolactin and oxytocin hormones, so that breast milk becomes smooth. In addition, it provides comfort to mothers, increases mother's confidence and removes blockages so that obstacles in breastfeeding can be resolved properly. Objective: To determine the effectiveness of the SPEOS methods in increasing breast milk production in post partum mothers. Method: A literature review through a review of nursing articles to identify SPEOS methods in increasing breast milk production. The databases used are Scopus, Medica Local Update, One Search and Google Schoolar. The journal source is obtained using a prism flow diagram as the database search flow. The article inclusion criteria used were articles related to the SPEOS methods and breast milk production in post partum mothers, articles in English and Indonesian, articles published in 2010 to 2020, and full text articles while the exclusion criteria were articles published over the past 10 years, the use of foreign languages other than English and Indonesian, not intervention studies and articles that are not full text. There were 7 articles that met the inclusion and exclusion criteria requirements. Results: This literature review shows that the SPEOS methods (Endorphin, Oxytocin, and Suggestive Massage Stimulation) effective in increasing breast milk production in post partum mothers. Conclusion: the SPEOS methods (Endorphin, Oxytocin, and Suggestive Massage Stimulation) effective in increasing breast milk production in post partum mothers.

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Lactation Massage for Increasing Breast Milk Production in Postpartum Mothers

JOURNAL FOR QUALITY IN PUBLIC HEALTH ◽

10.30994/jqph.v4i1.168 ◽

2020 ◽

Vol 4 (1) ◽

pp. 104-113

Author(s):

Katmini Katmini ◽

Nazilatul Maulinda Sholichah

Keyword(s):

Breast Milk ◽

Literature Review ◽

Milk Production ◽

Rapid Onset ◽

Reference Source ◽

Prelacteal Feeding ◽

Breast Milk Production ◽

Metadata Analysis ◽

Increase Milk Production ◽

Postpartum Mothers

Background: Breast milk is the best food for babies. But breastmilk production which is little or not smooth in the first days of delivery becomes an obstacle in breastfeeding. The study conducted by Collin and a scot in Australia showed that 556 mothers gave birth as many as 29% had stopped breastfeeding their babies in the second week on the grounds that their milk was lacking. The lack of milk production causes many mothers to easily provide prelacteal foods. This prelacteal feeding causes the amount of exclusive breastfeeding to decrease. Purpose: To obtain a scientific reference source about lactation massage, which in previous studies can increase milk production in postpartum mothers. Methods: This study is a metadata analysis using a literature review that explores the benefits of massage to increase milk production. Literature sources used are journals from Pubmed, Garuda (garba rujukan digital), Doaj, Researchgate and Google Scholar. Results: With the principle of working to maximize the mechanism of prolactin and oxytocin receptors, lactation massage is a solution to overcome the smooth production of breast milk and minimize the side effects of delayed breastfeeding. In a study conducted by Aprilianti, lactation massage had a tendency to rapid onset of lactation 5.57 times greater than mothers who received oxytocin massage. Conclusion: This article tries to examine the problem of breastfeeding in postpartum mothers based on literature review. In general the role of lactation massage is successful in smoothing milk production, but there are a number of things that need to be evaluated.

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Literature Review: Penerapan Pijat Oksitosin Untuk Meningkatkan Pengeluaran ASI Pada Ibu Post Partum

Prosiding Seminar Nasional Kesehatan ◽

10.48144/prosiding.v1i.731 ◽

2021 ◽

Vol 1 ◽

pp. 659-664

Author(s):

Yunia Tegar Adinda ◽

Windha Widyastuti

Keyword(s):

Breast Milk ◽

Literature Review ◽

Milk Production ◽

Nursing Staff ◽

Post Partum ◽

Education Level ◽

Google Scholar ◽

Breast Milk Production ◽

Increase Milk Production ◽

Postpartum Mothers

AbstractThe success of breastfeeding can be interfered by several things, such as the lack of milk production. However, this problem can be overcome by implementing Oxytocin Massage. This study was carried out to describe the implementation of Oxytocin Massage to increase milk production in postpartum mothers. This study was a literature review of three articles taken from Google Scholar with the keyword “Oxyoticn Massage” and “milk production”, in the form of fulltext articles, publisjed during 2015 – 2017. From 102 respondents of the three articles, 94.4% aged 20 – 35 years, 70.8% were multiparous, 78.1% had secondary education level, and 93.7% did not mork. The result showed that 90.2% of the respondents who received Oxytocin Massage produced sufficient amount of milk. Meanwhile, ony 41.2% of the respondents who did not received Oxytocin Massage could produce enough. In conclution, the implementation of Oxytocin Massage could increase milk production in postpartum mothers. Therefore, nursing staff are suggested to implement Oxytocin Massage to postpartum mothers to help them increase their milk production.Keywords: Oxytocin massage; breast milk production; postpartum mother AbstrakKeberhasilan menyusui dipengaruhi oleh beberapa hal seperti kurangnya pengeluaran ASI, yang dapat diatasi salah satunya dengan pijat oksitosin. Karya tulis ilmiah ini bertujuan untuk menggambarkan penerapan pijat oksitosin untuk meningkatkan pengeluaran ASI pada ibu post partum berdasarkan literature review. Desain karya tulis ilmiah berupa literature review dengan jumlah artikel tiga yang diambil dari google scholar dengan kata kunci “pijat oksitosin” dan “produksi ASI”, berupa artikel fulltext, terbit tahun 2015-2017. Hasil analisis karakteristik responden dari tiga artikel menunjukkan jumlah responden 102, 94,4% berusia 20-35 tahun, 70,8% paritas multipara, 78,1% berpendidikan menengah, 93,7% tidak bekerja. 41,2% responden pada kelompok yang tidak mendapatkan pijat oksitosin, dalam kategori cukup, sedangkan pada kelompok yang mendapatkan pijat oksitosin, hampir semua responden memiliki produksi ASI yang cukup, yaitu 90,2%. Kesimpulannya pijat oksitosin mampu meningkatkan pengeluaran ASI pada ibu post partum. Saran bagi tenaga keperawatan agar menerapkan pijat oksitosin kepada ibu post partum untuk membantu meningkatkan pengeluaran ASI.Kata kunci:Pijat oksitosin; produksi ASI; ibu post partum

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Effect of Chicken Extract on Breast Milk Production in Primiparous Mothers in Japan: A Randomized Clinical Trial

International Journal of Probiotics and Prebiotics ◽

10.37290/ijpp2641-7197.16:16-21 ◽

2021 ◽

Vol 16 (1) ◽

pp. 16-21

Author(s):

M. Awano ◽

K. Koike ◽

T. Sawada ◽

XU FengHao ◽

N. Suzuki

Keyword(s):

Clinical Trial ◽

Breast Milk ◽

Randomized Clinical Trial ◽

Milk Production ◽

Intervention Group ◽

Control Group ◽

Open Label ◽

Breast Milk Production ◽

Early Postpartum ◽

Before And After

The purpose of this study was to assess the effects of chicken extract on breast milk production and fatigue in early postpartum women. The study is an open-label parallel-group randomized clinical trial involving 80 healthy primiparous women from Japan divided into two groups. The intervention group ingested chicken extract twice daily for more than two weeks and the control group ingested water. The effectiveness of chicken extract on breast milk production after delivery and quality of life before and after delivery was examined. The result showed that milk production in the chicken extract group (356±191mL) was higher than in the control group (279±142mL) at 96-120h, but not significantly different (P=0.071). Expressed milk production had increased significantly more at 96-120h in the chicken extract group (122.6±115.5mL) than in the control group (66.5±55.8mL) (P=0.017). Chicken extract significantly reduced fatigue at 38 weeks after gestation, as assessed by visual analog scale (P=0.006). The study concluded that milk production increased more in the intervention group. It is suggesting that the chicken extract may be effective in increasing breast milk production and reducing fatigue in later stage of gestation.

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Literature review: Effects of Katuk Leaf (Sauropus androgynus L. Merr) on Breast Milk Increase

JURNAL TEKNOLOGI KESEHATAN BORNEO ◽

10.30602/jtkb.v2i2.41 ◽

2021 ◽

Vol 2 (2) ◽

pp. 91-99

Author(s):

Farhana Fitri Amalia ◽

Agung Ikhssani

Keyword(s):

Breast Milk ◽

Literature Review ◽

Milk Production ◽

Early Period ◽

Future Research ◽

Gut Development ◽

Research Subjects ◽

Bioactive Substances ◽

Breast Milk Production ◽

Neonates And Infants

Breast milk is considered the best form of nutrition for neonates and infants. The properties of breast milk facilitate the transition of life from in utero to ex utero. Breast milk provides a variety of bioactive substances for the developing baby during the early period of brain, immune and gut development. Katuk leaves (Sauropus androgni) are found very abundantly in Indonesia. People use S. androgyny as a traditional herbal medicine and are believed to have it to increase breast milk production. There are many publications that show the effect of lactagogum (an agent to increase milk production) of this plant. In several studies conducted there is evidence that the role of phytosterols and papaverine are two components that can increase the hormones prolactin and oxytocin. Scientific sources were obtained from Google Scholar and Pubmed in the form of textbooks and scientific journals totaling 24 units. Giving the extract resulted in a smoother circulation of the oxytocin hormone. The purpose of this literature review is to discuss the effect of S. androgynus which is believed to have a beneficial effect on breast milk production in and can be an agent of breast milk production in future research subjects.

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