Literature Review : Terapi Pijat Oksitosin Untuk Meningkatkan Produksi Asi Pada Ibu Post Partum

One way to increase milk production is by doing oxytocin massage. This scientific paper aims to find out the description of oxytocin massage therapy to increase breast milk in postpartum mothers. It is a literature review with 3 articles taken from google scholar. Oxytocin massage, postpartum, and breast milk are the keywords. All are full-text, the first article published in 2016, the second one was in 2019, and the latter was in 2020. The result shows before applying the therapy, the average value of milk breast production was 10.02 ml, and it was 17.2 after applying the therapy with difference of the production was 7.18 ml. It means there was an increasing in producing breast milk. Therefore, nurses are suggested to apply this therapy on postpartum mothers.Keywords: oxytocin massage, postpartum, breast milk producing AbstrakSalah satu cara untuk meningkatkan produksi ASI yaitu pijat oksitosin. Tujuan karya tulis ilmiah ini yaitu mengetahui gambaran terapi pijat oksitosin untuk meningkatkan produksi ASI pada ibu post partum. Berdasarkan literature review Metode dalam karya tulis ilmiah ini adalah literature review dengan subyek literature review yang digunakan yaitu 3 artikel yang diambil dari laman jurnal google scholar dengan kata kunci “pijat oksitosin”, “post partum” dan “produksi ASI”. Berupa fulltext dan pada artikel pertama terbit pada tahun 2016, artikel kedua 2019 dan artikel ketiga tahun 2020. Hasil dari ketiga artikel menunjukan bahwa sebelum dilakukan pijat oksitosin terdapat nilai rata-rata produksi ASI 10,02 ml dan setelah dilakukan pijat oksitosin didapatkan bahwa terdapat nilai rata-rata produksi ASI 17,2 ml dengan perbedaan produksi ASI 7,18 ml sehingga terdapat adanya peningkatan produksi ASI. Simpulannya adalah terapi pijat oksitosin dapat meningkatkan produksi ASI pada ibu post partum. Saran untuk tenaga kesehatan diharapkan dapat menerapkan terapi pijat oksitosin untuk meningkatkan produksi ASI pada ibu post partum.Kata kunci: pijat oksitosin, post partum, produksi ASI

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

The 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

Metoclopramide for Milk Production in Lactating Women: A Systematic Review and Meta-Analysis

Background: Breastfeeding is recognized as the optimal form of nutrition for the physical and neurological development of infants and is considered the most significant way to prevent child mortality. This study aimed to assess the effectiveness of metoclopramide for enhancing milk production in lactating women.Methods: We searched the Cochrane Central Register of Controlled Trials and MEDLINE for randomized controlled trials comparing metoclopramide with a placebo, no treatment, or other galactagogue drugs. We included breastfeeding women with term or preterm infants.Results: We retrieved 164 records from our search of the electronic databases and 20 records from other sources. Eight trials involving 342 lactating women that used metoclopramide were included in this review after assessing the eligibility criteria. The meta-analysis of these trials revealed that metoclopramide did not increase the milk volume of the intervention groups compared to that of the control groups. There was a significant increase in the serum concentrations of prolactin when the mothers were administered metoclopramide. No significant adverse events were reported.Conclusion: Metoclopramide did not improve milk production in lactating women. Therefore, we do not recommend using metoclopramide to increase milk production in lactating women.

Metabolic and production parameters of dairy cows with different dry period lengths and parities

To assess the effects of dry period (DP) length on metabolic, reproductive, and productive parameters, second- (SP) and third- (TP) parity cows were assigned to a traditional (9 weeks, T) or short (5 weeks, S) DP, obtaining four subgroups: second-parity cows with traditional (SPT = 8) and short (SPS = 8) DP, third-parity cows with traditional (TPT = 8) and short (TPS = 10) DP. Plasma insulin-like growth factor-I (IGF-I) and non-esterified fatty acid (NEFA) levels were assessed from 5 weeks before to 14 weeks after parturition. IGF-I concentrations were affected by parity (P < 0.05) and by the interaction of time and DP length (P < 0.01). NEFA levels were affected only by time (P < 0.01). S DP cows showed a shorter interval between calving and ovarian cyclicity resumption (P < 0.01) and a higher milk yield (P < 0.01) and fat and protein corrected milk (P < 0.01) compared with T DP cows. Decreased milk protein content was found in the SPS group compared to the SPT (P < 0.05) and the TPS (P < 0.05) group. In conclusion, a short DP length does not affect reproductive performances, except for hastening the resumption of ovarian cyclicity. A short DP appears to increase milk production and is associated with higher IGF-I levels both in the prepartum and the postpartum period.

Effect of bentonite on the health and dairy production of cows submitted to a diet naturally contaminated by mycotoxins

Mycotoxins often contaminate cattle food, which can cause liver damage, immunosuppression, and reduced milk production. Although previous studies have shown the benefits of adsorbents in farm animals, knowledge regarding their mechanism of action is limited, especially when intoxication occurs due to naturally contaminated diets. The present study aimed to assess whether the daily oral administration of mycotoxin adsorbent bentonite clay based on aluminosilicate for 56 days, would attenuate these changes in 18 dairy cows, which were multiparous in the middle of the lactation stage, and were consuming a diet containing fumonisin B1 and B2, zearalenone, and desoxynivalenol. The animals were divided into treatment (TG, n = 9) and control (CG, n = 9) groups, and subjected to assessment of liver functions, hematological assessments, assessment of oxidative leucocyte metabolism by the tetrazolium nitroazul (NBT) technique, and physical chemical analysis of milk, every week for two months, totaling eight analyses. It was observed that the use of the adsorbent caused a reduction in the milk excretion of aflatoxin M1 (AFM1), an increase in levels of serum protein (p = 0.03) and albumin (p = 0.0001), an increase in leukocyte oxidative metabolism from day 24 of treatment(p = 0.05), and increased milk production from the day 16 of treatment (p = 0.08). There was no improvement in the physicochemical indices of the milk. It was concluded that the use of an aluminosilicate-based adsorbent was able to attenuate the effects of mycotoxins on the function of leukocytes and increase milk production.

THE EFFECT OF OXYTOCIN MASSAGE ON THE PRODUCTION OF ASI OF BREASTFEEDING MOTHER IN THE WORKING AREA OF BANDA SAKTI PUBLIC HEALTH CENTER, BANDA SAKTI DISTRICT, LHOKSEUMAWE CITY, 2019

Background: Massage or stimulation of the spine, neurotransmitters will stimulate the medulla oblongata to directly send messages to the hypothalamus in the hypophyseposteriorly to release oxytocin, causing the breasts to release milk. The purpose of this study was to determine the effect of oxytocin massage on milk production in breastfeeding mothers in the Banda Sakti Public Health Center, Banda Sakti District, Lhokeseumawe City. Metods: The study design was an analytical study using a cross sectional approach. The population in this study were all breastfeeding mothers who were in the Banda Sakti Public Health Center Lhokseumawe totaling 40 breastfeeding mothers. The sampling method in this study is to use the total population. Where the sample of this research is the entire population, amounting to 40 respondents. The trials in this study were conducted in Hagu Teungoh Village, Banda Sakti District, Lhokseumawe City with a total of 10 respondents, 30 questions with a product moment r value of 0,70. Result: The results showed that of the 28 breastfeeding mothers who did oxytocin massage, the majority of their milk production was smooth, namely 17 people (60,7%), while of the 12 breastfeeding mothers who did not oxytocin massage the majority of their milk production was not smooth, namely 9 people (75%). Recommendation: It is hoped that it can increase respondents’ knowledge in an effort to increase milk production and can inform the impact of the failure of the breastfeeding process.

Dairy farming in the national food security infrastructure

В торговле молоком преобладает импорт над экспортом, что влияет на продовольственную безопасность страны. Обоснована возможность увеличения производства молока в России на основе структурных сдвигов среди видов организационно-правовых форм хозяйств, работающих в молочном животноводстве. Предложены меры по улучшению деловой активности в племенной работе и увеличению производства молока на основе внедрения инновационных проектов. Предлагается расширить предпринимательскую деятельность животноводов в молочном скотоводстве, повысить качество работы по увеличению доли племенного молочного скота. The milk trade is dominated by imports over exports, which affects the country's food security. The possibility of increasing milk production in Russia is justified on the basis of structural changes among the types of organizational and legal forms of farms operating in dairy farming. Measures to improve business activity in breeding work and increase milk production based on the introduction of innovative projects are proposed. It is proposed to expand the entrepreneurial activity of livestock breeders in dairy cattle breeding, to improve the quality of work to increase the share of breeding dairy cattle.

Evaluation of Scenarios for Improving the Collection System for a Milk Factory in Ethiopia

The milk for a factory in Sululta (Ethiopia) is currently collected at ambient temperature. To increase milk production, the sourcing must be extended. This requires the collection of not only the morning milk but also the evening milk from smallholder farms. To accomplish this, the collection of milk from small farmers has to be improved, whereby the milk quality has to be assured with reasonable cost and environmental impact. A model predicting milk rejection was developed based on initial contamination and time and temperature profiles. With this model, different cooling scenarios we reevaluated regarding the expected effectiveness of reducing the rejection rate during collection. Second, cost estimations were made to implement the scenarios to collect morning and evening milk from smallholder farms. A third criterion was greenhouse gas (GHG) emissions per litre of collected milk. Finally, the feasibility of the scenarios was assessed in terms of technical, practical, and economic aspects. Including both quality and economics, the best scenario can be expected from a cooling centre where farmers bring their milk twice a day, except there are signals that the farmers would not be willing to deliver the evening milk to the centre at night. In that case, an additional collecting system would be needed to increase the milk supply. This would result in higher collection costs and an increased risk of milk rejection at the factory gate. Furthermore, this would reduce the value of the chilling centre, as in that case it would be better to deliver the milk directly to the factory. Both scenarios would increase GHG emissions compared with the current situation. Only the use of an off-grid solar power-driven cooling system at the farms would reduce the GHG emissions. However, this solution is less feasible economically. The applied combination of a simple model, economic analysis and the effect on GHG emissions gives valuable information on the effectiveness and limitations of different cooling scenarios for the milk factory. It can help to successfully apply a scenario for increasing the milk supply.

Sosialisasi Stimulasi Produksi Asi Melalui Pijat Oksitosin dan Minyak Esensial Lavender untuk Mencegah Stunting di Desa Gondang Kabupaten Mojokerto

Breastfeeding has a significant role in preventing stunting. The fluency of breastfeeding by postpartum mothers, apart from being influenced by nutritional intake, was also influenced by psychological and environmental factors. Oxytocin massage was part of the way out to increase milk production, minimize swelling and provide comfort to the mother, so that breast milk was stimulated smoothly. The use of lavender oil acts as a relaxant and as an aromatherapy when oxytocin massages provided synergistic benefits on oxytocin massage to stimulate breast milk. Counseling related to the socialization of stimulation of breast milk production through massage of oxytocin and lavender essential oil to prevent stunting in the first 1000 days of birth was carried out in Gondang Village, Gondang District, Mojokerto Regency. The level of knowledge of the participants was measured using a questionnaire and analyzed using a paired sample T test. The analysis results show the sig. 0.000 (p <0.005), which indicates that there was a significant relationship between the provision of counseling materials to the participants insights and knowledge regarding the stimulation of breastfeeding and oxytocin massage using lavender oil, where participants knowledge has increased from before to after exposure to the information Abstrak Pemberian ASI (Air Susu Ibu) berperan signifikan dalam pencegahan stunting. Kelancaran ASI oleh ibu pasca melahirkan, selain dipengaruhi oleh asupan nutrisi juga dipengaruhi oleh faktor psikologi dan lingkungan ibu. Pemijatan oksitosin merupakan bagian dari jalan keluar untuk meningkatkan produksi ASI, meminimalisasi pembengkakan dan memberikan rasa nyaman pada ibu, sehingga ASI terstimulasi lancar. Penggunaan minyak lavender berfungsi sebagai relaksan dan sebagai aromaterapi saat melakukan pijat oksitosin memberikan manfaat secara sinergis pada pijat oksitosin untuk menstimulasi ASI. Penyuluhan terkait sosialisasi stimulasi produksi asi (Stipasi) melalui pijat oksitosin dan minyak esensial lavender untuk mencegah stunting pada 1000 hari pertama kelahiran dilakukan di Desa Gondang, Kecamatan Gondang, Kabupaten Mojokerto. Tingkat pengetahuan peserta diukur menggunakan kuisioner dan dianalisa dengan uji T sampel berpasangan. Hasil analisa menunjukkan nilai sig. 0.000 (p < 0,005) yang menunjukkan terdapat hubungan bermakna antara pemberian materi penyuluhan terhadap wawasan dan pengetahuan peserta terkait stimulasi pemberian ASI dengan pijat oksitosin menggunakan minyak lavender, dimana pengetahuan peserta mengalami peningkatan dari sebelum hingga setelah di paparkan materi penyuluhan.