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ABSTRACT
Background: Breastmilk in early life was an effective intervention in saving lives of newborns and
could prevent 13-15% of 9 million deaths of children underfive years old. Rate of breastfeed in world
was lack, between 20-40%. There were many breastmilk of postpartum mothers not smooth at one week
postpartum and breastfeed blockage incident that required mothers breastcare each month. One effort to
improve breastmilk production with early intervention in postpartum mothers by stimulating oxytocin
hormone, one of them with oxytocin massage. Aim: This study conducted to evaluate effect of oxytocin
massage on breastmilk production postpartum mothers. Study Design: This study utilized simple post
test design. The intervention was oxytocin massage. Samples: Population of this study physiologic
postpartum mothers. Sample were collected with consecutive non-probability random sampling,
involving 100 total samples. Results: It was found that 72% of participants were 20-35 years old, 84%
housewives, and 66% multiparas. The most important findings of study were following 58.1%
postpartum mothers with oxytocin massage were significantly improved after treatment (Fisher Exact
Test, p value= 0.006; OR= 3.765; CI 1.410-10.051) Conclusion: This study proved that oxytocin
massage could improve breastmilk production. Oxytocin massage, massage therapy of spine in costa 5-
6 to scapula would accelerate work of parasympathetic nervous system stimulates posterior pituitary to
secrete oxytocin. Sustainability production of oxytocin hormone needs to be further investigated. The
result can be used as basic policy of lactation management and exclusive breastfeeding promotion
education programs in health services and community.
Weight gain
Stagnant or <200g 37 23 61.7 38.3
200g 13 26 33.3 66.7
>200g 0 1 0 100
Other indicators of infant
Duration of feeding
<20 minutes 19 15 55.9 44.1
20-30 minutes 31 27 53.4 46.6
>20 minutes 0 8 0 100
Frequency of feeding
<8 times/24 hours 15 14 51.7 48.3
8-12 times/24 hours 35 21 62.5 37.5
>8 times/24 hours 0 15 0 100
Frequency of urinary
<6 times/24 hours 10 5 66.7 33.3
6-8 times/24 hours 38 26 59.4 40.6
>8 times/24 hours 2 19 9.5 90.5
Frequency of sleep
<2 hours 9 3 75 25
2-3 hours 37 23 61.7 38.3
>3 hours 4 24 14.3 85.7
The postpartum mothers 74% had production (weight gain) and other indicators
smooth breastmilk production. It appears from (duration of feeding, frequency of feeding,
the main indicators on infant breastmilk urinary, and sleep).
80.00% 80.00%
60.00% 60.00%
40.00% Control
20.00% Breastmilk 40.00%
0.00% production 20.00% Oxytocin
0.00% massage
Smooth Not
smooth
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Global Nursing Challenges in The Free Trade Era
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