Effect of the Combination of Woolwich and Efflurage Massage on Breast Milk Production Among Normal Postpartum Women

Abstract

The coverage of exclusive breastfeeding in Indonesia is still low, one of which is due to lack of breast milk production. Breast milk production is affected by prolactin reflex and let down reflex. Some of the methods to incrase breast milk production are woolwich massage and efflurage massage. This study aims to determine the effect of the combination of woolwich massage and efflurage massage on breast milk production among normal postpartum women. This was a quasi experimental study with non randomized control group pretest-posttest design. Thirty samples were selected using purposive sampling technique, where 15 samples were assigned to the experiment group and control group, respectively. Breast milk production was measured based on the breast milk volume and the infant weight. These measurements were then repeated after 3 days of treatment. Data were then analyzed using dependent t-test and independent t-test. The results showed that there was a significant difference in breast milk volume after treatment in the experiment group (520.10 ml) and control group (171.97 ml) with a p-value of 0.000 (< 0.05). It was also found that there was a significant difference in infant weight after treatment in the experiment group (353.87 grams) and control group (101.33 grams) with a p-value of 0.000 (< 0.05). It can be concluded from this study that there was a statistically significant effect of the combination of woolwich massage and efflurage massage on breast milk production among normal postpartum women. It is expected that the combination of woolwich massage and efflurage massage can be used as a consideration and reference in providing midwifery care to postpartum women.

Peningkatan Produksi Asi Pada Ibu Post Partum Melalui Pijat Effleurage Di Klinik LMT Siregar

“…Salah satu cara yang dapat dilakukan untuk meningkatkan produksi ASI adalah dengan cara teknik pemijatan. Pijatan yang dilakukan terdiri atas beberapa tekhnik, salah satunya adalah effleurage (pemijatan yang dilakukan dengan gerakan mengusap yang ringan dan menenangkan) yang berguna untuk memberikan rasa rileks kepada ibu menyusui melalui penghangatan otot [6] [7]. Hasil penelitian menunjukkan terdapat pengaruh pijat punggung tekhnik effleurage terhadap produksi ASI pada ibu post partum normal [8].…”

“…Sebuah penelitian di Korea yang dilakukan menjelaskan hubungan antara pemijatan yang dilakukan pada regio vertebral lumbal 4 sampai sakrum 1 dengan sistem saraf otonom sehingga akan menurunkan kadar HRV, kortisol serum dan norepinefrin serta meningkatkan kadar oksitosin. Penelitian penunjang lainnya adalah penelitian yang dilakukan yang menunjukkan bahwa ada hubungan antara pijat otot tulang belakang dengan peningkatan kadar oksitosin dan penurunan hormon adrenokortikotropin (ACTH), oksida nitrat (NO) dan kadar beta endorfin (BE) [6].…”