Pijat Kombinasi Endorfin Oksitosin Mempengaruhi Produksi Asi Pada Ibu Post Operasi Sectio Caesarea

Abstract

Background: Breast milk spending is a very complex interaction between mechanics, nerves, and hormons. The decrease and production of breast milk production in the first days after delivery can be caused by a lack of stimulation of prolactin and oxytocin hormons. Caesarea section does not allow the mother to breastfeed her infant more flexibly, with adaptation to the pain, so she should be able to support the health worker thoroughly about the lactation process. 
 Purpose: to know the difference of endorphin, oxytocin and combination effect on breast milk production in Postoperative section of caesarea section. Research design: quasi experimental design type post test only non equivalent control group design. The population in this study were all postoperative mothers caesarea section, 10 samples for each treatment. Group 1 : endorphin massage, group 2 (control) : the oxytocin massage, and group 3 : the combine massage. 
 Results: Combination massage is the best method to produce the highest amount of ASI because the largest Sig p value is (1,000) where the level is significant <0.05. So H0 this study was rejected means that there is a significant difference between the production of breast milk from the combination massage compared with the two massage done separately. 
 Conclusion: It is expected during childbirth the midwife can develop and implement independent non-pharmacological midwife actions to help increase milk production

The Effect Of Endorphin Massage On Milk Production In Postpartum Mothers

“…Combine back rolling and endorphin massage (Dewi, Indrayani, & Khanifah, 2017;Mayangsari & Hidayati, 2020). Compare oxytocin and endorphin massage and sugestif (SPEOS) (Nugraheni & Heryati, 2017;Rukmawati, Astutik, & Retnoningrum, 2020;Sari, Rahayu, & Rohmayanti, 2017;Syukur, Wahyutri, & Putri, 2020;Widhiani et al, 2019;Wulandari & Mayangsari, 2019). From 17 article extracted, it showed influential to boom the easy manufacturing of breast milk.…”

“…The mental state of the mother who is anxious and thoughts of stress, confusion, chaos can inhibit the process of the hormone oxytocin, let down reflex or reflex to release breast milk. Breast milk production continues, but output is hampered, causing a dam of breast milk (Alza & Nurhidayat, 2020;Pratimi et al, 2020;Syukur et al, 2020;Tutik Hidayati, 2019).…”

“…Oxytocin is a neurohypophysis hormone that links the causes and effects of positive social interactions. Oxytocin will induce the release of milk by myoepithelial contraction through the G protein receptors, activate phosphophilase and induce milk ejection so that the lactation inhibitor feedback decreases so that prolactin can be formed and milk production will increase for the next breastfeeding process (Anuhgera et al, 2019;Dewi et al, 2017;McClellan et al, 2012;Nugraheni & Heryati, 2017;Sari et al, 2017;Syukur et al, 2020;Wulandari & Mayangsari, 2019).…”

HUBUNGAN TEKNIK MENYUSUI DENGAN KEJADIAN PUTING LECET PADA IBU POST PARTUM DI RSD dr. H. SOEMARNO SOSROATMODJO TANJUNG SELOR

“…33 tahun 2012 dan PP No. 97 tahun 2018) diatur tugas dan tanggung jawab pemerintah dan pemerintah daerah dalam pengembangan program ASI, diantaranya menetapkan kebijakan nasional daerah, melaksanakan advokasi dan sosialisasi serta melakukan pengawasan terkait program pemberian ASI eksklusif (Syukur, dkk, 2020). Target pemberian ASI eksklusif secara nasional yaitu sebesar 80%.…”

Pengaruh Endorphin Massage Terhadap Pengeluaran Asi Pada Ibu Post Partum

“…Pijat endorfin terhadap produksi ASI pada hari ke 2 rata-rata keluar adalah 2,22 cc, hari ke 3 3,61cc, hari ke 4 5,89cc. Hasil Sig α 0,000 < 0,005 (Syukur, Wahyutri, & Erma Futri, 2020). Ibu post partum yang mendapatkan perlakuan endorphin massage lebih cepat pengeluaran ASI dibandingkan yang tidak dilakukan.…”