Improvement of Prolactin Hormone Levels on Postpartum Mothers Taken by The Oketani Massage and Pressure in GB-21 Point

Machmudah Machmudah, Nikmatul Khayati, Sri Widodo, Elsi Dwi Hapsari, Fitri Haryanti

Abstract


Background: Breastfeeding will provide a wide range of benefits for both mother and baby. Breastfeeding is one of the physical adaptations and processes of changing maternal roles in postpartum mothers. Not all mothers can go through this process correctly. A small amount of milk production on the first day of postpartum is one of the complaints that is often felt by mothers. The hormone prolactin is one of the factors that influence milk production. One way to stimulate the production of the hormone prolactin is by breast treatment. Breast care will affect hypopise to release the hormone progesterone, estrogen, prolactin, and oxytocin more.

Objective: The purpose of this study was to identify the effect of pressure on the Jianjing GB-21 acupressure point and Oketani massage on the level of the hormone prolactin.

Method: The type of this research is a quasi-experiment with the design used is a pre-post-test design with the control group. Prolactin hormone levels were examined before the intervention (on the first day) and on a ninth day. The examination was carried out using the ELISA (Enzym Linked Immunosorbent Assay) technique. Data obtained was analyzed using an independent sample T-test.

Result: The study showed that there was an increase in mean values of maternal prolactin levels after oketani massage intervention and pressure on GB-21 acupressure points. The administration of a combination of interventions, namely Oketani massage and pressure at the GB-21 point, can increase the highest levels of the hormone prolactin, which is 3.41. Whereas in the control group that did not get any intervention, had the lowest levels of the hormone prolactin that is equal to 2,925

Conclusion: it can be concluded that oketani massage and applying pressure at the GB-21 point can increase the levels of the hormone prolactin, respectively.


Keywords


Acupressure; Jianjing GB-21; Oketani massage; Prolactin

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References


Apriany, D. (2010). Pengaruh terapi musik terhadap mual muntah lambat akibat kemoterapi pada anak usia sekolah yang menderita kanker di RSUP Dr. Hasan Sadikin Bandung. [Thesis]. Depok: Universitas Indonesia.

Moriarty, K., & Sharp, K. (2013). Acupressure and acupuncture in pregnancy and childbirth. Supporting a Physiologic Approach to Pregnancy and Birth, 197-226.

Central Java Provincial Health Department. (2017). Profil Kesehatan Provinsi Jawa Tengah Tahun 2017. Semarang: Dinas Kesehatan Provinsi Jawa Tengah. https://www.kemkes.go.id/resources/download/profil/PROFIL_KES_PROVINSI_2017/13_Jateng_2017.pdf

Jones, W. (2018). Breastfeeding and Medication. London: Routledge.

Foda, M. I., Kawashima, T., Nakamura, S., Kobayashi, M., & Oku, T. (2004). Composition of milk obtained from unmassaged versus massaged breasts of lactating mothers. Journal of pediatric gastroenterology and nutrition, 38(5), 484-487. https://journals.lww.com/jpgn/fulltext/2004/05000/composition_of_milk_obtained_from_unmassaged.5.aspx

Haryanto, J., Sriyono, S., Rosyidi, K., & Afandi, A. T. (2018). Therapy Acupressure and Murottal Al-Quran on The Pain Intensity and Endorphin Urine. CNJ: Caring Nursing Journal, 2(1), 1-11. https://journal.umbjm.ac.id/index.php/caring-nursing/article/view/134

Hobbs, A. J., Mannion, C. A., McDonald, S. W., Brockway, M., & Tough, S. C. (2016). The impact of caesarean section on breastfeeding initiation, duration and difficulties in the first four months postpartum. BMC pregnancy and childbirth, 16(1), 90. https://doi.org/10.1186/s12884-016-0876-1

Huang, Y., Ouyang, Y. Q., & Redding, S. R. (2019). Previous breastfeeding experience and its influence on breastfeeding outcomes in subsequent births: a systematic review. Women and Birth, 32(4), 303-309. https://doi.org/10.1016/j.wombi.2018.09.003

Isytiaroh, I. (2019). Myths and Failure of Exclusive Breastfeeding: Study in Buaran Community Health Center Pekalongan Regency Central Java. IJNP (Indonesian Journal of Nursing Practices), 2(2), 77-82. https://doi.org/10.18196/ijnp.2282

Kabir & Tasnim. (2009). Oketani Lactation Management : A New Method to Augment Breast Milk. J Bangladesh Coll Phys Surg 27: 155-159. https://www.banglajol.info/index.php/JBCPS/article/view/4293/3535

Lestari, I., Rahmawati, I., & Emik Windarti, H. (2019). SPEOS (Stimulation of Endorphin, Oxytocin and Suggestive): Intervention to Improvement of Breastfeeding Production. Medico Legal Update, 19(1), 210-215. https://doi.org/10.5958/0974-1283.2019.00042.2

Ministry of Health R.I. (2017). Data dan informasi profil kesehatan Indonesia 2017. Pusat Data Dan Informasi Kementrian Keshatan RI, 119-121. https://pusdatin.kemkes.go.id/download.php?file=download/pusdatin/profil-kesehatan-indonesia/Profil-Kesehatan-Indonesia-tahun-2017.pdf

Ministry of Health R.I. (2018). Hasil utama riskesdas 2018. Jakarta: Kemenkes RI. https://pusdatin.kemkes.go.id/download.php?file=download/pusdatin/profil-kesehatan-indonesia/Profil-Kesehatan-Indonesia-tahun-2017.pdf

National Population and Family Planning Board - BKKBN, Statistics Indonesia - BPS, Ministry of Health - Kemenkes, and ICF. 2018. Indonesia Demographic and Health Survey 2017. Jakarta, Indonesia: BKKBN, BPS, Kemenkes, and ICF. https://dhsprogram.com/pubs/pdf/FR342/FR342.pdf

Rahayu, D., Budi, S., & Esty, Y. (2015). Produksi ASI Ibu dengan Intervensi Acupresure Point for Lactation dan Oksitosin Massage. Jurnal ners, 10(1), 9-19. https://doi.org/10.20473/jn.v10i1.1852

Riordan J & Aurbach, K.G, (2010). Breastfeeding and Human Lactation. London: Jones an barlett Publishers International.

Roy, S. K., Tasnim, S., Jahan, M. K., Nazmeen, S., Debnath, S. C., & Islam, A. M. (2019). Difficulties in breastfeeding: Easy solution by Oketani breast massage. Bangladesh Medical Research Council Bulletin, 45(3), 149-154. https://doi.org/10.3329/bmrcb.v45i3.44644

Flaherman, V. J., Chan, S., Desai, R., Agung, F. H., Hartati, H., & Yelda, F. (2018). Barriers to exclusive breastfeeding in Indonesian hospitals: A qualitative study of early infant feeding practices. Public health nutrition, 21(14), 2689-2697. https://doi.org/10.1017/S1368980018001453

Saputra, K. (2000). Akupunktur dalam pendekatan ilmu kedokteran. Surabaya: Airlangga University Press, 80-87.

Sugiyono. (2001). Statistik untuk Penelitian. Bandung : CV. Alfabeta

Yelland, S. (2005). Acupuncture in midwifery. London: Elsevier Health Sciences.

Yu, J., Wells, J., Wei, Z., & Fewtrell, M. (2019). Randomized trial comparing the physiological and psychological effects of different relaxation interventions in Chinese women breastfeeding their healthy term infant. Breastfeeding Medicine, 14(1), 33-38. https://doi.org/10.1089/bfm.2018.0148

Zhang, Z., Zhu, Y., Zhang, L., & Wan, H. (2018). What factors influence exclusive breastfeeding based on the theory of planned behaviour. Midwifery, 62, 177-182. https://doi.org/10.1016/j.midw.2018.04.006




DOI: https://doi.org/10.18196/ijnp.41101

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