The Effectiveness of Giving a Combination of Oxytocin Massage and Breast Care on Milk Expenditure at Hapsah Hospital, Bone Regency

Fitrah Ramadani, Yanti Mustarin
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Abstract

In Indonesia, the coverage of exclusive breastfeeding in 2013 was 30.2% and increased in 2018 to 37.3%. Thus, the prevalence of exclusive breastfeeding is still below the achievement target of the 2021 RPJMN (45%) (Ministry of Health Republic of Indonesia, 2020). Indonesia has the highest infant mortality rate in Southeast Asia. The main causes of infant death include diarrhea, malnutrition and infection. This morbidity and mortality can be prevented and overcome by exclusive breastfeeding which is a natural process that can have a positive impact on mothers and babies, because without exclusive breastfeeding babies are more susceptible to various diseases that increase morbidity and mortality. The purpose of this study was to determine the effectiveness of oxytocin massage and breast care on the lactation of postpartum mothers. The research method is quasi-experimental research using a two group pre and post test design, with a total sample of 30 samples which are divided into 2 groups, namely the control group and the experimental group. The results of the study after oxytocin massage and breast care for 3x1 for 3 days, an increase in the number of respondents who experienced an increase in smooth milk production, namely 14 (93.3%), almost one hundred percent of respondents experienced smooth breastfeeding and only 1 experienced substandard milk production. (6.7) % with a p_Value value of 0.000 which means (p <0.005). So oxytocin massage therapy and breast care are effective in smoothing out milk in post partum mothers.
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骨摄政Hapsah医院联合催产素按摩与乳房护理对乳汁消耗的影响
在印度尼西亚,2013年纯母乳喂养覆盖率为30.2%,2018年增加到37.3%。因此,纯母乳喂养的流行率仍低于2021年RPJMN的实现目标(45%)(印度尼西亚共和国卫生部,2020年)。印度尼西亚是东南亚婴儿死亡率最高的国家。婴儿死亡的主要原因包括腹泻、营养不良和感染。这种发病率和死亡率可以通过纯母乳喂养来预防和克服,这是一个可以对母亲和婴儿产生积极影响的自然过程,因为没有纯母乳喂养,婴儿更容易感染各种疾病,从而增加发病率和死亡率。本研究的目的是确定催产素按摩和乳房护理对产后母亲泌乳的效果。研究方法为准实验研究,采用两组前后测试设计,共30个样本,分为对照组和实验组2组。研究结果显示,在催产素按摩和乳房护理3x1连续3天后,出现产奶量顺畅增加的应答者人数增加,即14人(93.3%),几乎100%的应答者母乳喂养顺畅,只有1人的产奶量不达标。(6.7) %, p_Value值为0.000,这意味着(p <0.005)。因此,催产素按摩疗法和乳房护理对产后母亲的乳汁平滑是有效的。
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