THE EFFECT OF OXYTOCIN MASSAGE ON THE IMPROVEMENT OF BREAST MILK PRODUCTION IN POSTPARTUM MOTHERS AT SURYANI CLINIC, MEDAN JOHOR, KWALA BEKALA, MEDAN CITY

Anita Yasmin; Fatlipi; Nurhaidakaban

Authors

Anita Yasmin Sekolah Tinggi Ilmu Kesehatan Flora
Fatlipi Sekolah Tinggi Ilmu Kesehatan Flora
Nurhaidakaban Sekolah Tinggi Ilmu Kesehatan Flora

Keywords:

Oxytocin Massage, Breast Milk Production, Postpartum Mother, Lactation, Exclusive Breastfeeding

Abstract

Background: The 2023 Indonesian Health Survey (SKI) recorded exclusive breastfeeding coverage of 68.6% among infants aged 0–5 months, but only 55.5% of infants were still exclusively breastfed at six months well short of the 80% national target. Globally, WHO and UNICEF reported an exclusive breastfeeding rate of 48% in 2023. A recurring barrier is insufficient milk output during the first days after delivery, which stems from inadequate stimulation of oxytocin and prolactin, the two hormones that govern milk synthesis and ejection. Oxytocin massage is a non-pharmacological measure intended to trigger this hormonal response. Objective: To determine the effect of oxytocin massage on the smoothness of breast milk production in postpartum mothers at Suryani Clinic, Medan Johor, Kwala Bekala, Medan City, in 2024. Methods: A quasi-experimental study with a two-group pre-test and post-test design was conducted on 44 postpartum mothers selected by purposive sampling and allocated into an intervention group (n = 22) and a control group (n = 22). Milk production was measured with a 16-item observation sheet before the intervention and again after three consecutive days of oxytocin massage. Univariate analysis described respondent characteristics; the independent samples t-test compared the change in observation scores between groups. Results: Most respondents were 19–25 years old (22; 50.0%), primiparous (25; 56.8%), senior high school graduates (32; 72.7%), and not employed (23; 52.3%). Before the intervention, 36 respondents (81.8%) had unsatisfactory milk production. Following oxytocin massage, 30 respondents (68.2%) achieved smooth milk production. Within the intervention group the proportion with smooth production rose from 3 mothers (13.6%) to 21 mothers (95.5%), whereas the control group moved from 5 mothers (22.7%) to 9 mothers (40.9%). The independent samples t-test yielded p = 0.000 (p < α = 0.05). Conclusion: Oxytocin massage significantly improves the smoothness of breast milk production in postpartum mothers. Midwives are encouraged to incorporate the technique into routine postnatal care and to teach it to husbands and family members as lactation support.

References

Ekawati, H. (2016) “Pengaruh rolling massage punggung terhadap peningkatan produksi ASI pada ibu nifas,” Medical Technology and Public Health Journal, hlm. 77–78.

Ekawati, H. (2019) “Manajemen laktasi pada ibu nifas,” Medical Technology and Public Health Journal [Preprint].

Hesti, K.Y. dkk. (2017) “Effect of combination of breast care and oxytocin massage on breast milk secretion in postpartum mothers,” Belitung Nursing Journal, 3(6), hlm. 784–790. Tersedia pada: https://doi.org/10.33546/bnj.293.

Hidayati, H. dkk. (2025) “Association of oxytocin massage with oxytocin hormone levels and breast milk production in mothers with postpartum blues,” The Medical Journal of Malaysia, 80(6), hlm. 848–852.

Kementerian Kesehatan RI (2025) Peraturan Menteri Kesehatan Nomor 12 Tahun 2025 tentang Rencana Strategis Kementerian Kesehatan Tahun 2025-2029. Jakarta: Kemenkes RI.

Lyons, K.E. dkk. (2020) “Breast milk, a source of beneficial microbes and associated benefits for infant health,” Nutrients, 12(4), hlm. 1039. Tersedia pada: https://doi.org/10.3390/nu12041039.

Manjorang, N.A.A.H. (2023) “Experiences of first-time mother in exclusive breastfeeding: A scoping review,” Jurnal Aisyah: Jurnal Ilmu Kesehatan, 9(1), hlm. 15–27.

Manurung, H.R. (2020) “Pengaruh pijat oksitosin terhadap kelancaran ASI pada ibu nifas di Puskesmas Sitinjo Kabupaten Dairi tahun 2019,” Excellent Midwifery Journal, 3(1), hlm. 69–78. Tersedia pada: https://doi.org/10.55541/emj.v3i1.123.

Manurung, H.R. dkk. (2022) “Intervention effects in using an application compared with a module with pictures on knowledge, attitude, and practice of the pregnant women in North Sumatra, Indonesia,” Open Access Macedonian Journal of Medical Sciences, 10. Tersedia pada: https://doi.org/10.3889/oamjms.2022.8125.

Marbun, T.I. dan Silaban, M.A. (2025) “Pengaruh pijat oksitosin terhadap kelancaran produksi ASI pada ibu post partum di Klinik Lidya Kabupaten Deli Serdang,” Vitalitas Medis: Jurnal Kesehatan dan Kedokteran, 2(2), hlm. 211–219. Tersedia pada: https://doi.org/10.62383/vimed.v2i2.1491.

Marmi (2018) ASI saja mama. Yogyakarta: Pustaka Pelajar.

Maryunani, A. (2017) Asuhan pada ibu dalam masa nifas (postpartum). Jakarta: Trans Info Media.

Nuampa, S. dan Payakkaraung, S. (2021) “Effectiveness of different massage techniques for breastfeeding mothers to increase milk production: A systematic review,” Pacific Rim International Journal of Nursing Research, 25(1), hlm. 114–130.

Pilaria, E. (2018) “Pengaruh pijat oksitosin terhadap produksi ASI pada ibu postpartum di wilayah kerja Puskesmas Pejeruk Kota Mataram tahun 2017,” Jurnal Kedokteran YARSI, 26(1), hlm. 26–33.

Silaban, M.A. dkk. (2025) “Effectiveness of Foxy Oil combined with oxytocin massage on breast milk production among postpartum mothers in Indonesia: A quasi-experimental study,” Journal of Applied Nursing and Health, 7(3), hlm. 738–749. Tersedia pada: https://doi.org/10.55018/janh.v7i3.420.

Silaban, M.A. dkk. (2026) “Pendampingan teknik pijat foxy: Inovasi stimulasi oksitosin dan prolaktin untuk keberhasilan menyusui pada ibu nifas,” SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan, 10(1), hlm. 914–920. Tersedia pada: https://doi.org/10.31764/jpmb.v10i1.38126.

Suciawati, A. (2019) “Efektifitas oksitosin terhadap pengeluaran ASI pada ibu nifas di wilayah kerja Puskesmas Cibarusah 2017,” Jurnal Ilmu Keperawatan dan Kebidanan Nasional, 1(1), hlm. 7–8.

UNICEF dan World Health Organization (2023) Global breastfeeding scorecard 2023: Rates of breastfeeding increase around the world through improved protection and support. Geneva: World Health Organization. Tersedia pada: https://www.unicef.org/documents/global-breastfeeding-scorecard-2023.

Victora, C.G. dkk. (2016) “Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect,” The Lancet, 387(10017), hlm. 475–490. Tersedia pada: https://doi.org/10.1016/S0140-6736(15)01024-7.

Widiastuti, N.M.R. dan Widiani, N.N.A. (2020) “Improved breastfeeding with back massage among postnatal mothers,” International Journal of Research in Medical Sciences, 8(2), hlm. 580–583. Tersedia pada: https://doi.org/10.18203/2320-6012.ijrms20200239.

Yuliati, N.D. dkk. (2017) “The impact of combination of rolling and oketani massage on prolactin level and breast milk production in post-cesarean section mothers,” Belitung Nursing Journal, 3(4), hlm. 329–336. Tersedia pada: https://doi.org/10.33546/bnj.150.