Background: The absence of contractions after childbirth can lead to a slow-running uterine involution process. Thus, the effort to maintain and accelerate the process is needed. Oxytocin massage and hypnobreastfeeding are considered as an alternative treatment, but the effect of the combination of the two treatments have not yet been examined.
Objective: To examine the effect of combination of oxytocin massage and hypnobreastfeeding on uterine involution and prolactin levels in postpartum.
Methods: A quasi-experimental study with pretest posttest control group design. a total of 40 respondents were recruited using simple random sampling, with 20 respondents assigned in a treatment group and a control group. Metline and ELISA methods were used to measure uterine involution prolactin levels. Paired t-test and independent t-test were used to analyze the data.
Results: There was a significant decrease of uterine involution in the experiment group and control group after intervention with p-value 0.000 (<0.05), and it can be seen that the uterine involution in the experiment group (6.05) was faster than uterine involution in the control group (7.00). Findings also showed that the prolactin level in the experiment group (273.53) was higher than the prolactin level in the control group (209.37).
Conclusion: There was statistically significant effect of the combination of oxytocin massage and hypnobreastfeeding on the uterine involution and prolactin level in postpartum mothers. It is expected that the combination of oxytocin massage and hypnobreastfeeding can be used as a consideration and a reference in providing postpartum midwifery care.
Copyright (c) 2017 Yuni Nor Aini1, Hadi, Sri Rahayu, Noor Pramono, Donny Kristanto Mulyantoro
This work is licensed under a Creative Commons Attribution 4.0 International License.
Article MetricsAbstract views: 1802 | PDF views: 841 |
Ricci SS, Kyle T. Maternity and pediatric nursing. Philadelphia: Lippincott Williams & Wilkins; 2009.
Department of Health of Central Java. Health profile of Central Java Province. Central Java: Department of Health of Central Java; 2014.
Cunningham F, Leveno K, Bloom S, Spong CY, Dashe J. Williams Obstetrics. Philadelphia: McGraw-Hill; 2014.
Bobak IM, Lowdermilk DL, Jensen MD. Buku ajar keperawatan maternitas [Teaching book of maternity nursing]. Jakarta: EGC; 2005.
Hamranani S. Pengaruh pijat oksitosin terhadap involusi uterus pada ibu post partum yang mengalami persalinan lama di rumah sakit wilayah Kabupaten Klaten [Effect of oxytocin massage on uterine involution in postpartum mothers who experience prolonged labor in the hospital area of Klaten Regency]. (Thesis). Jakarta: Universitas Indonesia; 2010.
Suherni HW, Rahmawati A. Perawatan masa nifas [Postpartum care]. Jogjakarta: Fitramaya; 2009.
Pincus L. How hypnosis can help increase breast milk production. Breastfeeding. 1996;13:5.
Mongan M. Hypnobirthing: The breakthrough natural approach to safer, easier, more comfortable birthing-The Mongan method. Florida: Health Communications, Inc.; 2015.
Dewi MUK. Efektivitas gentle birth terhadap pemberian ASI eksklusif [Effectivenes of gentle birth on giving exclusive breastfeeding]. Jurnal Bidan Prada. 2013;4(02).
Sulistyawati A. Buku ajar asuhan kebidanan pada ibu nifas [Teaching book of midwifery care of postpartum mothers]. Yogyakarta: Andi Offset; 2009.
Jordan S. Farmakologi kebidanan [Midwifery pharmacology]. Jakarta: EGC; 2003.
Khairani L. Pengaruh pijat oksitosin terhadap involusi uterus pada ibu postpartum di ruang postpartum Kelas III RSHS Bandung [Effect of oxytocyn massage on uterine involution in postpartum mothers at Class III postpartum unit of RSHS Bandung. Students E-Journal. 2012;1(1):33.
Wada FH. Pengaruh pijat oksitosin terhadap involusi uterus pada ibu postpartum primigravida di RSUD Panembahan [Effect of oxytocyn massage on uterine involution in postpartum primigravida mothers at RSUD Panembahan]. Yogyakarta: Universitas Muhammadiyah Yogya-karta.
Kusumaningrum PR. Efektifitas senam nifas terhadap involusi uteri di RSUP dr. Soeradji Tirtonegoro Klaten [Effectiveness of puerperal exercise on uterine involution at RSUP dr. Soeradji Tirtonegoro Klaten]. TRIAGE Jurnal Ilmu Keperawatan (Journal of Nursing Science). 2016;6(1).
Sobrinho LG. Prolactin, psychological stress and environment in humans: Adaptation and mal-adaptation. Pituitary. 2003;6(1):35-39.
Andriana E, Kuswandi L, Abidin B, Syafary IW. Melahirkan tanpa rasa sakit dengan metode relaksasi hypnobirthing [Childbirth without pain with relaxation method of hypnobirthing]. Jakarta: Bhuana Ilmu Populer; 2007.
Agustie PR, Hadisaputro S, Runjati, Soejoenoes A, Mashudi ID, Widyawati MN. Effect of oxytocin massage using lavender essential oil on prolactin level and breast milk production in primiparous mothers after caesarean delivery. Belitung Nursing Journal. 2017; 3(4): 337-344.