Background: Low milk production is one of the barriers to exclusive breastfeeding. Oxytocin massage is considered as an alternative treatment, which combined with lavender essential oil as an aromatherapy.
Objective: This study aims to examine the effect of oxytocin massage using lavender essential oil on the increase of levels of prolactin and milk production in primiparous mothers after caesarean section.
Methods: This was a quasi-experimental study with non-equivalent control group design conducted in October-December 2016 at the General Hospital of Dr.H. Soewondo Kendal, Indonesia. There were 32 recruited by consecutive sampling, divided to be intervention (16 participants) and control group (16 participants). Prolactin hormone levels were measured using Enzyme-linked immunosorbent assay (ELIZA), breast milk production was measured based on the indicators of milk volume, urination and defecation frequency and sleep duration of babies; and infant’s weight was also measured by digital scale. Data were analyzed using Mann Whitney and Wilcoxon test.
Results: The mean difference of prolactin hormone level in control group was 17.82 ng / ml while mean of difference of hormone prolactin level in intervention group was 132.13 ng / ml. There were statistically significant differences between intervention and control group in prolactin levels (p-value 0.000), milk volume (p-value 0.000), infant weight (p-value 0.000), urination frequency (p-value 0.017), defecation frequency (p-value 0.002), and infant sleep duration (p-value 0.000).
Conclusion: There was a significant effect of the oxytocin massage using lavender essential oil on the increase of breast milk production and prolactin levels. Therefore, oxytocin massage using lavender essential oil can be used as an alternative treatment for midwives and other health professionals in an effort to increase milk production in postpartum.
Copyright (c) 2017 Panglukies Ratna Agustie, Suharyo Hadisaputro, Runjati, Ariawan Soejoenoes, Imam Djamaludin Mashudi, Melyana Nurul Widyawati
This work is licensed under a Creative Commons Attribution 4.0 International License.
Article MetricsAbstract views: 2142 | PDF views: 838 |
Cadwell K, Turner-Maffei C. Buku saku manajemen laktasi [Lactation management handbook]. Jakarta: EGC; 2011.
Cox S. Breastfeeding with confidence: Panduan untuk belajar menyusui dengan percaya diri [Guideline to learn breastfeeding confidently]. Gracinia J, translator. Jakarta: Gramedia; 2006.
Ministry of Health. Basic health research (Riskesdas) 2013. Jakarta: Ministry of Health of Indonesia. 2013.
World Health Organization. WHO child growth standards: Length/height for age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age, methods and development. Geneva: World Health Organization; 2006.
Ministry of Health. Health profile of Indonesia 2013. Jakarta: Ministry of Health of Indonesia. 2014.
Department of Health of Central Java. Health profie of Central Java in 2014. Semarang: Department of Health of Central Java; 2014.
Chertok IR, Shoham-Vardi I. Infant hospitalization and breastfeeding post-caesarean section. British Journal of Nursing. 2008;17(12).
Desmawati D. Efektifitas kombinasi areolla massage dengan rolling massage terhadap pengeluaran ASI secara dini pada ibu postpartum di Puskesmas Pamulang dan Cikupa Banten [Effectiveness of combination of areolla massage and rolling massage on early breast milk production in postpartum mothers at Public Health Center of Pamulang dan Cikupa Banten]. Jakarta: Program Pasca Sarjana Fakultas Ilmu Keperawatan Universitas Indonesia; 2008.
Flanders D, Lowe A, Kramer M, et al. A consensus statement on the use of domperidone to support lactation. 2012. https://kindercarepediatrics.ca/ wp-content/uploads/Domperidone-Consensus-Statement-Final-May-11-2012.pdf
Bobak IM, Lowdermilk DL, Jensen MD. Buku ajar keperawatan maternitas [Maternity nursing textbook]. Jakarta: EGC; 2005.
Kramer MS, Chalmers B, Hodnett ED, Sevkovskaya Z, Dzikovich I, Shapiro S, Collet JP, Vanilovich I, Mezen I, Ducruet T, Shishko G. Promotion of Breastfeeding Intervention Trial (PROBIT): A randomized trial in the Republic of Belarus. JAMA. 2001 24;285(4):413-420.
Matsumoto T, Asakura H, Hayashi T. Does lavender aromatherapy alleviate premenstrual emotional symptoms?: A randomized crossover trial. BioPsychoSocial Medicine. 2013;7(1):12.
Koulivand PH, Khaleghi Ghadiri M, Gorji A. Lavender and the nervous system. Evidence-Based Complementary and Alternative Medicine. 2013; 2013.
Department of Health of Indonesia. Pedoman penyelenggaraan pelatihan konseling menyusui dan pelatihan fasilitator konseling menyusui [Guideline of the implementation of training of counseling of breastfeeding and its facilitator]. Jakarta: Department of Health of Indonesia; 2011.
Lindquist R, Snyder M, Tracy MF. Complementary & alternative therapies in nursing. United States: Springer Publishing Company; 2013.
Biancuzzo M. Breastfeeding the newborn: clinical strategies for nurses. United States: Mosby Incorporated; 2003.
Hockenberry MJ, Wilson D. Wong's nursing care of infants and children-e-book. Philadelphia: Elsevier Health Sciences; 2014.
Morhenn V, Beavin LE, Zak PJ. Massage increases oxytocin and reduces adrenocorticotropin hormone in humans. Alternative Therapies in Health and Medicine. 2012;18(6):11.
Hubertin SP. Konsep penerapan ASI eksklusif [Exclusive breastfeeding application concept]. Jakarta: EGC; 2004.
Wambach K, Riordan J. Breastfeeding and human lactation: Burlington: Jones & Bartlett Publishers; 2014.
Suradi R, Tobing HK. Lactation management. Jakarta: CV Sagung Seto; 2004.
Patel U, Gedam DS. Effect of back massage on lactation among postnatal mothers. International Journal of Medical Research and Review. 2013;1(01).