Background: One of the puerperal complications is uterine subinvolution that can cause bleeding to maternal death. Oxytocin massage can stimulate oxytocin hormone that plays a role in the process of uterine involution. Endorphin massage can increase the release of oxytocin and endorphin hormone that give a sense of calm and comfort. It also increases production of oxytocin hormone that can improve the process of uterine involution.
Objective: To prove the effectiveness of a combination of oxytocin massage and endorphin massage to uterine involution in primiparous mothers during postpartum period.
Methods: This was a quasi-experimental study with pretest-posttest with control group design. Total samples were 44 normal postpartum mothers selected using purposive sampling technique, which were randomly assigned in four groups, namely: 1) oxytocin massage group, 2) endorphin massage group, 3) combined oxytocin-endorphin massage group, and 4) control group. Data were analyzed using univariate, bivariate and One-Way ANOVA to test the effectiveness of the intervention.
Results: There were statistically significant differences of fundal height before and after intervention among the four groups (p=<0.05).
Conclusion: The combination of oxytocin massage and endorphin massage proved most effective in accelerating uterine involution in normal postpartum mothers.
Copyright (c) 2017 Nurmala Sari, Ariawan Soejoenoes, Sri Wahyuni, Onny Setiani, Choiroel Anwar
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MOH. Situasi dan analisis ASI eksklusif [Situation and analysis of exclusive breastfeeding]. Jakarta: InfoDATIN Pusat Data dan Informasi Kementrian Kesehatan Republik Indonesia; 2014.
Mochtar R. Obstetric synopsis: Physiology obstetric, patologi obstetric. Jakarta: EGC; 2011.
Bateman BT, Berman MF, Riley LE, Leffert LR. The epidemiology of postpartum hemorrhage in a large, nationwide sample of deliveries. Anesthesia & Analgesia. 2010;110(5):1368-1373.
Saifuddin AB, Rachimhadhi T, Wiknjosastro GH. Obstetrics. 4th ed. Jakarta: PT Bina Pustaka; 2010.
Gita S, Saeed B. A Normal pattern of uterine involution using S-FD in primiparous women and the prevalence of uterine subinvolution. Journal of Medical Sciences. 2006;6(6):1011-1014.
Cunningham F, Leveno K, Bloom S, Spong CY, Dashe J. Williams obstetrics. 24 ed. New York: McGraw-Hill; 2014.
Wakasa T, Wakasa K, Nakayama M, et al. Change in morphology and oxytocin receptor expression in the uterine blood vessels during the involution process. Gynecologic and obstetric investigation. 2009;67(2):137-144.
Suherni HW, Rahmawati A. Perawatan masa nifas [Puerperium care]. Yogyakarta: Fitramaya; 2009.
Aprilia Y. Siapa bilang melahirkan itu sakit [Who says delivery is pain]. Vol 2. Yogyakarta: Andi offset; 2011.
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 in postpartum unit Class III of RSHS Bandung. Students e-Journal. 2012;1(1):33.
Hidayati H, Barlianto W, Baktiyani SCW. Effects of endorphin massage on B-endorphin level and Edinburgh Postnatal Depression Scale (EPDS) score in women with postpartum blues. Cukurova Medical Journal. 2014;39(3): 512-516.
Slonane E. Anatomy and physiology for beginner. Jakarta: EGC; 2004.
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.
Rapaport MH, Schettler P, Bresee C. A preliminary study of the effects of repeated massage on hypothalamic–pituitary–adrenal and immune function in healthy individuals: a study of mechanisms of action and dosage. The Journal of Alternative and Complementary Medicine. 2012;18(8): 789-797.