Background: Breastfeeding among postpartum mothers has been a problem due to low milk supply. As a result, mothers often decide to give formula milk or other additional foods, which may affect infant’s growth and development.
Objective: This study aims to investigate the effect of moringa oliefera on the levels of prolactin and breast milk production (baby’s weight and sleep duration) in postpartum mothers.
Methods: Quasi-Experimental study with non-equivalent control group design. There were 30 respondents recruited by purposive sampling, consisted of 15 respondents in intervention group and 15 respondents in the control group. This study was conducted from November until December 2016 in Four Midwives Independent Practice (BPM) in the working area of the Health Center of Tlogosari Wetan Semarang. Data were analyzed using Independent t-test.
Results: Findings showed that there was a mean difference of prolactin level in the intervention group (231.72 ng / ml) and the control group (152.75 ng / ml), and a significant effect on increasing the levels of prolactin (p = 0.002). The mean of baby’s weight in the intervention group was 3783.33 grams and in the control group was 3599.00 grams. However, there was no significant effect of moringa oleifera on baby’s weight (p = 0.313> 0.05), while the mean difference on sleep duration was 128.20 minutes in the intervention group and 108.80 minutes in the control group. There was a significant effect on baby’s sleep duration (p= 0.000).
Conclusion: There were significant effects of moringa oleifera on mother’s prolactin and sleep duration of the baby. However, there was no significant effect on baby’s weight. Thus, it can be suggested that moringa oleifera can be used as an alternative treatment to increase breast milk production and prolactin hormones. Midwives should promote the benefits of moringa leaves as one of alternative supplements.
Copyright (c) 2017 Yuni Sulistiawati, Ari Suwondo, Triana Sri Hardjanti, Ariawan Soejoenoes, M. Choiroel Anwar, Kun Aristiati Susiloretni
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World Health Organization. The World Health Organization's infant feeding recommendation. 2001; http://www. who.int/nutrition/topics/infantfeeding_recommendation/en/. Accessed 12 March, 2017.
Hacker NF, Gambone JC, Hobel CJ. Hacker and Moore's essentials of obstetrics and gynecology: Phila-delphia: Elsevier Health Sciences; 2015.
Kramer MS, Aboud F, Mironova E, et al. Breastfeeding and child cognitive development: new evidence from a large randomized trial. Archives of General Psychiatry. 2008;65(5):578-584.
Fewtrell MS, Morgan JB, Duggan C, et al. Optimal duration of exclusive breastfeeding: what is the evidence to support current recommendations? American Journal of Clinical Nutrition. 2007;85(2):635S-638S.
Shetty P. Indonesia's breastfeeding challenge is echoed the world over. Bulletin of the World Health Organization. 2014;92(4):234.
Ladewig PW. Buku saku asuhan ibu dan bayi baru lahir [Mother and newborn handbook]. Jakarta: EGC; 2006.
Gabbe SG, Niebyl JR, Simpson JL, et al. Obstetrics: normal and problem pregnancies. Philadelphia: Elsevier Health Sciences; 2016.
Constance S. A midwife's handbook. Philadelphia: Saunders; 2003.
Batugal PA, Kanniah J, Sy L, Oliver JT. Medicinal plants research in Asia-Volume I: The framework and project workplans. Italy: Bioversity International; 2004.
Raguindin PFN, Dans LF, King JF. Moringa oleifera as a galactagogue. Breastfeeding Medicine. 2014; 9(6):323-324.
Kiranawati TM, Nurjanah N. Improvement of noodles recipe for increasing breastmilk: Design of the moringa noodles. American Journal of Food Science and Technology. 2014;2(3):88-92.
Titi MK, Harijono ET, Endang SW. Effect lactagogue moringa leaves (Moringa oleifera Lam) powder in rats white female wistar. Journal of Basic and Applied Scientific Research. 2013;3(4):430-434.
Uvnäs-Moberg K, Widström A-M, Werner S, Matthiesen A-S, Winberg J. Oxytocin and prolactin levels in breast-feeding women. correlation with milk yield and duration of breast-feeding. Acta Obstetricia et Gynecologica Scandinavica. 1990;69(4):301-306.
Guyton AC. Human physiology and mechanisms of disease. Philadelphia: WB Saunders Co; 1992.
Tay CC, Glasier AF, McNeilly AS. Twenty-four hour patterns of prolactin secretion during lactation and the relationship to suckling and the resumption of fertility in breast-feeding women. Human Reproduction (Oxford, England). 1996;11(5):950-955.
Farah Rizki SG. The miracle of vegetables. Jakarta: AgroMedia; 2013.
Kumalasari R, Arimbi D, Ismunandar A. Pemberian jamu uyup uyup terhadap kelancaran pengeluaran air susu ibu (asi) pada ibu nifas [Consumption of herb uyup uyup on smoot hexpenditure of breastmilk in postpartum mothers]. Paper presented at Seminar Nasional & Internasional, Semarang, Indonesia; 2014.
Sari IP. Daya laktagogum jamu uyup-uyup dan ekstrak daun katu (sauropus androgynus merr.) pada glandula ingluvica merpati [Lactagogue effect of uyup-uyup (traditional medicine) and Sauropus androgynus Merr extract on pigeon inglu]. Majalah Farmasi Indonesia. 2003;14(2003).
Yatim Y, Hadju V, Indriasari R. Influence of moringga leaf extract on the born baby’s weight and length from the informal sector working pregnant women. Makassar: Bagian Gizi, fakultas Kesehatan Masyarakat, Universitas Hasanuddin.
Biancuzzo M. Breastfeeding the Newborn: Clinical strategies for nurses. Journal of Perinatal & Neonatal Nursing. 1999;13(1):92-93.
Marshall JE, Raynor MD. Myles' Textbook for midwives. Philadelphia: Elsevier Health Sciences; 2014.
Jay E. Where does fore-milk end and hind-milk begin (and does it actually matter?). 2009; https://thetruthabout breastfeeding.com/2009/03/03/where-does-fore-milk-end-and-hind-milk-begin-and-does-it-actually-matter/. Accessed 13 March, 2017.