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Effects of Acupoint Stimulation with Digital Massager of Oxytocin on the Breast Milk Production of Working Mothers

*Anggorowati Anggorowati  -  Diponegoro University, Indonesia
Heriandi Sutadi  -  Dentistry Faculty, University of Indonesia, Indonesia
Setyowati Setyowati  -  University of Indonesia, Indonesia
Raldi Artono Koestoer  -  University of Indonesia, Indonesia
Open Access Copyright (c) 2017 Nurse Media Journal of Nursing

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Background: Many breastfeeding mothers find that their milk production decreases or even stops when they return to work due to reduced breastfeeding hormones. Massage can stimulate the oxytocin hormone, and to replace the manual massage, a digital massager of oxytocin (DMO) is developed.

Purpose: This study aimed to identify the effects of the DMO on the milk production of the breastfeeding working mothers.

Methods: This study employed a quasi-experiment with pretest-posttest control group design. The samples were 93 breastfeeding working mothers in the community with a baby below 6 months. The samples were assigned into the intervention group (n=46) and the control group (n=47). An intervention of using the DMO was given to the mothers in the intervention group by applying the electrodes on the first intercostae of BL-17 and Bl-18 acupoints for 20 minutes in 3 consecutive days. Meanwhile, a standard treatment was given to the control group. Breast milk expression was carried out before and after the use of DMO. The data were analyzed using the Mann-Whitney and the Wilcoxon tests.

Results: The results showed that there were differences in the volume of the expressed breast milk before and after the use of the DMO (p=0.00). The mothers in the intervention group increased their milk production on an average of 23 ml when other variables affecting the breastfeeding were controlled.

Conclusion: The DMO stimulated and increased the milk production of working mothers. It can also be an alternative to the complementary therapy, especially for the nursing care management of breastfeeding mothers.

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Keywords: Oxytocin; working mothers; milk production; oxytocin massager

Article Metrics:

  1. Abdullah, G. I. (2012). Determinan pemberian asi eksklusif pada ibu bekerja di kementerian kesehatan RI tahun 2012. [Determinants of exclusive breastfeeding in working mothers in the health ministry in 2012]. Jakarta: University of Indonesia
  2. Amin, R. M., Said, Z. M., Sutan, R., Shah, S. A., Darus, A., & Shamsuddin, K. (2011). Work related determinants of breastfeeding discontinuation among employed mothers in Malaysia. International Breastfeeding Journal, 6(1), 1
  3. Angeletti, M. A. (2008). Workplace lactation program: A nursing friendly initiative. Journal of health and human services administration, 223-239
  4. Anggorowati. (2014). The utilization of square wave for oxytocin electro-massage on breastfeeding practice of working mother in Semarang. Abstract Proceeding The 1st International Nursing Conference. Jember University Press
  5. Arifin, S. (2004). Factors that affected breastfeeding by mothers giving birth. (Unpublished thesis). Medan: Sumatera Utara University
  6. Awatef, M., Olfa, G., Imed, H., Kacem, M., Imen, C., Rim, C., ... & Slim, B. A. (2010). Breastfeeding reduces breast cancer risk: a case–control study in Tunisia. Cancer Causes & Control, 21(3), 393-397
  7. Brown, S. L., Bright, R. A., Dwyer, D. E., & Foxman, B. (2005). Breast pump adverse events: reports to the Food and Drug Administration. Journal of Human Lactation, 21(2), 169-174
  8. Budiati, T. (2009). Efektifitas pemberian paket ‘Sukses ASI’ terhadap produksi ASI ibu dengan seksio sesarea di wilayah Depok Jawa Barat. [The effectiveness of "Successful Breastfeeding" program towards the milk production of mothers with caesarean section in Depok, West Java]. (Unpublished thesis). Jakarta: University of Indonesia. Indonesia
  9. Çapik, A., Nazik, E., & Özdemir, F. (2015). The Effect of the Care Given Usıng Orem’s Self-Care Model on the Postpartum Self-Evaluation. International Journal of Caring Sciences, 8(2), 393
  10. Cardenas, R. A., & Major, D. A. (2005). Combining employment and breastfeeding: Utilizing a work-family conflict framework to understand obstacles and solutions. Journal of Business and Psychology, 20(1), 31-51
  11. Edmond, K. M., Zandoh, C., Quigley, M. A., Amenga-Etego, S., Owusu-Agyei, S., & Kirkwood, B. R. (2006). Delayed breastfeeding initiation increases risk of neonatal mortality. Pediatrics, 117(3), e380-e386
  12. Greenstein, B., & Wood, D. (2011). The endocrine system at a glance (Vol. 42). John Wiley & Sons. Translation. Editor: Yasmine, E. & Rachmawati, A. D. Jakarta: Erlangga
  13. Hegar, B. (2010). Breastfeeding value, Indonesian breastfeeding. Editor: Suradi, et al. Jakarta: IDAI
  14. Herdman, T. H. (Ed.). (2011). Nursing Diagnoses 2012-14: Definitions and Classification. John Wiley & Sons
  15. Khamzah, S. N. (2012). Myriad wonders of breast feeding that you should know. Yogyakarta: Flashbook
  16. Kimbro, R. T. (2006). On-the-job moms: work and breastfeeding initiation and duration for a sample of low-income women. Maternal and Child Health Journal, 10(1), 19-26
  17. Lamberti, L. M., Walker, C. L. F., Noiman, A., Victora, C., & Black, R. E. (2011). Breastfeeding and the risk for diarrhea morbidity and mortality. BMC Public Health, 11(3), 1
  18. Lund, I., Yu, L. C., Uvnas-Moberg, K., Wang, J., Yu, C., Kurosawa, M., ... & Lundeberg, T. (2002). Repeated massage-like stimulation induces long-term effects on nociception: contribution of oxytocinergic mechanisms. European Journal of Neuroscience, 16(2), 330-338
  19. Mardiyaningsih, E., Setyowati, & Sabri, L. (2011). The effectiveness combination marmet technic and oxytocin massage against milk production for post-caesarean section mother in Central Java hospital. Soedirman Nursing Journal, 6 (1), 31–38
  20. Matias, S. L. (2008). The early breastfeeding experience and its association with optimal breastfeeding among Peruvian mothers. University of California, Davis
  21. Ministry of Health Republic of Indonesia.Indonesia Health Profile Data 2011. (2012). Jakarta. Ministry of Heath
  22. Nurliawati, E.(2010). Factors that affect with breastmilk production for post-cesarean section mother in Tasikmalaya. (Unpublished thesis). Jakarta: University of Indonesia
  23. Orem, D.E. (2001). Nursing Concept of Practice. St. Louis: Mosby Year Book
  24. Renfrew, M. J., Lang, S., & Woolridge, M. (1999). Oxytocin for promoting successful lactation. The Cochrane database of systematic reviews, (2), CD000156-CD000156
  25. Sadyoga, P. A. (2010). Potret pemberian ASI eksklusif pada kalangan ibu pekerja di Desa Klepu Kecamatan Pringapus Kabupaten Semarang tahun 2010. [Exclusive breastfeeding portrait in working mothers in Klepu village, Pringapus sub-district, Semarang regency]. (Unpublished thesis). Semarang: Diponegoro University
  26. Soetjiningsih. (2005). Breastmilk instructions for health workers. Jakarta. EGC
  27. Suryani, E., & Astuti, E. (2010). Oxytocin massage influence on breastmilk production in the postpartum mother in BPM Klaten Regency. (Unpublished thesis). Semarang: Diponegoro University
  28. Tan, K. L. (2011). Factors associated with exclusive breastfeeding among infants under six months of age in Peninsular Malaysia. International Breastfeeding Journal, 6(1), 1
  29. Widayanti, W. (2014). Efektivitas metode SPEOS (Stimulasi Pijat Endorphin, Oksitosin, dan Sugestif) terhadap Pengeluaran ASI pada Ibu Nifas di Wilayah Kabupaten Cirebon (Effectiveness of SPEOS (stimulation, endorphin massage, oxytocin, and suggestion) toward brestmilk ejection in postpartum women in Cirebon) (Doctoral dissertation, Depok. FIK. UI)
  30. Wikström, S., Gunnarsson, T., & Nordin, C. (2003). Tactile stimulus and neurohormonal response: a pilot study. International Journal of Neuroscience, 113(6), 787-793
  31. World Health Organization. (2009). Infant and young child feeding: model chapter for textbooks for medical students and allied health professionals. Geneva. WHO Press

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