The The Effectiveness of The Combination of Oketani Rolling Massage and Wollwich Rolling Massage on Breast Milk Production in Breastfeeding Mothers

Abstract

Background: Breast milk production greatly affects the breastfeeding process because it is a physiological stage that involves complex interactions between stimulation of the breast, nerve reflexes that play a role in the release of prolactin and oxytocin. The prolactin hormone plays a role in the production of breast milk; on the other hand the oxytocin hormone plays a role in the release of breast milk. Lack of stimulation of these mechanisms causes disruption of breast milk production and release. Breast massage techniques such as Oketani Breast Massage, Wollwich Massage and Rolling Massage aim to increase blood flow to the breast tissue and stimulate the release of the oxytocin hormone which plays a role in the milk ejection reflex.  The study was to identify the average breast milk production before the administration of the Oketani Rolling Massage and Wollwich Rolling Massage methods and to analyze the differences in mothers who were lactating in the Sukorambi Community Health Center Working Area, Jember Regency. Methods :     This study used a quasi-experimental pretest-posttest design in one group on postpartum mothers in the Sukorambi Community Health Center working area. Twelve respondents were selected as samples using a purposive sampling procedure, and they were divided into two groups of six respondents each. The first group received a combination intervention of Oketani Breast Massage and Rolling Massage, while the second group received a combination of Wollwich Massage and Rolling Massage. Breast milk production was measured based on the indicator of infant weight gain before the intervention, then the intervention was given for seven days, and re-measured on the eighth day. Data were analyzed using bivariate analysis or the Wilcoxon test. Results:   showing a significance level of p-value of 0.002 (<0.05), which means there is a difference in breast milk production before and after the intervention.  Conclusions: the following study concludes that the combination method of Oketani Rolling Massage and Wollwich Rolling Massage is effective in increasing breast milk production, Suggestion: so it is recommended to be implemented by health workers, especially midwives.