PENGARUH INTERVENSI KEPERAWATAN PIJAT OKSITOSIN DALAM MENINGKATKAN SUPLAI ASI IBU POSTPARTUM: STUDI KASUS PADA NY. R DI RUANG NIFAS RSI SULTAN AGUNG BANJARBARU

Zauhar Latipah; Fitri  Ayatul Azlina

Authors

Zauhar Latipah Universitas Lambung Mangkurat
Fitri Ayatul Azlina Maternity Nursing Division, Department of Nursing, Faculty of Medicine and Health Sciences, Lambung Mangkurat University, Banjarbaru, South Kalimantan, Indonesia.

Keywords:

postpartum; insufficient breast milk; oxytocin massage; nursing care;

Abstract

Background: The post-partum period is a phase of physiological and psychological adaptation that influences the success of breastfeeding. During this period, some mothers experience difficulties in breast milk secretion due to the suboptimal function of prolactin and oxytocin hormones, fatigue, postpartum pain, and anxiety, which can lead to ineffective breastfeeding. One non-pharmacological intervention that can help improve breast milk secretion is oxytocin massage, a technique performed by massaging the back along the spinal column to the fifth or sixth rib to stimulate the release of the oxytocin hormone. This intervention has several advantages: it is easy to perform, safe, inexpensive, and provides a relaxing effect for mothers. Objective: To implement nursing care for Mrs. R with the problem of inadequate breast milk supply through the application of oxytocin massage at RSI Banjarbaru. Methods: This study used a case study approach involving a 30-year-old postpartum mother who delivered vaginally and was diagnosed with ineffective breastfeeding. The interventions included breastfeeding education, family support, and oxytocin massage for 15–20 minutes twice a day for two days. Results and Discussion: The results showed an improvement in breast milk secretion, indicated by the appearance of milk droplets, a fuller breast sensation, and better infant sucking. The mother also reported feeling more relaxed and confident in breastfeeding. Conclusion: Oxytocin massage is an effective non-pharmacological nursing intervention to improve breast milk secretion in postpartum mothers. Recommendation: Health workers are expected to apply oxytocin massage as one of the nursing interventions for postpartum mothers experiencing problems with breast milk secretion.

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