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All Journal Jurnal Bidan Cerdas
Niluh Nita Silfia
Department of Midwifery, Poltekkes Kemenkes Palu, Central Sulawesi, Indonesia

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Preventing Postpartum Breast Engorgement: Cabbage Leaf Compresses vs. Marmet Technique Hadriani Hadriani; Niluh Nita Silfia; Hastuti Usman; Yuli Admasari; Masita Rahmadani
Jurnal Bidan Cerdas Vol. 7 No. 2 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v7i2.3384

Abstract

Background: one of the common problems associated with breastfeeding and exclusive breastfeeding is breast engorgement until the incidence rate reaches 20%-70% in nursing mothers. Engorgement of the breasts can be prevented non-pharmacologically, namely by compressing cold cabbage leaves and the marmet technique. The study aimed to compare the effectiveness of cold cabbage leaf compresses and the Marmet technique in preventing postpartum breast engorgement in normal puerperal mothers. Methods: Types of pre-experimental research with One-shot case study design namely cabbage compress (duration 30 minutes) and marmet technique given 1 time. The total sample of 30 respondents, was divided by 15 respondents in each group and sampling by non-probability sampling type of consecutive sampling. The measuring instrument uses an observation sheet containing a six-point engorgement scale (SPES). Data was analyzed using the Wilcoxon and Mann-Whitney test (p<0,05). Results: analysis of the effect of cold cabbage leaf compress management and marmet technique on the prevention of breast engorgement for normal puerperal mothers was obtained in cold cabbage leaf compresses p-value of 0.014 and in the marmet technique obtained p-value 0.317. The results of the analysis of the effectiveness of the two techniques were obtained with a p-value of 0.007 or <0.05. Conclusion: Cold cabbage leaf compresses were significantly more effective in reducing breast engorgement compared to the Marmet technique in the Independent Practice of Midwives (PBM) Setia of Palu City. It is recommended to use both techniques in helping to prevent breast engorgement for normal puerperal mothers.
Effectiveness of the Combination of Oxytocin Massage with Baby Massage towards Increasing Breast Milk Production Elisabeth M. F. Lalita; Dwi Wahyu Sulistyowati; Amelia Donsu; Niluh Nita Silfia; Dian Pratiwi; Agnes Montolalu; Olfie Sahelangi
Jurnal Bidan Cerdas Vol. 7 No. 2 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v7i2.3936

Abstract

Background: Postpartum mothers in Indonesia are encountering significant challenges with breastfeeding, resulting in a high rate of early discontinuation due to low milk production. However, the combined therapy of oxytocin massage for mothers and baby massage has demonstrated substantial effectiveness in increasing breast milk production. This innovative approach holds significant promise for preventing stunting in newborns and aligns with the government's efforts to reduce stunting rates. This study aims to combine therapy for mothers and babies, especially oxytocin massage stimulation, together with infant massage, to increase breast milk production. Methods: The study was designed as a quasi-experimental study and included two groups of participants: the experimental group and the control group. The study involved a total of 48 participants, with 24 in each group, and used blocked randomization as the sampling technique. The study measured the increase in breast milk production and conducted an analysis using the Independent sample t-test. Results showed that the experimental group given oxytocin massage with baby massage obtained significant results on increasing breast milk production compared to the control group, with an average difference of 9,917 cc. The independent t-test produced a p-value of 0.001; these results prove that there is a significant difference between the experimental group and the control group. Oxytocin is crucial for transferring breast milk from mother to baby, and baby massage increases the frequency of breastfeeding, stimulating the hormone prolactin to produce breast milk. This intervention can be recommended to postpartum mothers, families as a form of support or to health workers to improve the achievement of exclusive breastfeeding.