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All Journal Jurnal Berkala Kesehatan Risâlah, Jurnal Pendidikan dan Studi Islam al-Afkar, Journal For Islamic Studies Jurnal Keperawatan Respati Yogyakarta INOPENDAS: Jurnal Ilmiah Kependidikan Teaching and Learning Journal of Mandalika (Teacher) International Archives of Medical Sciences and Public Health Journal of Creative Student Research LECTURES: Journal of Islamic and Education Studies Media Informasi Edukasi Masyarakat Sehat Sejahtera (EMaSS)
Dewi Aryanti
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Religion Humanities Decision Sciences, Operations Research & Management Dentistry Education Environmental Science Health Professions Languange, Linguistic, Communication & Media Mathematics Medicine & Pharmacology Nursing Public Health Social Sciences Transportation Other

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EFFECT OF OXYTOCIN MASSAGE ON HEMOGLOBIN AND HEMATOCRIT LEVELS IN POST-CESAREAN MOTHERS: A QUASI-EXPERIMENTAL STUDY Dewi Aryanti; Sofia Februanti; Yudi Triguna; Tetet Kartilah; Saidah Rauf; Tetelepta, Denicell P.; Nasywa Agniya Zahrah
International Archives of Medical Sciences and Public Health Vol. 7 No. 1 (2026): International Archives of Medical Sciences and Public Health
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53806/iamsph.v7i1.1480

Abstract

Post-cesarean anemia burdens low- and middle-income settings, yet oxytocin massage’s hematological effects remain underexplored. We evaluated its 48-hour impact on hemoglobin and hematocrit. Quasi-experimental pretest–posttest study at a tertiary hospital in Tasikmalaya, Indonesia (May - October 2024). Sixty-three post-cesarean mothers were allocated by ward to oxytocin massage (15 min at 12 and 48 h postpartum) plus standard care (n = 33) or standard care alone (n = 30). The 48-h blood draw preceded the second massage session to avoid peri-session effects; intraoperative blood loss was not systematically recorded. Co-primary outcomes (hemoglobin, hematocrit) were analyzed by baseline adjusted ANCOVA with Benjamini–Hochberg correction. All 63 mothers completed the study. Adjusted hemoglobin rose (+0.83 g/dL, 95% CI +0.11 to +1.56, p = 0.028, eta^2p = 0.078) and hematocrit (+3.68%, 95% CI +1.34 to +6.03, p = 0.003, eta^2p = 0.136); both survived correction. Critically, the hemoglobin gain fell below the informal MCID (˜1.0 g/dL); its lower confidence limit approached null (E-value 1.36), signaling residual unmeasured confounding. Lochia volume decreased (p < 0.001; unblinded); fundal height did not differ. Oxytocin massage may aid short-term hematological recovery, but the sub-MCID hemoglobin effect, cesarean-indication imbalance (fetal: 100% vs 39.4%), and unrecorded blood loss render findings preliminary. Adequately powered randomized trials are needed before adoption.
Co-Authors Ananda Sholih Ananda Sholih Nasution ARIF RIO Arip Rahman Arjuna Barkah Firdaus Arlina Asep Riyana Audy Ayuni Betty Suprapti Bilal Hafis Delvina Sari Desi Sabtina Eko Handoyo Elma Zahara Endah Septiani Hafizhoh, Syariah Juhadi Jumi Laila Nurzannah Lia Herliana Nadila Aulia Nasywa Agniya Zahrah Raudhah Setya Rini Amelia Rizka Yulia Saidah Rauf sofia februanti Suprihatiningsih Tetelepta, Denicell P. Tetet Kartilah Tetik Nurhayati Tetik Nurhayati Triguna, Yudi Yudi Triguna