Wahyu Astuti
Department of Midwifery, Politeknik Kesehatan Kementerian Kesehatan Pontianak, Pontianak, West Kalimantan, Indonesia

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The Effect of Family Administered Oxytocin Massage on Milk Flow in Breastfeeding Mothers for 0-6 Months Rina Rina; Dini Fitri Damayanti; Wahyu Astuti
MEDICA (International Medical Scientific Journal) Vol. 7 No. 3 (2025): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v7i3.674

Abstract

Exclusive breastfeeding for infants aged 0–6 months is essential for optimal growth and development. One approach to support effective breastfeeding is the oxytocin massage technique, which provides psychological benefits such as relaxation, stress reduction, and increased maternal confidence and stimulates prolactin release, a hormone involved in breast milk production. This study aimed to analyze the effect of oxytocin massage performed by family members, supported by an instructional booklet, on breast milk production among breastfeeding mothers with infants aged 0–6 months in the working area of the Sungai Durian Community Health Center. This quantitative study used a pre-experimental one-group pretest–posttest design. A total of 37 respondents participated. Breast milk flow was assessed before and after the oxytocin massage intervention. Data were analyzed using the Wilcoxon test. The findings showed a significant improvement in breast milk flow following the intervention. Before the oxytocin massage, the mean breast milk flow score was 3.62 (range: 3–5), indicating poor milk flow. After the intervention, the mean score increased to 6.62 (range: 6–8), indicating good milk flow. The Wilcoxon test yielded a p-value of 0.000 (<0.05), demonstrating a statistically significant increase. In conclusion, oxytocin massage performed by family members using an instructional booklet significantly increases breast milk flow in mothers breastfeeding infants aged 0–6 months.
The Effect of Counseling Using E-Booklets on The Knowledge of Mothers with Infants Aged 0-6 Months about Exclusive Breastfeeding Veraliza Magdalena; Wahyu Astuti; Aspia Lamana
MEDICA (International Medical Scientific Journal) Vol. 7 No. 3 (2025): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v7i3.678

Abstract

Globally, the rate of exclusive breastfeeding in the first six months is low. Exclusive breastfeeding is defined as feeding a baby breast milk from birth for six months, without adding or substituting any other food or drink (except medicine, vitamins, and minerals). Exclusive breastfeeding during the first six months of a baby's life is an important practice, but its coverage is still low in some regions. In West Kalimantan, exclusive breastfeeding coverage in 2023 reached 49.1%, while in Pontianak City it was only 38.7%, far below the national target of 80%. This study used a pre-experimental design with a one-group pretest-posttest approach to analyze the effect of health education through E-booklets on breastfeeding mothers' knowledge about exclusive breastfeeding. A total of 30 respondents, mothers with infants aged 0-6 months at PMB Marsini Karni, were selected using total sampling technique. Data were analyzed using the Wilcoxon test. The results showed a significant increase in knowledge after the intervention. Before the education was provided, the median knowledge score was 64, and after the E-booklet was provided, the median score increased to 86. Statistical testing yielded a p-value of 0.001 (< 0.05), indicating a significant improvement in breastfeeding mothers' knowledge following the intervention. In conclusion, health education delivered through E-booklets was effective in increasing breastfeeding mothers’ knowledge about exclusive breastfeeding.