Malahayati International Journal of Nursing and Health Science
Vol. 9 No. 7 (2026): Volume 9 Number 7

The effect of oukup therapy on breastfeeding self-efficacy and breast milk adequacy among postpartum mothers

Henny Nurul Syafika Br Sitepu (Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan)
Marta Armita Silaban (Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan)
Siti Nurmawan Sinaga (Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan)
Rosti Sinaga (UPT Puskesmas Simalingkar, Kelurahan Mangga, Kecamatan Medan Tuntungan, Kota Medan)
Dia Astami (Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan)



Article Info

Publish Date
27 Sep 2026

Abstract

Background: The exclusive breastfeeding coverage rate in North Sumatra Province reached only 57.27%, remaining below the national target of 60%. Breastfeeding failure is often attributed to low maternal self-confidence and postpartum fatigue. Oukup is a traditional practice of the Karo people rooted in local wisdom believed to restore a mother’s stamina after childbirth and provide comfort. Purpose: To determine the effect of Oukup on breastfeeding self-efficacy and the adequacy of breast milk flow among breastfeeding mothers at the Simalingkar Community Health Center. Method: A quantitative, quasi- experimental design with pre-test and post-test measurements was employed. The sample consisted of 40 breastfeeding mothers in the postpartum period, selected via purposive sampling and divided into two groups: intervention group and control group. Data were collected using questionnaires and observation sheets. Results: Wilcoxon test results for the intervention group showed that all participants experienced an increase in breastfeeding self-efficacy (BSE) scores from 42.35% to 56.75% and an improvement in breast milk flow adequacy from 7.35% to 13.80%, with a significant p-value of 0.001 (p < 0.05). Conclusion: Oukup steam therapy, a traditional Karo practice, was found to enhance breastfeeding self‑efficacy and improve breast milk flow among postpartum mothers. While promising as a culturally rooted complementary intervention, its broader application requires validation through larger, randomized, multi‑site studies with longer follow‑up.

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Journal Info

Abbrev

minh

Publisher

Subject

Health Professions Nursing Public Health

Description

Malahayati International Journal of Nursing and Health Science is a peer-reviewed journal and provides a platform to publish areas of nursing and health science. The journal also seeks to advance the quality of research by publishing papers introducing or elaborating on new methods in nursing and ...