EFEKTIFITAS BREAST DAN LACTACTION MASSAGE TERHADAP PENGELUARAN KOLOSTRUM PADA IBU NIFAS DI KLINIK KOTA MEDAN

Abstract

ABSTRACT

Breast milk that comes out for the first time contains colostrum which is highly nutritious and

has antibodies that can protect newborns from disease. Colostrum is removed on the first day

after delivery. Colostrum is the first liquid of breast milk produced during pregnancy. Mothers

who are worried that colostrum will not be enough for their babies because the amount is only

about 3-5 teaspoons, so they need to add formula milk. In fact, although the amount of colostrum

is relatively small, it is very sufficient for the baby's stomach. If the baby does not suck on the

nipple in half an hour after childbirth, the hormones prolactin and oxytocin will decrease and it

is difficult to stimulate these hormones so that milk will only come out on the third day or so.

Therefore, it is necessary to make efforts to increase the hormone again. Efforts to stimulate the

hormones prolactin and oxytocin in mothers after childbirth apart from expressing breast milk,

can also be done by doing breast massage. breast massage is a massage on the breast in a circle

with a massage duration of 2-3 minutes. The research objective was to analyze the effectiveness

of breast massage on colostrum expenditure in postpartum mothers in the Medan City clinic.

The research design used pre-experimental design with pretest-posttest control group design.

The population in this study were all post-partum mothers at 3 clinics in Medan City, namely:

Dina Clinic is located at Jalan Karya Dalam Kec. Medan Helvetia, RB Hanum having its

address at Jalan Kl. Yos Sudarso no. 47 Kec. Medan Deli and Rosdiana Clinic are located at

Jalan Panitera Kec. Medan Deli totaled 24 people. The sample in this study was drawn using

purposive sampling technique. The independent variable is breast massage intervention.

Dependent is the colostrum expenditure observed for 3 days by means of a pretest carried out

before the intervention and posttest carried out after the intervention 3 times. The data that has

been collected is processed by computer. Then analyze the data, namely: Univariate analysis to

describe single variables breast massage and colostrum expenditure. Bivariate analysis to

determine the analysis of the effectiveness of breast massage on colostrum expenditure using the

paired t test if the data were normally distributed and the Wilcoxon test if the data were not

normally distributed with a significance level of 95% (0.05). The results showed that breast

massage had a z value of 2.938 and the control group had a z value of 0.333. It can be concluded

that the breast massage procedure is more effective than the control for colostrum distribution

for postpartum mothers at the Medan City Clinic.

Keywords: Colostrum Expenditure, Breast Massage