THE EFFECT OF OXYTOCIN MASSAGE ON BREASTMILK PRODUCTION POSTPARTUM MOTHERS IN PETERONGAN PHC AREA, JOMBANG, EAST JAVA, INDONESIA

Background: Breastmilk in early life was an effective intervention in saving lives of newborns and could prevent 13-15% of 9 million deaths of children underfive years old. Rate of breastfeed in world was lack, between 20-40%. There were many breastmilk of postpartum mothers not smooth at one week postpartum and breastfeed blockage incident that required mothers breastcare each month. One effort to improve breastmilk production with early intervention in postpartum mothers by stimulating oxytocin hormone, one of them with oxytocin massage. Aim: This study conducted to evaluate effect of oxytocin massage on breastmilk production postpartum mothers. Study Design: This study utilized simple post test design. The intervention was oxytocin massage. Samples: Population of this study physiologic postpartum mothers. Sample were collected with consecutive non-probability random sampling, involving 100 total samples. Results: It was found that 72% of participants were 20-35 years old, 84% housewives, and 66% multiparas. The most important findings of study were following 58.1% postpartum mothers with oxytocin massage were significantly improved after treatment (Fisher Exact Test, p value= 0.006; OR= 3.765; CI 1.410-10.051) Conclusion: This study proved that oxytocin massage could improve breastmilk production. Oxytocin massage, massage therapy of spine in costa 5-6 to scapula would accelerate work of parasympathetic nervous system stimulates posterior pituitary to secrete oxytocin. Sustainability production of oxytocin hormone needs to be further investigated. The result can be used as basic policy of lactation management and exclusive breastfeeding promotion education programs in health services and community. Keywords: oxytocin massage, breastfeed, breastmilk, breastfed, postpartu