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Do Massage and Relaxation Music Therapy Increase Breast Milk Volume? A Meta-Analysis

Sakinah Sakinah, Eti Poncorini Pamungkasari, Hanung Prasetya

Abstract

Background: Breast milk contains various nutrients that meet the needs of infants’ growth and development. Furthermore, breast milk also contains various antibodies that will protect infants from viruses and bacteria to avoid infections and various diseases. Various conditions encountered by postpartum mothers often lead to stress and anxiety that generate a low milk supply, thus the infants do not get breast milk optimally. This study aims to discover the effect of massage and relaxation music therapy on breast milk volume.

Subjects and Method: The study used systematic review and meta-analysis using the PICO model. Population= postpartum mother, Intervention= massage and relaxation music therapy, Comparison= no massage and relaxation music therapy, and Outcome= breast milk volume. Article search was conducted in various databases, namely PubMed, BMC, ScienceDirect, ResearchGate, SpringerLink, and NCBI. The articles were collected in 1 month. The articles were published from 2012-2022. The keywords in this article search were "Massage AND Lactation" OR "Massage AND Milk Production" AND "Music AND Milk Production" OR "Relaxation AND Breastfeeding" AND "Randomized Controlled Trial".   The inclusion criteria were full-text articles with an RCT study design, the correlation size used was mean and SD, and the articles were in English. The articles were analyzed using the RevMan 5.3 application.

Results: This study used 14 articles with sample populations from China, India, Indonesia, the United Kingdom, Iran, Malaysia, Thailand, and Turkey. The administration of massage had a positive effect 1.42 times more effective on the increase of breast milk volume compared to without massage (SMD= 1.42; CI 95%= 0.98 to 1.86; p<0.001).  Relaxation music therapy can increase breast milk volume by 0.46 times compared to without relaxation music therapy (SMD= 0.46; 95% CI= 0.31 to 0.60; p<0.001).

Conclusion: Massage and relaxation music therapy have a positive effect on the increase of breast milk volume.

Keywords: massage, relaxation music therapy, breast milk volume, postpartum.

Correspondence: Sakinah, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Jawa Tengah, Indonesia. Email: sakinah13579@gmail.com. Mobile: +6282386391993.

Journal of Maternal and Child Health (2023), 08(01): 33-47
https://doi.org/10.26911/thejmch.2023.08.01.04

 

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References

Arisandi E, Situmorang M, Sinaga D, Amba-rita B (2022). The Description of Post-partum Mother’s Knowledge About The Benefit of Oxytocin Massage in Regards To Multiply The Breast Milk Productivity at Romana Clinic 2022. IOC Science. 10 (2): 1974–1980. doi:10.35335/midwifery. v10i2.594


Arum P, Widiyawati A (2019). Kandungan Gizi Asi (Air Susu Ibu) Pada Berbagai Suhu Dan Lama Penyimpanan. October, 0–4. https://www.researchgate.net/pub lication/328418142%0AKANDUNGAN


Chawanpaiboon S, Titapant V, Pooliam J (2021). A Randomized Controlled Trial of the Effect of Music During Cesarean Sections and the Early Postpartum Period on Breastfeeding Rates. Breastfeed Med. 16(3): 200–214. doi:10.1089/bfm.2020. 0299


Chu J, Zhang L, Zhang Y, Yang M, Li X, Sun L (2017). The Effect of Breast Massage at Different Time in the Early Period after Cesarean Section. 51(11):1038-1040. doi:10.3760/cma.j.issn.02539624.2017.11.016


Dabas S, Joshi P, Agarwal R, Yadav RK, Kachhawa G (2019). Impact of audio assisted relaxation technique on stress, anxiety and milk output among postpartum mothers of hospitalized neonates: A randomized controlled trial. J. Neonatal Nurs. 25(4): 200–204. https://doi.org/10.1016/j.jnn.2019.03.004


Dağli E, Çelik N (2021). The effect of oxytocin massage and music on breast milk production and anxiety level of the mothers of premature infants who are in the neo-natal intensive care unit : A self-controll-ed trial. Int J Womens Health. 0(0): 1–14. doi:10.1080/07399332.2021.19472 86


Divya A, Viswanath L, Philip A (2016). Effectiveness of Breast Massage on Expression of Breast Milk among Mothers of Neonates admitted in Neonatal Intensive Care Unit. J Obstet Gynaecol Res. 8(1): 1–14. doi: 10.5005 /jp-journals-10006-1379


Getaneh D, Worku C, Mariam TG, Fetene S, Sisay E (2021). Heliyon Non-exclusive breast feeding and its factors in the first 6-month life of infants among mother-infant pairs of 6 – 12 months in Debre Tabor town, Northwest Ethiopia, 2019 : community-based cross-sectional study. Heliyon. 7(April): 1–8. doi:10.1016/j.heli yon.2021.e06922


Hanief YN, Indra AM, Junaidi S, Burstiando R, Zamawi MA, Warthadi AN (2019). Cara Cepat Kuasai Massage Kebugaran Berbasis Aplikasi Android. In D. P. Pamungkas (Ed.), Main (Issue February). CV. KASIH INOVASI TEKNOLOGI.


Hasanah U, Murti B, Prasetya H (2021). The Effectiveness of Aromatherapy and Mu-sic Therapy to Reduce Pain during Stage-1 of Birth Delivery: A Meta-Analysis. Matern Child Health J. 6(3): 295–306. doi:10.26911/thejmch. 2021.06.03.04


Hernández-Cordero S, Pérez-Escamilla R (2022). What will it take to increase bre-astfeeding? Matern. Child Nutr. 18(S3): 1–5. doi:10.1111/mcn.13371


Jama A, Gebreyesus H, Wubayehu T, Gebregyorgis T, Teweldemedhin M (2020). Exclusive Breastfeeding for the First Six Months of Life and its Associated Factors Among Children age 6-24 Months in Burao District, Somaliland. Int. Breastfeed. J. 7: 1–8. doi:10.1186/s1300 6-020 -0252-7


Jayamala AK, Lakshmanagowda PB, Pradeep GCM, Goturu J (2015). Impact of music therapy on breast milk secretion in mothers of premature newborns. J. Clin. Diagn. Res. 9(4): CC04–CC06. https://doi.org/10.7860/JCDR/2015/11642.5776


Juan-Juan Z, Zhao Y, Lu P, Wang XY (2012). Effect of Tuina at breast on postpartum lactation. Zhongguo Zhen Jiu. 32 (2): 159–161. https://doi.org/10.1016/s1003-5257(13)60019-7


Kania N (2018). Buku Nia Kania Upload Repository ULM.pdf (pp. 1-8-). http://eprints. ulm.ac.id/3851/1/


Kemenkes (2022). Laporan Kinerja Kementeri an kesehatan. Kementrian Kesehatan RI.


Khoonphet C, Chunuan S, Phumdoung S (2022). Effects of Southern Thai Traditional Massage with Warm Compression on Lactation and Breast Engorgement : A Randomized Controlled Trial. Pacific Rim Int J Nurs Res. 26 (3): 390–403. http://thaiclinicaltrila.org/(TCTR20210514005)


Kittithanesuan Y, Chiarakul S, Kaewkungwal J, Poovorawan Y (2017). Effect of music on immediately postpartum lactation by term mothers after giving birth: A randomized controlled trial. J Med Assoc Thai. 100(8): 834–842


Larasati DM, Prihatanta H (2019). Pengaruh Terapi Musik Terhadap Tingkat Kecemasan Sebelum Bertanding Pada Atlet Futsal Putri. Medikora. 16(1): 17–29. doi:10. 21831/medikora.v16i1.23476


Leow MQH, Tay PKC, Afif ABM, Wong BB, Leong LCH (2021). The Physiological Effects of Massage Before Breast Pumping on Blood ow, Temperature, and Tension – A pilot study. Res Sq Title. 1–10. doi:10.21203/rs.3.rs-218330/v1


Levene I, Bell JL, Cole C, Stanbury K, O’Brien F, Fewtrell M, Quigley MA (2022). Comparing the effect of a lactationspecific relaxation and visualisation intervention versus standard care on lactation and mental health outcomes in mothers of very premature infants (the EXPRESS trial): study protocol for a multi-centre, unmasked, randomised, parallel-group trial. BMC Public Health. 23(1): 1–13. https://doi.org/10.1186/s13063-022-06570-9


Lu P, Ye ZQ, Qiu J, Wang XY, Zheng JJ (2019). Acupoint-tuina therapy promotes lactation in postpartum women with insufficient milk production who underwent caesarean sections. Medicine (United States). 98 (35): 1–8. https://doi.org/10.1097/MD.0000000000016456


Mahdizadeh-Shahri M, Nourian M, Varzeshnejad M, Nasiri M (2021). The Effect of Oketani Breast Massage on Successful Breastfeeding, Mothers’ Need for Breast feeding Support, and Breastfeeding Self-efficacy: An Experimental Study. Int. J. Ther. Massage Bodyw: Res. Ed-uc. Pract. 14(3): 4–14. doi:10.3822/ IJ-TMB.V14I3.625


Mahulette Y, Masini M (2022). The Effectiveness of Oxytocin Massage with Breast Care Against Breast Milk Production in Post Sc Mothers. Midwifery And Nursing Research (Manr) Journal. 4(2): 48–52. http://ejournal.poltekkessmg.ac.id/ojs/index.php/MANR


Mappagerang R, Tahir M, Mappe F (2017). Pengaruh Pemberian Terapi Musik Terhadap Penurunan Tingkat Nyeri Pada Pasien Fraktur. Ilmiah Kesehatan Pencerah. 6(2): 91–97. https://stikesmusidr ap.ejournal.id


Munsittikul N, Tantaobharse S, Siripattana pipong P, Wutthigate P, Ngerncham S, Yangthara B (2022). Integrated Breast Massage Versus Traditional Breast Mas-sage For Treatment Of Plugged Milk Duct In Lactating Women: A Randomized Con trolled Trial. Int. Breastfeed. J. 17(1): 1–9. doi:10.1186/s13006-022-00485-6


Mustika DN, Nurjanah S, Ulvie YNS (2018). Buku Ajar Asuhan Kebidanan Nifas. In Akademi Kebidanan Griya Husada Surabaya.http://repository.unimus.ac.id/3795/1/1. Buku Ajar ASI komplit.pdf


Nuampa S, Payakkaraung S (2021). Effective-ness of Different Massage Techniques for Breastfeeding Mothers to Increase Milk Production: A Systematic Review. Pacific Rim Int J Nurs Res. 25(1): 114–130. https://www.researchgate.net/publication/350485145%0AEffectiveness


Ooi SL, Smith L, Pak SC (2018). Evidence-Informed Massage Therapy An Australian Practitioner Perspective. Complement. Ther. Clin. Pract. 31 (March): 325–331. doi:10.1016/j.ctcp. 2018.04.004


Rahayuningsih, T., Mudigdo, A., & Murti, B. (2016). Effect of Breast Care and Oxytocin Massage on Breast Milk Production : A study in Sukoharjo Provincial Hospital. Matern Child Health J. 1(2): 101–109. https://doi.org/doi.org/10.26911/thejmch.2016.01.02.05


Raju L, Thomas S, Rao S, Thomas S (2018). Effectiveness of Breast Massage on Lactation Among Immediate Postnatal Mothers-A Randomized Controlled Trial. Int. J. Nurs. Sci. 8(1): 12–17.


Salarvand S, Heidari ME, Farahi K, Teymuri E, Almasian M, Bitaraf S (2021). Effective-ness of Massage Therapy on Fatigue and Pain in Patients with Multiple Sclerosis: A systematic review and meta-analysis. Mult. Scler. J. Exp. Transl. Clin. 7(2). doi:10. 1177/20552173211022779


Sari LP, Salimo H, Budihastuti UR (2017). Optimizing the Combination of Oxytocin Massage and Hypnobreastfeeding for Breast Milk Production among Post-Partum Mothers. Matern Child Health J. 02(01): 20–29. https://doi.org/10.26911/thejmch.2017.02.01.03


SefidHaji S, Aziznejadroshan P, Mojaveri MH, Nikbakht HA, Qujeq D, Amiri SRJ (2022). Effect of lullaby on volume, fat, total protein and albumin concentration of breast milk in premature infants’ mothers admitted to NICU: a randomized controlled trial. Int. Breastfeed. J. 17(1): 1–12. https://doi.org/10.1186/s13006-022-00511-7


Septianingrum Y, Hatmanti NM, Fitriasari A, Wijayanti L, Purwanti N (2022). The Effectiveness of Hypnobreastfeeding Massage on Anxiety and Breast Milk Production in Postpartum Mothers. Gac Med Caracas. 130(1): S299–S307. https://doi.org/10.47307/GMC.2022.130.S1.48


Sheng J, Ding Y, Wang J, Zhang J, Qi X, Xia H (2021). The Acceptability, Feasibility, and Effectiveness of Breast Massage Combined with Acupoint Stimulation to Promote the Volume of Human Milk in Mothers with Preterm Infants: A Pilot Study. J Evid Based Complementary Altern Med. 2021. https://doi.org/10.1155/2021/5979810


Shukri HNM, Wells J, Eaton S, Mukhtar F, Petelin A, Jenko-pražnikar Z (2019). Randomized controlled trial investigating the effects of a breastfeeding relaxation intervention on maternal psychological state , breast milk outcomes, and infant behavior and growth. A SN. 108: 1–10


Sofiana L (2017). Hand out. Genetika. Gg 411. 1–7. www.pdffactory.com


Sowndarya R, Reshma S, Sagayraj MB, Sharma N (2020). Effect of Flute Music on Human Milk Production and Dep-ression Among Lactating Mothers. Eur. J. Mol. Clin. Med. 07(10): 1283–1292. https:// youtu.be/6ixhN9umyp4


Varişoǧlu Y, Güngör Satilmiş I (2020). The Effects of Listening to Music on Breast Milk Production by Mothers of Premature Newborns in the Neonatal Intensive Care Unit: A Randomized Controlled Study. Breastfeed Med. 15(7): 465–470. https://doi.org/10.1089/bfm.2020.0027


Wahyuni ED (2018). Asuhan Kebidanan Nifas Dan Menyusui. http://bppsdmk.kemkes. go.id


Widyantari KY, Dasuki DD, Daryanti MS (2020). Effects Of Relaxation Therapy Using Music On Breast Milk Production In Postpartum Mothers. Jurnal Kesehatan. 11(2): 93–99. doi:10.35730/jk.v11i2. 532


Witt AM, Bolman M, Kredit S, Vanic A (2016). Therapeutic Breast Massage in Lactation for the Management of Engorgement, Plugged Ducts, and Mastitis. J Hum Lact. 32(1): 123–131. doi:10.1177/0890334415 619439


Wulandari S, Triharini M, Wahyuni SD (2020). The Effect of a Combination of Oxytocin Massage and Music Therapy on Breast Milk Production and Breastfeeding Self Efficacy in Primipara Post Partum Mothers. Pediomaternal Nursing J. 6(1): 49. doi:10.204 73/pmnj.v6i1.191 81


Yu J, Wells J, Wei Z, Fewtrell M (2019). Effects of Relaxation Therapy on Maternal Psychological State, Infant Growth and Gut Microbiome: Protocol for a Randomised Controlled Trial Investi-gating Mother-Infant Signalling During Lacta-tion Fol-lowing Late Preterm and Early Term Delivery. Int. Breastfeed. J. 14(1): 1–9. doi:10.1186/ s13006-019-0246-5

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