Effect of the Combination of Acupressure and Moringa oleifera Extract Consumption on Elevating Breast Milk Production and Adequacy in Lactating Mothers

Authors

  • Nurul Wahidah Applied Master’s Program, Postgraduate School, Health Polytechnic, Ministry of Health, Semarang, Indonesia
  • Endah Aryati Eko Ningtyas Health Polytechnic, Ministry of Health, Semarang, Indonesia
  • Leny Latifah National Research and Innovation Agency, Indonesia

DOI:

https://doi.org/10.26911/thejmch.2023.08.05.11

Abstract

Background: Exclusive breastfeeding is highly recommended because the nutrition is suitable for babies. However, there are still many babies who do not get exclusive breastfeeding. For this reason, there is a need for innovation that can be used as an effort to increase the production and adequacy of breast milk for breastfeeding mothers with a combination of Accupresure and Moringa oleifera extract. This study aimed to prove the potential of a combination of acupressure and Moringa oleifera extract as an intervention in increasing the production and adequacy of breast milk for breastfeeding mothers.
Subjects and Method: This study used quasi experiment and pretest-posttest design with control group conducted at the Kelingi IV/C Health Center, Musi Rawas Regency, from December 2022-January 2023. It consisted of an intervention group consisting of a combination of 2x4 minutes of acupressure and 650 mg of Moringa oleifera extract and a control group of counseling for breastfeeding mothers, namely 40 breastfeeding mothers with babies 0-6 months. The dependent variables were the hormone prolactin and baby's weight. The independent variable was the combination of acupressure and extra Moringa oleifera. The data were analyzed by Wilcoxon.
Results: The indicator affected by the combination of acupressure and Moringa oleifera extract was an increase in milk production using the prolactin hormone indicator after intervention (Mean= 304.60; SD=131.22) than before intervention (Mean= 162.85; SD= 140.44), and this was statistically significant (p<0.001). There was an increase in the adequacy of breastfeeding using the infant's weight indicator after intervention (Mean= 5550.00; SD=1240.75) than before intervention (Mean= 5015.00; SD= 1444.87), and this was statistically significant (p=0.030).
Conclusion: The combination intervention of 2x4 minutes of acupressure and 650 mg of Moringa oleifera extract for 10 days effectively increases the production and adequacy of breast milk for nursing mothers.

Keywords: acupressure, Moringa oleifera, prolactin hormone, baby's weight.

Correspondence: Nurul Wahidah. Applied Masters Program, Postgraduate School, Health Polytechnic, Ministry of Health, Semarang. Jl. Tirto Agung, Pedalangan, Banyumanik, Kota Semarang, 50239, Central Java, Indonesia. Email: wahidahnurul246@gmail.com.

References

Abou-Elkhair R, Abdo Basha H, Slouma Hamouda Abd El Naby W, Ajarem JS, Maodaa SN, Allam AA, Naiel MAE (2020). Effect of a diet supplemented with the Moringa oleifera seed powder on the performance, egg quality, and gene expression in japanese laying quail under heat-stress. Animals (Basel) 10(5):1–12. doi: 10.3390/ani10050809.

Aprilia R, Rilyani R, Arianti L (2020). Pengaruh pemberian sayur daun pepaya terhadap kelancaran produksi asi pada ibu nifas (The effect of giving papaya leaf vegetables on smooth breast milk production in postpartum mothers). Wellness And Healthy Magazine. 2(1):5–12. doi: 10.30604/well.66212020.

Arsi R, Rejeki S, Juniarto AZ (2021). Endorphin, oxytocin, and suggestive massage stimulation (SPEOS) methods in increasing breast milk production in postpartum mothers. Media Keperawatan Indonesia. 4(2):140. doi: 10.26714/mki.4.2.2021.140-148.

Arumsari DR, Indrawan IWA, Wahyuni ES (2018). The combination of acupressure and affirmation relaxation as an alternative method to increase breast milk production and breastfeeding self-efficacy. Res. J. Life Sci. 5(1):66–76. doi:10.21776/ub.rjls.2018.005.01.7.

Asih Y, Nyimas A (2020). Hypnobreastfeeding to increase motivation and breast milk production: a study. International Journal of Innovation, Creativity and Change 13(2):122–37.

Baccolini CS, Carvalho MID, Oliveira MICD, Escamilla RP (2013). Breastfeeding during the first hour of life and neonatal mortality. Jornal de Pediatria 89(2):131–36. doi: 10.1016/j.jped.2013.03.005.

Bhutta ZA, Das JK (2013). Global burden of childhood diarrhea and pneumonia: what can and should be done. Global Health. 6(4):634 doi: 10.1542/peds.2012-3737.

Budiono, Pertami SB, Kasiati, Arifah SN, Atho’illah MF (2022). Lactogenic effect of polyscias scutellaria extract to maintain postpartum prolactin and oxytocin in lactating rats. Journal of Ayurveda and Integrative Medicine. 14(2):100580. doi: https://doi.org/10.1016/j.jaim.2022.100580.

Chen CH, Shu HQ, Chi CS (2018). Breastfeeding knowledge and attitudes of health professionals and students. Acta Paediatrica Taiwanica 42(4): 207–11.

Dinas Kesehatan Provinsi Sumatera Selatan (2021). Profil Kesehatan Provinsi Sumatera Selatan Tahun 2020 (South Sumatra Province Health Profile 2020). Dinas Kesehatan Provinsi Sumatera Selatan 251.

Dini PR (2017). The effect of hypnobreast-feeding and oxytocin massage on breastmilk production in postpartum. Journal of Medical Science And Clini-cal Research. 5(10):28600–604. doi: 10.18535/jmscr/v5i10.19.

Ekundina VO, Ebeye OA, Oladele AA, Osham GO (2015). Hepatotoxic and nephrotoxic effects of Moringa oleifera leaves extract in adult wistar rats. Journal of Natural Sciences Research Www.Iiste.Org ISSN 5(3):110–17.

Pratiwi ET (2018). Peningkatan program asi eksklusif dengan pemberian kapsul daun pepaya (Carica papaya l.) pada kunjungan nifas terhadap pe-ningkatan hormon prolaktin dan produksi asi (Increasing the exclusive breastfeeding program by providing papaya leaf capsules (Carica papaya l.) during postpartum visits for incre-asing prolactin hormones and breast milk production). https://repository.poltekkes-smg.ac.id/index.php?p=show_detail&-id=17032&keywords=

Hamzah DF (2018). Pengaruh pemberian asi eksklusif terhadap berat badan bayi usia 4-6 bulan diwilayah kerja Puskesmas Langsa Kota (The Effect of exclusive breastfeeding on the weight of babies aged 4-6 months in the working area of the Langsa City Health Center). 3(2):8–15. http://dx.doi.org/10.30829/jumantik.v3i2.1683

Hanieh S, Ha TT, Simpson JA, Thuy TT, Khuong NC, Thoang DD, Tran TD, et al. (2015). Exclusive breast feeding in early infancy reduces the risk of in-patient admission for diarrhea and suspected pneumonia in rural Vietnam: a prospective cohort study global health. BMC Public Health. 15(1):1–10. doi: 10.1186/s12889-015-2431-9.

Hendarto A, Pringgadini K (2019). Buku bedah asi (Breast milk surgery book). Available at: https://www.idai.or.id/artikel/klinik/asi/nilai-nutrisi-air-susu-ibu

Ikhlasiah MI, Winarni LM (2020). Pembe-rian jus daun pepaya bagi ibu menyu-sui yang bekerja terhadap peningkatan kadar hormon prolaktin dan berat badan bayi di Tangerang (Provision of papaya leaf juice for breastfeeding mothers who work against increasing levels of the hormone prolactin and baby's weight in Tangerang). Jurnal Kebidanan Malahayati. 6(1):89–94. doi: 10.33024/jkm.v6i1.2127.

Jeremy W, Clarke R, Linden R, Wardhani IR (2009). At a Glance Fisiologi. Jakarta: Erlangga.

Johan H, Anggraini RD, Noorbaya S (2019). Potensi Minuman daun kelor terhadap peningkatan produksi air susu ibu (asi) pada ibu potpartum (The potential of moringa leaf drink on increasing breast milk production in Postpartum mothers). Sebatik. 23(1):192–94. doi: 10.46984/sebatik.v23i1.468.

Khasanah U, (2021). Efektivitas suplementasi nanopartikel daun pepaya (carica papaya l) sebagai alternatif layanan kebidanan dalam meningkatkan produksi air susu ibu (asi) (Effectiveness of papaya leaf nanoparticle supplementation (Carica Papaya L) as an alternative to midwifery services in increasing breast milk production). Politeknik Kemenkes Semarang.

Kurniyawan EH (2016). Terapi komplementer alternatif akupresur dalam menurunkan tingkat nyeri (Complementary alternative therapy for acupressure in reducing pain levels). NurseLine Journal. 1(2):246–56.

Lamberti LM, Zakarija-Grković I, Christa L, Walker F, Theodoratou E, Nair H, Campbell H, Black RE (2013). Breastfeeding for reducing the risk of pneumonia morbidity and mortality in children under two: a systematic literature review and meta-analysis. BMC Public Health 13(SUPPL.3). doi: 10.1186/1471-2458-13-S3-S18.

Liliana A, Wahyuningsih M (2021). Pengaruh terapi akupresur terhadap peningkatan di PKU Muhamadiyah Bantul (The effect of acupressure therapy on improvement in PKU Muhammadiyah Bantul). Journal Kesehatan. 8(4):416–24.

Lok KYW, Bai DL, Tarrant M (2017). Family members’ infant feeding preferences, maternal breastfeeding exposures and exclusive breastfeeding intentions. Midwifery. 53:49–54. doi: 10.1016/j.midw.2017.07.003.

Lubis K, Fontanella, Selviarini (2020). Comparison of vigna cylindrica leaves and carica papaya leaves as indonesian traditional plants to increased breast milk volume. Blossom: Journal of Miwifery 3(3):1–7.

Maharani SS, (2020). Pengaruh pemberian puding daun kelor pada ibu menyusui terhadap frekuensi dan lama menyusui bayi di Wilayah Puskesmas Medan Johor (The effect of giving moringa leaf pudding to breastfeeding mothers on the frequency and duration of breastfeeding babies in the Medan Johor Health Center Area). Sebatik 12(1):161–69.

Mas’adah, Rusmini (2015). Teknik melancarkan asi pada ibu post sectio caesaria (Techniques for Launching Breast milk in post sectio caesaria mothers). Jurnal Kesehatan Prima. 9(2): 1495–1505.

Ministry of Health RI (2019). Kementerian kesehatan republik Indonesia (Ministry of Health of the Republic of Indonesia). Kementerian Kesehatan RI 1(1):1.

Ministry of Health RI (2014). Infodatin-Asi. Millennium Challenge Account - Indonesia 1–2.

Ministry of Health RI (2017). Keputusan menteri republik indonesia tentang formularium ramuan obat tradisional Indonesia (Decree of the Minister of the Republic of Indonesia concerning the formulary of Indonesian traditional medicinal ingredients). pp 1–135.

Ministry of Health RI (2020). Profil Kesehatan Indonesia 2020 (Indonesia Health Profile 2020).

Mollart L, Leiser B (2013). Acupressure for the perinatal period. Women and Birth 26:S43. doi: 10.1016/j.wombi.2013.08.135.

Muliawati D (2020). Pemanfaatan ekstrak daun kelor (Moringa oleifera) dalam meningkatkan berat badan balita (Utilization of Moringa leaf extract (Moringa oleifera) in increasing toddler weight). Jurnal Kesehatan Madani Medika 11(1):44–53. doi: 10.36569/jmm.v11i1.98.

Nilamsari RV, Adharini WI, Lestari ND, Tsuboi H, Rifa’i M (2020). Combination Moringa oleifera extract and filamin as potential formulation of preventing inflammation in diabetic mice model. The Journal of Experimental Life Sciences. 10(1):37–42. doi: 10.21776/ub.jels.2019.010.01.07.

Prayekti IS, Thaha AR, Indriyasari CR, Healthy H (2021). Efektivitas daun kelor (Moringa 0leifera) sebagai galaktogog pada ibu menyusui : an update systematic review effect (Effectiveness of moringa leaves (Moringa oleifera) as a galactagogue in breastfeeding mothers: an update systematic review effect). JGMI: The Journal of Indonesian Community Nutrition. 10(2):194–207.

Pujiati W, Sartika L, Wati L, Ramadinta RA (2021). Teknik marmet terhadap kelancaran asi pada ibu post partum (Marmet technique on the smoothness of breastfeeding in post partum mothers). Wiraraja Medika: Jurnal Kesehatan. 11(2):78–85. doi: 10.24929/fik.v11i2.1596.

Putri OH, Armalina D, Mundhofir FEP, Ismail A, Miranti IP (2019). Pengaruh pemberian ekstrak daun kelor (Moringa oleifera) dosis bertingkat pada gambaran mikroskopis ginjal tikus wistar yang diinduksi formalin (The effect of administration of multilevel moringa leaf extract (Moringa oleifera) on Microscopic Appearance of Formalin Induced Kidneys of Wistar Rats). Journal of Chemical Information and Modeling 53(9):1689–99.

Rahmadani PA, Widyastuti N, Fitranti DY, Wijayanti HS (2020). Asupan vitamin a dan tingkat kecemasan merupakan faktor risiko kecukupan produksi asi pada ibu menyusui bayi usia 0-5 bulan (Vitamin A intake and anxiety levels are risk factors for adequacy of breast milk production in breastfeeding mothers infants aged 0-5 months). Journal of Nutrition College. 9(1):44–53. doi: 10.14710/jnc.v9i1.26689.

Raras NS, Suwondo A, Wahyuni S, Laska Y (2016). Different amount of prolactin hormone before and after acupressure-aromatherapy combination technique in lactation: epidemiological-clinic study on post partum mother in surakarta district hospital. ASEAN/ Asian Academic Society International Conference Proceeding Series 332–38.

Rawas, DKKM (2020). Profil Kesehatan Kabupaten Musi Rawas (Musi Rawas Regency Health Profile).

Sormin R, Nuhan M (2018). Hubungan konsumsi daun kelor dengan pemberian asi eksklusif pada ibu menyusui suku timor di Kelurahan Kolhua Kecamatan Maulafa Kupang (The correlation between consumption of moringa leaves and exclusive breastfeeding to breastfeeding mothers of the Timor Tribe in Kolhua Village, Maulafa District, Kupang). Chmk Nursing Scientific Journal 2(2):59–63.

Statistik BP (2022). Persentase bayi usia kurang dari 6 bulan yang mendapatkan asi eksklusif menurut provinsi (persen) (Percentage of infants age less than 6 months getting exclusive breastfeeding by province (percent)), 2019-2021.

Sulistyawati Y (2017). Artikel publikasi paisal (Paisal publication articles). 1–21.

Sumarni IP, Mallongi A, Yane E, Sekarani A (2020). Effect of Moringa oleifera cookies to improve quality of breast-milk. Enfermeria Clinica. 30:99–103. doi: 10.1016/j.enfcli.2019.10.050.

Susilawati F, Halim A (2018). Pengaruh pemberian aroma terapi rose dan akupresur pada ibu menyusui pasca saesar caesarea terhadap kecukupan asi pada bayi (The effect of giving rose aromatherapy and acupressure to breastfeeding mothers post cesarean caesarea on adequacy of breast milk in infants). Jurnal Ilmiah Keperawatan Sai Betik. 14(1):59. doi: 10.26630/jkep.v14i1.1009.

Utary N, Murti K, Septadina IS (2019). Effects of Moringa (Moringa oleifera) leaf extract on alveolar diameter of breastfeeding and weight of infant wistar rats. Journal of Physics: Conference Series. 1246(1). doi: 10.1088/1742-6596/1246/1/012067.

Victora CG, Bahl R, Barros AJD, França GVA, Horton S, Krasevec J, Murch S, et al (2016). Breastfeeding in the 21st Century: epidemiology, mechanisms, and lifelong effect. The Lancet. 387 (10017):475–90. doi: 10.1016/S0140-6736(15)01024-7.

Wong MF, Rifatun N (2019). Kesehatan holistik ibu dan anak untuk generasi anti stunting (Holistic maternal and child health for the anti-stunting generation). Wong Publisher.

Wulandari AS, Hasanah O, Sabrian F (20-19). Pengaruh akupresur terhadap produksi air susu ibu (ASI) (The effect of acupressure on breast milk production). Jurnal Ners Indonesia. 9(2):51. doi: 10.31258/jni.10.1.51-60.

Zakaria VH, As’ad S, Bahar B (2016). Effect of extract Moringa oleifera on quantity and quality of breastmilk in lactating mothers, infants 0-6 month. Jurnal MKMI 12(3):161–69.

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Published

2023-09-16

How to Cite

Wahidah, N., Eko Ningtyas, E. A., & Latifah, L. (2023). Effect of the Combination of Acupressure and Moringa oleifera Extract Consumption on Elevating Breast Milk Production and Adequacy in Lactating Mothers. Journal of Maternal and Child Health, 8(5), 649–659. https://doi.org/10.26911/thejmch.2023.08.05.11

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