Oketani massage can stimulate the strength of the pectoralis muscle to increase milk production. Acupressure can increase endorphins, reduce pain, and make the body more relaxed. This study was to determine the effect of the combination of Oketani massage and acupressure on prolactin levels in post Sectio Caesarea (SC) mothers. This research was quasi-experimental with a pretest and posttest control group design. The study's results using the independent sample T-test analysis showed no difference in prolactin levels before breast treatment and a combination of Oketani and acupressure massage. There was a significant difference (p=0.002) in the treatment group after combining Oketani massage and acupressure for post SC mothers and prolactin levels after receiving breast care. This study showed a significant difference (p=0.002) in the treatment group after a combination of Oketani massage and acupressure for post SC was performed. In addition, there was a difference in prolactin levels in the treatment group before and after a combination of Oketani massage and acupressure with an average increase in prolactin levels, which was 151 g/ml (SD±101) (p=0.001). However, there was no difference in the control group. Oketani massage combined with acupressure can be given to post SC mothers.

Failure in the breastfeeding process is often caused by the emergence of several problems, both problems for the mother and the baby. Problems from mothers that arise during breastfeeding can start before delivery (antenatal period), in the early postpartum period, and after late labor. Problems with breastfeeding can also be caused by special circumstances, such as delayed onset of lactation on early postpartum period, the mother complaining that her baby often cries or refuses to breastfeed, which then means that the milk is not enough or not good enough to make the decision to stop breastfeeding. Anxiety caused by fear of not being able to produce milk and not having enough milk is the most common reason women fail to start breastfeeding, stop breastfeeding too soon, or start complementary feeding before it is needed. One alternative to help facilitate breast milk is to do oxytocin massage. In this case study, after full breast oxytocin massage before breastfeeding, the milk output was good, the baby showed a good sucking and swallowing response, after the oxytocin massage technique was carried out independently and assisted by the husband, the milk came out smoothly. Mother says that the baby is calm and sleeps soundly not fussy.

Blood hemoglobin (Hb) is a parameter used to determine the prevalence of anemia. The increased plasma volume causes the hemoglobin concentration to decrease somewhat during pregnancy. As a result, the overall viscosity of the blood is reduced. The normal Hb value at the end of pregnancy averages 12.5 g/dL, and about 5% of pregnant women have an Hb level of less than 11.0 g/dL. The purpose of this study was to find out the description of hemoglobin levels in pregnant women at the Nania Health Center. The method used is a type of descriptive research, the number of respondents is 34 people obtained by random sampling. Hemoglobin levels were measured with a Sahli Hemoglobinometer. The results showed that 7 respondents (21%) had low hemoglobin levels and 27 respondents (79%) had normal hemoglobin levels. In this study, it was also found that mothers with low Hb were caused by their disobedience in taking fe tablets.