Background: The incidence of post-partum blues both in Indonesia and abroad has been quite high; the stress that post-partum mothers experience will inhibit breast milk production and, as a result, breastfeeding process should be stopped earlier. Hypnobreastfeeding relaxation and oxytocin massage have been a combination of therapy that might decrease the rate of Adenocorticotropic Hormon (ACTH) and that might assist hormone and prolactin secrection in order that breast milk production becomes fluent. This study then aimed at analyzing the optimization of the combination of oxytocin massage and hypnobreastfeeding in order to decrease anxiety and to improve breast milk production among post-partum mothers. Subjects and Method:This was an analytic experimental study with Randomized Control Trial (RCT) design. This study was conducted at Dr. Suradji Tirtonegoro Central General Hospital, Klaten, from January 25 th , 2017 until March 9 th , 2017. The population in this study was 200 postpartum mothers. A sample of 60 post-partum mothers was selected for this study and allocated into the intervention group (n1= 30) and the control group (n2= 30). The intervention group would be treated by the combination of oxytocin massage and hypnobreastfeeding. The dependent variables were anxiety and breast milk production. The independent variables were oxytocin massage and hypnobreastfeeding. The anxiety was measured by STAI scale. The breast milk production process was measured by checklist questionnaire. The breast milk production amount was measured by milking cups. The breast milk production between the two groups was tested by Mann-Whitney. Results: The anxiety scale in the intervention group was better and lower than that of the control group. The differences in terms of anxiety scale between the intervention group (median= 24.00; SD= 4.45) and the control group (median= 34.00; SD= 6.93) were statistically significant (p<0.001). Then, the differences in terms of breast milk production process between the intervention group (median= 9.00; SD= 1.66) and the control group (median= 8.00; SD= 1.56) were nearly significant (p<0.145). Furthermore, the differences in terms of breast milk production amount between the intervention group (median= 10.00; SD= 10.36) and the control group (median= 4.50; SD= 4.21) were statistically significant (p<0.001). Conclusion: Combination of oxytocin massage and hypnobreastfeeding can effectively decreasing anxiety and increasing breast milk production for post-partum mothers.

Background: Post partum period is condition of a time that very influential on the psychological and social conditions for women after giving birth. The incidence of post partum blues increased in this period of time with a prevalence of 30% to 75%. Post partum blues give effect to the early cessation of breastfeeding process which is contribute to child mortality under 5 years of 11.6%. This is associated with the practice of exclusive breastfeeding that are not optimal as a result of post partum blues experienced by woman after giving birth. The purpose is to analyze the anxiety in the group given the Hypnobreastfeeding intervention treatment and which is not given the intervention treatment, held at RSUP Dr. Suradji Tirtonegoro, Klaten. Method: Research is experimental design with randomized control trial. The population is all pregnant women in Puskesmas Jogonalan I area of Klaten. A total of 60 post partum object was selected for this study by simple random sampling. This was a randomized controlled trial, conducted at RSUP Dr. Suradji Tirtonegoro, Klaten. Results: The difference of dependent variables between the two groups were tested by Mann-Whitney. Conclusion: There is a differences and significance level of result of degree of anxiety between both treatment result with p=0.002. Hypnobreastfeeding intervention treatment can relief anxiety level for post-partum mother

Background: Lower back pain is discomfort under costa and top of the gluteal inferior that experienced by 70% pregnant women in Indonesia. Warm compresses increase oxygenation and acupressure provides balance to the body. Aim this study is to analyze the effect of warm compresses and acupressure on lower back pain in third trimester pregnant women. Methods: This research uses pre-experimental design with pretest-posttest group design. It is used Purposive Sampling with 30 third trimester of pregnant woman as respondent. Bivariate analysis use the shapiro wilk by comparing pre and posttests using paired t test. Meanwhile, to compare the effect of warm compresses and acupressure by using independent t test.Results: Bivariate analysis showed that p value of warm compresses is 0.00 with the difference of mean is 2,3. While, p value of acupressure is 0.00, with the difference of mean is 1,2. Conclusion: There is an effect of warm compresses and acupressure on lower back pain in the third trisemeter of pregnant women.

Background: The incidence of post-partum blues both in Indonesia and abroad has been quite high; the stress that post-partum mothers experience will inhibit breast milk production and, as a result, breastfeeding process should be stopped earlier. Hypnobreastfeeding relaxation and oxytocin massage have been a combination of therapy that might decrease the rate of Adenocorticotropic Hormon (ACTH). This study aimed to analyze the optimization of the combination of oxytocin massage and hypnobreastfeeding in order to decrease anxiety and to improve breast milk production among post-partum mothers. Subjects and Method:This was an analytic experimental study with Randomized Control Trial (RCT) design. This study was conducted at Dr. Suradji Tirtonegoro Central General Hospital, Klaten, from January 25 th , 2017 until March 9 th , 2017. The population in this study was 200 post-partum mothers. A sample of 60 post-partum mothers was selected for this study and allocated into the intervention group (n1= 30) and the control group (n2= 30). The intervention group would be treated by the combination of oxytocin massage and hypnobreastfeeding. The dependent variables were anxiety and breast milk production. The independent variables were oxytocin massage and hypnobreastfeeding. The anxiety was measured by STAI scale. The breast milk production process was measured by checklist questionnaire. The breast milk production amount was measured by milking cups. The breast milk production between the two groups was tested by Mann-Whitney. Results: The anxiety scale in the intervention group was better and lower than that of the control group. The differences in terms of anxiety scale between the intervention group (median= 24.00; SD= 4.45) and the control group (median= 34.00; SD= 6.93) were statistically significant (p<0.001). Then, the differences in terms of breast milk production process between the intervention group (median= 9.00; SD= 1.66) and the control group (median= 8.00; SD= 1.56) were nearly significant (p<0.145). Furthermore, the differences in terms of breast milk production amount between the intervention group (median= 10.00; SD= 10.36) and the control group (median= 4.50; SD= 4.21) were statistically significant (p<0.001). Conclusion: Combination of oxytocin massage and hypnobreastfeeding can effectively decreasing anxiety and increasing breast milk production for postpartum mothers.

Background: Efforts to help the success of government programs related to exclusive breastfeeding must be done as early as possible from 36 weeks of gestation. Massage done in the area around the spine in pregnant women will help the secretion of the hormones oxytocin and prolactin. The oxytocin released after the massage process will stimulate labor contractions and prepare for the breastfeeding process, so it is hoped that regular stimuli given in the form of oxytocin massage will affect the production of milk produced. So it is important to introduce oxytocin massage from an early age to cadres, pregnant women, and nursing mothers. Through cadres, pregnant and lactating mothers will always be reminded to prepare for milk production from pregnancy. The purpose of this activity are to optimize the production of breastmilk in post partum mothers through mentoring health cadres. Methods: Method this study is used oxytocin massage intervention and health education. Results: Of this activity are health education and oxytocin massage intervention can increase knowledge cadre skills to help post partum mothers succeed in exclusive breastfeeding. Conclusion: Oxytocin massage can be an intervention alternative to optimize the production of breastmilk in post partum mothers.