Effect of Combination of Oxytocin Massage and Hypnobreastfeeding on Uterine Involution and Prolactin Levels in Postpartum Mothers

Abstract

Background: The absence of contractions after childbirth can lead to a slow-running uterine involution process. Thus, the effort to maintain and accelerate the process is needed. Oxytocin massage and hypnobreastfeeding are considered as an alternative treatment, but the effect of the combination of the two treatments have not yet been examined.Objective: To examine the effect of combination of oxytocin massage and hypnobreastfeeding on uterine involution and prolactin levels in post partum.Methods: A Quasy experimental study with pretest posttest control group design. a total of 40 respondents were recruited using simple random sampling, with 20 respondents assigned in the treatment and control group. Metline and ELISA methods were used to measure uterine involution prolactin levels. Paired t-test and independent t-test were used to analyze the data.Results: There was a significant decrease of uterine involution in the experiment group and control group after intervention with p-value 0.000 (<0.05), and it can be seen that the uterine involution in the experiment group (6.05) was faster than uterin involution in the control group (7.00). Findings also showed that the prolactin level in the experiment group (273.53) was higher than the prolactin level in the control group (209.37).Conclusion: There was statistically significant effect of the combination of oxytocin massage and hypnobreastfeeding on the uterine involution and prolactin level in postpartum mothers in the General Hospital of Semarang. It is expected that the combination of oxytocin massage and hypnobreastfeeding can be used as consideration and references in providing postpartum midwifery care.

The Effectiveness of Hypnobreast feeding Massage on Anxiety and Breast Milk Production in Postpartum Mothers

“…Another study explained a statistically significant effect of oxytocin massage and Hypno-breastfeeding on prolactin levels in postpartum mothers (p = 0,005) (26). Hypnobreastfeeding combined with oxytocin massage given during 48 hours of postpartum effectively increases milk volume (9).…”

“…A positive breastfeeding behaviour and early breastfeeding initiation can predict exclusive breastfeeding practices among primiparous women (41). Another study explained a statistically significant effect of oxytocin massage and Hypno-breastfeeding on prolactin levels in postpartum mothers (p = 0,005) (26). Hypnobreastfeeding combined with oxytocin massage given during 48 hours of postpartum effectively increases milk volume (9).…”

“…Hypno-breastfeeding provides positive suggestions for mothers to increase self-confidence in carrying out the role of a mother (9). Deep and regular relaxation during Hypno-breastfeeding increases the production of endorphins, leading to an enjoyable breastfeeding process for both mother and baby (26,39). Psychological conditions such as stress trigger an increase in cortisol and catecholamine, which can inhibit the release of prolactin and oxytocin (36,37).…”

“…Hypnobreastfeeding provides positive suggestions for mothers to increase self-confidence in carrying out the role of a mother (9). Deep and regular relaxation during Hypno-breastfeeding increases the production of endorphins and leads to an enjoyable breastfeeding process for both mother and baby (26,39).…”

“…To achieve the success of exclusive breastfeeding, non-pharmacologic intervention such as Hypnobreastfeeding massage is needed. From several current kinds of literature, Hypno-breastfeeding combined with oxytocin massage effectively increases the prolactin hormone and breast milk production (9,25,26). Still, this study combines Hypno-breastfeeding and endorphin massage, where research on this subject has never been available.…”