Potential of acupressure to be complementary care by midwives in postpartum women's breast milk production

Erfina,; Ahmad, Mardiana; Usman, Andi Nilawati; Sinrang, Andi Wardihan; Alasiry, Ema; Bahar, Burhanuddin

doi:10.1016/j.enfcli.2019.12.001

Cited by 5 publications

(5 citation statements)

References 11 publications

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“…SI 1 also known as Shaoze is on the little finger was present in three studies. LU 1 also known as Zhongfu is not commonly indicated for breast conditions or lactation; it is located on the upper lateral chest level in the first intercostal space and was used in two of these studies because it is close to the breast (Erfina et al, 2020).…”

Section: Resultsmentioning

confidence: 99%

“…However, some authors report that maternal perception of lack of breast fullness, swelling, and leaking at 72 or more hours postpartum is an effective starting point in diagnosing a delay in secretory activation. Luo et al (2017), Mann and Zhang (2014), and Erfina et al (2020) each used this as part of their assessment showing significant results. Assessing feedings, pumping, and infant stooling patterns is another method for evaluating adequate milk supply (Westerfield et al, 2018).…”

Section: Resultsmentioning

confidence: 99%

“…Sulymbona et al (2020) did not mention which day postpartum acupressure intervention began and did not report results of what they termed "the baby's defecating checklist," making it difficult to fully understand the effectiveness of the acupressure. The methods section of Erfina et al (2020) is not explicit about how milk production was measured. They report "breast milk production is measured using frequency and duration of breastfeeding" without further details.…”

Section: Limitationsmentioning

confidence: 99%

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Effects of Acupressure on Lactation

Rosetti

Spatz

2022

McN: The American Journal of Maternal/Child Nursing

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Purpose: To assess the effects of acupressure on lactation. Methods: A literature search was conducted via Cumulative Index to Nursing and Allied Health Literature (CINAHL), Embase, and PubMed using keyword search terms acupuncture, Tuina and breastfeeding, human lactation or human milk and excluded auricular. Inclusion criteria were articles in English with no restriction on publication date. We included acupuncture as well as acupressure to ensure that relevant articles were not missed. Results: After duplicates were removed, our initial search yielded 217 articles. Using the PRISMA checklist (Liberati et al., 2009), six articles met inclusion criteria (five research studies, one case study). Preliminary evidence suggests acupressure offers a promising and inexpensive method of enhancing secretory activation following cesarean and vaginal term and late preterm births, specifically when performed at acupoints CV 17, ST 18, and SI 1. Clinical Implications: Human milk is the optimal source of infant nutrition. Concern of low milk supply is most often cited as the cause for early supplementation with formula as well as early cessation of breastfeeding. Acupressure may be helpful in improving milk supply in early postpartum, but more research on acupressure and lactation is warranted.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Limitationsmentioning

confidence: 99%

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Effects of Acupressure on Lactation

Rosetti

Spatz

2022

McN: The American Journal of Maternal/Child Nursing

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“…Previous There was a difference between the treatment and control groups (10). ST-18 point (Ru Gen) is located lateral to the breast, 4 fingers below the nipple, and can increase blood circulation which can stimulate the alveolus to contract so that breast milk is secreted towards the nipple A previous study stated that postpartum mothers were given puerperal exercise and acupressure on the second, fourth, and seventh days after giving birth both increased milk production, but the acupressure group was higher than the postpartum exercise group (12).…”

Section: Discussionmentioning

confidence: 99%

Effect of rolling massage and ST-18 acupressure on breast milk production and decrease in fundal height

Rahayu¹,

Umaroh²

2022

JNKI

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Produksi dan sekresi ASI dipengaruhi oleh refleks prolaktin dan refleks let-down. Salah satu cara untuk meningkatkan produksi ASI adalah dengan rolling massage dan akupresur terletak di sebelah lateral payudara, 4 jari di bawah puting susu, dan dapat meningkatkan sirkulasi darah yang dapat merangsang alveolus untuk berkontraksi sehingga ASI keluar menuju puting. Penelitian sebelumnya menyatakan bahwa ibu nifas yang diberikan senam nifas dan akupresur pada hari kedua, keempat, dan ketujuh setelah melahirkan sama-sama meningkatkan produksi ASI, namun kelompok akupresur lebih tinggi dibandingkan kelompok senam nifas. Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh rolling massage dan akupresur ST-18 terhadap produksi ASI dan penurunan tinggi fundus pada ibu nifas. Metode: Penelitian ini merupakan penelitian eksperimen semu. Rancangan penelitian ini adalah Randomized Control Group dengan Pre-Test dan Post-Test. Populasi dalam penelitian ini adalah seluruh ibu nifas di Puskesmas Kota Semarang yang berjumlah 16 responden pada kelompok perlakuan dan 16 responden pada kelompok kontrol, dikumpulkan secara cluster random sampling. Setelah mendapat persetujuan dari responden, peneliti mulai melakukan pre-test terhadap tinggi fundus dan produksi ASI pada kelompok perlakuan dan kelompok kontrol, kemudian post-test setelah 3 hari perlakuan. Data dianalisis dengan uji t Independen dan uji Mann Whitney. Hasil: Karakteristik responden pada kedua kelompok menunjukkan sebagian besar responden berusia 27,9 tahun, merupakan wanita primipara dan memiliki status gizi baik. Rerata peningkatan produksi ASI dinilai dari pertambahan berat badan bayi sebelum dan sesudah perlakuan dari 3117,8 gram menjadi 3254 gram. Ada perbedaan produksi ASI pada kelompok perlakuan dan kontrol dengan nilai p 0,0001, dan tidak ada perbedaan penurunan tinggi fundus pada kedua kelompok (p value=3,91), namun penurunan tinggi fundus pada kelompok perlakuan lebih cepat dibandingkan kelompok kontrol yaitu 3,91 cm. Kesimpulan: Perlunya bidan memberikan asuhan kebidanan pada ibu nifas secara holistik dan komprehensif misalnya berupa rolling massage dan akupresur pada titik

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“…Therapy by listening to music performed within 48 hours after the radical mastectomy delivered by the researchers using an MP3 player. Music plays twice a day, once in the morning (6-8am) and once in the evening (9pm), Complementary therapy Progressive Muscle Relaxation (PMR) can significantly reduce pain scale in breast cancer patients, this therapy can be done periodically (Erfina et al, 2020).…”

Section: Therapy With Mediamentioning

confidence: 99%

Post-operative pain management with non-pharmacological interventions in patients undergoing breast cancer surgery: A systematic scoping review

et al. 2022

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Background: Breast cancer become the most incident of cancer among women, especially in Indonesia. Non-pharmacological therapy becomes the additional intervention to address the pain after breast cancer surgery. Objective: The purpose of this study was to determine various non-pharmacological therapeutic interventions that can be performed in pain management in post-operative breast cancer patients. Design: The design used in this literature review is a systematic scoping review. Data Sources: This study used a scoping review system where after obtaining articles from three databases there are CINAHL, Pubmed, and Proquest. Review Methods: The articles will be synthesized and assessed using the clinical appraisal tools of Joanna Briggs Institute (JBI). JBI version of Randomized controlled trial. Results: From the total of 577 articles searched in the database, we obtained seven articles included in the study. The interventions to reduce pain include music therapy and progressive muscle relaxation therapy, acupuncture, foot reflexology, massage and meditation, autology, mindfulness-based cognitive therapy (MBCT), and neuromuscular taping on musculoskeletal (NMT). Apart from relieving pain various interventions that can be done can improve well-being, reduce stress, and reduce the length of treatment or treatment. Conclusions: The result of this study can be an additional intervention that can be applied by nurses and other health care workers.

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Potential of acupressure to be complementary care by midwives in postpartum women's breast milk production

Cited by 5 publications

References 11 publications

Effects of Acupressure on Lactation

Effects of Acupressure on Lactation

Effect of rolling massage and ST-18 acupressure on breast milk production and decrease in fundal height

Post-operative pain management with non-pharmacological interventions in patients undergoing breast cancer surgery: A systematic scoping review

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