Efektivitas Penerapan Pijat Oksitosin terhadap Kelancaran Produksi ASI pada Ibu Post Partum di Puskesmas Sidotopo Wetan Surabaya

Pendahuluan: Produksi ASI sangat penting bagi pertumbuhan dan perkembangan bayi, namun banyak ibu post partum khususnya primigravida mengalami masalah pengeluaran ASI yang tidak lancar meskipun produksi cukup. Hambatan ini umumnya disebabkan refleks let-down yang kurang optimal sehingga meningkatkan risiko kegagalan pemberian ASI eksklusif. Salah satu intervensi nonfarmakologis yang dapat membantu adalah pijat oksitosin, yaitu pijatan di sepanjang tulang belakang untuk merangsang hormon oksitosin yang berperan dalam pengeluaran ASI. Tujuan: Mengetahui efektivitas pijat oksitosin terhadap kelancaran produksi ASI pada ibu post partum di wilayah kerja Puskesmas Sidotopo Wetan Surabaya. Metode: Penelitian menggunakan desain deskriptif dengan pendekatan studi kasus. Sampel terdiri dari tiga ibu post partum primigravida dengan keluhan ASI tidak lancar. Instrumen yang digunakan berupa SOP pijat oksitosin dan lembar observasi frekuensi menyusui. Intervensi pijat oksitosin dilakukan rutin selama tiga hari dengan durasi ±15 menit setiap hari. Hasil dan Diskusi: Sebelum intervensi, seluruh responden berada pada kategori kurang lancar dengan frekuensi menyusui rendah. Setelah tiga hari penerapan pijat oksitosin, semua responden mengalami peningkatan hingga kategori lancar, dengan frekuensi menyusui mencapai 8–12 kali per hari. Selain itu, responden melaporkan efek positif berupa rasa relaksasi, berkurangnya pegal pada punggung, serta peningkatan kenyamanan saat menyusui. Temuan ini menunjukkan pijat oksitosin efektif memperlancar pengeluaran ASI sekaligus memberikan manfaat psikologis yang mendukung keberhasilan menyusui.
Kata kunci: Pijat oksitosin, Oksitosin, Pengeluaran ASI, Produksi ASI, Ibu post partum.

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Introduction: Breast milk production is very important for the growth and development of babies, but many postpartum mothers, especially primigravida, experience problems with breast milk production even though production is sufficient. This obstacle is generally caused by a less-than-optimal let-down reflex, which increases the risk of failure to exclusively breastfeed. One non-pharmacological intervention that can help is oxytocin massage, which involves massaging along the spine to stimulate the release of oxytocin, a hormone that plays a role in milk ejection. Objective: To determine the effectiveness of oxytocin massage on the smoothness of breast milk production of postpartum mothers in the working area of the Sidotopo Wetan Community Health Center in Surabaya. Methods: This study used a descriptive design with a case study approach. The sample consisted of three primigravida postpartum mothers with complaints of poor milk ejection. The instruments used were the oxytocin massage SOP and observation sheets on breastfeeding frequency. The intervention was carried out routinely for three consecutive days, with a duration of ±15 minutes each day. Results and Discussion: Before the intervention, all respondents were in the slow category with low breastfeeding frequency. After three days of oxytocin massage, all respondents experienced an increase to the fast category, with breastfeeding frequency reaching 8–12 times per day. In addition, respondents reported positive effects such as relaxation, reduced back pain, and increased comfort during breastfeeding. These findings indicated that oxytocin massage is effective in facilitating milk ejection while providing psychological benefits that support successful breastfeeding
Keywords : Oxytocin massage, Oxytocin, Milk ejection, Milk production, Postpartum mothers