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Abstract

This study aimed to examine changes in breast milk production following lactation massage among postpartum mothers receiving care at Bajoe Public Health Center, Bone Regency, South Sulawesi, Indonesia. A quantitative quasi-experimental study using a one-group pretest-posttest design was conducted from February to April 2026. Twenty postpartum mothers who met the eligibility criteria and agreed to participate were included in the study. The intervention consisted of standardized lactation massage administered once daily for six consecutive days, from postpartum day 2 to postpartum day 7. Each session lasted 15–20 minutes and was conducted in the morning. Breast milk production was assessed before and after the intervention using a 10-item observation instrument originating from Rohmatika (2021). Each item was scored dichotomously, and the total score was categorized as poor, adequate, or good breast milk production. Descriptive statistics and the Wilcoxon Signed-Rank Test were used for data analysis. The results showed that before the intervention, 17 participants (85%) were classified as having poor breast milk production and three participants (15%) as having adequate production. No participant was classified as having good production. After six consecutive days of lactation massage, all 20 participants (100%) were classified as having good breast milk production. The median score increased from 3 at pretest to 9 at posttest. The Wilcoxon Signed-Rank Test showed a statistically significant difference between pretest and posttest scores (p < 0.001). Breast milk production scores improved significantly following lactation massage. However, the one-group pretest-posttest design, absence of a comparison group, small sample, variation in postpartum timing, and potential uncontrolled confounding factors limit causal interpretation. The findings provide preliminary evidence that supports further controlled research on lactation massage as a complementary component of postpartum care.

Keywords

Breast Milk Production Postpartum Lactation Massage Non-Pharmacological Therapy

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Muchtar, A. S., & Novianti, I. (2026). Changes in Breast Milk Production Following Lactation Massage Among Postpartum Mothers: A Quasi-Experimental Study. Golden Ratio of Mapping Idea and Literature Format, 6(4), 2660–2671. https://doi.org/10.52970/grmilf.v6i4.2534
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References

  1. Akhirta, D. H., Nurcholis, H., & Wahyono, E. (2025). Analysis of the Implementation of Adequate Access to Health Care Based on a Human Rights Perspective : Case Study at Class II A Penitentiary in Padang , Indonesia. Golden Ratio, 5(1), 167–179. https://doi.org/https://doi.org/10.52970/grsse.v5i1.1197
  2. Choi, W.-R., Kim, Y.-S., Kim, J.-R., & Hur, M.-H. (2023). A randomized controlled trial of pectoralis major myofascial release massage for breastfeeding mothers: breast pain, engorgement, and newborns’ breast milk intake and sleeping patterns. KWJHN (Korean Journal of Women Health Nursing), 29(1), 66–75. https://doi.org/10.4069/kjwhn.2023.03.15
  3. Egam, A., & Veronica, Y. N. (2023). Differences in Effectiveness Between Breast Massage and Combination Massage in Breast Milk Production in Postpartum Adriana Egam 1 , Yustitio Nora Veronica 2 1,2. Jurnal Ilmiah Kesehatan, 16(02), 124–129. https://doi.org/https://doi.org/10.33086/jhs.v16i02.3700
  4. Erci̇yas, Ş. K., & Kavlak, O. (2024). The effect of back and breast massage on the amount of milk and anxiety level of mothers with preterm birth: A randomized controlled study. Journal of Neonatal Nursing, 30(3), 251–257. https://doi.org/10.1016/j.jnn.2023.10.003
  5. Hannan, F. M., Elajnaf, T., Vandenberg, L. N., Kennedy, S. H., & Thakker, R. V. (2022). Hormonal regulation of mammary gland development and lactation. Nature Reviews Endocrinology, 19, 46–61. https://www.nature.com/articles/s41574-022-00742-y
  6. Herawati, R., Junita, E., Sepduwiana, H., Masdi, H. Y., Rijsubo, P. D., Kristina, E., & Aroh, S. (2023). The Effect of Lactation Massage on Increasing Breast Milk Production in Breastfeeding Mothers at BPM Nurhidayah Tambusai District, Rokan Hulu. International Journal on Advanced Science, Education, and Religion (IJoASER), 6(1), 34–42. https://doi.org/https://doi.org/10.33648/ijoaser.v6i1.648
  7. Huang, Y., Liu, Y., Yu, X., & Zeng, T.-Y. (2021). The rates and factors of perceived insufficient milk supply : A systematic review. Maternal And Child Nutrition, July 2021, 1–13. https://doi.org/10.1111/mcn.13255
  8. Indrayani, T., Choirunnisa, R., & Lumprom, O. (2022). Effectiveness of Combining Oketani and Oxytocin Massage on The Breastmilk Production. IJNP (Indonesian Journal of Nursing Practices), 6(2), 91–99. https://doi.org/https://doi.org/10.18196/ijnp.v6i2.17213
  9. Kementerian Kesehatan Republik Indonesia. (2024). Profil Kesehatan Indonesia 2023. Kemeneterian Kesehatan Republik Indonesia. https://www.kemkes.go.id/id/profil-kesehatan-indonesia-2023
  10. Kementerian Kesehatan Republik Indonesia. (2025). Profil Kesehatan Indonesia 2024. Kementerian Kesehatan Republik Indonesia. https://www.kemkes.go.id/id/profil-kesehatan-indonesia-2024
  11. Kent, J. C., Ashton, E., Hardwick, C. M., Rea, A., Murray, K., & Geddes, D. (2021). Causes of perception of insufficient milk supply in Western Australian mothers. Maternal And Child Nutrition, 17(1), 1–11. https://doi.org/10.1111/mcn.13080
  12. Kumalasari, R., & Ediyono, S. (2025). The Effectiveness of Rolling Massage and Warm Compress in Increasing Breast Milk Production Among Postpartum Mothers. Jurnal Ilmiah Kebidanan (The Journal of Midwifery), 13(2), 181–187. https://doi.org/10.33992/jik.v13i2.4786
  13. Marmi. (2017). Asuhan Kebidanan pada Masa Nifas “Puerperium Care.” Pustaka Pelajar.
  14. Mollaahmetoglu, Ş. E., & Guvenc, G. (2025). The Effect of Breast Massage and Warm Compress Application on Milk Production and Anxiety in Mothers with Premature Newborn: A Randomized Controlled Trial. National Library Medicine, 20(6). https://doi.org/10.1089/bfm.2024.0382
  15. Neville, M. C. (2023). Lactation in the human. National Library of Medicine, 13(3), 71–77. https://doi.org/10.1093/af/vfad021
  16. Neville, M. C., Demerath, E. W., Hahn-holbrook, J., Hovey, R. C., Martin-carli, J., Mcguire, M. A., Newton, E. R., Rasmussen, K. M., Rudolph, M. C., & Raiten, D. J. (2023). Parental factors that impact the ecology of human mammary development , milk secretion , and milk composition — a report from “ Breastmilk Ecology : Genesis of Infant Nutrition ( BEGIN ) ” Working Group 1. The American Journal of Clinical Nutrition, 117(November 2022), S11–S27. https://doi.org/10.1016/j.ajcnut.2022.11.026
  17. Nuampa, S., & Payakkaraung, S. (2021). Effectiveness of Different Massage Techniques for Breastfeeding Mothers to Increase Milk Production : A Systematic Review. Pacific Rim International Journal of Nursing Research, 25(1), 114–130. https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/241405
  18. Parker, L. A., Hoban, R., Bendixen, M. M., Medina-poeliniz, C., Johnson, T. J., Meier, P. P., & Al, P. E. T. (2024). Milk Biomarkers of Secretory Activation in Breast An Integrative Review. 19(1). https://doi.org/10.1089/bfm.2023.0107
  19. Purnamayanthi, P. P. I., Saraswati, P. A. D., & Sumawati, N. M. R. (2025). Pengaruh Lactation Massage terhadap Produksi ASI pada Ibu Nifas Post Sectio Caesaria di Rumah Sakit The Effect of Lactation Massage on Breast Milk Production among Postpartum Mothers after Cesarean Section at Hospital. Faletehan Health Journal, 12(3), 275–282.
  20. Rahmawati, N., & Karana, I. (2023). Pengaruh pijat laktasi pada ibu nifas terhadap produksi ASI. Jurnal Malahayati, 17(1), 17–22.
  21. Restyo, V. A., & Maulina, R. (2026). The Effect of Lactation Massage on Breast Milk Production in Postpartum Mothers. 04(02), 167–173.
  22. Retni, A., Harismayanti, Lihu, F. A., & Rauf, R. (2025). Efectivitas Lactation Massage terhadap Kelancaran Produksi ASI pada Ibu Nifas. PREPOTIF: Jurnal Kesehatan Masyarakat, 9(April), 2608–2617.
  23. Roesli, U. (2018). Mengenal ASI Eksklusif. Trubus Agriwida.
  24. Sandhi, A., Lee, G. T., Chipojola, R., Huda, M. H., & Kuo, S. (2020). The relationship between perceived milk supply and exclusive breastfeeding during the first six months postpartum : a cross- sectional study. 1–11.
  25. Siregar, R. N., Simanjuntak, E. H., & Simanjuntak, N. M. (2026). Association between Lactation Massage and Breast Milk Production among Postpartum Mothers : A Quasi-Experimental Study in a Primary Healthcare Setting. Media Publikasi Promosi Kesehatan Indonesia, 9(6), 1218–1227. https://doi.org/10.56338/mppki.v9i6.10568
  26. Sulistyawati, H., & Mildiana, Y. E. (2022). The Effect of Oxytocin Massage on Breast Milk Production in Postpartum Mothers at PMB Nurul Awalia Astarie , A . Md . Keb , Mojoagung District , Jombang Regency. EMBRIO Jurnal Kebidanan, 14(1), 21–29. https://doi.org/https://doi.org/10.36456/embrio.v14i1.3489
  27. Triansyah, A., Indarty, A., Tahir, M., Sabir, M., Nur, R., Basir-cyio, M., Anshary, A., & Rusydi, M. (2021). The effect of oxytocin massage and breast care on the increased production of breast milk of breastfeeding mothers in the working area of the public health center of Lawanga of Poso District ଝ. 35, 168–170.
  28. UNICEF. (2023). Global Breastfeeding Scorecard 2023. https://www.unicef.org/documents/global-breastfeeding-scorecard-2023
  29. UNICEF Indonesia. (2024). Mothers Need More Breastfeeding Support During Critical Newborn Period. https://www.unicef.org/indonesia/press-releases/mothers-need-more-breastfeeding-support-during-critical-newborn-period
  30. Uvnäs-Moberg, K., Ekström-Bergström, A., Buckley, S., Massarotti, C., Pajalic, Z., Luegmair, K., Kotlowska, A., Lengler, L., Olza, I., Grylka-Baeschlin, S., Leahy-Warren, P., Hadjigeorgiu, E., Villarmea, S., & Dencker, A. (2020). PLOS ONE Maternal plasma levels of oxytocin during breastfeeding — A systematic review. PLoS ONE, 15(8), 1–38. https://doi.org/10.1371/journal.pone.0235806
  31. Widiastuti, W., Ropii, I., & Carolina, C. (2025). A Medico-Legal Study on the Use of Infant Formula as an Alternative to Breastfeeding for Children Aged 0 – 2 Years. Golden Ratio, 5(1), 44–61. https://doi.org/https://doi.org/10.52970/grlspr.v5i1.1463
  32. World Health Organization. (2021). Exclusive breastfeeding for optimal growth, development and health of infants. In WHO. https://www.who.int/tools/elena/interventions/exclusive-breastfeeding
  33. World Health Organization. (2024). Breastfeeding. https://www.who.int/en/health-topics/breastfeeding