Research Paper
Year: 2020 | Month: November | Volume: 7 | Issue: 11 | Pages: 354-366
The Effect of Breast Care on Prolactin Levels in Postpartum Primipara Mothers
Siti Lestari1, Yusri Dianne Jurnalis, Sp.A(K)2, Fadil Oenzil, SpGK3
1Postgraduate Student, Midwifery Science Department, Medical Faculty, Andalas University, Padang, Indonesia
2Lecturer, Medical Faculty, Andalas University, Padang, Indonesia
3Lecturer, Medical Faculty, Andalas University, Padang, Indonesia
Corresponding Author: Siti Lestari
ABSTRACT
Exclusive breast milk is breastfeeding for infants from 0-6 months in order to meet the nutritional needs for growth and development. Breastfeeding has unmatched advantages for infants, mothers, families and communities. It is strongly recommended to exclusively breastfeed for 6 months. The production and excretion of breast milk is influenced by the prolactin hormone and the oxytocin hormone. Prolactin affects the amount of milk produced. Breast care is highly important; one of which is maintaining breast hygiene, especially the hygiene of the nipples to avoid infection and to soften it, so that the infant can be breastfed properly, and stimulates the glands.
This is an experimental research with post-test only control group design in Andalas Community Health Center, Padang. The sample in this study consisted of 15 treatment groups and 15 control groups that met the inclusion criteria taken by simple random sampling technique. Breast care was carried out on the third trimester of pregnant women starting from the age of 34 weeks carried out three times a week. Prolactin level was measured by ELISA and breast milk volume was measured by measuring tubes. The normality test used the Shapiro Wilk test. Statistical test used independent t test.
The results of this study indicated that the mean of prolactin level in the breast care group (425.00 ± 41.08) was greater than the control group (372.34 ± 43.59). The results of statistical tests revealed that there was a significant effect of breast care on prolactin level (p = 0.002). Besides, the volume of breast milk in the breast care group was (32.67 ± 4.60) greater than the control group (26.60 ± 4.29). The results of statistical tests showed that there was a significant effect of breast care on breast milk volume (p = 0.001).
Prolactin level and milk volume in postpartum primipara mothers on day 3 who did breast care were more in production than mothers who did not do breast care and the difference was significant.
Keywords: Breast care, Prolactin level, Breast milk volume.
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