The Effect of Oxytocin Massage on Breast Milk Production and Self-Efficacy During the Postpartum

Authors

  • Finta Isti Kundarti Department of Midwifery, Poltekkes Kemenkes Malang

DOI:

https://doi.org/10.53713/htechj.v3i6.566

Keywords:

oxytocin massage, self efficacy, breast milk production

Abstract

Oxytocin massage is a complementary intervention designed to enhance breast milk production and support breastfeeding success during the postpartum period. Insufficient milk supply and low maternal confidence are frequently reported barriers to achieving exclusive breastfeeding. This study aimed to determine the effect of oxytocin massage on breast milk production and self-efficacy among postpartum mothers. A quasi-experimental design with a non-equivalent control group was used. The study involved 52 participants, who were divided into an intervention group and a control group, each consisting of 26 participants, on the third day after delivery. Data were collected using an oxytocin massage checklist, a measuring cup to assess milk production, and a self-efficacy questionnaire. The Wilcoxon test with a significance level of α = 0.05 was employed for data analysis. The results indicated a significant difference in breast milk production between the intervention group and the control group, with a p-value of 0.000. A significant difference in self-efficacy was also observed, with the intervention group scoring higher than the control group, as indicated by a p-value of 0.001. These findings demonstrate that oxytocin massage effectively increases both breast milk production and maternal self-efficacy in breastfeeding. Beyond physiological benefits through oxytocin release, the intervention also enhances psychological readiness, making oxytocin massage a recommended supportive therapy for postpartum breastfeeding success.

References

Ahmadinezhad, G. S., Karimi, F. Z., Abdollahi, M., & NaviPour, E. (2024). Association between postpartum depression and breastfeeding self-efficacy in mothers: a systematic review and meta-analysis. BMC Pregnancy and Childbirth, 24(1), 1–10. https://doi.org/10.1186/s12884-024-06465-4

Alotiby, A. A. (2023). The role of breastfeeding as a protective factor against the development of the immune-mediated diseases: A systematic review. Frontiers in Pediatrics, 11, 1086999. https://doi.org/10.3389/fped.2023.1086999

Amer, S., & Kateeb, E. (2023). Mothers’ Employment and Exclusive Breastfeeding Practices: A Brief Report from Jerusalem Governorate. International Journal of Environmental Research and Public Health, 20(3). https://doi.org/10.3390/ijerph20032066

ÇİÇEK, Ş., YALÇIN, S. S., ERYURT, M. A., & YALÇIN, S. (2024). The interplay between maternal employment dynamics and trends in breastfeeding practices over the past decade. Italian Journal of Pediatrics, 50(1), 1–12. https://doi.org/10.1186/s13052-024-01697-8

Farah, E., Barger, M. K., Klima, C., Rossman, B., & Hershberger, P. (2021). Impaired Lactation: Review of Delayed Lactogenesis and Insufficient Lactation. Ournal of Midwifery & Women’s Health, 66(5), 631–640. https://doi.org/https://doi.org/10.1111/jmwh.13274

Istighosah, N., & Sari, A. N. (2021). Increase breast milk production for postpartum mothers with oxytocin massage using innovative massage tools. https://doi.org/10.26911/thejmch.2021.06.06.04

Jin, X., Lai, C. T., Perrella, S. L., McEachran, J. L., Gridneva, Z., & Geddes, D. T. (2024). Maternal Breast Growth and Body Mass Index Are Associated with Low Milk Production in Women. Nutrients , 16(17), 1–11. https://doi.org/10.3390/nu16172854

Lian, W., Ding, J., Xiong, T., Liuding, J., & Nie, L. T. (2022). Determinants of delayed onset of lactogenesis II among women who delivered via Cesarean section at a tertiary hospital in China: a prospective cohort study. International Breastfeeding Journal, 17(1), 1–15. https://doi.org/10.1186/s13006-022-00523-3

Lismidiati, W., Santi, N. F., & Widyawati, W. (2022). Effect of oxytocin massage using oxybelt on self efficacy and breastmilk production among postnatal mother: A quasi experimental study. https://doi.org/10.21203/rs.3.rs-1799844/v1

Moberg, K. U. (2024). Oxytocin in growth, reproduction, restoration and health. Comprehensive Psychoneuroendocrinology, 20(September). https://doi.org/10.1016/j.cpnec.2024.100268

Mohamed Ahmed, S. O., Ashgar, R. I., Mohammed Abdelgader, A. A., Abdalla Hamid, H. I., Mathkor, D. M., Abdelsadig Ali, M. A., Mousa Mohmed, S. A., Ali Farg, S. J., Mohamed Ebrahim, R. A., Mustafa Gabir Tia, M., Humza Bashir, W. A., & Ali Hazazi, Z. H. (2023). Exclusive breastfeeding: Impact on infant health. Clinical Nutrition Open Science, 51, 44-51. https://doi.org/10.1016/j.nutos.2023.08.003

Mohammed, S., Yakubu, I., Fuseini, A. G., Abdulai, A. M., & Yakubu, Y. H. (2023). Systematic review and meta-analysis of the prevalence and determinants of exclusive breastfeeding in the first six months of life in Ghana. BMC Public Health, 23(1), 1–18. https://doi.org/10.1186/s12889-023-15758-w

Neves, P. A. R., Barros, A. J. D., Gatica-Domínguez, G., Vaz, J. S., Baker, P., & Lutter, C. K. (2021). Maternal education and equity in breastfeeding: trends and patterns in 81 low- and middle-income countries between 2000 and 2019. International Journal for Equity in Health, 20(1), 1–13. https://doi.org/10.1186/s12939-020-01357-3

Oktarianita, Wulandari, R. D., & Supriyanto, S. (2024). Exploring the determinants of exclusive breastfeeding practices among first-time mothers: A narrative review. African Journal of Reproductive Health , 28(10), 239–248. https://doi.org/10.29063/ajrh2024/v28i10s.28

Purnamasari, K. D., & Hindiarti, Y. I. (2023). The Effect of Oxytocin Massage on Weight among Infant in Sub-Urban and Rural Areas. International Journal of Nursing and Health Services (IJNHS), 6(5), 303–308. https://doi.org/10.35654/ijnhs.v6i5.747

Puspitasari, E., Wahyunigsih, S., Widayati, A., & Sunanto. (2023). The Relationship between Exclusive Breastfeeding and Stunting Incidents in Candipuro Village. Health and Technology Journal (HTechJ), 1(3), 318–326. https://doi.org/10.53713/htechj.v1i3.57

Sandriani, S., Fitriani, R., & Rahayu, G. Z. (2023). Effect of Oxytocin Massage on Breast Milk Production in Postpartum Mothers: A Case Study. Genius Midwifery Journal, 2(1), 30–38. https://doi.org/10.56359/genmj.v2i1.237

Safira & Nurul Ulya Luthfiyana. (2024). Maternal Factors Associated with Exclusive Breastfeeding Practices in Situbondo, Indonesia: A Cross-Sectional Study. Nursing and Health Sciences Journal (NHSJ), 4(2), 188–193. https://doi.org/10.53713/nhsj.v4i2.361

Sari, N., Sunanto, & Hidayati, T. (2023). Effect of Oxytocin Massage on Breast Milk Production among Postpartum Mothers. Health and Technology Journal (HTechJ), 1(3), 335–341. https://doi.org/10.53713/htechj.v1i3.60

Sarimin, D. S., Ponidjan, T. S., & Wanda, D. (2021). The Use of the Apron and Disaster Baby Carriers to Improve the Exclusive Breastfeeding Self-Efficacy of Mothers in Disaster-Affected Zones in Indonesia. Comprehensive Child and Adolescent Nursing, 44(3), 166–173. https://doi.org/10.1080/24694193.2020.1761481

Sehhatie, F. S., Mirghafourvand, M., & Havizari, S. (2020). Effect of prenatal counseling on exclusive breastfeeding frequency and infant weight gain in mothers with previous unsuccessful breastfeeding: a randomized controlled clinical trial. Journal of Maternal-Fetal and Neonatal Medicine, 33(21), 3571–3578. https://doi.org/10.1080/14767058.2019.1579191

Shafaei, F. S., Mirghafourvand, M., & Havizari, S. (2020). The effect of prenatal counseling on breastfeeding self-efficacy and frequency of breastfeeding problems in mothers with previous unsuccessful breastfeeding: A randomized controlled clinical trial. BMC Women’s Health, 20(1), 1–10. https://doi.org/10.1186/s12905-020-00947-1

Triansyah, A., Stang, Indar, Indarty, A., Tahir, M., Sabir, M., Nur, R., Basir-Cyio, M., Mahfudz, 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. Gaceta Sanitaria, 35, S168–S170. https://doi.org/10.1016/j.gaceta.2021.10.017

Tsaras, K., Sorokina, T., Papathanasiou, I. V., Fradelos, E. C., Papagiannis, D., & Koulierakis, G. (2021). Breastfeeding Self-efficacy and Related Socio-demographic, Perinatal and Psychological Factors: a Cross-sectional Study Among Postpartum Greek Women. Materia Socio-Medica, 33(3), 206–212. https://doi.org/10.5455/msm.2021.33.206-212

Ujung, R. M., & Hutabarat, N. I. (2024). The Effectiveness of Oxytocin Massage and Lavender Aroma Therapy on The Optimization of Breastfeeding Breastfeeding Women in North Tapanuli District. Contagion: Scientific Periodical Journal of Public Health and Coastal Health, 6(2), 1331-1342. http://dx.doi.org/10.30829/contagion.v6i2.21546

Uvnäs-Moberg, K., Gross, M. M., Calleja-Agius, J., & Turner, J. D. (2024). The Yin and Yang of the oxytocin and stress systems: opposites, yet interdependent and intertwined determinants of lifelong health trajectories. Frontiers in Endocrinology, 15(April), 1–16. https://doi.org/10.3389/fendo.2024.1272270

Vilar-Compte, M., Hernández-Cordero, S., Ancira-Moreno, M., Burrola-Méndez, S., Ferre-Eguiluz, I., Omaña, I., & Pérez Navarro, C. (2021). Breastfeeding at the workplace: a systematic review of interventions to improve workplace environments to facilitate breastfeeding among working women. International Journal for Equity in Health, 20(1). https://doi.org/10.1186/s12939-021-01432-3

Wahyuningsih, Hayati, N., Musviro, & Agustina, R. (2022). Oxytocin Massage Stramlining Breast Milk: Literature Riview. Nursing and Health Sciences Journal (NHSJ), 2(4), 367–373. https://doi.org/10.53713/nhs.v2i4.160

Widia, L., & Meihartati, T. (2021). Oxytocin massage enhanced breast milk production in postpartum women. Majalah Obstetri & Ginekologi, 25(2), 63. https://doi.org/10.20473/mog.v25i22017.63-65

Wu, Q., Tang, N., & Wacharasin, C. (2022). Factors influencing exclusive breastfeeding for 6 months postpartum: A systematic review. International Journal of Nursing Knowledge, 33(4), 290–303. https://doi.org/10.1111/2047-3095.12360

Wulandari, S., Triharini, M., & Wahyuni, S. D. (2020). The Effect of a Combination of Oxytocin Massage and Music Therapy on Breast Milk Production and Breastfeeding Self Efficacy in Primipara Post Partum Mothers. Pediomaternal Nursing Journal, 6(1), 49–56. https://doi.org/10.20473/pmnj.v6i1.19181

Xuejing, L., & Ongprasert, K. (2022). The Impact of Maternal Age on Human Milk Composition. Biomedical Sciences and Clinical Medicine, 61(4), 204–215. https://doi.org/10.12982/BSCM.2022.27

Downloads

Published

2025-12-09

How to Cite

Kundarti, F. I. (2025). The Effect of Oxytocin Massage on Breast Milk Production and Self-Efficacy During the Postpartum. Health and Technology Journal (HTechJ), 3(6), 781–788. https://doi.org/10.53713/htechj.v3i6.566