MIDWIFERY CARE FOR THE POSTPARTUM AND BREASTFEEDING PERIOD IN MRS. P P1001 AT 6 HOURS POSTPARTUM USING BACK MASSAGE TO STIMULATE OXYTOCIN HORMONE

Abstract

The postpartum period is a physiological adaptation phase that plays an important role in the success of exclusive breastfeeding. However, some mothers experience delayed breast milk secretion in the early postpartum period, which may affect breastfeeding success. Therefore, effective interventions are needed to improve breast milk production and ejection, one of which is oxytocin massage. This study aimed to provide postpartum and breastfeeding midwifery care with the application of oxytocin massage to Ny. P P1001 at 6 hours postpartum to support breast milk secretion. The method used was a case study approach applying the Varney 7-step midwifery management and SOAP documentation. Data were collected through interviews, observation, physical examination, and maternal health record documentation. The results showed that during the initial visit the mother reported that breast milk had not been expressed. After receiving breastfeeding education and routine oxytocin massage during the early postpartum period, breast milk was successfully expressed and flowed smoothly on the second postpartum day. The mother also appeared more relaxed, experienced no breast engorgement, and uterine involution as well as perineal wound healing progressed normally. In conclusion, oxytocin massage is effective in stimulating breast milk production and ejection, improving maternal comfort, and can be applied as a safe and simple non-pharmacological intervention in postpartum midwifery care to support exclusive breastfeeding success.