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Effect of Oxytocin Massage and Slow-Stroke Back Massage on Breast Milk Production and Reduction of Risk Factors Associated with Stunting: A Randomized Controlled Trial
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Herlina Dimiati2
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Mira Rizkia1
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Nova Fajri3
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Aida Fitri1
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Dara Ardhia1
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Elka Halifah1
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Mariatul Kiftia1
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Nosi Delianti1
Zulkarnaini4
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Authors Info & Affiliations
Abstract
Introduction
Stunting is a significant issue in developing countries. Proper breastfeeding is a key preventive strategy. However, many mothers face delays or inadequate breast milk production after giving birth. This study examines the impact of oxytocin massage and Slow-Stroke Back Massage (SSBM) on enhancing breast milk production among postpartum women.
Methods
This randomized controlled trial included 75 postpartum mothers, divided into three groups. The first group received oxytocin massage, as described in the intervention procedure. The second group received both oxytocin massage and Slow-Stroke Back Massage (SSBM), in which the nurse used gentle, rhythmic, and continuous strokes across the mother's back to promote relaxation and comfort. The third group received only routine hospital care, including standard breastfeeding education and standard postpartum monitoring without any massage intervention.
Results
Seventy-five postpartum mothers (mean age 30.6 ± 7.0 years) participated in this study. Most mothers were multigravida (78.7%), had secondary education (45.3%), were housewives (50.7%), and attended regular antenatal care (78.7%). Breast milk production was evaluated using two indicators: sufficiency of milk supply and length-for-age Z-score at two months. Data analysis shows the SSBM combination massage increased breast milk production in the SSBM group compared to the oxytocin massage group and the control group (routine procedures). It also suggests positive effects on early growth indicators linked to stunting risk (p = 0.001).
Discussion
The combined intervention improved effective breastfeeding practices. This strategy may enhance child health and survival, with long-term benefits for stunting prevention.
Conclusion
Combining SSBM with oxytocin massage for postpartum mothers could be a promising adjunct in postnatal care. This intervention offers relaxation benefits, enhances milk production, and may improve early growth indicators associated with stunting risk. Larger and longer-term studies are needed to confirm effects on stunting outcomes.
