APPLICATION OF OXYTOCIN MASSAGE THERAPY TO OVERCOME INEFFECTIVE BREASTFEEDING

Abstract

Introduction: Breastfeeding after a Cesarean section is often challenging due to the effects of anesthesia, surgical pain, limited mobility, and delayed mother-infant contact, which can inhibit prolactin and oxytocin hormone release. Oxytocin massage is a non-pharmacological intervention that may improve milk production and facilitate breast-feeding. This study aimed to determine the effectiveness of oxytocin massage in overcoming ineffective breastfeeding in postpartum mothers after cesarean sections. Method: A descriptive case study was conducted on a P1A0 postpartum mother on day 1 after cesarean section due to severe preeclampsia. Data were collected through interviews, observations, and medical record reviews using nursing assessment forms and breastfeeding outcome indicators. The intervention consisted of two sessions of oxytocin massage combined with breastfeeding education, and the outcomes were evaluated before and after therapy. Results: Before the intervention, the mother experienced low milk output, weak infant latch, irregular sucking, and infant fussy. After the oxytocin massage sessions, milk flow became more continuous, infant latch improved, sucking became more effective, and infant fussiness decreased. These findings indicate a significant improvement in breastfeeding effectiveness. Conclusion:  Oxytocin massage effectively stimulates prolactin and oxytocin release, enhances maternal relaxation, and improves infant-feeding behavior. This intervention is a practical, evidence-based approach to overcoming ineffective breastfeeding in post-cesarean mothers.