THE EFFECT OF WOOLWICH MASSAGE ON BREAST MILK PRODUCTION IN POSTPARTUM MOTHERS (CASE STUDY)

Abstract

According to WHO data from 2018, the percentage of breastfeeding women experiencing engorgement averages 87.06%, or 8,242 cases. The 2015 Indonesia Demographic and Health Survey states that there were 35,985, or 15.60%, postpartum mothers who experienced engorgement, and in 2016, the number rose to 77,231, or 37.12%. Meanwhile, according to the Indonesian Ministry of Health Research and Development Agency in 2018, the incidence of engorgement in Indonesia was highest among working mothers, accounting for 6% of breastfeeding mothers. The aim of the research is to provide Midwifery Care for Mrs. D P2A0 on the 3rd day postpartum with the issue of breast milk engorgement in the KIA Room of the UPTD Puskesmas Pahandut in Palangka Raya City. The type of research used is descriptive qualitative with a case study approach. The design employs field observational methods. The method of data collection is through interviews and documentation analysis of midwifery care. Data analysis is obtained from the results of observations and descriptive analysis of midwifery care, assessments, formulating diagnoses, planning, implementing, and evaluating midwifery care. The results of the research after observation on the fourth day postpartum showed that breast milk had started to come out, the breasts still appeared swollen, and the pain had begun to decrease. On the fifth day, there was no swelling in the right breast, and milk was coming out from both breasts. By the seventh day, the flow of breast milk was smoother, the baby was breastfeeding vigorously, and was alternately nursed on both breasts.