Effectivity of the Oketani Massage and the Back Massage Combination towards Breastmilk Production and to Prevent Breast Engorgement of Postpartum Mothers

Ayesha Hendriana Ngestiningrum, Nuryani Nuryani, Astuti Setiyani


Breast milk is the most important baby food, especially during the first weeks of a baby's life. To help postpartum mothers with breastfeeding problems and breast engorgement, the researchers developed a combination of Oketani massage and back massage to increase breastmilk production and to prevent breast engorgement. This is quasi-experimental research designed with a pre-post test and with a control group. The research population consisted of post-partum mothers in the Lembeyan Community Health Center area, Magetan Regency, East Java with a consecutive sampling technique. The independent variable is the combination of the Oketani Massage and the Back Massage, meanwhile, the dependent variables are breastmilk production and prevention of breast engorgement in postpartum mothers. The respondents consisted of 50 people. The combination of the Oketani Massage and Back Massage is effective in increasing breastmilk production. This can be seen from the results of the independent t-test with a significance value of 0.00 (<0.05). To determine the effectiveness of massage combinations to prevent breast engorgement, the researcher used the chi-square test, which resulted in a significant value of 0.011 (<0.05). The combination of the Oketani massage and back massage is effective in increasing breast milk production as well as preventing breast engorgement


combination; oketani massage; back massage; breastmilk production; breast engorgement


Kemenkes RI. Profil Kesehatan Indonesia 2018 (Indonesia's Health Profile 2018). Jakarta: The Ministry of Health; 2018.

Mgongo M et al. Determinants of exclusive breastfeeding in Kilimanjaro region, Tanzania. Science Journal of Public Health. 2014. DOI: 10.11648/j.sjph.20140206.31.

Rahayuningsih T, Mudigdo A, Murti B. Effect of Breast Care and Oxytocin Massage on Breast Milk Production : A study in Sukoharjo Provincial Hospital. 2015;101–109.

Foda MI, Kawashima T, Nakamura S, Kobayashi M, Oku, T. Composition of milk obtained from unmassaged versus massaged breasts of lactating mothers. Journal of Pediatric Gastroenterology and Nutrition. 2004;38(5):484–487. DOI: 10.1097/00005176-200405000-00005.

Kusumastuti Q, Laelatul U, Pratiwi. Efektifitas pijat oketani terhadap pencegahan bendungan ASI pada ibu postpartum (Effectivity of the Oketani massage in preventing breast engorgement of postpartum mothers). Serambi Akademica. 2018:271–277.

Sukhee A, Jinhee K, Jungsuk C. Effects of breast massage on breast pain, breast-milk sodium, and newborn suckling in early postpartum mothers. Journal of Korean Academy of Nursing. 2011;41(4):451–459. DOI: 10.4040/jkan.2011.41.4.451.

Nurhanifah F. Perbedaan Efektifitas Massage Punggung Dan Kompres Hangat Payudara Terhadap Peningkatan Kelancaran Produksi Asi Di Desa Majang Tengah Wilayah Kerja Puskesmas Pamotan Dampit Malang (Difference in the Effectivity of Back Massage and Warm Breast Compress towards the Increase of Breastmilk Production in Central Majang Village, Work Area of Pamotan Community Health Center, Dampit, Malang). Jurnal Keperawatan. 2013;4(2):100–108.

Rosyidah R, Azizah N. Efektifitas Back Massage Menggunakan Minyak Essensi al Clary Sage terhadap Produksi ASI Pada Ibu Nifas Pasca Sectio Sesarea (Effectivity of the Back Massage Using al Clary Sage Essential Oil towards the Production of Breastmilk of Post-Sectio Caesarian Postpartum Women. 2018;46–52.

Jama F, S S. Efektifitas pijat Oketani terhadap bendungan Asi pada ibu postpartum di RSB Masyita Makassar (Effectivity of the Oketani massage towards breast engorgement of postpartum mothers in Masyita hospital, Makassar). Journal of Islamic Nursing. 2019;4(1):78. DOI: 10.24252/join.v4i1.7931.

Rahayu TP, Ngestiningrum AH. Factors that Influence the Provision of Breastfeeding. Health Notions. 2019;3(3):126–134.

DOI: https://doi.org/10.33846/%25x


  • There are currently no refbacks.

Copyright (c) 2021 Ayesha Hendriana Ngestiningrum, Nuryani Nuryani, Astuti Setiyani

"HEALTH NOTIONS" ISSN: 2580-4936 (online version only), published by Humanistic Network for Science and Technology    

Cemara street 25, 001/002, Dare, Ds./Kec. Sukorejo, Ponorogo, East Java, Indonesia, 63453