<span lang="IN">The Effectiveness of a Combined Loving Lactation Massage and Conventional Technique in Accelerating the Onset of Lactogenesis II among Postpartum Mothers: A Quasi-Experimental Study

Background & aim: Postpartum mothers frequently experience a delayed onset of lactogenesis II, which usually stems from hormonal, psychological, or physical factors. Delays in lactogenesis II can negatively affect the success of exclusive breastfeeding. This study aimed to evaluate the effectiveness of a combined intervention involving Loving Lactation Massage (LLM) and conventional breast massage techniques in accelerating the onset of lactogenesis II.Methods: A quasi-experimental study with a post-test-only non-equivalent groups design was conducted from October to December ۲۰۲۲ at an independent midwifery practice in Pontianak, Indonesia. Sixty postpartum mothers were divided into two groups of ۳۰: the treatment group received a combination of LLM and conventional breast massage techniques, while the control group received only the conventional techniques. The onset of lactogenesis was recorded within ۷۲ hours postpartum using a validated observation sheet and quantified in hours. Data were analyzed using the Mann-Whitney test due to non-normal distribution.Results: The treatment group experienced a significantly earlier onset of lactogenesis II (۲۶.۲۷ ± ۶.۷۶ hours) compared to the control group (۴۳.۲۶ ± ۷.۴۳ hours) )P value < ۰.۰۰۱(. Maternal comfort was also rated higher in the treatment group.Conclusion: The combined intervention of LLM and conventional breast massage methods significantly accelerates the onset of lactogenesis II compared to using conventional methods alone. This approach is recommended for postpartum lactation support, particularly in cases of delayed lactogenesis.

کلیدواژه ها:

Loving Lactation Massage ، Lactogenesis II ، Postpartum Mothers ، Breast Massage