Oxytocin Versus Endorphin Massage for Breast Milk Flow in Mothers of Infants Aged 0–6 Months
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Abstract
Abstract. Difficulty with breast milk flow may disrupt breastfeeding and is influenced by neuroendocrine and psychological
factors. Oxytocin massage and endorphin massage are non-pharmacological approaches intended to promote relaxation and
support the milk-ejection reflex. This study compared the effects of the two massage techniques on breast milk flow among
mothers breastfeeding infants aged 0–6 months in Sinomwidodo Village, Pati Regency, Indonesia. A pre-experimental two
group pretest–posttest study was conducted in May–June 2021. Twenty mothers were recruited by purposive sampling and
allocated to an oxytocin-massage group (n = 10) or an endorphin-massage group (n = 10). Each intervention was monitored for
12 treatment sessions. Breast milk flow was assessed using a 10-item questionnaire and classified as adequate (scores 9–10),
moderately adequate (7–8), or inadequate (<7). Data normality was examined using the Shapiro–Wilk test, followed by the
Mann–Whitney test for the post-intervention comparison. Before intervention, inadequate flow was reported by 7 mothers in
the oxytocin group and 8 in the endorphin group. After intervention, adequate flow was reported by 8 and 7 mothers,
respectively. The between-group difference was not statistically significant (p = 0.429). Both techniques were associated with
favorable descriptive changes, but neither demonstrated superiority. The techniques may therefore be selected according to
maternal preference, provider competence, and service feasibility.
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