Abstract
Objective: To determine the effect of husband's support in the implementation of oxytocin massage by midwife on the production and time of colostrum secretion among post C-Section delivery women.Methods: A quasi-experimental study with a post-test only group design at hospital in DIY in April-June 2020. The samples consisted of 32 respondents, 16 post C-Section delivery women with oxytocin massage who received husband's support and 16 respondents with oxytocin massage without husband’s support. The preparation of husband’s support was conducted through training by midwife to the husbands using a booklet for 80 minutes. Data analysis in this study used univariate, Independent t-test, and MANOVA with a significance level of 95%.Results: Evaluation showed that 68.75% of post C-Section delivery women received good husband’s support. The mean colostrum production in the oxytocin massage group by midwife with husband's support was 3.61 cc and the mean time of colostrum secretion was 4.13 hours better than oxytocin massage without husband's support.Conclusion: Husband's support in the implementation of oxytocin massage by midwife had an effect on the production and time of colostrum secretion among post C-Section delivery women with p-value <0.0001.
Highlights
The standard of caesarean delivery in a country is around 5-15% per 1000 births, in a government hospital the standard of caesarean delivery is ≤25%, while in private hospitals it can be more than 30%
Husband's support in the implementation of oxytocin massage by midwife had an effect on the production and time of colostrum secretion among post C-Section delivery women with p-value
The results showed that there was no effect of a combination of marmet technique and oxytocin massage on the time of colostrum secretion among post C-Section delivery women 10
Summary
The standard of caesarean delivery in a country is around 5-15% per 1000 births, in a government hospital the standard of caesarean delivery is ≤25%, while in private hospitals it can be more than 30%. In general the number of C-Section deliveries in Indonesia is around 30-80% of the total deliveries[1]. Post C-Section delivery women often experience difficulties in the secretion of breast milk or colostrum within 24-48 hours postpartum. The delay in the time of colostrum secretion among post C-Section delivery women is due to postpartum pain which can inhibit the production of the oxytocin and prolactin hormones[2 ]. The main causes of infant death in Indonesia are diarrhea and infection with one of the risk factors of not performing early breastfeeding 5
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