Increase Breast Milk Research Articles

PENGUATAN PERAN KELUARGA DALAM KEBERHASILAN ASI EKSKLUSIF MELALUI EDUKASI PIJAT OKSITOSIN

Exclusive breastfeeding coverage according to WHO (2020) is 44%, still less than the 2030 target of 50%. Indonesia’s exclusive breastfeeding in 2021 is 71.58%. Exclusive breastfeeding in the Riau Islands in 2020 reached 44.9%, and in Batam it was 58.1%. This coverage figure is still far from the national target of 80%. Low coverage of exclusive breastfeeding can affect a child's future growth and development. Insufficient milk production and slow release is one of the reasons why mothers do not give exclusive breast milk to their babies. Other factors that influence breast milk production include the mother's nutritional status, Early Breastfeeding Initiation (IMD), family support and the mother's own knowledge. One effort to increase breast milk production is with oxytocin massage. The aims of this activity are 1) Providing education about Exclusive Breastfeeding and how to stimulate breast milk production by doing Oxytocin Massage, 2) Demonstration of Oxytocin Massage for mothers and families to support the success of Exclusive Breastfeeding. This Community Service Activity (PKM) was carried out at PMB "A", in January 2023. The population of breastfeeding mothers was 6 people. PKM activities are carried out by providing education about exclusive breastfeeding and how to increase breast milk production using leaflets as well as an Oxytocin Massage demonstration. The results of the activity show an increase in the knowledge of breastfeeding mothers with the majority having good knowledge of 83.3%. This PKM activity is expected to be able to motivate breastfeeding mothers to implement breastfeeding until 2 years old.

Pemberian Akupresure dan Aromatherapy Fennel Oil Terhadap Peningkatan Produksi ASI

Breastfeeding is a crucial process that requires adequate milk production to ensure the baby's health and growth. However, mothers may face difficulty in breastfeeding after giving birth due to insufficient milk production. To address this problem, intervention can be done through a combination of acupressure techniques and aromatherapy using essential fennel oil. This approach has been proven effective in increasing breast milk production and making the process smoother for the mother. The study aimed to determine the effect of acupressure and fennel oil aromatherapy in increasing breast milk volume. The research design was a quasi-experiment with a pretest and posttest group design. The study involved 30 breastfeeding mothers who met the inclusion criteria and were divided into two groups using purposive sampling. The results showed that there was a significant increase in breast milk production after providing acupressure techniques and fennel oil aromatherapy. The acupressure technique helped release oxytocin, which is essential in increasing breast milk production. Moreover, providing fennel oil aromatherapy during the acupressure process can help the mother become more relaxed and increase breast milk production. Therefore, we recommend that midwives use acupressure techniques and fennel oil aromatherapy as complementary therapies to help increase breast milk production and ensure a healthy breastfeeding experience for mothers and their babies.

Edukasi Tanaman Herbal sebagai Booster ASI di Desa Rindu Hati Kecamatan Taba Penanjung, Bengkulu Tengah

One of the failures of exclusive breastfeeding is the mother’s perception that breast milk production is small or insufficient, giving rise to concerns that the baby will not be able to get enough. Another problem that arises if exclusive breastfeeding coverage is inadequate is nutritional problems and this causes stunting. Efforts made to increase mother’s knowledge about increasing breast milk boosters, where these local plants are Moringa leaves and Kepok banana blossoms. The aim of implementing this educational activity is to change the knowledge of educational participants about the use of local plants as breast milk boosters. The activity will be carried out on October 18, 2023 where the increase in knowledge can be seen from pre-test, given education using prepared materials, and continued post-test. This activity was attended by 22 breasfeeding mothers who have children in Rindu Hati Village, Taba Penanjung District, Central Bengkulu Regency. The evalution result during the activity showed that the participants were very enthusiastic and had active discussions. There was an increase in knowledge of breastfeeding mothers after aducation was conducted about the use of local plants as breast milk boosters in Rindu Hati Village. It is hoped that breastfeeding mothers can apply the knowledge gained so that breastfeeding mothers’ breast milk production increases and reduce mothers’ concerns about low breast milk production by utilizing Moringa leaves and Kepok banana blossoms which are easily available around the home.

Traditional Therapy in Postpartum Care: A Qualitative Study in Neniari Village, Manggarai Regency, East Nusa Tenggara

The postpartum period is an important period for mothers to recover their physical and psychological condition after giving birth. In Indonesia, there are various traditional practices carried out to care for postpartum mothers. This research aims to explore traditional therapeutic practices in postpartum care in Neniari Village, Manggarai Regency, East Nusa Tenggara. This research uses a qualitative study method with a phenomenological approach. Data was collected through in-depth interviews with 10 postpartum mothers and 3 traditional birth attendants. The research results show that there are three types of traditional therapy that are commonly practiced in Neniari Village, namely: Herbal concoctions: Herbal concoctions are used to treat various complaints experienced by postpartum mothers, such as bleeding, abdominal pain and breast swelling. Ukup: Ukup is a massage technique performed to improve blood circulation, reduce pain, and improve mood. Rahu: Rahu is a steaming technique performed to warm the body, tone the uterine muscles and increase breast milk production. The research results show that traditional therapy has many benefits for postpartum mothers, both physically and psychologically. Traditional therapy can also be an alternative postpartum care that is affordable and easy to obtain.

THE EFFECT OF CONSUMPTION OF BANANA BLOSSOM ON INCREASING PRODUCTION OF BREAST MILK IN POST PARTUM MOTHERS IN THE WORKING AREA OF SIBONGBONG SUBDISTRICT COMMUNITY HEALTH CENTERS YEAR 2022

Breast milk contains various important substances needed for the growth and development of the baby. The purpose of this study was to determine the effect of banana heart consumption on increasing breast milk production in nifah mothers before and after consuming banana heart in the Sibongbong Simarpinggan Health Centre Working Area. This type of research is quasi experimental with one group pretest-posttest design. Based on the data obtained and tested using paired sample test statistics obtained p = 0.02 <0.005. This shows that there is an effect of giving banana heart to the quality of breast milk of mothers, therefore it is recommended for health workers to knowledge of mothers who breastfeed with efforts to increase breast milk production with foods that are easily accessible.

Pengaruh Pemberian Susu Kedelai (Glycine Max) Terhadap Peningkatan Produksi ASI Pada Ibu Post Partum

Unsmooth milk production is the main problem causing the failure of the breastfeeding process. One way to increase milk production for post partum mothers is to support the nutritional needs of mothers, one of which is by consuming soy milk made from soy beans. This study aims to determine the effec tof soymilk (Glycine Max) on breast milk production in post partum mothers at Bakti Timah Hospital Karimun Riau Archipelgo. This researchis a pre-experimental study with a one-group pretest-posttest design. The population in this study were post partum mothers at Bakti Timah Hospital Karimun Riau Archipelago in the last one month as many as 102 people. The sampling technique in this study used a sampling technique carried out using purposive sampling of 34 respondents. The research instrument used a breastmilk production questionnaire, namely the Lactation Assessment Tool (LATCH) which consisted of 5 points. Data analysis was performed univariately and bivariately using the Wilcoxon test. The results showed that before consuming soy milk the average milk production was 3.35 and after being given soy milk the average milk production increased to 4.03. The results of the Wilcoxon test found a p-value of 0.001 (p <0.05) so it can be concluded that there is an effect of soy milk (Glycine Max) on increasing milk production in post partum mothers. It is recommended for the community, especially post partum mothers, to be able to use soy milk as an alternative to addressing problems with increasing breast milk production.

Narrative Review of The Effectiveness of Rolling Massage and Endorphin Massage on ASI Production in Breastfeeding Mothers

Background: World Health Organization (WHO) in 2020 stated that 149.2 million children under 5 years old are affected by stunting. National Statistics Center of Indonesia (BPS) stated that 5.2% of child under 2 years were in underweight condition and 1.2% of them were very underweight. Based on Indonesian Health Ministry Regulation (No. 23 of 2014), efforts to implement balanced nutrition to overcome chronic nutritional problems can be done through exclusive breastfeeding. Besides that, in 2020, West Sumatra province experienced a decrease in the percentage of breastfeeding from (77.6%) to (69.7%), which was caused dominantly by factor decreased of breast milk production and secretion by 32%. WHO states that there are 10 steps for successful exclusive breastfeeding, one of which is breast care, that can be achieved by giving of rolling massage and endorphin massage, which not many people know about.Purpose: The aim of this literature study is to present information about the application of rolling massage and endorphin massage as a way to accelerate and increase breast milk production.Methods: This research method was a literature review study. Journal searches were carried out by applying online database such as Pubmed, Garuda Portal, ScienceDirect and Google scholar. Articles were selected based on inclusion and exclusion criteria.Results: The analysis was carried out on 22 research articles. It was found that Rolling massage and endorphin massage are non-pharmacological techniques for breast care performed on the mother's back, neck and arms to trigger the excretion of the hormones prolactin and oxytocin.Conclusion: The influence of rolling massage and endorphin massage is useful in overcoming breast milk production constraintsKeywords: breastfeeding, breast milk, rolling massage, endorphin massage, breast care

Fennel: More Than Herb, Unveiling its Traditional Uses, Phytochemistry and Medicinal Properties

Fennel is considered as one of the oldest medicinal plants and culinary herbs. It’s in use since 4000 years. It is a biennial plant with a thick rootstock, erect, much-branched, and smooth, often 1 meter or more in height. It probably occurs in Southern Europe and the Mediterranean region. It is grown as a spice, medicine or essential oil plant or vegetable in many parts of the world and has been naturalized in many places. This review aims to give an outline of medicinal aspect of Foeniculumvulgare Mill focusing more on its traditional function and uses. The literature search encircled scientific databases, publications and ancient Unani literature books for traditional usage, chemical profiling, and pharmacological activities and so on. Foeniculumvulgare Mill displays various pharmacological activities like estrogenic activity, gastro protective activity, hepato-protective activity, antidiabetic activity, cardiovascular and lipid activity, antithrombotic activity, antioxidant activity, anti-inflammatory activity, anti-bacterial activity, anti-anxiety potential, memory protective potential. The plant contains Essential oil / Volatile oil, Coumarin, Fixed oil, Cinnamic acid derivatives, Sterols, Saponin, Flavonoids glycosides, Quercetin and Vitamin. In traditional system of medicine it is used in flatulence, kidney stones, bronchitis, diabetes, and persistent cough. It is also used as diuretic, emmenogogue, improving eye sight, in wound healing, increases breast milk and semen production. It has properties of Mudirboul-o-hayz, Muqawwi-e-basar, Muqawwi-e- meda, Muwallidmani, Muwallid sheer etc. Foeniculumvulgare has emerged as a good source of traditional medicine and has been used in different ways due to its phytochemical constituents and easy availability. Further research is needed to validate its potential, mechanism of action for the development of new drugs and future clinical uses.

Oketani massage with jasmine oil improves breast milk production on postpartum days 1–3

Objective: This study aimed to determine the effect of Oketani massage with jasmine oil on improving breast milk production on days 1–3. Materials and Methods: This preexperimental one-group pretest–posttest design was conducted with 44 eligible respondents, selected using an incidental sampling technique. Oketani massage with jasmine oil was conducted once a day for 3 consecutive days. A total of 44 respondents were selected with incidental sampling. Sufficient breast milk production was observed through the frequency of baby urination in 24 h, the frequency of baby defecation in 24 h, the baby’s weight, and the length of time the baby slept or remained calm after breastfeeding. Results: Results showed that Oketani massage using jasmine oil impacted on increasing breast milk production in postpartum on days 1–3 (Z = 6.633, P = 0.000). The baby’s weight in 3 days was increased after intervention compared with intervention before (2858.25 ± 180.62 g vs. 2881.66 ± 180.96 g, t = 55.33, P = 0.000), the baby’s urination frequency was increased after intervention (4.55 ± 0.50 vs. 7.20 ± 0.70, t = 17.87, P = 0.000), the breastfeeding frequency has decreased (10.27 ± 1.42 vs. 8.82 ± 0.82, t = 6.94, P = 0.000), and the time of baby’s sleeping or calming state has increased (5.14 ± 6.46 h vs. 8.48 ± 10.24 h, t = 2.11, P = 0.041). Conclusion: Oketani massage combined with jasmine oil has been shown to be effective on improving breast milk production on days 1–3.

Edukasi Tentang Perawatan Payudara Ibu Hamil Untuk Meningkatkan Produksi Asi Ibu Di Wilayah Kerja Puskesmas Bantimurung

Breastfeeding is one of the best investments for survival and improving health, socio-economic development of individuals and nations. This coverage cannot be separated from problems that occur during the breastfeeding process, including the false belief that little milk comes out or that breast milk is not sufficient for the baby's needs. This situation is caused by several factors, including the mother's psychological condition, abnormal breast shape, baby sucking, which can affect breast milk production. Various studies have been carried out to facilitate breast milk production, including the Oxytocin Massage method, Marmet Technique, Rolling Massage (back), Endorphin massage, Breast Care, but due to limited information in health services regarding implementation procedures, these methods are only known but rarely given by health workers as care givers to patients. The service is carried out with the aim of providing knowledge to mothers and the community about Endorphine Massage in Increasing Breast Milk Production. The method used in community service begins with giving a pre-test, delivering material, evaluating with a post-test and practice. The target audience is pregnant women and breastfeeding mothers at the Bantimurung Community Health Center. The result of this community service was that 71.4% of participants' knowledge increased about Endorphine Massage in Increasing Breast Milk Production. This was proven by the enthusiasm of the participants who actively asked questions, discussed and shared breastfeeding experiences. After this activity takes place, there needs to be follow-up from the participants to apply the counseling that has been given.

Hubungan Pemberian Daun Katuk (Sauropus Androgynous) terhadap Proses Kelancaran Asi pada Ibu Postpartum

This research is a literature review which is a primary data research article about herbs used to facilitate breast milk. The data sources used are in the form of published articles from Google Scholar, Pubmed, and Scopus with the keywords herbal, katuk leaves and breast milk. There were 5 articles that met the inclusion criteria and then data synthesis was carried out. Results: Katuk leaves are known in traditional medicine as a medicine to increase breast milk because the compounds contained in katuk leaf extract have the potential to stimulate the hormones oxytocin and prolactin can stimulate and increase milk production. Conclusion: Katuk leaves can have a positive effect on breast milk production, so a postpartum mother can be advised to consume katuk leaf decoction or katuk leaf extract if she has problems with non-fluent breastfeeding.

Efforts to Increase Breast Milk Production through Techniques Hypnobreastfeeding in Postpartum Mothers in Tamanan Village, Kediri City in 2023

Hypnobreastfeeding is a relaxation technique that helps smooth the breastfeeding process in a holistic manner that pays attention to the mind, body and soul of breastfeeding mothers. The purpose of this research is to increase breast milk production in postpartum mothers through the hypnobreastfeeding technique. This research design is a pre-experimental one group pretest-posttest design and the population in this study was postpartum mothers. The results showed that half (50%) of the respondents who received good husband support experienced mild anxiety, namely as many as 6 respondents, almost all (76.92%) who received sufficient husband support experienced moderate anxiety, namely as many as 20 respondents. Based on the results of statistical tests using the Wilcoxon signed rank test, it is known that the p value of 0.001 is smaller than the value of α = 0.05 (0.002 < 0.05) so that H0 is rejected and H1 is accepted, meaning that there is an effect of providing hypnobreastfeeding techniques on breast milk production in mothers postpartum in Tamanan Village, Kediri City. Suggestions for research sites to motivate postpartum mothers to try to increase breast milk production by using the hypnobreastfeeding technique.

USE OF GALACTOGOG TO INCREASE BREAST MILK VOLUME AS THE MAIN GOAL OF SDGS IN REDUCING STUNTING

The first 1000 days of life are the most important and unique at the beginning of human life, from conception to two years after giving birth which have an impact on growth and development. This research aimed to determine the differences in breast milk production between the control group, the group given Torbangun leaves, and the group given fenugreek and to carry out an analysis of the zinc content of breast milk for each group. This research design uses a quasi-experiment with a control and intervention group. Purposive sampling technique. Sample Size 49 Responden The number of respondents in this study was 30 respondents, 10 in the control group, 10 respondents in the tobangun intervention group, and 10 respondents in the fenugreek capsule intervention. The analysis test used is the one-way ANOVA analysis test which is used to see the differences between each group. The research results showed a significant difference between the control group and the treatment group with a significance value in the laboratory test for zinc levels, namely 0.000, namely <0.05. Conclusion: Galactogues can be useful for breastfeeding mothers to increase breast milk volume. The suggestion is to use Galagtogog and Fenugreek for postpartum mothers to increase zinc levels and volume in the breast milk of nursing mothers. Keywords: Breast milk tablets; Galaktogogue; Torbangun leaves

Pelatihan Penyusunan Menu Dan Pengolahan Pangan Berbasis Kearifan Lokal Pada Ibu Menyusui Dalam Pencegahan Stunting

<em>The achievement of exclusive breastfeeding in the working area of the Karya Wanita Community Health Centre in Pekanbaru City has yet to reach its target. Community Health Centre Karya Wanita is one of the focus locations for reducing stunting prevalence in Pekanbaru City, Riau Province. Lack of breast milk production is the cause of mothers not breastfeeding their babies. This community service aims to increase mothers' knowledge and skills in preparing menus and processing local wisdom-based food ingredients to prevent stunting in toddlers. The community service method was carried out using lectures and discussions, food processing practices, counselling and measuring the nutritional status of toddlers. The training participants were 12 breastfeeding mothers in the Working Area of Community Health Centre Karya Wanita Pekanbaru City. The training was held at Integrated Health Post Petak Bersilang RW 16 Limbungan Baru Village, Rumbai Pesisir Sub-district, Pekanbaru City, on 21 August 2023. The community service procedure starts with preparation, implementation, and evaluation. Preparation is done through coordination with the health centre and recording breastfeeding mothers in the Karya Wanita Community Health Centre Working Area. Evaluation was carried out through assessment of pre-test and post-test answers to mothers' knowledge and attitudes. Data analysis was presented univariately through a frequency distribution table of mothers' knowledge and attitudes. The service results showed an increase in the value of knowledge and attitudes of mothers before and after training. Mothers are expected to implement the material provided to increase breast milk production and prevent toddler stunting.</em>

Literature Review: Analysis of Moringa Leaf Extract Utilization

Moringa leaves (Moringa oleifera) is one of the natural ingredients that has the potential to be used as an additive in food products, including ice cream. The purpose of this study is to determine the use of Moringa leaf extract from various aspects. This study used the literature review method. Data in this study was collected from various literature sources, such as scientific journals, articles, books, and related research reports. The data that has been collected is then analyzed in three stages, namely data reduction, data presentation and conclusions. The results showed that Moringa leaves can be used in various aspects including reducing cholesterol levels, increasing breast milk production, increasing the weight of toddlers and pregnant women, as lactogum and supplements, as antioxidants, preventing malnutrition or stunting, increasing body immunity, alternative food products, affecting the physical stability of pH-related creams, adhesion, dispersion, and viscosity.

High-intensity exercise increases breast milk adiponectin concentrations: a randomised cross-over study.

Adiponectin plays a role in glucose and fat metabolism and is present in human breast milk. It has been postulated that higher breast milk adiponectin concentrations may prevent rapid weight gain in infancy. Prior research indicates that circulating adiponectin increases acutely after endurance exercise, but no prior research has investigated the effect of exercise on breast milk adiponectin concentrations. The purpose of this randomised, cross-over study was to determine the acute effects of endurance exercise on adiponectin concentrations in human breast milk. Participants who were exclusively breastfeeding a 6-12 week-old term infant (N = 20) completed three conditions in the laboratory: (1) Moderate-intensity continuous training (MICT), (2) High-intensity interval training (HIIT), and (3) No activity (REST). At each condition, we collected breast milk at 07:00 h (before exercise/rest), 11:00 h (immediately after exercise/rest), 12:00 h (1 h after exercise/rest), and 15:00 h (4 h after exercise/rest) and determined adiponectin concentrations using enzyme-linked immunosorbent assay. We compared changes in adiponectin concentrations after MICT and HIIT, adjusted for the morning concentration on each test day, with those after REST, using paired t-tests. Adiponectin concentrations increased 1 h after HIIT, from 4.6 (± 2.2) μg/L in the 07:00 h sample to 5.6 (± 2.6) μg/L. This change was 0.9 μg/L (95% confidence interval 0.3 to 1.5) greater than the change between these two timepoints in the REST condition (p = 0.025). There were no other statistically significant changes in adiponectin concentrations. HIIT may increase adiponectin concentrations in breast milk acutely after exercise. Further studies should determine the impact of exercise-induced elevations in breast milk adiponectin concentrations on growth and metabolism in infancy.

The Effect of Oxytocin Massage on Breast Milk Production in Postpartum Mothers at Sidamulya Health Center Cirebon Regency

Exclusive breastfeeding affects the quality of the baby's health. But in practice, it is still relatively low. Data from the Puskesmas in 2022 achieved 55% exclusive breastfeeding and 48% achievement of exclusive breastfeeding in Sidamulya village. Low coverage of exclusive breast milk can be done by stimulating production. Oxytocin massage is one solution to overcome the smooth production of breast milk (ASI). The purpose of this study was to determine the effect of oxytocin massage to increase breast milk production in postpartum mothers at Sidamulya Health Center, Astanajapura District, Cirebon Regency. Quasi-experimental research method with pretest and posttest approach without control group. The sample of this study was 20 people who were postpartum mothers for 7-9 days at Puskesmas Sidamulya, Astanajapura District, Cirebon Regency in April – June 2023 with Total Sampling techniques. Data were analyzed using univariate analysis of frequency distribution and bivariate analysis of t-test. Univariate results of breast milk production in postpartum mothers before oxytocin massage on average day 1 = 40,625 ml, day 2 = 50,300 ml, day 3 = 57,725 ml, after oxytocin massage average day 1 = 48,025 ml, day 2 = 56,675 ml, day 3 = 63,375 ml. The paired simple t test results obtained p value = 0.000. There is an effect of oxytocin massage on milk production. It is hoped that the family can motivate the mother in the breastfeeding process by giving oxytocin massage so that the mother can exclusively breastfeed her.

Scoping Review of Breastfeeding Mothers' Efforts to Increase Breast Milk Production

Scoping Review of Breastfeeding Mothers' Efforts to Increase Breast Milk Production

Breast Care for Pregnant Women to Increase Mother's Milk Production in the Working Area of the Lotang Salo Health Center

Breast care for pregnant women that has been carried out so far is still oriented towards providing counseling or in other words, the emphasis is more on increasing knowledge and not specifically on implementation, nor has an evaluation been carried out on the results of post-counseling knowledge absorption so it is difficult to measure and assess how much application of their knowledge of breast care. This study aims to determine the effect of breast care on increasing breast milk production in Post Partum mothers at the Lotang Salo Sidrap Health Center. The results of the study show that 95% of 20 pregnant women performed breast care in the form of Breast Exercise/Breast Massage, pregnant women who underwent breast care. Her breast milk comes out smoothly at 95%. Results Daily breast milk production on the first day was 10-30 cc/day in 8 people (40%) and 20-40 cc/day was also in 8 people (40%), on the second day breast milk production was 40-60 cc/day in 10 people (50%), while on the third day breast milk production increased to 60-80 cc/day in 15 people (75%). The results of the study also showed that 15 pregnant women who did not take care of their breasts had poor milk production (75%) and 5 people (25%) did not produce breast milk. From the results of this research, it was concluded that pregnant women prefer breast care with breast massage; Breast Care with Breast Exercises/Breast Massage produces smoother milk production; Pregnant women who perform breast care have a significant effect on increasing breast milk production.

A longitudinal study of the association of epidural anesthesia and low-dose synthetic oxytocin regimens with breast milk supply and breastfeeding rates

Breastfeeding is known to improve maternal and child health. However, epidural anesthesia (EDA) and synthetic oxytocin (synOT) are suggested to have negative effects on breastfeeding. In this study, we aimed to determine the effects of intrapartum synOT and EDA on breast milk supply, breastfeeding rates, and maternal salivary oxytocin levels. Women were recruited during pregnancy or after birth at a single hospital. Data were collected at 3 days postpartum (T1), 1 month postpartum (T2), and 4 months postpartum (T3) on 83 low-risk primiparous women who planned to breastfeed for at least 12 weeks postpartum to avoid dropouts from early discontinuance of breastfeeding. Women with cesarean section, twin pregnancy, premature neonates, and an Apgar score of < 7 at 5 min were excluded. Participants recorded their 24-h milk supply by test weights at 3 days and 1 month postpartum. Additionally, they filled out questionnaires assessing their breastfeeding level and lactogenesis stage II initiation. Salivary oxytocin levels were obtained at 3 days postpartum. Women who delivered using EDA had lower salivary oxytocin levels (P = .055, d = .442), breast milk supply in early postpartum (P = .025, d = .520) and at 1 month postpartum (P = .036, d = .483), and breastfeeding rates at 4 months postpartum (P = .037, V = .236) than women who did not deliver using EDA. There was no association between breastfeeding and the use of intrapartum synOT. In conclusion, this study showed that women who delivered using EDA had lower breast milk supply in the early postpartum period and breastfeeding rates at 4 months postpartum. It also revealed that using synOT at low doses during labor did not affect breastfeeding. Thus, women who deliver using EDA need support for increased breast milk supply in the early postpartum period.Trial registration: UMIN000037783 (Clinical Trials Registry of University Hospital Information Network).