DETERMINANT FACTORS AFFECTING BREAST MILK PRODUCTION IN THE SECOND WEEK POSTPARTUM

  • aprilina - - Poltekkes Kemenkes Palembang
DOI: https://doi.org/10.61720/jib.v8i1.377

Abstract

Most babies in the world still do not get breast milk in the first hour of life and exclusive breastfeeding (44%), while in Indonesia only 35% are under WHO recommendations (50%). Insufficient milk production is the main reason for the failure of breastfeeding, especially in the second week postpartum when the milk is mature, the mother finally decides to use additional supplements and even give formula milk to meet her baby's needs. The purpose of this study was to determine the determinant factors that could affect milk production in the second week postpartum. This type of research is analytic with a cross-sectional design. The research was conducted in August-September 2021 at the Independent Practice of Midwives Husniyati Palembang. The population is all postpartum mothers in the second week. A total sample of 41 people was taken by the total sampling method. The results of the chi-square statistical test and assessing the Odds Ratio (OR) showed that there was no significant relationship between the independent variable and milk production in the second week postpartum where ρ value > 0.05, for the income variable OR=2.381, meaning mothers with income ≥ UMR has a 2x chance of having good milk production compared to other variables. The conclusion is that there is no significant relationship between age, education, occupation, income, parity, and Body Mass Index (BMI) with milk production in the second week postpartum.

Keywords: breast milk, Production of breast milk, Postpartum

References

1. A Aprilina, Lestari D. Effectiveness of Dates Extract and Oxytocin Massage on Increasing Breast Milk Production for Breastfeeding Mothers. J Kebidanan dan Kesehat Tradis. 2022;95–107.
2. WHO. Joint statement by UNICEF Executive Director Catherine Russell and WHO Director-General Dr Tedros Adhanom Ghebreyesus on the occasion of World Breastfeeding Week. World Health Organization [Internet]. 2022; Available from: https://www.who.int/news/item/31-07-2022-joint-statement-by-unicef-executive-director-catherine-russell-and-who-director-general-dr-tedros-adhanom-ghebreyesus-on-the-occasion-of-world-breastfeeding-week
3. Quitadamo PA, Palumbo G, Ciant L, Lurdo P, Gentile MA, Villani A. Review Article The Revolution of Breast Milk: The Multiple Role of Human Milk Banking between Evidence and Experience—A Narrative Review. Int J Pediatr [Internet]. 2021;2021:1–11. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7872774/pdf/IJPEDI2021-6682516.pdf
4. Palembang D kota. Profil Kesehatan Kota Palembang Tahun 2020 [Internet]. Palembang; 2020. Available from: https://dinkes.palembang.go.id/?nmodul=dokumen&id=176#
5. Foong SC, Tan ML, Foong WC, Marasco LA, Ho JJ OJ. Oral galactagogues (natural therapies or drugs) for increasing breast milk production in mothers of non-hospitalised term infants (Review). Cochrane Libr [Internet]. 2020;1–150. Available from: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD011505.pub2/epdf/full
6. Rahmawati A, Prayogi B. Analisis Faktor Yang Mempengaruhi Produksi Air Susu Ibu (ASI) Pada Ibu Menyusui Yang Bekerja (Analysis of Factors Affecting Breastmilk Production on Breastfeeding Working Mothers). J Ners dan Kebidanan. 2017;4:134–40.
7. Asztalos E V. Review Supporting Mothers of Very Preterm Infants and Breast Milk Production: A Review of the Role of Galactogogues. Nutrients [Internet]. 2018;10:2–10. Available from: https://www.mdpi.com/2072-6643/10/5/600/htm
8. Nur A, Dulambuti R. Berat Badan Ibu Terhadap Produksi ASI Di Puskesmas Jongaya Makassar. Hasanuddin J Midwifery. 2019;1(1):28–33.
9. Rahayu D, Yunarsih. Application Of Oxytosine Massage In Improving Milk Productionon Postpartum Mother. Journals Ners Community [Internet]. 2018;09:08–14. Available from: http://journal.unigres.ac.id/index.php/JNC/article/view/628/503
10. Hardiani RS. Parity and Employment Status Towards Breast Milk Expenditure On Breastfeeding Mother 0-6 Months). Nurseline J [Internet]. 2017;2:44–51. Available from: https://repository.unej.ac.id/bitstream/handle/123456789/81185/PS. IK_Jurnal_Ratna SH_STATUS PARITAS DAN PEKERJAAN.pdf?sequence=1&isAllowed=y
11. Saraung MW, Rompas S, Bataha YB. Analisis Faktor-Faktor Yang Berhubungan Dengan Produksi ASI Pada Ibu Postpartum Di Puskesmas Ranotana Weru. e-Jurnal Keperawatan (e-Kp) [Internet]. 2017;5:1–8. Available from: https://ejournal.unsrat.ac.id/index.php/jkp/article/view/16842
12. Azhari AS, Pristya TYR. Faktor-Faktor Yang Berhubungan Dengan Pemberian ASI Eksklusif Pada Ibu Baduta Di Rsia Budi Kemuliaan Jakarta. J Profesi Med [Internet]. 2019;13:1–14. Available from: https://ejournal.upnvj.ac.id/index.php/JPM/article/view/779/627
13. Saraung MW, Rompas S, Bataha YB. Analisis Faktor-Faktor Yang Berhubungan Dengan Produksi ASI Pada Ibu Postpartum Di Puskesmas Ranotana Weru. e-Jurnal Keperawatan (e-Kp) [Internet]. 2017;5:1–8. Available from: file:///C:/Users/USER/Downloads/ebawotong,+Mitrami+Widiastuti+Saraung (3).pdf
14. Romlah, Sari AP. Faktor Risiko Ibu Menyusui Dengan Produksi ASI Di Puskesmas 23 Ilir Kota Palembang. J Kesehat Poltekkes Palembang [Internet]. 2019;14:32–7. Available from: https://jurnal.poltekkespalembang.ac.id/index.php/JPP/article/view/285/214
15. Arintasari F. Faktor Risiko Ibu Menyusui Dengan Produksi Asi Di Puskesmas 23 Ilir Kota Palembang. J Med Respati [Internet]. 2016;XI:42–50. Available from: https://medika.respati.ac.id/index.php/Medika/article/view/200
16. The American College of Obstetricians and Gynecologists. Guidelines for Diagnostic Imaging During Pregnancy and Lactation. Am Coll Obstet Gynecol. 2017;701(698):1–4.
17. Sánchez C, Franco L, Regal P, Lamas A, Cepeda A, Fente C. Review Breast Milk: A Source of Functional Compounds with Potential Application in Nutrition and Therapy. Nutrients [Internet]. 2021;13:1–32. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8005182/pdf/nutrients-13-01026.pdf
18. Bahriyah F, Putri M, Jaelani AK. Hubungan Pekerjaan Ibu Terhadap Pemberian ASI Eksklusif Pada Bayi. J Endur [Internet]. 2017;2:113–8. Available from: http://103.111.125.15/index.php/endurance/article/view/1699/679
19. BPS. istilah [Internet]. bps.go.id. Jakarta; 2022. p. 7. Available from: https://www.bps.go.id/istilah/index.html?Istilah%5Bberawalan%5D=P&Istilah_page=7
20. Umami W, Margawati A. Faktor –Faktor Yang Mempengaruhi Pemberian ASI Eksklusif. J Kedokt DIPONEGORO [Internet]. 2018;7:1720–4. Available from: https://ejournal3.undip.ac.id/index.php/medico/article/view/22265/20442
21. Oktova R. Determinan Yang Berhubungan Dengan Pemberian Mp-ASI Dini Pada Bayi Usia 0-6 Bulan. J Kesehat. 2017;VIII(1):84–90.
22. Wulandari NA, R A, Wahida N. Hubungan Paritas Ibu Postpartum Dengan Peran Ayah Asi (Breastfeeding Father). J Citra Keperawatan Poltekkes Kemenkes Banjaramasin [Internet]. 2019;7:87–95. Available from: https://ejurnal-citrakeperawatan.com/index.php/JCK/article/view/114
23. Astuti I. Determinan Pemberian ASI Eksklusif Pada Ibu Menyusui. J Heal Qual. 2013;4:1–76.
24. Pusporini AD, Pangestuti DR, Rahfiludin MZ. Faktor-Faktor yang Berhubungan dengan Praktik ASI Eksklusif di Daerah Pertanian Kabupaten Semarang(Studi pada Ibu yang Memiliki Bayi Usia 0−6 Bulan). MEDIA Kesehat Masy Indones [Internet]. 2021;20:83–90. Available from: https://ejournal.undip.ac.id/index.php/mkmi/article/view/35511/19124
25. Wardana RK, Widyastuti N, Pramono A. Hubungan Asupan Zat Gizi Makro Dan Status Gizi Ibu Menyusui Dengan Kandungan Zat Gizi Makro Pada Air Susu Ibu (ASI) Di Kelurahan Bandarharjo Semarang. J Nutr Coll [Internet]. 2018;7:107–13. Available from: https://ejournal3.undip.ac.id/index.php/jnc/article/view/22269/20448
26. Maples JM, Mccarley C, Blankenship MM, Yoho K, Johnson KP, Fortner KB, et al. Metabolic Flexibility and Weight Status May Contribute to Inter-Individual Changes in Breastmilk Lipid Content in Response to an Acute Bout of Exercise: Preliminary Findings from a Pilot Study. Int J Exerc Sci [Internet]. 2020;13:1756–69. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7745905/pdf/ijes-13-2-1756.pdf
27. Siregar FA, Makmur T. Metabolisme Lipid Dalam Tubuh. J Inov Kesehat Masy [Internet]. 2020;1:61–6. Available from: http://202.51.229.68/index.php/JIKM/article/view/293/196
Published
2024-05-03
How to Cite
1.
- aprilina. DETERMINANT FACTORS AFFECTING BREAST MILK PRODUCTION IN THE SECOND WEEK POSTPARTUM. Jurnal Ilmiah Bidan [Internet]. 3May2024 [cited 21Oct.2025];8(1):43-. Available from: https://e-journal.ibi.or.id/index.php/jib/article/view/377
Issue
Vol 8 No 1 (2024): April 2024
Section
Articles
Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Please find the rights and licenses in Jurnal Ilmiah Bidan (JIB). By submitting the article/manuscript of the article, the author(s) agree with this policy. No specific document sign-off is required.

1. License

The non-commercial use of the article will be governed by the Creative Commons Attribution license as currently displayed on Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License. 

2. Author(s)' Warranties

The author warrants that the article is original, written by stated author(s), has not been published before, contains no unlawful statements, does not infringe the rights of others, is subject to copyright that is vested exclusively in the author and free of any third party rights, and that any necessary written permissions to quote from other sources have been obtained by the author(s).

3. User/Public Rights

JIB's spirit is to disseminate articles published are as free as possible. Under the Creative Commons license, JIB permits users to copy, distribute, display, and perform the work for non-commercial purposes only. Users will also need to attribute authors and JIB on distributing works in the journal and other media of publications. Unless otherwise stated, the authors are public entities as soon as their articles got published. 

4. Rights of Authors

Authors retain all their rights to the published works, such as (but not limited to) the following rights;

  • Copyright and other proprietary rights relating to the article, such as patent rights,
  • The right to use the substance of the article in own future works, including lectures and books,
  • The right to reproduce the article for own purposes,
  • The right to self-archive the article (please read out deposit policy),
  • The right to enter into separate, additional contractual arrangements for the non-exclusive distribution of the article's published version (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal (Jurnal Ilmiah Bidan).

5. Co-Authorship

If the article was jointly prepared by more than one author, any authors submitting the manuscript warrants that he/she has been authorized by all co-authors to be agreed on this copyright and license notice (agreement) on their behalf, and agrees to inform his/her co-authors of the terms of this policy. JIB will not be held liable for anything that may arise due to the author(s) internal dispute. JIB will only communicate with the corresponding author.

6. Royalties

Being an open accessed journal and disseminating articles for free under the Creative Commons license term mentioned, author(s) aware that JIB entitles the author(s) to no royalties or other fees. 

7. Miscellaneous

JIB will publish the article (or have it published) in the journal if the article’s editorial process is successfully completed. JIB's editors may modify the article to a style of punctuation, spelling, capitalization, referencing and usage that deems appropriate. The author acknowledges that the article may be published so that it will be publicly accessible and such access will be free of charge for the readers as mentioned in point 3.