The Effectiveness of The Marmet Technique Breast Massage is Comparable to Standard Breast Massage

Authors

DOI:

https://doi.org/10.26630/jk.v14i1.3715

Keywords:

Breastfeeding, Massage, Marmet technique, Mother’s milk, Post-partum.

Abstract

Exclusive breastfeeding is essential for human infants' physical and mental development. However, breastfeeding problems can hamper this low quantity of breast milk. This study aimed to evaluate the benefits of Marmet breast massage for increasing the amount of breast milk in post-partum mothers. This is an experimental study design. The subjects of 100 breastfeeding mothers were randomly assigned to two groups; a control group (which received standard breast care massage) and the treatment group (who received the Marmet technique breast massage). Although there were no significant differences in the rate of change over time between the Marmet technique group and the control group (p-value>0.05), there was an increase in breastfeeding fluency scores in the Marmet technique group. The Marmet breast massage technique increased milk production in term infants at a rate comparable to usual breast massage. Therefore, this technique could be used to improve exclusive breastfeeding rates, including for mothers with nipple abnormalities.

Author Biographies

Ika Oktaviani, Midwifery Study Program, Tanjungkarang Ministry of Health Polytechnic, Lampung, Indonesia

Midwifery

Warjidin Aliyanto, Midwifery Study Program, Tanjungkarang Ministry of Health Polytechnic, Lampung, Indonesia

Nurse, Midwifery

References

Ahmad, M., Usman, A. N., Sinrang, A. W., Alasiry, E., & Bahar, B. (2020). The potential of acupressure to be complementary care by midwives in post-partum women's breast milk production. Enfermería Clínica, 30, 589-592. https://doi.org/10.1016/j.enfcli.2019.12.001

Amir, L. H. (2014). Managing common breastfeeding problems in the community. Bmj, p. 348. https://doi.org/10.1136/bmj.g2954

Aprilina, H. D., & Suparti, S. (2016). Kombinasi breast care dan teknik marmet terhadap produksi asi post sectio caesaria di ruang flamboyan RSUD Prof. Dr. Margono Soekarjo Purwokerto. Jurnal MEDISAINS: Jurnal Ilmiah Ilmu-ilmu Kesehatan, 14(2).

Beral, V., Bull, D., Doll, R., Peto, R., Reeves, G., La Vecchia, C., . . . Pike, M. (2002). Breast cancer and breastfeeding: collaborative reanalysis of individual data from 47 epidemiological studies in 30 countries, including 50 302 women with breast cancer and 96 973 women without the disease. Lancet, 360(9328), 187–195. https://doi.org/10.1016/S0140-6736(02)09454-0

Callen, J., & Pinelli, J. (2004). Incidence and duration of breastfeeding for term infants in Canada, United States, Europe, and Australia: a literature review. Birth, 31(4), 285–292. https://doi.org/10.1111/j.0730-7659.2004.00321.x

Chan, M. Y., Ip, W. Y., & Choi, K. C. (2016). The effect of a self-efficacy-based educational program on maternal breastfeeding self-efficacy, breastfeeding duration and exclusive breastfeeding rates: a longitudinal study. Midwifery, 36, pp. 92–98. https://doi.org/10.1016/j.midw.2016.03.003

Crockford, C., Wittig, R. M., Langergraber, K., Ziegler, T. E., Zuberbühler, K., & Deschner, T. (2013). Urinary oxytocin and social bonding in related and unrelated wild chimpanzees. Proceedings of the Royal Society B: Biological Sciences, 280(1755), 20122765. https://doi.org/10.1098/rspb.2012.2765

Daly, S., Owens, R. A., & Hartmann, P. E. (1993). The shortâ€term synthesis and infantâ€regulated removal of the milk in lactating women. Experimental Physiology: Translation and Integration, 78(2), 209–220. https://doi.org/10.1113/expphysiol.1993.sp003681

Dewey, K., & Lönnerdal, B. (1986). Infant selfâ€regulation of breast milk intake. Acta Paediatrica, 75(6), 893-898. https://doi.org/10.1111/j.1651-2227.1986.tb10313.x

Holt-Lunstad, J., Birmingham, W. A., & Light, K. C. (2008). Influence of a “warm touch†support enhancement intervention among married couples on ambulatory blood pressure, oxytocin, alpha amylase, and cortisol. Psychosomatic Medicine, 70(9), 976–985. https://doi.org/10.1097/PSY.0b013e318187aef7

Ishak, W. W., Kahloon, M., & Fakhry, H. (2011). Oxytocin role in enhancing well-being: a literature review. Journal of affective disorders, 130(1-2), pp. 1–9. https://doi.org/10.1016/j.jad.2010.06.001

Kementerian Kesehatan RI. (2019). Cara Melakukan Pijat Payudara Untuk Memperlancar ASI. https://promkes.kemkes.go.id/cara-melakukan-pijat-payudara-untuk-memperlancar-asi

Kent, J. C., Prime, D. K., & Garbin, C. P. (2012). Principles for maintaining or increasing breast milk production. Journal of Obstetric, Gynecologic & Neonatal Nursing, 41(1), 114-121. https://doi.org/10.1111/j.1552-6909.2011.01313.x

La Leche League International (Producer). (2003). Manual Expression of Breast Milk Marmet Technique. https://lllrochester.weebly.com/uploads/7/9/5/4/795404/marmet_technique_tearoff.pdf

Lai, C. T., Hale, T. W., Simmer, K., & Hartmann, P. E. (2010). Measuring milk synthesis in breastfeeding mothers. Breastfeeding Medicine, 5(3), 103-107. doi: https://doi.org/10.1089/bfm.2009.0074

Lau, Y. (2010). Breastfeeding intention among pregnant Hong Kong Chinese women. Maternal and Child Health Journal, 14(5), 790–798. https://doi.org/10.1007/s10995-009-0506-x

Light, K. C., Grewen, K. M., & Amico, J. A. (2005). More frequent partner hugs and higher oxytocin levels are linked to lower blood pressure and heart rate in premenopausal women. Biological psychology, 69(1), 5-21.

Matthiesen, A. S., Ransjöâ€Arvidson, A. B., Nissen, E., & Uvnäsâ€Moberg, K. (2001). Post-partum maternal oxytocin release by newborns: effects of infant hand massage and sucking. Birth, 28(1), 13-19. https://doi.org/10.1046/j.1523-536x.2001.00013.x

Mgongo, M., Mosha, M. V., Uriyo, J. G., Msuya, S. E., & Stray-Pedersen, B. (2013). Prevalence and predictors of exclusive breastfeeding among women in Kilimanjaro region, Northern Tanzania: a population-based cross-sectional study. International breastfeeding journal, 8, 1-8. https://doi.org/10.1186/1746-4358-8-12

Mirzaie, P., Mohammad-Alizadeh-Charandabi, S., Goljarian, S., Mirghafourvand, M., & Hoseinie, M. B. (2018). The effect of foot reflexology massage on breast milk volume of mothers with premature infants: A randomized controlled trial. European Journal of Integrative Medicine, 17, 72-78. https://doi.org/10.1016/j.eujim.2017.11.010

Morhenn, V., Beavin, L. E., & Zak, P. J. (2012). Massage increases oxytocin and reduces adrenocorticotropin hormone in humans. Alternative therapies in health and medicine, 18(6), 11.

Neifert, M., & Bunik, M. (2013). Overcoming clinical barriers to exclusive breastfeeding. Pediatric Clinics, 60(1), 115-145. https://doi.org/10.1016/j.pcl.2012.10.001

Ouyang, Y.-Q., Su, M., & Redding, S. R. (2016). A survey on difficulties and desires of breastfeeding women in Wuhan, China. Midwifery, 37, 19-24. https://doi.org/10.1016/j.midw.2016.03.014

Shen, J., Zhang, B.-m., Zhu, S.-g., & Chen, J.-j. (2018). No direct correlation between rotavirus diarrhea and breastfeeding: A meta-analysis. Pediatrics & Neonatology, 59(2), 129-135. https://doi.org/10.1016/j.pedneo.2017.06.002

Sullivan, S., Schanler, R. J., Kim, J. H., Patel, A. L., Trawöger, R., Kiechl-Kohlendorfer, U., . . . Cotten, C. M. (2010). An exclusively human milk-based diet is associated with a lower rate of necrotizing enterocolitis than a diet of human milk and bovine milk-based products. The Journal of Pediatrics, 156(4), 562-567. e561. https://doi.org/10.1016/j.jpeds.2009.10.040

Sulymbona, N., As’ad, S., Khuzaimah, A., Miskad, U. A., Ahmad, M., & Bahar, B. (2020). The effect of acupressure therapy on the improvement of breast milk production in post-partum mothers. Enfermería Clínica, 30, 615-618. https://doi.org/10.1016/j.enfcli.2019.12.002

Tarrant, M., Fong, D. Y., Wu, K. M., Lee, I. L., Wong, E. M., Sham, A., . . . Dodgson, J. E. (2010). Breastfeeding and weaning practices among Hong Kong mothers: a prospective study. BMC Pregnancy and Childbirth, 10, 1–12. https://doi.org/10.1186/1471-2393-10-27

Victora, C. G., Bahl, R., Barros, A. J., França, G. V., Horton, S., Krasevec, J., . . . Rollins, N. C. (2016). Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. The Lancet, 387(10017), 475-490. https://doi.org/10.1016/S0140-6736(15)01024-7

Vohr, B. R., Poindexter, B. B., Dusick, A. M., McKinley, L. T., Wright, L. L., Langer, J. C., . . . Network, N. N. R. (2006). Beneficial effects of breast milk in the neonatal intensive care unit on the developmental outcome of extremely low birth weight infants at 18 months of age. Pediatrics, 118(1), e115-e123. https://doi.org/10.1542/peds.2005-2382

WHO, & UNICEF. (2003). Global strategy for infant and young child feeding: World Health Organization.

Widiastuti, A., Arifah, S., & Rachmawati, W. R. (2015). Effect of Marmet Technique on Smoothness of Breastfeeding and Baby Weight Gain. KESMAS-NATIONAL PUBLIC HEALTH JOURNAL, 9(4), 315-319.

Yokoyama, Y., Ueda, T., Irahara, M., & Aono, T. (1994). Releases of oxytocin and prolactin during breast massage and suckling in puerperal women. European Journal of Obstetrics & Gynecology and reproductive biology, 53(1), 17-20. https://doi.org/10.1016/0028-2243(94)90131-7

Yoshida, M., Takayanagi, Y., Inoue, K., Kimura, T., Young, L. J., Onaka, T., & Nishimori, K. (2009). Evidence that oxytocin exerts anxiolytic effects via oxytocin receptor expressed in serotonergic neurons in mice. Journal of Neuroscience, 29(7), 2259-2271. https://doi.org/10.1523/JNEUROSCI.5593-08.2009

Zheng, J.-j., Yi, Z., Ping, L., & Wang, X.-y. (2012). Effect of Tuina at the breasts on post-partum lactation. World Journal of Acupuncture-Moxibustion, 22(4), 5–8. https://doi.org/10.1016/S1003-5257(13)60019-7

Downloads

Published

30-04-2023