Pijat dan Kompres untuk Mengatasi Masalah Menyusui pada Ibu Postpartum: Scoping Review

https://doi.org/10.22146/jkesvo.98194

Ni Putu Gita Prastita(1*), Margareta Melani(2), Ratu Tasya Dwiana Putri(3), Qorinah Estiningtyas Sakilah Adnani(4)

(1) Magister Kebidanan Fakultas Kedokteran, Universitas Padjajaran
(2) Magister Kebidanan Fakultas Kedokteran, Universitas Padjajaran
(3) Magister Kebidanan Fakultas Kedokteran, Universitas Padjajaran
(4) 
(*) Corresponding Author

Abstract


Latar   Belakang:     Menyusui merupakan aktivitas yang berjalan secara natural tetapi terkadang ibu menyusui mengalami keluhan yang menganggu proses menyusui. Masalah dalam menyusui seperti seperti kelelahan, nyeri, dan pembengkakan payudara; penelitian menunjukkan bahwa terapi non-farmakologi seperti kompres hangat, pijatan lembut, dan ekspresi payudara efektif meredakan gejala tersebut (Scime et al., 2023; Zakarija-Grkovic & Stewart, 2020).

Tujuan: Penelitian ini bertujuan untuk mengevaluasi efektivitas terapi non-farmakologi, seperti pijat dan kompres, dalam mengatasi nyeri, pembengkakan, dan sumbatan ASI pada ibu postpartum.

Metode: Penelitian ini menggunakan metode scoping review dengan literatur dari PubMed, ScienceDirect, dan Google Scholar, mencakup artikel lima tahun terakhir (2019-2024) dalam bahasa Indonesia atau Inggris, berjenis kuantitatif, dan full text. Sepuluh artikel (5 RCT, 5 quasi-eksperimental) memenuhi kriteria inklusi dan diteliti.

Hasil: Hasil penelitian menunjukkan bahwa berbagai teknik pijat payudara dan kompres, seperti lymphatic drainage, kinesio taping, dan kompres hangat, dan Aloe vera efektif dalam mengurangi nyeri, pembengkakan, dan sumbatan ASI pada ibu postpartum.

Kesimpulan:    Pendekatan non-farmakologis (pijat & kompres) tidak hanya efektif tetapi juga aman dan dapat meningkatkan kenyamanan ibu menyusui tanpa risiko efek samping yang terkait dengan obat-obatan. Temuan ini mendukung penggunaan terapi non-farmakologi sebagai alternatif yang aman dan efektif untuk manajemen nyeri payudara pada ibu menyusui.

Kata kunci: Pijat, Kompres payudara, Masalah Menyusui, postpartum

 

ABSTRACT

Background: Breastfeeding is a natural activity, but nursing mothers sometimes experience issues that disrupt the process. Problems such as fatigue, pain, and breast engorgement can arise; research shows that non-pharmacological therapies like warm compresses, gentle massage, and breast expression effectively alleviate these symptoms (Scime et al., 2023; Zakarija-Grkovic & Stewart, 2020).

Objective: This study aims to evaluate the effectiveness of non-pharmacological therapies, such as massage and compresses, in addressing pain, swelling, and milk duct obstruction in postpartum mothers. Methods: This study used a scoping review method, gathering literature from PubMed, ScienceDirect, and Google Scholar, including articles from the past five years (2019-2024) in Indonesian or English, quantitative studies, and full text. Ten articles (5 RCTs, 5 quasi-experimental) met the inclusion criteria and were analyzed.

Results: The study found that various breast massage techniques and compresses, such as lymphatic drainage, kinesio taping, warm compresses, and Aloe vera, effectively reduced pain, swelling, and milk duct obstruction in postpartum mothers.

Conclusion:Non-pharmacological approaches (massage & compresses) are not only effective but also safe and can enhance the comfort of nursing mothers without the risk of side effects associated with medications. These findings support the use of non-pharmacological therapies as a safe and effective alternative for managing breast pain in nursing mothers.

Keywords: Massage, Breast Compress, Breastfeeding Problems, Postpartum


Keywords


pijat; kompres payudara; masalah menyusui; ibu menyusui

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References

Alekseev, N.P., Vladimir, I.I., Nadezhda, T.E., 2015. Pathological Postpartum Breast Engorgement: Prediction, Prevention, and Resolution. Breastfeeding Medicine 10, 203–208. https://doi.org/10.1089/bfm.2014.0047

Bartick, M., Stehel, E.K., Calhoun, S.L., Feldman-Winter, L., Zimmerman, D., Noble, L., Rosen-Carole, C., Kair, L.R., 2021. Academy of breastfeeding medicine position statement and guideline: Infant feeding and lactation-related language and gender. Breastfeeding Medicine 16, 587–590. https://doi.org/10.1089/bfm.2021.29188.abm

Chauhan, S., Nutan, K., Agrawal, M., Tiwari, S., 2023. Effectiveness of lukewarm water compress on reduction of breast pain and breast engorgement among post-cesarean section mothers. Journal of Integrative Nursing 5, 167. https://doi.org/10.4103/jin.jin_25_23

Choi, W.-R., Hur, M.-H., Kim, Y.-S., Kim, J.-R., 2023. A randomized controlled trial of pectoralis major myofascial release massage for breastfeeding mothers: breast pain, engorgement, and newborns’ breast milk intake and sleeping patterns. Korean Journal of Women Health Nursing 29, 66–75. https://doi.org/10.4069/kjwhn.2023.03.15

Critical Appraisal Skills Programme, 2021. CASP Randomised Controlled Trial Checklist.

Eittah, H.F.A., Ashour, E.S.S., 2019. Comparing warm compresses application vs. chilled cabbage leaves for relieving breast engorgement among post-natal mothers. Clin Nurs Stud 7, 58. https://doi.org/10.4069/kjwhn.2023.03.15

Fang, Y.-W., Chen, S.-F., Wang, M.-L., Wang, M.-H., 2024. Effects of traditional Chinese medicine-assisted intervention on improving postpartum lactation: A systematic review and meta-analysis. Heliyon 10, e27154. https://doi.org/10.1016/j.heliyon.2024.e27154

Heaslip, V., Hutchings, M., Collins, B., Crowley, E., Eccles, S., Hunt, C., Tooth, R., Wardrop, A., 2020. Situating the evidence for impact of outreach strategies: A systematic review for improving access to higher education. Widening Participation and Lifelong Learning 22, 25–54. https://doi.org/10.5456/WPLL.22.1.25

JBI, 2020. Checklist For Quasi-Experimental Studies (Non-Randomized Experimental Studies.

Lin, K.-Y., Shao, W., Tsai, Y.-J., Yang, J.-F., Wu, M.-H., 2023. Physical therapy intervention for breast symptoms in lactating women: a randomized controlled trial. BMC Pregnancy Childbirth 23, 792. https://doi.org/10.1186/s12884-023-06114-2

Mangesi, L., Zakarija-Grkovic, I., 2016. Treatments for breast engorgement during lactation. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD006946.pub3

Marella, M., Ridayani, R., Rosauli Harianja, R., Tianastia Rullyni, N., Jayanti, V., 2023. Brassica Oleracea VAR. Capitata Efektif Mengatasi Engorgement: Sebuah Review Sistematis. COMSERVA Indonesian Jurnal of Community Services and Development 2, 2790–2797. https://doi.org/10.59141/comserva.v2i11.692

Martini, M., Anggraini, Y., Septiani, R., 2022. Efektivitas Kompres Aloe Vera dan Daun Kubis terhadap Breast Engorgement pada Ibu Nifas. Jurnal Kesehatan 13, 522. https://doi.org/10.26630/jk.v13i3.3556

Mohrbacher, N., 2020. S E C O N D E D I T I O N Breastfeeding Answers: A Guide for Helping Families.

Munsittikul, N., Tantaobharse, S., Siripattanapipong, P., Wutthigate, P., Ngerncham, S., Yangthara, B., 2022. Integrated breast massage versus traditional breast massage for treatment of plugged milk duct in lactating women: a randomized controlled trial. Int Breastfeed J 17, 43. https://doi.org/10.1186/s13006-022-00485-6

Prakash, D., 2023. Gua-Sha therapy on breast engorgement among Indian postnatal mothers. Bioinformation 19, 853–859. https://doi.org/10.6026/97320630019853

Raihanah, S., Jasmawati, J., Siregar, N., 2023. Effect of aloe vera gel compresses on breast engorgement among postpartum mother. Healthc Low Resour Settings. https://doi.org/10.4081/hls.2023.11788

Razmjouei, P., Moghaddam, S.K., Heydari, O., Mehdizadeh, B., Pouredalati, M., Tabarestani, M., Ramazanian Bafghi, Z., Nasibeh, R., Moeindarbary, S., 2020. Investigating the Effect of Non-Pharmacological Treatments on Reduction of Breast Engorgement in Breastfeeding Women: A Review Study. Int J Pediatr 8. https://doi.org/10.22038/ijp.2020.46493.3780

Safitri, R.D., Wijayanti, K., Santoso, B., 2022. Cabbage leaves extract gel for breast engorgement during lactation. MEDISAINS 20, 77. https://doi.org/10.30595/medisains.v20i3.15032

Scime, N. V., Metcalfe, A., Nettel-Aguirre, A., Nerenberg, K., Seow, C.H., Tough, S.C., Chaput, K.H., 2023. Breastfeeding difficulties in the first 6 weeks postpartum among mothers with chronic conditions: a latent class analysis. BMC Pregnancy Childbirth 23, 90. https://doi.org/10.1186/s12884-023-05407-w

Silaban, V.F., Carmila, M., Telaumbanua, O., Harahap, P.Y.Y., 2022. Efektivitas Kompres Lidah Buaya terhadap Nyeri Pembengkakan Payudara pada Ibu Post-Partum di Klinik Theresia. JUMANTIK (Jurnal Ilmiah Penelitian Kesehatan) 6, 347. https://doi.org/10.30829/jumantik.v6i4.10473

Simpson, K.R., Lyndon, A., Spetz, J., Gay, C.L., Landstrom, G.L., 2019. Adaptation of the MISSCARE Survey to the Maternity Care Setting. Journal of Obstetric, Gynecologic & Neonatal Nursing 48, 456–467. https://doi.org/10.1016/j.jogn.2019.05.005

Siregar, E., Sri Hardjanti, T., 2019. Icash-A063 Non Pharmacological Treatments For Breast Engorgement: A Systematic Review.

Sritas, S., Kositamongkol, S., Nukaw, S., Phetkate, P., 2023. Evaluating the Safety and Efficacy of Manual Lymphatic Drainage with Thai Traditional Massage on Breast Milk Volume, Breast Pain and Engorgement in Post-Cesarean Mothers of Preterm Infants: A Randomized Controlled Trial. Open Public Health J 16. https://doi.org/10.2174/0118749445267207230919070638

Usman, H., Sumiaty, S., Silfia, N.N., Sakti, P.M., Liana, S., Rinawati, R., 2022. Lowering Breast Pain Postpartum Cabbage (Brassica Var Capitata) and Aloe vera Compress. Open Access Maced J Med Sci 10, 86–89. https://doi.org/10.3889/oamjms.2022.9491

Uzunkaya-Öztoprak, P., Koç, G., Özyüncü, Ö., 2023. The Effect of Kinesio Taping on Acute Pain, Breastfeeding behavior and Comfort Level in Women with Cesarean Section: A Randomized Controlled Trial. Niger J Clin Pract 26, 1075–1084. https://doi.org/10.4103/njcp.njcp_459_22

W Udi, S.M., Salamah, U., 2023. Efektivitas Pemberian Hot Herbal Compress Untuk Meredakan Dismenore Pada Remaja Putri Di Smk Kesehatan Prima Indonesia. Jurnal Ilmiah Kebidanan Imelda 9, 60–65. https://doi.org/10.52943/jikebi.v9i1.1200

Widiasih, R., Susanti, R.D., Mambang Sari, C.W., Hendrawati, S., 2020. Menyusun Protokol Penelitian dengan Pendekatan SETPRO: Scoping Review. Journal of Nursing Care 3. https://doi.org/10.24198/jnc.v3i3.28831

Wizia, Lady, Susanti, E., 2021. Aloe Vera Gel Compression as Breast Engorgement Pain Relief. Women, Midwives and Midwifery 1, 13–19. https://doi.org/10.36749/wmm.1.3.13-19.2021

Wong, B.B., Chan, Y.H., Leow, M.Q.H., Lu, Y., Chong, Y.S., Koh, S.S.L., He, H.-G., 2017. Application of cabbage leaves compared to gel packs for mothers with breast engorgement: Randomised controlled trial. Int J Nurs Stud 76, 92–99. https://doi.org/10.1016/j.ijnurstu.2017.08.014

Zakarija-Grkovic, I., Stewart, F., 2020. Treatments for breast engorgement during lactation. Cochrane Database of Systematic Reviews 2020. https://doi.org/10.1002/14651858.CD006946.pub4



DOI: https://doi.org/10.22146/jkesvo.98194

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