Combination of areola and rolling massage techniques on breast milk production in post-partum mothers, City of Lampung, Indonesia

Postpartum mothers with low breast milk production tend not to provide sufficient breast milk to their babies, which causes various health problems. This study aimed to analyze the effects of areola massage and rolling massage techniques on breast milk production in postpartum mothers. The research was quantitative and used a quasi-experimental design with a post-test-only design. The study was conducted at the Panjang Health Center for the control group and Sumbersari Bantul Metro Health Center for the Intervention group. The study utilized purposive sampling was used to divide the 60 postpartum mothers into two groups, and data were collected through a questionnaire. A t-test was used for statistical analysis. The average time for the initiation of milk flow after delivery in the intervention group was 288.07 minutes, while the control group had an average discharge time of 1043.47 minutes, with the fastest and longest times being 180 and 2090 minutes respectively. There was a significant difference in breast milk production between the intervention and control (0.000). There were also differences in milk ejection time between the intervention and control groups, based on the length of time spent (≤ 12 and > 12 h) with a p-value of 0.000. In conclusion, the intervention significantly affected breast milk production and ejection time post-delivery, considering the significance of adequate care and support for breastfeeding mothers to enhance infant breastfeeding quality. The recommendation was to provide additional support and resources to breastfeeding mothers to improve milk production and ejection time. This could have included access to lactation consultants and breastfeeding education.