Journal of Environmental Treatment Techniques  
2021, Volume 9, Issue 1, Pages: 275-279  
J. Environ. Treat. Tech.  
ISSN: 2309-1185  
Journal web link: http://www.jett.dormaj.com  
https://doi.org/10.47277/JETT/9(1)279  
The Impact of Moringa Leaves, Katuk Leaves and  
Oxytocin Massage on Quantity and Quality of  
Mother's Milk as Patients Health Center in Bali  
*
Ni Putu Mastiningsih  
Midwifery, Health Institute of Bina Usada Bali, Tegal Luwih Road, Dalung, Badung, 80361, Bali, Indonesia  
Received: 09/09/2020  
Accepted: 13/11/2020  
Published: 20/03/2021  
Abstract  
The problem of breastfeeding is part of the problem of discomfort in postpartum mothers for 2 hours after giving birth. This problem  
often causes trauma to postpartum mothers during breastfeeding, psychological disturbances, and increases morbidity in the mother and baby  
due to inadequate breast milk. The practice of Oxytocin massage, Moringa leaves and Katuk leaves at the same time can improve the quantity  
and quality of breast milk in maternal patients with 36-40 weeks' gestation. This type of research is quantitative research. Respondents  
numbered 30 were selected by determining purposive sampling in each group consisting of 10 mothers. Data were analyzed using a Paired  
t-test and Independent sample t-test with an α level of 0.05. The results showed that there was an increase in the quantity of breastfeeding.  
On the 3rd day, the quantity of breast milk with volume of 45 cc. In the week I with a volume of 10.50 cc, week II 86.50 cc, week III 168.50  
cc and week IV as much as 275 cc. It shows that there are differences in quality on days 3 to week IV. The results of data analysis also  
showed that the 3rd day the quality of breast milk is rather yellow and rather thick, then the first week to the third week rather yellow and  
thin. At week IV, the quality of breast milk is white and runny. There is an increase in the quality and quantity of breast milk in all three  
groups.  
Keywords: Breast Milk; Postpartum; Patients Health Center  
1
during growth. The substance component is a determinant of  
1
Introduction  
quality and sustainability [15, 16]. Besides aiming to produce  
quality breast milk, breast care also aims to prevent breast  
problems during lactation.  
Uniqueness is something that is interesting to look at [1-9].  
Women are the most unique creatures of God. Women  
experience menstruation, pregnancy, childbirth, and  
breastfeeding. The task and role of women as mothers is  
breastfeeding. That breast milk is more important than formula  
milk [10]. Both tasks and roles require different treatments for  
something deemed important [11, 12]. Therefore, it is very  
important for a mother to take care of and take care of her breasts  
properly. Good and proper breast care during lactation is very  
necessary because it will cause the mother to feel safe and  
comfortable so that the mother can breastfeed her baby well [13].  
Breast care must be done since pregnancy to produce quality  
breast milk and the sustainability of exclusive breast milk and  
the prevention of breastfeeding problems.  
Preparation and treatment are needed in the context of  
interventions to improve the quality of breast milk [14]. To  
produce quality breast milk with smooth production requires  
various efforts that must be done. One of them by taking care of  
the breasts alternately, 2 times a day, and through the fulfillment  
of maternal nutrition adequacy. Nutritional requirements during  
pregnancy greatly affect the continuity of the mother and baby  
The breastfeeding problems can affect the health and  
nutritional adequacy of their babies [17]. This breastfeeding  
problem is often caused by the wrong way of breastfeeding,  
mother's level of knowledge about breast care is still lacking,  
mothers who are less motivated or have the desire to care for  
breasts, mother's work and nutritional needs of mothers are not  
good. in pregnancy and the puerperium. Genealogy of problems  
for certain circles is influenced by aspects of knowledge, culture,  
and circumstances [18]. As breastfeeding problems are often  
experienced by primiparous mothers or mothers who have no  
experience caring for babies and herself during pregnancy and  
breastfeeding.  
Breast care is an action carried out by the mother directly or  
assisted by others which are carried out starting in the third  
trimester of pregnancy or >28 weeks until the end of  
breastfeeding. In addition to getting maternal care, mothers  
should always be in a relaxed condition so that it can increase  
the hormone prolactin which stimulates the expenditure of breast  
*
Corresponding author: M’hamed Sadiq, Sultan Moulay Slimane University of Beni Mellal, Research Group in Environmental Sciences  
and Applied Materials (SEMA), FP Khouribga, B.P. 145, 25000 Khouribga, Morocco. Tel: +212 666 24 81 96; Fax: +212 523 49 03 54, E-  
mail: m.sadiq@usms.ma ; sadiqmhamed@hotmail.com  
275  
Journal of Environmental Treatment Techniques  
2021, Volume 9, Issue 1, Pages: 275-279  
milk. Steps that can be taken to improve breast care are by  
providing information and counseling to pregnant women when  
doing antenatal care in preparation for breastfeeding their babies,  
procedures for cleaning the mother's nipples, abstinence from  
food during pregnancy and after delivery, procedures for  
pumping milk mother for mother work as preparation for breast  
milk for the baby when she returns to work and the proper way  
of breastfeeding including regulating the duration and frequency  
of breastfeeding through counseling, home counseling,  
posyandu, distributing leaflets and training health cadres to  
provide information and how to wean the nursing mother and  
teach the nursing mother how to breastfeed properly so that the  
mother can provide exclusive breast milk to her baby. The  
exclusive breastfeeding is of great benefit to the health of infants  
massage, 10 people were given Moringa leaves, and 10 people  
were given Katuk leaves which were processed into  
vegetables/side dishes.  
3
Results  
3
.1 Quantity Of Mother's Milk On Day 3  
Based on the results of the sample diversity test (normality  
and homogeneity of the data) that from the results indicated  
normal and homogeneous data distribution with p-value F (0.05)  
is 3.35 which means 3.35> 0.05 so that the data is normally  
distributed.  
Table 1: Quantity of Mother's Milk on Day 3  
Sources of Degrees of Quadrate variety F-count F- α (0,05)  
[
19]. It is necessary to improve the volume of breast milk quality  
Diversity Freedom  
Amount  
3555.0  
1262.0  
4817.5  
a
to be able to increase the level of infant acceptance of  
breastfeeding [20]. Based on these problems, the researchers are  
interested in conducting research on comparison of Oxytocin  
Massage, giving Moringa leaves and Katuk leaves on the  
quantity and quality of breast milk for mothers of 36-40 weeks  
gestational age who are preposition as patients of Abiansemal IV  
Health Center, Badung, Bali. In certain areas, degrees are  
indicative of a position [21, 22]. The health status of a country  
can be determined by the indicators of Maternal Mortality Rate  
Treatment 2.  
1777.5 38.014 3.35  
46.76  
Galat  
Galat  
27.b  
29.b  
3
.2 Quantity Of Mother's Milk On Week I  
Based on the results of the sample diversity test (normality  
and homogeneity of the data) that from the results indicated  
normal and homogeneous data distribution with p-value F (0.05)  
is 10.47 which means 10.47> 0.05 so that the data is normally  
distributed.  
(
MMR) and Infant Mortality Rate (IMR). The Sustainable  
Table 2: Quantity of Mother's Milk at Week I  
Sources of Degrees of Quadrate  
Development Goals (SDGs) target that will be achieved is to  
reduce child mortality by the indicator, which is to decrease the  
Infant Mortality Rate (IMR) to 12 / 1,000 live births in 2030 and  
reduce the MMR of 70 / 100,000 live births. The incidence of  
breast milk dams in Indonesia reaches 66%. The problem of  
breast milk dams is only 4% for mothers who have lost their  
babies [23]. Based on pre-survey in the Work Area of  
Abiansemal IV Health Center in Badung Regency, Bali Province  
shows that breast problems in breastfeeding mothers 75%  
experience breast milk disruption on the first and second day,  
postpartum so that the mother's breasts are swollen. Based on the  
last description, then the problem can be formulated, How to  
Comparison of Oxytocin Massage, Giving Moringa Leaves and  
Katuk Leaves to the Quantity and Quality of ASI for mothers  
aged 36-40 weeks of pregnancy as patients of Abiansemal IV  
Health Center in Badung Regency, Bali Province.  
variety  
F-count F- α (0,05)  
Diversity Freedom  
Amount  
7145  
3522,5  
10667,5  
a
Treatmentt 2.  
3572,5  
Galat  
Galat  
27.b  
130,463  
27, 383 10.47  
29.b  
3
.3 Quantity Of Mother's Milk On Week II  
Based on the results of the sample diversity test (normality  
and homogeneity of data) that the results can be shown normal  
and homogeneous data distribution with p-value F (0.05) is 3.35  
which means 3.35> 0.05 so that the data is normally distributed.  
Table 3: Quantity of Mother's Milk at Week II  
Sources of Degrees of Quadrate  
variety F-count F- α (0,05)  
Diversity Freedom  
Amount  
Treatment 2.a  
1985  
1795  
3780  
992,5  
66,481  
14,929 3,35  
2
Materials and Methods  
Type indicates the specification of something [24, 25]. This  
Galat  
Galat  
27.  
29.b  
b
type of research is quantitative research. This study used a quasi-  
experimental design with a post-test control group design. The  
study population was all third-trimester pregnant women who  
visited the working area of Puskesmas IV, Jembrana Regency,  
Bali Province. The sample is part of the population [26]. The  
research sample determined by purposive sampling. In  
particular, the sample in this study is part of the population that  
has been calculated by the researcher using the calculation of the  
number of research samples studied by meeting the research  
criteria. The sample in this study was third-trimester primiparous  
pregnant women who visited Abiansemal IV Community Health  
Center and had met the inclusion criteria. The number of samples  
used was 30 people. Primary data were collected using a  
questionnaire at the Abiansemal IV Community Health Center,  
Jembrana, Bali and all secondary data collected through  
literature studies on maternal health. All data analyzed  
quantitatively. Where 10 people were treated for oxytocin  
3
.4 Quantity Of Mother's Milk On Week III  
Based on the results of the sample diversity test (normality  
and homogeneity of the data) that from the results indicated  
normal and homogeneous data distribution with p-value F (0.05)  
is 13.26 which means 13.26> 0.05 so that the data is normally  
distributed.  
3.5 Quantity Of Mother's Milk On Week IV  
Based on the results of the sample diversity test (normality  
and homogeneity of data) that the results showed normal and  
homogeneous data distribution with p-value F (0.05) is 3.984  
which means 3.984> 0.05 so that the data is normally distributed.  
Table 4: Quantity of Mother's Milk at Week III  
276  
Journal of Environmental Treatment Techniques  
2021, Volume 9, Issue 1, Pages: 275-279  
Sources of Degrees of  
Diversity Freedom  
Treatment 2.a  
Galat  
Total  
Quadrate  
Amount  
20171,67  
5652,5  
variety  
F-count F- α  
(0,05)  
48,18 13,26  
much as 159 cc which means an increase in the quantity of breast  
milk every week. The volume of breast milk quality can increase  
significantly on the 7th day after consultation during the therapy  
process [31]. Based on the quality of breast milk that there is a  
difference in quality on day 3 to week-IV where the results of  
data analysis show that when entering day 3, the quality of breast  
milk is rather yellow, and rather thick with an average of 2.80 cc  
then weeks I through IV an average of 3.8 cc which means that  
the breast milk is rather yellow and runny.  
The results of the research confirmed that Moringa Leaves,  
Katuk Leaves, and Oxytocin Massage therapies affected the  
changes in the quantity of breast milk and changes in the quality  
of breast milk for Abiansemal IV Health Center patients in  
Badung Regency, Bali Province. Changes in the volume of  
breast milk quality occurred significantly since pregnant women  
as patients undergo therapy using Katuk Leaves. This is in line  
with the allegations in this research, the impact of giving each  
Moringa Leaves therapy, Katuk Leaves, and Oxytocin Massage  
is able to increase the quantity and quality of breast milk of  
Abiansemal IV Health Center patients in Badung Regency, Bali  
Province.  
10085,83  
209,35  
27.b  
29.b  
25824,17  
Table 5: Quantity of Mother's Milk at Week IV  
Sources of  
Diversity  
Treatment  
Galat  
Degrees of Quadrate  
Variety  
F-count F- α  
Freedom Amount  
(0,05)  
a
2.  
67706,667  
50990  
118696,667  
33853,333 17,926 39,84  
1888,519  
27.b  
29.b  
Galat  
4
Discussion  
A supplementary nutrition program specifically for women  
and infants could harm breast milk transmission [27]. On the  
contrary, the results of this study prove that by giving Oxytocin  
massage therapy, Moringa leaves and Katuk leaves can increase  
the volume and appearance of breast milk. The need for health  
assistance in the process of breastfeeding to reduce the problem  
of social and ethnic disparity [28]. The results of the research in  
three research groups involving 30 samples by the research  
hypothesis and research objectives can be discussed narratively  
based on the results of the research table as follows.  
5
Conclusion  
1
.Achieving improvements in maternal breast milk can produce  
There was an increase in the quantity of breast milk in the  
parental satisfaction as well as trust and social support for the  
source of the health therapy process [29]. Knowing the quality  
and quantity of breast milk during lactation after being given  
oxytocin massage as therapy to mothers of 36-40 weeks'  
gestation. Based on the results of data analysis that the quantity  
of breast milk is measured on the 3rd day, week I, II, III and IV  
which have been tested for normality of data so that the data are  
normally distributed on the 3rd day the quantity of breast milk  
with an average volume 20 cc, in week I with a volume of 86 cc,  
week II 86.50 cc, week III 113 cc and week IV as much as 225  
cc which means an increase in the quantity of breast milk every  
week. If using domperidone, an increase in the volume of breast  
milk could increase by 88.3 ml/day (95% CL 56.8-119.8) [30].  
group of women who received oxytocin massage on the 3rd day  
the quantity of breast milk with an average volume of 20 cc, on  
week I with a volume of 86 cc, week II had a volume of 86.50  
cc, week III had a volume 113 cc and 225 weeks IV, which can  
be explained that there has been an increase in the quantity of  
breast milk every week and the quality of breast milk that occurs  
does not show an increase in the quality of breast milk. An  
increase in the quantity of breast milk in mothers Katuk leaf  
group entered the 3rd day, week I, II, III and IV that have been  
tested for normality of data so that the data are normally  
distributed. On the 3rd day the quantity of breast milk with an  
average volume of 45 cc, in the first week with a volume of 10.50  
cc, the second week had a volume of 86.50 cc, week III had a  
volume of 168.50 cc and the fourth week was 275 cc means there  
has been an increase in the quantity of Mother's Milk every  
week. In the quality of breast milk that there is a difference in  
quality on day 3 to week IV where in the results of data analysis  
that the 3rd day the quality of breast milk is slightly yellow in  
color and the quality is rather thick with an average of 3.80 cc  
then the week to I to III averaged a volume of 4.9 cc which means  
that the breast milk is rather yellow and runny and at week IV,  
the quality of breast milk is white and runny with an average of  
5.0. Quantity of