PENGARUH PIJAT AROMATERAPI TERHADAP KADAR KORTISOL DAN PRODUKSI ASI PADA IBU POSTPARTUM PRIMIPARA DI KOTA SEMARANG

Abstract

Latarbelakang. Penurunan produksi ASI setelah melahirkan dapat disebabkan oleh kurangnya rangsangan hormon prolaktin dan oksitosin. Selain itu stres fisik atau emosional dapat mengganggu refleks pengeluaran ASI dengan mengurangi pelepasan oksitosin selama menyusui. Stress ditandai dengan meningkatnya kadar kortisol. Pijat mampu meningkatkan produksi ASI sebesar 11,5 kali dan menurunkan kortisol 28 %. Kombinasi pijat dan aromaterapi lebih efektif meningkatkan hormon prolaktin. Tujuan Penelitian. Membuktikan pengaruh pijat aromaterapi terhadap kadar kortisol dan produksi ASI pada ibu postpartum primipara di Kota Semarang. Metode Penelitian. Jenis penelitian Quasy Experimental dengan rancangan non equivalent control group design. Teknik pengambilan sampel menggunakan teknik consecutive sampling. Jumlah sampel 44 orang. Analisis data menggunakan uji Paired Sample Test dan uji One way Anova. Hasil penelitian. Ada pengaruh pijat, aromaterapi dan pijat aromaterapi terhadap produksi ASI dengan masing- masing p value = 0,000. Ada perbedaan produksi ASI pada keempat kelompok ( p value = 0,000).Ada pengaruh pijat, aromaterapi, pijat aromaterapi terhadap kadar kortisol (p value = 0,004; p value = 0,001; p value = 0,000).Ada perbedaan kadar kortisol pada keempat kelompok (p value = 0,047) Kesimpulan. Pijat aromaterapi terbukti lebih efektif meningkatkan produksi ASI dan menurunkan kadar kortisol ibu postpartum primipara di Kota Semarang. Saran. Setiap ibu postpartum perlu diberikan pijat aromaterapi. Kata kunci : pijat, aromaterapi, pijat aromaterapi, kadar kortisol, produksi ASI. Background. Less breastmilk production after giving birth was also possibly caused by the lack of prolactin and oxytocin hormones stimulation. Physical and emotional stresses contribute on disorder of breastmilk production reflex by the reduction of oxitocyn during breastfeeding. Stresses are indicated by the escalation of cortisol level. Massage can increase milk production by 11,5 times and decrease 28 % cortisol levels’s. Aromatherapy massage more effective in improved prolactin levels. Research Purposes. The research aimed to prove the effect of aromatherapic massage toward cortisol level and breastmilk production of primaparous postpartum women in Semarang. Research Methode. Quasy experiment with non equivalent control group design. Sampling technique was consecutive sampling. Total samples were 44 persons. To analyze data, paired sample test and one way anova were used. Research Result. There was an effect of massage, aromatherapy, and aromatherapic massage toward breastmilk production with each p value = 0.000 Significant differences of breastmilk production occurred among the four groups (p value = 0,000). Massage, aromatherapy, and aromatherapic influenced cortisol level (p value = 0,004; p value = 0,001; p value = 0,000). There was a significant effect on cortisol level of four groups (p value = 0,047) Conclusion. Aromatherapic massage was proven more effective in enhancing breastmilk production and reducing cortisol level on primaparous postpartum women in Semarang. Recomendation. Every postpartum women should be given aromatherapy massage. Keywords: massage, aromatherapy, aromatherapic massage, cortisol level, breastmilk production.