Penanganan Menyusui Tidak Efektif Pada Ibu Postpartum Dengan Terapi Woolwich Massage Di RSUD Bangil

Abstract

Background: Ineffective breastfeeding is a problem that may occur in postpartum mothers and can interfere with the fulfillment of infants’ nutritional needs. This condition may be associated with inadequate breast milk supply, hard and painful breasts, maternal fatigue, anxiety, and ineffective infant latch and sucking.
Objective: To describe the implementation of nursing care for a postpartum mother experiencing ineffective breastfeeding through the administration of Woolwich massage.
Methods: The method employed was a descriptive case study approach involving a 26-year-old postpartum mother treated at Bangil Regional General Hospital. Data were collected through interviews, observation, physical examination, and documentation. Nursing interventions included breastfeeding education, improvement of positioning and latch, emotional support from the family, and Woolwich massage for 10–15 minutes twice daily for three consecutive days. Evaluation was conducted by observing changes in breast milk output, breast condition, infant latch and sucking ability, and the mother’s psychological condition.
Results: After three days of intervention, breast milk output increased, the breasts became softer, infant latch and sucking ability improved, and the mother’s anxiety regarding the adequacy of the infant’s nutritional intake decreased. These changes indicated improvement in the mother’s breastfeeding ability and the infant’s response during breastfeeding.
Conclusion: The implementation of Woolwich massage integrated with comprehensive maternal nursing care showed positive results in helping to address ineffective breastfeeding in postpartum mothers. Woolwich massage may serve as a non-pharmacological nursing intervention to support breastfeeding and successful provision of breast milk during the postpartum period. This intervention can be integrated into nursing care alongside breastfeeding education and support to help mothers achieve a more optimal breastfeeding process during the early postpartum period.