The Effect of Health Education on Improving Knowledge of Oxytocin Massage Among Breastfeeding Mothers at Puskesmas Godean II, Sleman

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Published: Sep 10, 2026
DOI: https://doi.org/10.55885/jchp.v6i3.1122
Keywords:
Breastfeeding Mothers, Knowledge, Health Education, Oxytocin Massage

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Clara Shintia
Department of Midwifery, Faculty of Health Sciences, Universitas 'Aisyiyah Yogyakarta, Indonesia
Esitra Herfanda
Department of Midwifery, Faculty of Health Sciences, Universitas 'Aisyiyah Yogyakarta, Indonesia

Abstract

Breastfeeding mothers' knowledge of oxytocin massage remains relatively low. Limited knowledge may prevent mothers from understanding the benefits and proper techniques of oxytocin massage to facilitate breast milk secretion. One approach that can be implemented to improve maternal knowledge is health education. This study aimed to determine the effect of health education on improving breastfeeding mothers' knowledge of oxytocin massage at Godean II Public Health Center, Sleman. This quantitative study employed a pre-experimental one-group pretest-posttest design. The study population consisted of 43 breastfeeding mothers, with a sample of 30 respondents selected using purposive sampling. The research instrument was a knowledge questionnaire on oxytocin massage consisting of 15 questions. Data were analyzed using the Paired Samples t-test. The results showed that before the health education intervention, respondents' knowledge scores ranged from 7 to 11, whereas after the intervention, the scores increased to 13–15. The results of the bivariate analysis using the Paired Samples t-test before and after the health education intervention yielded a P-value of <0.001 (p < 0.05). These findings indicate a significant improvement in knowledge following the health education intervention.

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How to Cite
Shintia, C., & Herfanda, E. . (2026). The Effect of Health Education on Improving Knowledge of Oxytocin Massage Among Breastfeeding Mothers at Puskesmas Godean II, Sleman. Journal of Community Health Provision, 6(3), 863-874. https://doi.org/10.55885/jchp.v6i3.1122
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Vol. 6 No. 3 (2026): Journal of Community Health Provision
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Articles
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This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

References

Abimulyani, Y., & Sawedi, I. (2025). The effect of oxytocin massage on breast milk production and uterine recovery in postpartum mothers. Oshada, 2(4), 144-153. https://doi.org/10.62872/o.v2i4.212

Alif, M. Z. S., Handayani, R. T., Lu, Y. Y., & Putri, A. P. (2024). Enhancing breast milk production in breastfeeding mothers through oxytocin massage interventions: A systematic review. Avicenna: Journal of Health Research, 7(2). https://doi.org/10.36419/avicenna.v7i2.1203

Almohanna, A. A., Win, K. T., & Meedya, S. (2020). Effectiveness of internet-based electronic technology interventions on breastfeeding outcomes: systematic review. Journal of medical Internet research, 22(5), e17361. https://doi.org/10.2196/17361

Berti, C., Agostoni, C., Davanzo, R., Hyppönen, E., Isolauri, E., Meltzer, H. M., ... & Cetin, I. (2017). Early-life nutritional exposures and lifelong health: immediate and long-lasting impacts of probiotics, vitamin D, and breastfeeding. Nutrition reviews, 75(2), 83-97. https://doi.org/10.1093/nutrit/nuw056

Chipojola, R., Chiu, H. Y., Huda, M. H., Lin, Y. M., & Kuo, S. Y. (2020). Effectiveness of theory-based educational interventions on breastfeeding self-efficacy and exclusive breastfeeding: A systematic review and meta-analysis. International journal of nursing studies, 109, 103675. https://doi.org/10.1016/j.ijnurstu.2020.103675

Dewi, A. P., & Kusumastuti, K. (2024). Effect of combining Oketani and oxytocin massage towards breast milk production: A quasi-experimental study. International Journal of Public Health, 13(4), 1884–1890.

Dewi, W. P., Zulfatunnisa, N., Ulhaq, I. N., & Rosita, D. (2026). Optimization of Breast Milk Production Through The Application of Oxytocin Massage Based on LLLT. Infokes: Jurnal Ilmiah Rekam Medis dan Informatika Kesehatan, 16(1), 25-34. https://doi.org/10.47701/4sbyhz83

Elsokary, E. A., Afify, S. S. M., Mohamed, A. Z., Elkady, A. Z., Khalil, M. I. M., & Hassan, M. M. (2026). Effect of a competency-based nurse-led exclusive breastfeeding training program on nurses’ counseling competence and postpartum mothers’ breastfeeding self-efficacy: A quasi-experimental study in Egypt. Midwifery, 160, 104890.

Hikmatun, K. D., Purbasari, D., Sari, D., Fitriyani, R., & Komariyah, O. (2024). Oxytocin Massage Education for Postpartum Mothers to Improve the Smooth Production of Breast Milk (Breast Milk). Asian Journal of Healthy and Science, 3(4), 197-202. https://doi.org/10.58631/ajhs.v3i4.118

Ibrahim, S. S., Suciawati, A., & Indrayani, T. (2021). Pengaruh edukasi pijat oksitosin terhadap pengetahuan ibu postpartum di Klinik Ikhwan Sentul Kabupaten Bogor tahun 2021. Journal for Quality in Women's Health, 4(1), 7–13. https://doi.org/10.30994/jqwh.v4i1.102

Istighosah, N., & Sari, A. N. (2021). Increase breast milk production for postpartum mothers with oxytocin massage using innovative massage tools. Journal of Maternal and Child Health, 6(6), 669–676. https://doi.org/10.26911/thejmch.2021.06.06.04

Kariyawasam, K. P., Somaratne, G., Dillimuni, S. D., & Walallawita, U. (2025). Comparative Analysis of Breastfeeding and Infant Formulas: Short‐and Long‐Term Impacts on Infant Nutrition and Health. Food Science & Nutrition, 13(9), e70788. https://doi.org/10.1002/fsn3.70788

Kartika, M. A., Maulina, R., & Keswara, N. W. (2025). The Effectiveness Of The Endorphin, Oxytocin, And Suggestive Massage Stimulation Method On Breast Milk Production In Postpartum Mothers: Implications For Midwifery Education. EDUCATIONE, 111-122. https://doi.org/10.59397/edu.v3i2.76

Kehinde, J., O'Donnell, C., & Grealish, A. (2023). The effectiveness of prenatal breastfeeding education on breastfeeding uptake postpartum: A systematic review. Midwifery, 118, 103579. https://doi.org/10.1016/j.midw.2022.103579

Lalita, E. M. F., Sulistyowati, D. W., Donsu, A., Silfia, N. N., Pratiwi, D., Montolalu, A., & Sahelangi, O. (2025). Effectiveness of the combination of oxytocin massage with baby massage towards increasing breast milk production. Jurnal Bidan Cerdas, 7(2), 360–368. https://doi.org/10.33860/jbc.v7i2.3936

Lestari, M., & Linar, C. (2024). The effect of oxytocin massage on milk production for breastfeeding mothers in the working area of the Puskesmas Syamtalira Bayu North Aceh District. Jurnal EduHealth, 15(2), 1058–1063.

Lestari, P., Fatimah, Ayuningrum, L., Herawati, H. D., & Afifaturrohmah, N. (2022). Influence oxytocin massage on reduce lactation problems and support infants growth.

Lismidiati, W., Santi, N. F., & Widyawati, W. (2022). Effect of oxytocin massage using oxybelt on self-efficacy and breastmilk production among postnatal mother: A quasi-experimental study. [Preprint]. https://doi.org/10.21203/rs.3.rs-1799844/v1

Mains, T. E., Cofrancesco Jr, J., Milner, S. M., Shah, N. G., & Goldberg, H. (2015). Do questions help? The impact of audience response systems on medical student learning: a randomised controlled trial. Postgraduate Medical Journal, 91(1077), 361-367. https://doi.org/10.1136/postgradmedj-2014-132987

Maleki, A., Faghihzadeh, E., & Youseflu, S. (2021). The effect of educational intervention on improvement of breastfeeding self-efficacy: A systematic review and meta-analysis. Obstetrics and Gynecology International, 2021, 5522229. https://doi.org/10.1155/2021/5522229

Mardiyaningsih, E., Siswanto, Y., & Wijayanti, F. (2026). Effectiveness of VIO-ASI (oxytocin massage animation video) on maternal and paternal breastfeeding self-efficacy: A quasi-experimental study. JNKI (Jurnal Ners dan Kebidanan Indonesia)(Indonesian Journal of Nursing and Midwifery), 14(2), 350-367. https://doi.org/10.21927/jnki.2026.14(2).350-367

Mills, C., Gregg, J., Bixler, R., & D’Mello, S. K. (2021). Eye-mind reader: An intelligent reading interface that promotes long-term comprehension by detecting and responding to mind wandering. Human–Computer Interaction, 36(4), 306-332. https://doi.org/10.1080/07370024.2020.1716762

Monib, W. K., Qazi, A., & Apong, R. A. (2025). Microlearning beyond boundaries: A systematic review and a novel framework for improving learning outcomes. Heliyon, 11(2).

Partiwi, N. (2025). The role of oxytocin massage in reducing stress and anxiety in postpartum mothers. Advances in Healthcare Research, 3(2), 103–118. https://doi.org/10.60079/ahr.v3i2.486

Piro, S. S., & Ahmed, H. M. (2020). Impacts of antenatal nursing interventions on mothers’ breastfeeding self-efficacy: an experimental study. BMC pregnancy and childbirth, 20(1), 19. https://doi.org/10.1186/s12884-019-2701-0

Policy, C. (2025). The effect of oxytocin massage on breast milk production and self-efficacy during the postpartum. [Journal details not available in the provided reference].

Prinz, A., Golke, S., & Wittwer, J. (2020). To what extent do situation-model-approach interventions improve relative metacomprehension accuracy? Meta-analytic insights. Educational Psychology Review, 32(4), 917-949. https://doi.org/10.1007/s10648-020-09558-6

Putri, S. Z., & Bachtiar, S. M. (2025). A Descriptive Case Series on Combined Education, Breast Care, and Oxytocin Massage for Lactation Support in Indonesia. Journal of Public Health Sciences, 4(02), 165-179. https://doi.org/10.56741/IISTR.jphs.001030

Rahayu, F., Ilmiah, W. S., & Maulina, R. (2025, June). Relationship Between Oxytocin Massage and Breast Milk Production in Post-Term Mothers at Mopuya Community Health Center. In Proceeding International Conference Of Innovation... (Vol. 5, No. 1, pp. 440-447).

Rohini, A. M., Elavally, S., & Saradakutty, G. (2022). Effectiveness of breastfeeding education compared to standard hospital information on exclusive breastfeeding among mothers: A systematic review. Journal of Education and Health Promotion, 11, 125. https://doi.org/10.4103/jehp.jehp_708_21

Sanadi, K., Mayangsari, D., & Mujahidah, S. (2025). Enhancing lactation through oxytocin massage and breast care. Journal of Midwivery, 1(1), 37–43. https://doi.org/10.63425/ljmw.v1i1.35

Sandhi, A., Nguyen, C. T. T., Lin-Lewry, M., Lee, G. T., & Kuo, S.-Y. (2023). Effectiveness of breastfeeding educational interventions to improve breastfeeding knowledge, attitudes, and skills among nursing, midwifery, and medical students: A systematic review and meta-analysis. Nurse Education Today, 126, 105813. https://doi.org/10.1016/j.nedt.2023.105813

Silaban, M. A. B., Manjorang, N. A. B., Yun, D. C., Siregar, E. P., Pratiwi, M., & Sihombing, S. N. (2025). Effectiveness of Foxy Oil combined with oxytocin massage on breast milk production among postpartum mothers in Indonesia: A quasi-experimental study. Journal of Applied Nursing and Health, 7(3), 738–749. https://doi.org/10.55018/janh.v7i3.420

Silaban, M. A. B., Manjorang, N. A. B., Yun, D. C., Siregar, E. P., Pratiwi, M., & Sihombing, S. N. (2025). Effectiveness of Foxy Oil Combined with Oxytocin Massage on Breast Milk Production among Postpartum Mothers in Indonesia: A Quasi-Experimental Study. Journal of Applied Nursing and Health, 7(3), 738-749.

Sinaga, S. P., Mufdlilah, & Astuti, D. A. (2025). The effect of back massage on increasing oxytocin levels in breastfeeding women. Oksitosin: Jurnal Ilmiah Kebidanan, 12(2), 165–176. https://doi.org/10.35316/oksitosin.v12i2.5800

Sukmasari, I., & Farlikhatun, L. (2023). Effectiveness Of Video Media And Leaflets On Knowledge About Breast Massage Techniques In Postpartum Mothers At Gempol Health Center In 2022. International Journal of Medicine and Health, 2(1), 68-78. https://doi.org/10.55606/ijmh.v2i1.1062

Triansyah, A., Indarty, A., Tahir, M., Sabir, M., Nur, R., Basir-Cyio, M., Anshary, A., & Rusydi, M. (2021). The effect of oxytocin massage and breast care on the increased production of breast milk of breastfeeding mothers in the working area of the public health center of Lawanga of Poso District. Gaceta Sanitaria, 35(Suppl. 2), S168–S170. https://doi.org/10.1016/j.gaceta.2021.10.017

Wong, M. S., Mou, H., & Chien, W. T. (2021). Effectiveness of educational and supportive intervention for primiparous women on breastfeeding related outcomes and breastfeeding self-efficacy: A systematic review and meta-analysis. International Journal of Nursing Studies, 117, 103874. https://doi.org/10.1016/j.ijnurstu.2021.103874

Yanto, S., & Ilmiah, W. S. (2025). The effect of oxytocin massage and breast care on breast milk production in primiparous breastfeeding mothers on days 3–7 at the Sahu Public Health Center, West Halmahera. NAJ Nursing Applied Journal, 3(3), 205–213. https://doi.org/10.57213/naj.v3i3.1041

Yasmin, A., Fatlipi, & Nurhaidakaban. (2026). The effect of oxytocin massage on the improvement of breast milk production in postpartum mothers at Suryani Clinic, Medan Johor, Kwala Bekala, Medan City. Mitra Husada Health Internasional Conference (MIHHICo), 6(1), 1219–1230.