Effect of Mindfulness-Based Stress Reduction (MBSR) on Oxytocin Levels and Stress in Breastfeeding Mothers

Mardiah Mardiah, Sri Sumarni, Muflihah Isnawati

Abstract


The prevalence of exclusive breastfeeding in various cities of Bangka Belitung Province varies, where in 2018 from January to June, the prevalence of exclusive breastfeeding in Bangka Belitung Islands Province was relatively low (57.6%). The problem of milk production is influenced by the reduced stimulation of oxytocin hormone. One of the non-pharmacological therapies that can be done is relaxation by doing Mindfulness therapy. The aim was to determine the effect of mindfulness-based stress reduction (MBSR) on oxytocin levels and stress in breastfeeding mothers for 2 weeks consisting of 8 sessions in 3 meetings. The research method used was quantitative with a quasi experimental research design (pretest-posttest control group design). Penelitian ini dilakukan at Regional General Hospital Dr. (HC) Ir. Soekarno, Bangka Belitung Province in 2023. Dilaksanakan pada bulan Januari sampai dengan Maret 2023. The population in this study were breastfeeding mothers at Regional General Hospital Dr. (HC) Ir. Soekarno, Bangka Belitung Province with a sample of 36 using purposive sampling technique. Data were collected using a questionnaire. Data analysis was univariate and bivariate dengan uji t-test and Mann Whitney test . The results of mindfulness-based stress reduction increased oxytocin hormone levels in breastfeeding mothers for 2 weeks consisting of 8 sessions in 3 meetings lasting 150 minutes per meeting and mindfulness-based stress reduction decreased stress scores in breastfeeding mothers for 2 weeks consisting of 8 sessions in 3 meetings lasting 150 minutes per meeting. It is recommended that midwives provide information about Mindfulness therapy to increase the hormone oxytocin in breastfeeding mothers and can play an active role in overcoming the problems of breastfeeding mothers who experience anxiety or worry about producing breast milk and breastfeeding babies.

 

Keywords : Brestfeeding mothers, MBSR, Oxytosin levels

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References


Aguszulkia, W., & Nurvinanda, R. (2020). Upaya pemberdayaan ibu hamil di bangka belitung untuk keberhasilan menyusui ASI eksklusif. Jurnal Endurance : Kajian Ilmiah Problema Kesehatan, 5(3), 598–604. https://doi.org/10.22216/jen.v5i3.4756

Aminah, S., Ardiyanti, Y., Listiana, E., & Haryanti, D. (2022). Hubungan Tingkat Kecemasan dengan Produksi ASI Pertama pada Ibu Melahirkn Spontan di Ruang Mawar RSUD. Dr. H. Soewondho Kendal. Jurnal Surya Muda, 4(1), 90–98. https://doi.org/10.38102/jsm.v4i1.169

Danuatmaja, B., Harlinawati, Y., & Melliasari, M. (2004). Persalinan normal tanpa rasa sakit. Jakarta : Puspa Swara.

Dian, S., Mail, E., & Rufaida, Z. (2019). Buku Ajar Asuhan Kebidanan, Persalinan, dan Bayi Baru Lahir. Surakarta : CV Oase Group.

Foong, S. C., Tan, M. L., Foong, W. C., Marasco, L. A., Ho, J. J., & Ong, J. H. (2020). Oral galactagogues (natural therapies or drugs) for increasing breast milk production in mothers of non-hospitalised term infants. Cochrane Database of Systematic Reviews, 2020(5), 1–147. https://doi.org/10.1002/14651858.CD011505.pub2

Gerliandi, G. B., Maniatunufus, Pratiwi, R. D. N., & Agustina, habsyah S. (2021). Intervensi Non-farmakologis untuk Mengurangi Kecemasan pada Mahasiswa: Sebuah Narrative Review. Jurnal Keperawatan BSI, 9(2), 234–245.

Goldin, P. R., & Gross, J. J. (2014). Effects of Mindfulness-Based Stress Reduction (MBSR) on Emotion Regulation in Social Anxiety Disorder. Emotion, 10(1), 83–91. https://doi.org/10.1037/a0018441.Effects

Handayani, P. A., Dwidiyanti, M., & Mu’in, M. (2021). Pengaruh Mindfulness Terhadap Tingkat Stres Pada Ibu Yang Bekerja Sebagai Perawat Critical Care. Indonesian Journal of Nursing Research (IJNR), 4(1), 24–37. https://doi.org/10.35473/ijnr.v4i1.879

Hapsari, N., Karini, S. M., & Setyanto, A. T. (2021). Pelatihan Mindfulness untuk Menurunkan Kecemasan Ibu dengan Kehamilan Pertama Trimester III. INSAN Jurnal Psikologi Dan Kesehatan Mental, 6(1), 10–21. https://doi.org/10.20473/jpkm.v6i12021.10-21

Ito, E., Shima, R., & Yoshioka, T. (2019). A novel role of oxytocin: Oxytocin-induced well-being in humans. Biophysics and Physicobiology, 16, 132–139. https://doi.org/10.2142/biophysico.16.0

Kemenkes RI. (2021). Profil Kesehatan Indonesia Tahun 2021. In Profil Kesehatan Indonesia Tahun 2021.

Kriakous, S. A., Elliott, K. A., Lamers, C., & Owen, R. (2021). The Effectiveness of Mindfulness-Based Stress Reduction on the Psychological Functioning of Healthcare Professionals: a Systematic Review. Mindfulness, 12(1), 1–28. https://doi.org/10.1007/s12671-020-01500-9

Kristyaningrum, N. N., & Moordiningsih, M.-. (2022). Pengaruh Terapi Mindfulness untuk Menurunkan Tingkat Depresi pada Ibu Hamil Risiko Tinggi. Gadjah Mada Journal of Professional Psychology (GamaJPP), 8(2), 234–252. https://doi.org/10.22146/gamajpp.76584

Maharani, E. A. (2016). Pengaruh pelatihan berbasis Mindfulness terhadap tingkat stres pada guru PAUD. Jurnal Penelitian Ilmu Pendidikan, 9(2), 100–110. https://doi.org/10.21831/jpipfip.v9i2.12919

McManus, F., Surawy, C., Muse, K., Vazquez-Montes, M., & Mark Williams, J. G. (2012). A randomized clinical trial of mindfulness-based cognitive therapy versus unrestricted services for health anxiety (hypochondriasis). Journal of Consulting and Clinical Psychology, 80(5), 817–828. https://doi.org/10.1037/a0028782

Mousavi, E., Sadeghi-Bahmani, D., Khazaie, H., Brühl, A. B., Stanga, Z., & Brand, S. (2023). The Effect of a Modified Mindfulness-Based Stress Reduction (MBSR) Program on Symptoms of Stress and Depression and on Saliva Cortisol and Serum Creatine Kinase among Male Wrestlers. Healthcare (Switzerland), 11(11), 1–12. https://doi.org/10.3390/healthcare11111643

Munazilah, M., & Hasanat, N. U. (2018). Program Mindfulness Based Stress Reduction untuk Menurunkan Kecemasan pada Individu dengan Penyakit Jantung Koroner. Gadjah Mada Journal of Professional Psychology (GamaJPP), 4(1), 22–32. https://doi.org/10.22146/gamajpp.45346

Niar, A., Dinengsih, S., & Siauta, J. (2021). Factors Affecting the Production of Breast Milk Breastfeeding Mother at Harifa RSB, Kolaka District Southeast Sulawesi Province. Jurnal Kebidanan Midwiferia, 7(2), 10–19. https://doi.org/10.21070/midwiferia.v7i2.1288

Novianita, S., Fikawati, S., & Maris Bakara, S. (2022). Faktor-Faktor yang Berhubungan dengan Keberhasilan ASI Eksklusif di Wilayah Kerja Puskesmas Cipayung Kota Depok. Media Penelitian Dan Pengembangan Kesehatan, 32(1), 17–28. https://doi.org/10.22435/mpk.v32i1.5256

Qomari, S. N., Vidayati, L. A., Kamaria, & Kamelia. (2019). Pendampingan Ibu Early Post-Partum “Cegah PP Blues Dengan Dass 21” di BPM Lukluatun Mubrikoh. Jurnal Paradigma (Pemberdayaan & Pengabdian Kepada Masyarakat), 1(2), 41–49. https://stikes-nhm.e-journal.id/PGM/article/view/481

Siregar, N. Y., Kias, C. F., Nurfatimah, N., Noya, F., Longgupa, L. W., Entoh, C., & Ramadhan, K. (2021). Tingkat Kecemasan Ibu Hamil Trimester III dalam Menghadapi Persalinan. Jurnal Bidan Cerdas, 3(1), 18–24. https://doi.org/10.33860/jbc.v3i1.131

Sugiyono. (2018). Metode Penelitian Kualitatif, Kuantitatif, dan R&D. CV.Alfabeta.

Thul, T. A., Corwin, E. J., Carlson, N. S., Brennan, P. A., & Young, L. J. (2020). Oxytocin and postpartum depression: A systematic review. Psychoneuroendocrinology, 120(Oktober), 104793. https://doi.org/10.1016/j.psyneuen.2020.104793

Utari, M. D., Rahmana, F. R., & Desriva, N. (2021). The Effectiveness of Hypnotherapy and Back Exercise on the Smooth of Breast Milk Production in Postpartum Women. Al Insyirah International Scientific Conference on Health, 5(1), 155–164. https://doi.org/10.22216/jit.v15i1.124

Uvnäs-Moberg, K., Ekström-Bergström, A., Berg, M., Buckley, S., Pajalic, Z., Hadjigeorgiou, E., Kotłowska, A., Lengler, L., Kielbratowska, B., Leon-Larios, F., Magistretti, C. M., Downe, S., Lindström, B., & Dencker, A. (2019). Maternal plasma levels of oxytocin during physiological childbirth - A systematic review with implications for uterine contractions and central actions of oxytocin. BMC Pregnancy and Childbirth, 19(1), 1–17. https://doi.org/10.1186/s12884-019-2365-9

Walter, M. H., Abele, H., & Plappert, C. F. (2021). The Role of Oxytocin and the Effect of Stress During Childbirth: Neurobiological Basics and Implications for Mother and Child. Frontiers in Endocrinology, 12(October), 1–10. https://doi.org/10.3389/fendo.2021.742236

Walyani, E. S., & Purwoastuti, E. (2017). Asuhan kebidanan : masa nifas & menyusui. Yogyakarta : Pustaka Baru Press.

Wanda, A., Bidjuni, H., & Kallo, V. (2020). Hubungan karakteristik ibu hamil trimester III dengan tingkat kecemasan dalam menghadapi persalinan di poli KIA Puskesmas Tuminting. Jurnal Keperawatan UNSRAT, 2(2), 110039.

Zeinabeh, M. Z., Atefeh, A., Masumeh, G. H. P., Tania, D., Mojgan, S., & Katayoun, A. (2023). The Effect of Mindfulness-Based Stress Reduction Counseling on Blood Glucose and Perceived Stress in Women with Gestational Diabetes O efeito do aconselhamento para redução do estresse baseado na atenção plena sobre a glicose no sangue e o estresse perceb. RBGO Gynecology & Obstetrics, 45(9), e517–e523. https://doi.org/10.1055/s-0043-1775810




DOI: http://dx.doi.org/10.30829/contagion.v5i4.16933

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Contagion: Scientific Periodical Journal of Public Health and Coastal Health by Program Studi Ilmu Kesehatan Masyarakat is licensed under Creative Commons Attribution-ShareAlike 4.0 International License.