The Effectiveness of the Marmet Technique to Increase Breast Milk Production in Breastfeeding Mothers at the Tateli Community Health Center, Minahasa Regency

Yourisna Pasambo; Greischa Audrey Tumanken; Esther Tamunu; Tati S. Ponidjan; Dorce Sisfiani Sarimin; Esrom Kanine

doi:10.47718/jpd.v12i01.2319

Yourisna Pasambo Politeknik Kesehatan Kementerian Kesehatan Manado https://orcid.org/0000-0002-0949-2676
Greischa Audrey Tumanken Politeknik Kesehatan Kementerian Kesehatan Manado
Esther Tamunu Politeknik Kesehatan Kementerian Kesehatan Manado
Tati S. Ponidjan Politeknik Kesehatan Kementerian Kesehatan Manado
Dorce Sisfiani Sarimin Politeknik Kesehatan Kementerian Kesehatan Manado
Esrom Kanine Politeknk Kesehatan Kementerian Kesehatan Manado

DOI: https://doi.org/10.47718/jpd.v12i01.2319

Keywords: Marmet technique, milk production, Breastfeeding mother

Abstract

Introduction: Newborn babies must receive the best care, including food, where breast milk is the best intake to meet the baby's nutritional needs. In 2021, exclusive breastfeeding coverage in North Sulawesi Province will be 30.2%, lower than the national target of 80%. Several factors influence a mother's failure to provide exclusive breastfeeding, including psychological factors, maternal age, maternal occupation, maternal knowledge, family support, and lack of oxytocin and prolactin reflexes which can be influenced by lack of physical preparation (such as breasts) when breastfeeding. One of the things that health workers can do in this case is to help increase breast milk production, one of which is through the marmet technique. The marmet technique is a combination of expressing breast milk and massaging the breasts to optimize the breast milk reflex. This research is objective to evaluate the effectiveness of the marmet technique in increasing breast milk production in mothers breastfeeding babies aged 0-6 months at the Tateli Community Health Center, Minahasa Regency. Method: Research design using Almost Experiment with 30 breastfeeding mothers as samples, selected through purposive sampling. Results showed a significant increase in breast milk production after the intervention (p-Value < 0.05). Concluded that the marmet technique is effective in increasing breast milk production in mothers breastfeeding babies 0-6 months, and it is recommended that health practitioners introduce and train the marmet technique to breastfeeding mothers as part of efforts to increase breast milk production.

References

1. Rumaini R. Efektifitas Teknik Marmet terhadap Tanda Kecukupan ASI pada Ibu Postpartum di Klinik Utama Siti Chadidjah. Open Access Jakarta Journal of Health Sciences. 2023;2(3):599–606.
2. Yeni F. Gambaran Dan Permasalahan Capaian Asi Eksklusif Di Puskesmas Olak Kemang Tahun 2023. Electronic Journal Scientific of Environmental Health And Disease. 2023;3(2):102–12.
3. Panese JM, Kawengian S, Kapantow NH, Kesehatan F, Universitas M, Ratulangi S, et al. Hubungan Antara Pemberian Asi Eksklusif Dengan Status Gizi Pada Anak Usia 24-59 Bulan Di Wilayah Kerja Puskesmas Bahu Kota Manado. Kesmas. 2020;9(4):146–51.
4. Kebo SS, Husada DH, Lestari PL. Factors Affecting Exclusive Breastfeeding in Infant At the Public Health Center of Ile Bura. Indonesian Midwifery and Health Sciences Journal. 2021;5(3):288–98.
5. Widiastuti A, Arifah S, Rachmawati WR. Pengaruh Teknik Marmet terhadap Kelancaran Air Susu Ibu dan Kenaikan Berat Badan Bayi Effect of Marmet Technique on Smoothness of Breastfeeding and Baby Weight Gain. Kesehatan Masyarakat Nasional. 2019;9(4):315–9.
6. Damanik S, Suwardi S. Teknik Marmet Terhadap Kelancaran Asi Pada Ibu Post Partum. JOMIS (Journal of Midwifery Science). 2023;7(1):49–58.
7. Hang S, Tanjungpinang T. Teknik Marmet terhadap Kelancaran Asi pada Ibu Post Partum. 2021;11(2):78–85.
8. Pujiati W, Sartika L, Wati L, Ramadinta RA. Teknik Marmet terhadap Kelancaran Asi pada Ibu Post Partum. Wiraraja Medika : Jurnal Kesehatan [Internet]. 2021 Dec 23 [cited 2024 Jun 11];11(2):78–85. Available from: https://ejournalwiraraja.com/index.php/FIK/article/view/1596
9. Puspita L, Yolanda Umar M, Medica Bakti Nusantara A, Kusuma Wardani P. Pengaruh Teknik Marmet Terhadap Kelancaran Asi Pada Ibu Post Partum. Wellness And Healthy Magazine [Internet]. 2019 May 29 [cited 2024 Jun 11];1(1):87–92. Available from: https://wellness.journalpress.id/wellness/article/view/w1111
10. Alfianti NP, Risnawati. Literature Review : Pengaruh Teknik Marmet Terhadap Pengeluaran Asi Pada Ibu Postpartum. Nusantara Journal of Multidisciplinary Science [Internet]. 2023 Oct 14 [cited 2024 Jun 11];1(3):494–503. Available from: https://jurnal.intekom.id/index.php/njms/article/view/113
11. Norlita W, KN TS. Penggunaan Metode Marmet untuk Melancarkan Pengeluaran Air Susu Ibu (ASI) pada Ibu Menyusui 0-6 Bulan di Rumah Sakit Ibu dan Anak Eria Bunda Pekanbaru. Photon: Jurnal Sain dan Kesehatan. 2017;8(1).
12. Dahlan AK. Pengaruh Teknik Marmet terhadap Kelancaran ASI pada Ibu Menyusui di Wilayah kerja Puskesmas Wawondula Kecamatan Towuti Kabupaten Luwu Timur. Voice Of Midwifery. 2017;6(8):17–30.
13. Wahyuni ET, Purnami RW. Kombinasi Massage Nape dan Teknik Marmet terhadap Percepatan Pengeluaran ASI pada Ibu Post Partum. Jurnal Kesehatan. 2020;11(2).
14. Fitriasnani ME, Prasetyanti DK, Puspita NLM, Himmah FR. Upaya Promosi Kesehatan Melalui Pemberian Kombinasi Pijat Oksitosin Dan Pijat Marmet Terhadap Produksi ASI Pada Ibu Postpartum. Jurnal Kebidanan. 2023;12(1).
15. Lestari L, Widyawati MN, Admini A. Peningkatan Pengeluaran ASI dengan Kombinasi Pijat Oksitosin dan Teknik Marmet pada Ibu Post Partum (Literatur Review). Jurnal Kebidanan (JKB). 2018;8(2).
16. Purwandari A, Lontaan A, Albar F, Korompis MD, Tuju SO, Tombokan S, et al. Efektivitas Pijat Woolwich Dan Teknik Marmet Terhadap Kelancarkan Produksi Asi Pada Ibu Post Partum. JIDAN (Jurnal Ilmiah Bidan) [Internet]. 2023 Dec 13 [cited 2024 Jun 11];11(1):25–37. Available from: https://ejurnal.poltekkes-manado.ac.id/index.php/jidan/article/view/2101