Efektivitas Ekstrak Daun Katuk dalam Produksi Air Susu Ibu untuk Keberhasilan Menyusui

Abstract: Katuk  leaf  (Saoropus  androgynus)  is  known  in  South  Asia  and  South  East  Asia  as  a  traditional medicine  to  supplement  breast  milk  production.  The  objective  of  this  study  is  to  assess  the  efficacy  of katuk  leaf  extract  treatment  during  the  study  period  in  the  increase  of  breast  milk  production  for  the success  of  exclusive  breastfeeding.  As  a  matter  of  fact,  breastfeeding  practice  in  Indonesia  has  been decreasing  and  about  50-80%  of  pregnant  mothers  afterwards  complain  about  their  insufficient  breast milk production in their first week of puerperium. A controlled randomized  study  was conducted to  80 pregnant  women  with  >  37  weeks  gestational age  who later  delivered at Immanuel Hospital Bandung. The  study  group  obtained  the  katuk  leaf  extract,  while  the  control  group  obtained  placebo,  daily  for  4 weeks. Breastfeeding time was divided into 3 periods: < 1 hour, 1 – 24 hours, and > 24 hours postpartum. The  participants  were observed  by phone for 4 weeks.  Breastfeeding was considered to be successful if the baby was  given only  breast  milk  during  the  study period  without any food and drink  supplement.  The result showed that in general, katuk leaf extract treatment did not have significant effect on breastfeeding success.  Some effect was  seen  in  the  earlier  breastfeeding:  < 1 hour postpartum  breastfeeding  had more effect tobreastfeeding success  than 1  –  24 hours and > 24 hours (ρ < 0,001). In fact, breastfeeding  at < 1 hour  pospartum  was  related  with  exclusive  breastfeeding  during  the  study  period  (ρ < 0,001).Thus, it was the earlier initiation of breastfeeding that had significant effect on breastfeeding success.
Keywords: Katuk leaf extract, breastfeeding initiation, breastfeeding success
Penulis: Rimonta F. Gunanegara*, Aloysius Suryawan, Ucke S. Sastrawinata, Tatang Surachman
Kode Jurnal: jpkedokterandd100057

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