Pelatihan Metode SPEOS (Stimulasi Pijat Endhorpin, Pijat Oksitosin dan Sugesti) Ibu Nifas Pada Tim Pendamping Keluarga di Wilayah Puskesmas Danau Marsabut Kecamatan Sipirok

Abstract: Based on the 2018 Riskesdas results, the proportion of
breastfeeding patterns for babies aged 0-5 months in Indonesia is
37.3% exclusive breastfeeding, 9.3% partial breastfeeding and 3.3%
predominant breastfeeding. Predominant breastfeeding is
breastfeeding the baby but giving a little water or a water-based
drink, for example tea, as a prelacteal food/drink before the milk
comes in. Meanwhile, partial breastfeeding is breastfeeding a baby
and giving artificial food other than breast milk such as formula
milk, porridge or other food before the baby is 6 months old, whether
given continuously or as prelacteal food. North Sumatra Province
Nutrition Program Data in 2018. The percentage of exclusive
breastfeeding for babies 0-6 months in North Sumatra in 2018 was
65.57 percent, an increase compared to the percentage of exclusive
breastfeeding in 2017, namely 54.4 percent (Sumatra Provincial
Health Service, 2017). 2018). In the breastfeeding process,
problems sometimes arise that can prevent giving breast milk to
babies. Problems that mothers often experience when breastfeeding
include inverted nipples, swollen breasts, sore and painful nipples,
blocked milk ducts, breast inflammation and insufficient milk
production (Purwoastuti, 2015). There are many non-
pharmacological methods that can help postpartum mothers
increase breast milk production, ranging from marmet massage,
oxytocin massage, Woolwich massage to areola and rolling
massage. Currently, based on the results of related research, there
are non-pharmacological methods that are cheaper, easier, non-
invasive and acceptable to respondents and without side effects.
Nursing interventions that can be applied to help increase lactation
in post partum mothers are the SPEOS method (Endorphin,
Oxytocin and Suggestive Massage Stimulation