SPEOS METHOD (STIMULATION OF ENDORPHIN MASSAGE, OXYTOCIN MASSAGE, AND SUGGESTIVE) ACTIVATES LET DOWN REFLEX (LDR) OF POSTPARTUM MOTHER AT PUBLIC HEALTH CENTER OF DENPASAR Ni Wayan Armini, Gusti Ayu Marhaeni, I Gusti Ayu Surati, Ni Made Dwi Mahayati, Ni Wayan Suarniti, Ni Komang Erny Astiti, Ni Luh Putu Sri Erawati
Midwifery Department, Health of Polytechnic of Denpasar, Bali, Indonesia
Abstract
Background: Breast milk is the most important food, especially in the first months of a baby^s life. The best nutrition on the first day of a baby^s life is colostrum. Delayed and insufficient milk production can cause mothers not to give breast milk to their babies. The process of releasing milk also depends on the Let-Down Reflex (LDR). One way to facilitate breast milk production is to apply the Stimulation of Endorphin Massage, Oxytocin Massage, and Suggestive (SPEOS) method. The purpose of this study was to determine the effect of the SPEOS Method on the Let-Down Reflex (LDR) Activation in Postpartum.
Methods: The study design used a pre-experimental one-group pre-test - post-test. The location of the study was conducted at public health of Denpasar that received delivery services. The research period is May to October 2019. The population is postpartum who were treated at public health care of Denpasar and fulfilled the specified inclusion criteria. The data collection instrument used a questionnaire. Statistical analysis with Wilcoxon test.
Results: The result found the median of LDR of postpartum before SPEOS method (2 with a range of 1-3) and after SPEOS method (5 with a range 4-6) indicated an increase in the LDR score (p-value < 0,001).
Conclusion: The conclusion is that the SPEOS method increases the activation of Let Down Reflexes (LDR) in postpartum. Suggestion to public health centers and to health workers to compile and set operational standards for SPEOS procedures and implement this method for each postpartum mother.
