GIVING OF NIGELLA SATIVA OIL INCREASES BREAST MILK PRODUCTION IN MOTHERS POST CAESAREA SECTIO
Abstract
Sectio caesarea merupakan metode persalinan melalui pembedahan dinding abdomen. Salah satu efek samping dari luka sectio caesarea adalah nyeri persisten. Nyeri yang dirasakan oleh ibu akan membuat ibu merasa tidak nyaman sehingga akan mempengaruhi produksi ASI. Produksi Asi yang tidak lancar dapat ditingkatkan dengan konsumsi nigella sativa. Nigella sativa mengandung galaktagog dan polifenol yang merangsang hipotalamus menghasilkan hormon prolaktin, mengaktifkan alveoli dan menurunkan beberapa refleks sehingga produksi ASI lancar. Kandungan ekstrak jinten hitam baik dalam bentuk minyak maupun kapsul, selain untuk memperlancar ASI juga dapat digunakan sebagai kekebalan tubuh dan anti infeksi. Desain penelitian ini menggunakan kuasi eksperimen dengan pretest posttest control group design. Sampel yang digunakan 32 responden kelompok intervensi di Rumah Sakit Kabupaten Kediri dan 32 responden kelompok kontrol di Rumah Sakit Aura Syifa. Teknik sampling yang digunakan yaitu purposive sampling dan uji statistik yang digunakan adalah Wilcoxon signed rank test dan Mann-Whitney test. Pada kelompok intervensi terjadi peningkatan produksi ASI sebesar 68,12 dari 14,38 ml menjadi 82,50 ml. Sedangkan pada kelompok kontrol peningkatan produksi ASI lebih kecil hanya sebesar 50,63 ml dari 14,06 ml menjadi 64,69 ml. Nilai rata-rata rank dari kelompok intervensi sebesar 48,06 dan pada kelompok kontrol sebesar 16,94, hal ini menunjukkan jika produksi ASI pada kelompok intervensi lebih unggul dibandingkan dengan kelompok kontrol. Sehingga dapat disimpulkan terdapat pengaruh pemberian nigella sativa oil terhadap produksi ASI pada ibu post sectio caesarea.
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References
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41. Salamatullah AM, Hayat K, Arzoo S, et al. Boiling technique-based food processing effects on the bioactive and antimicrobial properties of basil and rosemary. Molecules. 2021;26(23). doi:10.3390/molecules26237373
2. WHO. Caesarean section rates continue to rise, amid growing inequalities in access. Departmental news. 2021. https://www.who.int/news/item/16-06-2021-caesarean-section-rates-continue-to-rise-amid-growing-inequalities-in-access
3. Pavličev M, Romero R, Mitteroecker P. Evolution of the human pelvis and obstructed labor: new explanations of an old obstetrical dilemma. Am J Obstet Gynecol. 2020;222(1):3-16. doi:10.1016/j.ajog.2019.06.043
4. Pulungan NK, Harahap M, Hasibuan E. Factors Affecting Sectio Caesarea Delivery at the Padangsidimpuan City Regional General Hospital. International Journal of Public Health Excellence (IJPHE). 2022;1(1):17-20. doi:10.55299/ijphe.v1i1.6
5. Giang HTN, Ulrich S, Tran HT, Bechtold-Dalla Pozza S. Monitoring and interventions are needed to reduce the very high Caesarean section rates in Vietnam. Acta Paediatrica, International Journal of Paediatrics. 2018;107(12):2109-2114. doi:10.1111/apa.14376
6. Silva TPR da, Pinheiro BLS, Kitagawa KY, et al. Influence of maternal age and hospital characteristics on the mode of delivery. Rev Bras Enferm. 2020;73(Suppl 4):6-11. doi:10.1590/0034-7167-2018-0955
7. Pan X, Sha S, Xu S, Zhan B, Guan X, Ling F. Analysis of Maternal and Infant Outcomes and Related Factors of Vaginal Delivery of Second Pregnancy after Cesarean Section. Comput Math Methods Med. 2022;2022. doi:10.1155/2022/4243174
8. Nguyen AD, Duong GTT, Do DT, et al. Primary cesarean section rate among full-term pregnant women with non-previous uterine scar in a hospital of Vietnam. Heliyon. 2022;8(12):e12222. doi:10.1016/j.heliyon.2022.e12222
9. Antoine C, Young BK. Cesarean section one hundred years 1920-2020: The Good, the Bad and the Ugly. J Perinat Med. 2020;49(1):5-16. doi:10.1515/jpm-2020-0305
10. Nguyen AD, Duong GTT, Do DT, et al. Primary cesarean section rate among full-term pregnant women with non-previous uterine scar in a hospital of Vietnam. Heliyon. 2022;8(12):e12222. doi:10.1016/j.heliyon.2022.e12222
11. Niazi A, Yousefzadeh S, Rakhshandeh H, Esmaeily H. The Effect of nipple soreness treatment with Purslane Cream and Lanolin on Frequency and duration of Breastfeeding in nursing mothers: A Randomized Clinical Trial. Journal of Midwifery and Reproductive Health. 2019;7(1):1534-1542. doi:10.22038/jmrh.2018.24788.1267
12. Gianni Lorella Maria, Bettinelli Enrica Maria, Manfra Priscilla, et al. Breastfeeding Difficulties and Risk for Early Breastfeeding Cessation. Nutrients. 2019;11(2266):1-10.
13. Johar N, Mohamad N, Saddki N, Ismail TAT, Sulaiman Z. Factors Associated with Early Breastfeeding Initiation among Women Who Underwent Cesarean Delivery at Tertiary Hospitals in Kelantan, Malaysia. Korean J Fam Med. 2021;42(2):140-149. doi:10.4082/kjfm.19.0178
14. Hossain S, Mihrshahi S. Exclusive Breastfeeding and Childhood Morbidity: A Narrative Review. International Journal of [revista en Internet] 2022 [acceso 11 de julio de 2023]; 19(22): Environmental Research and Public Health. 2022;19:1-18. doi:https://doi.org/10.3390/ijerph192214804
15. North K, Gao M, Allen G, Lee AC. Breastfeeding in a Global Context: Epidemiology, Impact, and Future Directions. Clin Ther. 2022;44(2):228-244. doi:10.1016/j.clinthera.2021.11.017
16. Thakur S, Kaurav H, Chaudhary G. Nigella sativa (Kalonji): A Black Seed of Miracle. International Journal of Research and Review. 2021;8(4):342-357. doi:10.52403/ijrr.20210441
17. Palanisamy CP, Alugoju P, Jayaraman S, Poompradub S. Nigella sativa L. seed extracts promote wound healing progress by activating VEGF and PDGF signaling pathways: An in vitro and in silico study. F1000Res. 2023;12:1-26. doi:10.12688/f1000research.132106.1
18. Rahim MA, Shoukat A, Khalid W, et al. A Narrative Review on Various Oil Extraction Methods, Encapsulation Processes, Fatty Acid Profiles, Oxidative Stability, and Medicinal Properties of Black Seed (Nigella sativa). Foods. 2022;11(18). doi:10.3390/foods11182826
19. Zulkefli AF, Bt Hj Idrus R, Hamid AA. Nigella sativa as a Galactagogue: A Systematic Review. Sains Malays. 2020;49(7):1719-1727. doi:10.17576/jsm-2020-4907-22
20. LiverTox. Black Cumin Seed. National Institute of Diabetes and Digestive and Kidney Diseases; 2023.
21. Yimer EM, Tuem KB, Karim A, Ur-Rehman N, Anwar F. Nigella sativa L. (Black Cumin): A Promising Natural Remedy for Wide Range of Illnesses. Evidence-based Complementary and Alternative Medicine. 2019;2019. doi:10.1155/2019/1528635
22. Dalli M, Bekkouch O, Azizi SE, Azghar A, Gseyra N, Kim B. Nigella sativa l. Phytochemistry and pharmacological activities: A review (2019–2021). Biomolecules. 2022;12(1). doi:10.3390/biom12010020
23. Wu Y, Hankinson SE, Smith-Warner SA, Wang M, Eliassen AH. Premenopausal Women. Nutrients. 2021;11. doi:10.3390/nu11112669
24. Zakaria R, Astuti SCD. The Effect of Black Cumin (Nigella Sativa) on Breastfeeding Mothers. Jurnal Info Kesehatan. 2022;20(1):29-40. doi:10.31965/infokes.vol20.iss1.627
25. Huchchannanavar S, Yogesh L, Prashant S. The black seed Nigella sativa: A wonder seed. Int J Chem Stud. 2019;7(3):1320-1324.
26. Ohlendorf JM, Robinson K, Garnier-Villarreal M. The impact of maternal BMI, gestational weight gain, and breastfeeding on early childhood weight: Analysis of a statewide WIC dataset. Prev Med (Baltim). 2019;118(October 2018):210-215. doi:10.1016/j.ypmed.2018.11.001
27. Pattison KL, Kraschnewski JL, Lehman E, et al. Breastfeeding initiation and duration and child health outcomes in the first baby study. Prev Med (Baltim). 2019;118:1-6. doi:10.1016/j.ypmed.2018.09.020
28. Miller CJ, Smith SN, Pugatch M. Experimental and Quasi-Experimental Designs in Implementation Research. Psychiatry Res. 2020;8(1):1-20. doi:10.1016/j.psychres.2019.06.027.Experimental
29. Thapa S, Bhusal K. Hyperprolactinemia. In: StatPearls [Internet]. StatPearls Publishing.; 2023.
30. Meena P, Bhargav N, Gupta RR. A Quasi Experimental Study to Assess the Effectiveness of Black Cumin Water on Involution of Uterus Among Postnatal Mothers in People ’ s Hospital. 2022;15(2):22-26. doi:https://zenodo.org/doi/10.5281/zenodo.8031292
31. Swarjana IK. Populasi-Sampel Teknik Sampling & Bias Dalam Penelitian. (Ristanto E, ed.). ANDI; 2022.
32. Pillay J, Davis TJ. Physiology, Lactation. In: StatPearls [Internet]. StatPearls Publishing.; 2023.
33. Pillay J, Davis TJ. Physiology, Lactation. In: StatPearls [Internet]. StatPearls Publishing.; 2023.
34. Al-Chalabi M, Bass AN, Alsalma I. Physiology, Prolactin. In: StatPearls [Internet]. StatPearls Publishing.; 2023.
35. Windyarti MLNZ. The Combination of Nigella Sativa and Lactation Massage in Postpartum Mothers to Increase the Weight of a Baby. Work. 2019;8(8):2018-2020.
36. Windyarti MLNZ. The Combination of Nigella Sativa and Lactation Massage in Postpartum Mothers to Increase the Weight of a Baby. Work. 2019;8(8):2018-2020.
37. Farshad F, Sahebzad ES, Kheirkhah M, Khani MS, Azmoude E. Comparison of the Effect of Cumin Cyminum and Nettle Oral Drops on the Breast Milk Sufficiency Indicators in the New Mother. Sultan Qaboos Univ Med J. 2024;24(May):209-215. doi:10.18295/squmj.3.2024.022
38. Zakaria R, Astuti SCD. The Effect of Black Cumin (Nigella Sativa) on Breastfeeding Mothers. Jurnal Info Kesehatan. 2022;20(1):29-40. doi:10.31965/infokes.vol20.iss1.627
39. Ritonga F, Mulianda RT, Indrayani M. Pengaruh Jintan Hitam Terhadap Kelancaran Asi Pada Ibu Menyusui Di Kelurahan Indra Kasih Kecamatan Medan Tembung Tahun 2017. Jurnal Ilmiah Kebidanan IMELDA. 2017;3(2):279-283.
40. Hidayati N, Mandiri Bidan Afah Fahmi Amd P, Surabaya Mk, Fahmi Amd A, Surabaya K. Pengaruh Ekstrak Nigella Sativa Terhadap Kelancaran Produksi Asi Pada Ibu Menyusui Di PMB Afah Fahmi Amd.,Keb Surabaya The Influence Of Nigella Sativa Extract To Assurance On Breast Feeding Mother’s In PMB. Jurnal Ilmiah : J-HESTECH. 2019;2(2):109-118.
41. Salamatullah AM, Hayat K, Arzoo S, et al. Boiling technique-based food processing effects on the bioactive and antimicrobial properties of basil and rosemary. Molecules. 2021;26(23). doi:10.3390/molecules26237373
Authors
Aliza, N. N., Kundarti, F. I., Indriani, R., & Rahmawati, R. S. N. (2025). GIVING OF NIGELLA SATIVA OIL INCREASES BREAST MILK PRODUCTION IN MOTHERS POST CAESAREA SECTIO . JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG, 17(1), 255–268. https://doi.org/10.34011/juriskesbdg.v17i1.2716
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