Main Article Content

Abstract

Purpose: This study aims to explore the role of oxytocin massage in reducing stress and anxiety among postpartum mothers while enhancing breastfeeding success. This study investigates the efficacy of oxytocin massage as a non-pharmacological intervention to enhance maternal well-being and lactation outcomes.


Research Method: This study employed a systematic literature review (SLR) approach, analyzing peer-reviewed articles published after 2018 from reputable databases, including Elsevier, Emerald, Wiley, and Springer. Inclusion criteria focused on studies examining oxytocin massage and its impact on postpartum stress, anxiety, and breastfeeding success. Data were synthesized and analyzed thematically to identify patterns and gaps in the literature.


Results and Discussion: The findings revealed that oxytocin massage significantly reduces postpartum stress and anxiety by stimulating the release of oxytocin, which in turn decreases cortisol levels and promotes relaxation. The oxytocin massage also enhances the milk ejection reflex, thereby facilitating successful breastfeeding. Oxytocin massage emerged as an effective, non-invasive intervention for postpartum care.  


Implications: The findings of this study emphasize the importance of incorporating oxytocin massage into standard postpartum care practices, both in clinical settings and at home. Health care providers should be trained to educate mothers about proper massage techniques to ensure optimal benefits.

Keywords

oxytocin massage postpartum stress maternal anxiety breastfeeding success

Article Details

How to Cite
Partiwi, N. (2025). The Role of Oxytocin Massage in Reducing Stress and Anxiety in Postpartum Mothers. Advances in Healthcare Research, 3(2), 103–118. https://doi.org/10.60079/ahr.v3i2.486

References

  1. Adawiyah, R., Qonitun, U., Wijayanti, E. E., & Sari, D. K. P. (2024). Efektifitas Pijat Oksitosin dan Perawatan Payudara Terhadap Kelancaran ASI pada Ibu Postpartum (di Wilayah Kerja Puskesmas Montong). Merapi: Medical Research and Public Health Information Journal, 1(3), 1–11. https://journal.myrepublikcorp.com/index.php/MERAPI/article/view/129
  2. Awaliyah, S. N., Rachmawati, I. N., & Rahmah, H. (2019). Breastfeeding self-efficacy as a dominant factor affecting maternal breastfeeding satisfaction. BMC Nursing, 18(1), 30. https://doi.org/10.1186/s12912-019-0359-6
  3. Beck, C. T., & Watson, S. (2008). Impact of birth trauma on breast-feeding: a tale of two pathways. Nursing Research, 57(4), 228–236. https://doi.org/10.1097/01.NNR.0000313494.87282.90
  4. Brockway, M., Benzies, K., & Hayden, K. A. (2017). Interventions to improve breastfeeding self-efficacy and resultant breastfeeding rates: a systematic review and meta-analysis. Journal of Human Lactation, 33(3), 486–499. https://doi.org/10.1177/0890334417707957
  5. Buckley, S. J. (2015). Hormonal physiology of childbearing: Evidence and implications for women, babies, and maternity care. https://bpgmobile.rnao.ca/sites/default/files/hormonal-physiology-of-childbearing.pdf
  6. Carrieri-Kohlman, V. (2005). Non-pharmacological approaches. Dyspnoea in Advanced Disease, 2005, 171–203.
  7. Chan, M. Y., Ip, W. Y., & Choi, K. C. (2016). The effect of a self-efficacy-based educational program on maternal breastfeeding self-efficacy, breastfeeding duration and exclusive breastfeeding rates: A longitudinal study. Midwifery, 36, 92–98. https://doi.org/https://doi.org/10.1016/j.midw.2016.03.003
  8. Dennis, C.-L., Falah-Hassani, K., & Shiri, R. (2017). Prevalence of antenatal and postnatal anxiety: Systematic review and meta-analysis. British Journal of Psychiatry, 210(5), 315–323. https://doi.org/10.1192/bjp.bp.116.187179
  9. Ermiati, E., Salmaa, Q., Mutia, I., Parisa, G., Aini, A., Fitria, D., Daiatul, R., Indriyanti, D., & Srimurni, N. A. (2024). OXYTOCIN MASSAGE FOR POST PARTUM MOTHERS. Journal of Maternity Care and Reproductive Health, 7(1). https://doi.org/10.36780/jmcrh.v7i1.12277
  10. Faiza, Z., Rachmawati, D., & Mujito, M. (2023). the Effect of Oxytocin Massage on Breast Milk Production in Postpartum Mothers. Jurnal Kesehatan Hesti Wira Sakti, 11(01), 128–138. https://doi.org/10.47794/jkhws.v11i01.495
  11. Ghaedrahmati, M., Kazemi, A., Kheirabadi, G., Ebrahimi, A., & Bahrami, M. (2017). Postpartum depression risk factors: A narrative review. Journal of Education and Health Promotion, 6(1), 60. https://doi.org/10.4103/jehp.jehp_9_16
  12. Gharaei, T., Amiri-Farahani, L., Haghani, S., & Hasanpoor-Azghady, S. B. (2020). The effect of breastfeeding education with grandmothers’ attendance on breastfeeding self-efficacy and infant feeding pattern in Iranian primiparous women: A quasi-experimental pilot study. International Breastfeeding Journal, 15(1), 1–10. https://doi.org/10.1186/s13006-020-00325-5
  13. Hikmatun, K. D., Purbasari, D., Sari, D., Fitriyani, R., & Komariyah, O. (2024). Oxytocin Massage Education for Postpartum Mothers to Improve the Smooth Production of Breast Milk (Breast Milk). Asian Journal of Healthy and Science, 3(4), 197–202. https://doi.org/10.58631/ajhs.v3i4.118
  14. James, L., Sweet, L., & Donnellan-Fernandez, R. (2020). Self-efficacy, support and sustainability – a qualitative study of the experience of establishing breastfeeding for first-time Australian mothers following early discharge. International Breastfeeding Journal, 15(1), 98. https://doi.org/10.1186/s13006-020-00337-1
  15. Kartilah, T., & Februanti, S. (2024). Emotional Freedom Techniques and Oxytocin Stimulation Massages that Effectively Reduce Anxiety and Increase Smooth Breast Milk Production of Nursing Mothers. The Malaysian Journal of Nursing (MJN), 16(2), 46–53. https://doi.org/10.31674/mjn.2024.v16i02.005
  16. Karyati, S., Indanah, I., & Siswanti, H. (2023). Pijat Oksitosin Dan Pijat Endorphin Untuk Meningkatkan Kualitas Tidur Ibu Nifas. Jurnal Ilmu Keperawatan Dan Kebidanan, 14(1), 307–314. https://doi.org/10.26751/jikk.v14i1.1718
  17. Kingston, D., Dennis, C.-L., & Sword, W. (2007). Exploring breast-feeding self-efficacy. The Journal of Perinatal & Neonatal Nursing, 21(3), 207–215. https://doi.org/10.1097/01.JPN.0000285810.13527.a7
  18. McGovern, L. M., O’Toole, L., Laws, R. A., Skinner, T. C., McAuliffe, F. M., & O’Reilly, S. L. (2024). An exploration of prenatal breastfeeding self-efficacy: a scoping review. International Journal of Behavioral Nutrition and Physical Activity , 21(1), 1–14. https://doi.org/10.1186/s12966-024-01641-3
  19. Noviyani, F., & Listiyaningsih, M. D. (2024). Pijat Oksitosin pada Ibu Postpartum sebagai Upaya Meningkatkan Produksi Asi. Indonesian Journal of Community Empowerment (Ijce), 6(1), 30–34. https://doi.org/10.35473/ijce.v6i1.3140
  20. Nugraha, N. D. (2023). Efektivitas Pijat Oksitosin terhadap Pengeluaran ASI pada Ibu Post Partum. Professional Health Journal, 4(2), 268–272. https://doi.org/10.54832/phj.v4i2.367
  21. Oggero, M. K., Rozmus, C. L., & LoBiondo-Wood, G. (2024). Effects of prenatal Breastfeeding Education on Breastfeeding Duration Beyond 12 weeks: a systematic review. Health Education & Behavior, 51(5), 665–676. https://doi.org/10.1177/10901981231220668
  22. Ohmura, N., Okuma, L., Truzzi, A., Esposito, G., & Kuroda, K. O. (2023). Maternal physiological calming responses to infant suckling at the breast. The Journal of Physiological Sciences : JPS, 73(1), 3. https://doi.org/10.1186/s12576-023-00860-w
  23. Ollivier, R., Aston, D. M., Price, D. S., Sim, D. M., Benoit, D. B., Joy, D. P., Iduye, D., & Nassaji, N. A. (2021). Mental Health & Parental Concerns during COVID-19: The Experiences of New Mothers Amidst Social Isolation. Midwifery, 94, 102902. https://doi.org/https://doi.org/10.1016/j.midw.2020.102902
  24. Osborne, C., Kolakowski, M., & Lobenstine, D. (2021). Pre-And Perinatal Massage Therapy: A Comprehensive Guide to Prenatal, Labor and Postpartum Practice. Jessica Kingsley Publishers.
  25. Qian, J., Sun, S., Liu, L., & Yu, X. (2021). Effectiveness of non-pharmacological interventions for reducing postpartum fatigue: a systematic review protocol. Bmj Open, 11(10), e051136. https://doi.org/10.1136/bmjopen-2021-051136
  26. Rahmawati, I. (2024). Application Of Oxytocin Massage In Postpartum Midwifery Care At Bina Sehat Primary Clinic. Journal of Health Research and Technology, 2(2), 160–163. https://doi.org/10.58439/jhrt.v2i2.232
  27. Rahmita, H., & Mardiya, R. (2022). Efektivitas Pijat Oksitosin Terhadap Produksi Asi Pada Ibu Menyusui Di Bidan Praktik Mandiri (Bpm) Ernita Kota Pekanbaru. Al-Insyirah Midwifery: Jurnal Ilmu Kebidanan (Journal of Midwifery Sciences), 11(1), 79–83. https://doi.org/10.35328/kebidanan.v11i1.2141
  28. Sandriani, S., Fitriani, R., & Rahayu, G. Z. (2023). Effect of oxytocin massage on breast milk production in postpartum mothers: A case study. Genius Midwifery Journal, 2(1), 30–38. https://doi.org/10.56359/genmj.v2i1.237
  29. Shiraishi, M., Matsuzaki, M., Kurihara, S., Iwamoto, M., & Shimada, M. (2020). Post-breastfeeding stress response and breastfeeding self-efficacy as modifiable predictors of exclusive breastfeeding at 3 months postpartum: a prospective cohort study. BMC Pregnancy and Childbirth, 20(1), 730. https://doi.org/10.1186/s12884-020-03431-8
  30. Shorey, S., Chee, C. Y. I., Ng, E. D., Chan, Y. H., Tam, W. W. S., & Chong, Y. S. (2018). Prevalence and incidence of postpartum depression among healthy mothers: A systematic review and meta-analysis. Journal of Psychiatric Research, 104, 235–248. https://doi.org/https://doi.org/10.1016/j.jpsychires.2018.08.001
  31. Slomian, J., Honvo, G., Emonts, P., Reginster, J.-Y., & Bruyère, O. (2019). Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes. Women’s Health, 15, 1745506519844044. https://doi.org/10.1177/1745506519844044
  32. Smith, C. A., Hill, E., Denejkina, A., Thornton, C., & Dahlen, H. G. (2022). The effectiveness and safety of complementary health approaches to managing postpartum pain: A systematic review and meta-analysis. Integrative Medicine Research, 11(1), 100758. https://doi.org/https://doi.org/10.1016/j.imr.2021.100758
  33. Staneva, A. A., Bogossian, F., & Wittkowski, A. (2015). The experience of psychological distress, depression, and anxiety during pregnancy: A meta-synthesis of qualitative research. Midwifery, 31(6), 563–573. https://doi.org/https://doi.org/10.1016/j.midw.2015.03.015
  34. Sulaeman, R., Lina, P., & Purnamawati, D. (2019). Pengaruh pijat oksitosin terhadap pengeluaran ASI pada Ibu Postpartum primipara. Jurnal Kesehatan Prima, 13(1), 10–17. https://doi.org/10.32807/jkp.v13i1.193
  35. Ujung, R. M., & Hutabarat, N. I. (2024). The Effectiveness of Oxytocin Massage and Lavender Aroma Therapy on The Optimization of Breastfeeding Breast-Feeding Women in North Tapanuli District. Contagion: Scientific Periodical Journal of Public Health and Coastal Health, 6(2), 1331–1342. https://doi.org/10.30829/contagion.v6i2.21546
  36. Uvnäs-Moberg, K., & Petersson, M. (2010). Role of oxytocin and oxytocin related effects in manual therapies. The Science and Clinical Application of Manual Therapy, 147–162.
  37. Wong, M. S., Mou, H., & Chien, W. T. (2021). Effectiveness of educational and supportive intervention for primiparous women on breastfeeding related outcomes and breastfeeding self-efficacy: A systematic review and meta-analysis. International Journal of Nursing Studies, 117, 103874. https://doi.org/https://doi.org/10.1016/j.ijnurstu.2021.103874
  38. Woolhouse, H., Gartland, D., Mensah, F., & Brown, S. J. (2015). Maternal depression from early pregnancy to 4 years postpartum in a prospective pregnancy cohort study: implications for primary health care. BJOG: An International Journal of Obstetrics & Gynaecology, 122(3), 312–321. https://doi.org/10.1111/1471-0528.12837
  39. Wulan, M. (2019). Pengaruh Kombinasi Pijat Oksitosin Dengan Aromaterapi Lavender Terhadap Produksi ASI Pada Ibu Post Partum Normal Di RSU Haji Medan Tahun 2018. Jurnal Teknologi Kesehatan Dan Ilmu Sosial (Tekesnos), 1(1), 17–26. https://e-journal.sari-mutiara.ac.id/index.php/tekesnos/article/view/923
  40. Yim, I. S., Stapleton, L. R. T., Guardino, C. M., Hahn-Holbrook, J., & Schetter, C. D. (2015). Biological and Psychosocial Predictors of Postpartum Depression: Systematic Review and Call for Integration. Annual Review of Clinical Psychology, 11, 99. https://doi.org/10.1146/annurev-clinpsy-101414-020426
  41. Zhang, X., Liu, Y., Li, T., Buntinx, F., & Vermandere, M. (2025). Exploring postpartum women’s experiences, perspectives, and expectations in maternal health care at a Chinese maternity care center: a qualitative study. BMC Pregnancy and Childbirth, 25(1), 7. https://doi.org/10.1186/s12884-024-07087-6