Effects of Breastfeeding Process with Stimulus Smoothly

Breastfeeding DC Motor Vibrilator (DMV) to Postpartum Woman

Siti Saidah Nasution

, Erniyati

and Reni Asmara Ariga

Departement of Maternity and Pediatric Nursing, Faculty of Nursing, Universitas Sumatera Utara, Prof. Maas Street

Kampus USU, Medan, Indonesia

Keywords: Breastfeeding, Dc Motor Vibrilator (DMV), Postpartum.

Abstract: One of the treatments for postpartum is to maximize the acceleration of breastfeeding expenditure. The

interventions can be resolving these problems are to use the effects of vibration on the breast of postpartum

woman by using DC Motor Vibratory system (DMV). This intervention will assistence stimulate prolactin

hormone and oxytocin hormone in the expenditure of breast milk. This study is quasi experiment pretest-

posttest with control group. The purpose of this study was to determine the effectiveness of breastfeeding

DMV tools in accelerating the expenditure of breast milk for the postpartum women. The sample of study

consist of 60 postpartum women in Universitas Sumatera Utara Hospital and maternity clinics in Medan

with accidental sampling sampling techniqu. The data were collected by using questionnaires, consisting of

2 parts, namely demographic data and observation of breastfeeding expenditure. Data was analyzed by

using t-independent test. The results showed that interventions can accelerate the process of breastfeeding in

the postpartum. That was significance p <0.05. The study suggested that DMV can be used to postpartum

woman especially in the stimulation of breastfeeding expenditure.

1 INTRODUCTION

The breastfeeding is one of the adaptation processes

experienced by postpartum mothers. Breast Milk is a

natural nutrient for infants with the most appropriate

nutrient content for optimal growth (Hegar, 2008).

Breastfeeding helps protect the health of mothers

and infants (Nasution, 2018). This is in line with the

priorities of development and development of USU

and the focus of research based on TALENTA

(tropical science and medicine, agroindustry, local

wisdom, energy, natural resources, technology and

arts) especially in the health field of research

development related to maternal and children and

family planning. Achievements in maternal and

child health, especially for the babies are important

in improving health status. Indicators in the

successful development of the health sector one of

which is the decline in morbidity, maternal and

infant mortality (Riskesdas 2010).

Maximal breastfeeding since the baby borned

can sufficient the nutritional and nutritional needs,

so the baby will be protected from the illness and

death. The World Health Organization (WHO)

recommends that each newborn be exclusively

breastfed for six months, but in some mothers do not

give exclusive breastfeeding on the grounds the

reason that breastmilk does not come out or only

slightly so that it does not sufficient for the baby's

needs (WHO, 2013). Postpartum women often

experience breast engorgement after birth almost

90%, on the second day until the fourth day (Novita,

2011). This occurs with regard to unconscious

breastfeeding and is a strong reason for the mother

to stop breastfeeding. (Nasution, 2015).

Results of the RISKESDA report in 2010

showed exclusive breastfeeding for infants <6

months were reported to be less than 40%

(Rizkesdas, 2010). Many methods are used to

facilitate the expenditure of postpartum mother's

milk such as breshcare, oxytocin massage,

acupuncture and acupresseur but this method is still

considered ineffective because using the invasive

method, the time is long enough, not practical, must

have the skills and techniques in the implementation.

In subsequent developments non-invasive method

into alternatife to replace the method of breshcare,

massage of oxytocin, acupuncture, and acupresseur.

Based on this the researchers designed the tool

used as a stimulus therapy for the acceleration of

postpartum mother's breast milk expenditure is

simpler, economical, practical by utilizing Dc Motor

454

Nasution, S., Erniyati, . and Ariga, R.

Effects of Breastfeeding Process with Stimulus Smoothly Breastfeeding DC Motor Vibrilator (DMV) to Postpartum Woman.

DOI: 10.5220/0010072804540458

In Proceedings of the International Conference of Science, Technology, Engineering, Environmental and Ramiﬁcation Researches (ICOSTEERR 2018) - Research in Industry 4.0, pages

454-458

ISBN: 978-989-758-449-7

Vibratory which gives vibration effect to activate

hormone prolactin and hormone oxytocin. The DC

motor vibratory method is a vibration propagation

method that vibrates the ions present in the breast

which are directed to the activation of the hormone

prolactin and the hormone oxytocin resulting in

stimulus in the alveoli in passing the milk through

the ducts into the lactiferous ducts and into the milk

sinus and into the nipple .

2 METHOD

This type of quantitative research using

experimental design of experimental quasi method

with the design of only-post-test with control group

design. The study was conducted on two groups of

postpartum women by observing the first breastmilk

spending time. Data analysis was done with

frequency distribution and presentation, independent

t test with 5% significance level (α = 0,05).

The tool used is self-made DMV by researchers, as

follows:

Figure 1: The Element of DC Motor Vibrilatory Stimulus.

Figure 2 : DC Motor Vibrilatory Stimulus

List of components, ingredients and tools of

breastmilk viblitator that can be used in the

following table.

Table 1: List of Components

No Component Function Quantity

1. Arduino

as micro vibrator

output controller

Micro

vibrator

as a vibrating

producer

3. Battery 3,7 V as a voltage source 2

Regulator

MT3608

as a voltage

stabilizer system

Transistor

C945

As a current

amplifier from

system to micro

vibrator

Switch on /

off

As a on / off bottom

system

7. Lcd oled

As a viewer output

of vibrilator value

8. Potensiometer

As a regulator of the

vibrilator output

value

9. Cable

As a conjuction

among system &

micro vibrator

enaught

10. Box

As a place to put the

system & materials

11. Flannel As accessories 1

12. Webbing accessories 1

13. Glue Shot Coating 10

14. Patchwork accessories 1

15. Wings accessories 1

16. Foam coatings 2

Effects of Breastfeeding Process with Stimulus Smoothly Breastfeeding DC Motor Vibrilator (DMV) to Postpartum Woman

455

The DMV specifications used can be seen in the

following table

Table 2: DMV Specifications

Technical parameter

Vibration pickup

Measurement range of

acceleration

Measurement range of

velocity

Measurement range of

displacement

Measurement accuracy

Measurement frequency

range of acceleration

Measurement frequency

range of velocity

Measurement frequency

range of displacement

Displays update cycle

LCD display

Single output

Power supply

Static current

Operating current

Battery life

Auto power-off

LCD backlight

Operating temperature range

Operating humidity range

Low battery indication

Dimensions

Weight

Technical

specification

Piezoelectric

ceramic

accelerometer

(shear-type)

20 .1~199.9m/s

peak

0.1~199.9mm/s rms

0.001~1.999mm p-p

Velocity and

displacement range

is limited by 2a

cceleration199.9m/s

±5%±2digits

10Hz～1KHz (LO)

1KHz～15KHz (HI)

10Hz～1KHz (LO)

1 second

3 1/2 digits display

AC output 2 V peak

(display full scale)

Load impedance

10KΩor more

earphones can be

connected

9V Alkaline battery

≤20μA

≤25mA

20 hours

continuous use

Turns off

automatically in 60

seconds

7 seconds

0~40Ԩ

30~90%RH

6.9V±0.2V

67x30x183mm

182g ( including

battery

The results of DMV tool analysis can be seen in the

following table:

Table 3: The analysis Value Of DMV

Number Tool Value (%)

Standard

Value

(mm/s)

1101

2502.5

3 100 5

3 RESULT

The characteristics of the Mothers Living a

Spontaneus Delivery are as follows:

Tabel 4: Demografic Data of Characteristic Respondent

(n=38) in Intervention Group

Mother Characteristic n %

Age

Risk (<20 and 35) Years

13 34

No Risk (20-35) Years

25 66

Obstetric History

Primi (1)

9 24

2-3

23 61

> 3

6 15

Education

Low (Elementary–Junior

High

7 18

Midle (Senior High School)

22 58

High (university)

9 24

Work

Housewife

17 45

Government Employee

8 21

Entrepreneur

13 34

Based on the table above, shows that most

postpartum mothers are in the age range of 20-35

years 25 people at 66%, most of the mother parity is

2-3 people as many as 61 people, most of the high

school mothers’ education is 22 people as much as

58%, most mothers 17% of housewife

ICOSTEERR 2018 - International Conference of Science, Technology, Engineering, Environmental and Ramiﬁcation Researches

456

Table 5: Distribution of First Mother's Breastfeeding Time

Out in Intervention and Control group

Day

Intervention Control

N % N %

Total 38 100 38 100

Based on table 5 the distribution of first expenditure

on postpartum in intervention intervention group the

majority of expenditure on day 1 and 2 as much as 17

people (45%) and first expenditure on postpartum in

majority control group of expenditure on day 2 and 3 as

many as 16 people (42%)

Table 6: Breastfeeding Differences in Intervention and

Control Group

Variable Mean Std.

Deviasi

p value

Intervention

Control

1,65

2,42

0,668

0,758

0.000

From table 6. Shows the different days of asi exposure

in the control and intervention groups. Mann Whitney test

result is p = 0.000 where this result indicates that p value

<0.05 meaning that there is significant / significant

difference.

4 DISCUSSION

4.1 Influence of DC Motor Vibrilatory

(DMV) Smoothy Breastfeeding to

Process of Expenditure Breast Milk

The results generally show that DC Motor Vibratory

(DMV) smoothly milk. May increase stimulation of

breastfeeding expenditure. Average in the first day

intervention group while the control group days two

and three. Implementation of Dc Motor Vibratory:

Components required in Dc Motor Vibratory

implementation. Arduino Nano: As the brain of the

tool, which is useful in controlling the speed of the

motor as well as setting up the time of use of the

tool. Transistor: To give more current to the motor

so that the motor can bloom faster. Dioda: As a

voltage rectifier. My potential set the motor speed by

changing the resistance value. Laser to fire the light

to the destination point. Led to provide more lighting

on therapy. Motor vibratory: As a vibrator tool. Use

of this tool provides a solution for mothers who do

not breast feed to infants. Maximal breastfeeding

since the baby is born can meet the nutritional and

nutritional needs accordingly, so the baby will be

protected from the pain and death. (Dep.Kes, 2016).

The low maternal behavior in breastfeeding is also

influenced by various factors, namely sociocultural

community, psychological condition, physical

mother, lack of information from health workers

(Nasution, 2015). Incessant promotion of formula or

canned milk, condition of newborns, and lack of

knowledge about breastfeeding and breastfeeding,

and there is a complaint of breast milk that has not

been out and insufficient for the baby's needs

(Nasution, 2016). Breast Milk (ASI) is a natural

nutrient for infants with the most appropriate

nutrient content for optimal growth (Hegar, 2008).

Breast milk is the only nutrient source that also plays

a role in the rapid and healthy growth of the baby's

brain and nervous system (Medifoth and Janet,

2013). Maturation of the digestive system and the

development of its immune system. According to the

World Health Organitation (WHO), exclusive

breastfeeding is breastfeeding alone with no

additional fluids either formula, water, orange juice

or other supplementary foods before reaching the

age of six months (WHO, 2013).

4.2 Breast Care for Post Partum

Mother

The process of breast care in postpartum mothers is

certainly necessary to facilitate the production of

breast milk. Some treatments are often done such as

breshcare, massage oxytocin, acupressure and

acupuncture. But the process of breast care certainly

cannot be separated from technological

developments in the field of health so that there will

be some latest innovations in the development of

breast care. So, every postpartum mother can

perform breast care independently. But not all

postpartum mothers immediately remove breast milk

because breast milk expenditure is a very complex

interaction between mechanical stimulation, nerves

and various hormones that affect the expenditure of

oxytocin. Expulsion of the oxytocin hormone in

addition to being affected by the baby's sucking is

also influenced by the receptors located in the ductal

system, when the duct is dilated or becomes soft, it

is reflectorically expelled by oxytocin by the

pituitary to squeeze the milk from the alveoli (Arora,

2009). Constraints in breastfeeding have been

identified including factors such as lack of

information, apathy on the part of health care

providers, inappropriate hospital practices such as

providing water and supplements for infants without

Effects of Breastfeeding Process with Stimulus Smoothly Breastfeeding DC Motor Vibrilator (DMV) to Postpartum Woman

457

medical needs, lack of follow-up care at the

beginning of the postpartum period.

Breast Milk (ASI) is a natural nutrient for infants

with the most appropriate nutrient content for

optimal growth (Hegar, 2008). Breast milk is the

only nutrient source that also plays a role in the

rapid and healthy growth of the baby's brain and

nervous system, maturation of the digestive system

and the development of its immune system.

According to the World Health Organitation

(WHO), exclusive breastfeeding is breastfeeding

alone with no additional fluids either formula, water,

orange juice or other supplementary foods before

reaching the age of six months (WHO, 2013).

4.3 Hormone That Affect Milk

Production Breast Milk

4.3.1 Oxytocin

This hormone causes epithelial cell contraction

around the alveoli, urging breast milk into the

lactiferous ducts. This milk expenditure is a reflex

called let down reflex. Nipple stimulation causes the

release of oxytocin for 3-4 seconds into the

bloodstream every 5-15 minutes (Forster et al 2006).

4.3.2 Prolactin

Prolactin is produced by the anterior pituitary which

serves to stimulate the breastmilk glands to produce

breast milk (Nasution, 2018). The release of

prolactin occurs in response to direct stimuli in the

nipple or areolae which control otokrin in

lactgenesis III. Prolactin will come out in case of

milk emptying of the breast. Decreased production

and expenditure of breast milk in the first days after

childbirth can be caused by a lack of stimulation of

prolactin and oxytocin hormones that play a role in

the smooth production and expenditure of breast

milk. Breast care should be performed immediately

after delivery (1-2 days), and should be done

regularly. By giving stimulation to the muscles of

the breast will help stimulate the hormone prolactin

to help milk production (Bobak, 2005). Lack of milk

production is one reason why mothers decide to give

formula milk to their babies (Nasution, 2014).

UNICEF asserted that infants who use infant

formula have the possibility of dying in the first

month of their birth, and the possibility of formula-

fed infants is 25 times higher in mortality than

infants exclusively breastfed (Hamilton, 2002).

5 CONCLUSIONS

The breast milk DMV can increase breastfeeding

expenditure. Implementation of the intervention was

performed in women who underwent breastfeeding

and data complications showed that there was a

significant increase breastfeeding expenditure after

breast milk DMV with a p value <0.05 (p = 0.000).

ACKNOWLEDGEMENTS

The authors gratefully acknowledge that the present

research is supported by Directorate of Research and

Community Service of the Directorate General for

Research and Development Ministry of Research

and Technology and Higher Education Republic of

Indonesia.

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