Speos (Endorphins and Oxytocin Massage Stimulation and Suggestive Provision) Reduced the Duration of Breast Milk Production Among the Puerperal Women in Midwife Private Practitioners of Cirebon District

Breastfeeding in the first days after birth can reduce the risk of neonatal mortality up to 45%. The problem is early production of breast milk is one reason for not breastfeeding a baby that in turn it will be bad for the baby‘s life. This can be caused by hormonal, psychological and confidence factors. SPEOS method is an alternative way of breastfeeding problems in terms of breast milk production. By this study, the effectiveness of SPEOS method in puerperal to breast milk production were observed. This study employed an experimental study with quasi experimental design performed with providing a treatment or intervention to the subjects. A total of 22 postpartum women were obtained as a treatment group as well as the control group with 22 postpartum women. The sampling technique used consecutive sampling in which postpartum mothers who came in sequence and met the selection criteria were included in the study to meet the number of subject requirement. The duration of breast milk production (in hours) was recorded in a daily check-list until the third day after massage. We noticed that SPEOS intervention increased the number of puerperal women who experienced breast milk production 24 hours after treatment. Without SPEOS supplementation, the majority of respondents succeed to breast milk production 72 hours after the respondents had delivery. SPEOS method includes three main aspects in the breastfeeding milk production which are the hormonal and neural stimulants, psychological factors, and the own women faith factors. Through this method, the three aspects can be achieved in order to provide the peurperal women to the shorten breast milk production after had delivery. Providing the breast milk production in the first day may reduce the risk of neonatal mortality.