• Rizkie Aulia Amini
  • Sri Rahayu


Background: The breast milk is the best food for the babies containing white blood cells, proteins and immune substances which are suitable for them. Various treatments have been applied to increase breast milk, including pharmacological and nonpharmacological methods. Among the nonpharmacological methods are complementary acupressure treatments which include gallbladder 21 (Jian Jing) and stomach 18 (Ru Gen).This study aims to determine the effect of acupressure points gallbladder 21 (Jian Jing) and stomach 18 (Ru Gen) on breast milk production in postpartum period.

Methodology: This study used quasi experimental design with pretest posttest with control group design. The population of this study all postpartum mothers around the researcher’s work area in Ngesrep and Pegandan Health Center, Semarang City in May-June 2017 who met the inclusion criteria. The number of samples are 22 postpartum mothers who are in 3-7 postpartum days. The sampling technique is purposive sampling.

Results: The results showed that the difference of average baby weight as an indicator of breast milk production before and after intervention was 2889 grams to 2776 grams with a difference of 112 grams in the treatment group and 2901 grams to 2683 grams with a difference of 246 grams in the control group. The statistical independence tests showed that there was an effect of acupressure point gallbladder 21 (Jian Jing) and stomach 18 (Ru Gen) on breast milk production in postpartum period (p<0.001).

Conclusion: From the results study, it is expected that acupressure can be socialized and applied among health workers as one of the techniques to facilitate breast milk production in postpartum period.


Dinas Kesehatan Provinsi Jawa Tengah. Profil Kesehatan Provinsi Jawa Tengah Tahun 2016. (Health Profile of Central Java Province 2016). Semarang: Dinas Kesehatan Provinsi Jawa Tengah.

WHO. Global strategy for infant and young child feeding. Geneva: World Health Organization. 2003.

Kementerian Kesehatan RI. Profil Kesehatan Indonesia Tahun 2016. (Indonesian Health Profile 2016). Jakarta: Kemenkes RI.

Dinas Kesehatan Provinsi Jawa Tengah. Profil Kesehatan Provinsi Jawa Tengah Tahun 2015. (Health Profile of Central Java Province

. Semarang: Dinas Kesehatan Provinsi Jawa Tengah.

Dinas Kesehatan Kota Semarang. Profil Kesehatan Kota Semarang Tahun 2016. (Health Profile of Semarang City 2016). Semarang: Dinas

Kesehatan Kota Semarang.

Oddy WH, Li J, Whitehouse AJO, Zubrick SR, Malacova E. Breastfeeding Duration And Academic Achievement At 10 Years. Pediatrics. 2011;127(1):45-137.

Berman A, Snyder SH, Kozier B. Fundamental of Nursing Concepts.Process and Practive. United Kingdom: Pearson plc; 2008.

Bolman M, Saju L, Oganesyan K, Kondrashova T, Witt AM. Recapturing the Art of Therapeutic Breast Massage during Breastfeeding. J Hum Lact. 2013;29(3):328–31.

Fengge, A. Manfaat dan Teknik Terapi Akupresur. (Acupressure Therapy Benefits and Treatment Techniques). Yogyakarta: Crop Circle

Corp; 2012.

Sutarmi MN, Widyawati NM, Suprihatin, Kusmini. Loving Touch Mom Massage, Baby Massage and Spa. (Loving Touch Mom Massage,

Baby Massage and Spa). Gresik: Indonesian Holistic Care Association; 2014.

Akbarzadeh, Moradi Z, Hadianfar MJ, Zare N. Comparison Of The Effect Of Mono-Stage And Bi-Stage Acupressure Sp 6 Point On The

Severity Of Labor Pain And The Delivery Outcome. Int J Community Based Nurs Midwifery. 2013;13(1):165–72.

Zheng, Betts, Debra. Inducing Labor with Acupuncture Crucial Considerations. Journal of Chiniese Medicine. 2012;9(90):10-13.

Marsha L, Alexander C Allen, Joseph, Joyce M Ledwidge, Kim Caddell, Victoria M Allen, Kent C. Dooley. Effect of Domperidone On

The Composition Of Preterm Human Breast Milk. Pediatrics. 2010;125(1):11-12.

Rahayu Dwi, Santoso Budi, Yunitasari Esti. Produksi Asi Ibu Dengan Intervensi Acupresure Point For Lactation Dan Pijat Oksitosin.(The Difference In Breast milk Production Between Acupresure Point For Lactation And Oxytocin Massage). Jurnal Keperawatan.


Cadwell K, Maffei. Buku Saku Manajemen Laktasi. (Pocket Book of Lactation Management). Jakarta: Buku Kesehatan; 2008.

Esfahani Mitra S, Taleghani F, Noroozi M, Tabatabaeian M. Role Playing for Improving Women’s Knowledge of Breast Cancer Screening

and Performance of Breast Self-Examination. 2014. Asian Pac J Cancer Prev. 2014;18(9):2501-2505.

Hidjati. Karakteristik Ibu Menyusui Pada Masa Nifas. (Characteristics of Breastfeeding Mothers for Postpartum Care). Yogyakarta: Milani; 2012.

Saraswati, Devi Endah. Faktor Yang Berpengaruh Terhadap Kejadian Postpartum Blues. (Factors That Affect the Postpartum Event

Blues). Journal of Health Science. 2018;11(2):130-139.

Astuti S, Judistiani TD, Rahmiati L, Susanti AI. Asuhan Kebidanan Nifas dan Menyusui. (Postpartum and Breastfeeding Midwifery

Care). Jakarta: Erlangga; 2015.

Paramita A, Pramono MS. Analisis Pola Dan Faktor Lama Pemberian Air Susu Ibu (ASI). (The Pattern and Factor Analysis of the

Breastfeeding Duration). Jurnal Ekologi Kesehatan. 2015;14(2):157-170.

Hjelmstedt A, Shenoy ST, Stener Victorin E, Lekander M, Bhat M, Balakumaran L. Acupressure to Reduce Labor Pain: A Randomized Controlled Trial. Acta Obstet Gynecol Scand. 2010;89(11):9-1453.

Lee MK, Chang SB, Kang DH. Effects O f SP6 Acupressure on Labor Pain and Length Of Delivery Time In Women During Labor. J Altern Complement Med. 2004;10(6):65-959.

Smith CA, Collins CT, Crowther CA, Levett KM. Acupuncture or Acupressure for Pain Management in Labour. Cochrane Database System. 2011;7(1):1-58.

Barker R1, Kober A, Hoerauf K, Latzke D, Adel S, Kain ZN, Wang SM. Out of Hospital Auricular Acupressure in Elder Patients with Hip Fracture: A Randomized Double Blinded Trial. Academy Emergency Med. 2006;13(1):19-23.