The Effects of Consumption Habits of Vegetables Rich in Galactagogue on Breastfeeding Intensity
Abstract
Providing breast milk to babies becomes one of the keys to growth and development. Breast milk contains various crucial nutrients needed for the growth and development period of babies. To analyze the effect of consuming local vegetables containing galactagogues on breastfeeding intensity. This study was a cross-sectional study conducted at 38 Community Health Centers in Tasikmalaya Regency in 2024. The population was 5971 people. The sampling technique is proportional sampling. The study sample was 450 breastfeeding mothers. The independent variables were consumption behaviros of galactagogue vegetables, such as katuk leaves, moringa, spinach, young papaya, and banana blossoms. The dependent variable was breastfeeding intensity measured by the frequency and duration of breastfeeding. Bivariate analysis used chi-square and multivariate analysis used multiple logistic regression. The results of the study showed that consumption of katuk leaves and banana flowers would increase the frequency of breastfeeding (aOR: 0.40; p value=0.000; 95%CI: 0.23 - 0.61 and aOR: 2.23; p value=0.004; 95%CI: 1.30 - 3.85) and extend the duration of breastfeeding (aOR: 3.67; p value=0.000; 95%CI: 1.99 - 6.77 and aOR: 3.01; p value = 0.026; 95%CI: 1.14 - 7.98). Breastfeeding mothers can consume local foods made from processed banana blossoms and katuk leaves in an effort to increase breast milk production by utilizing local foods.
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References
1. Khairani AF, Adzdzikri TM, Menggala ST, et al. The Potential of Medicinal Plants as Galactagogue in Indonesia: A Review from Medical Perspective. Biomedical and Pharmacology Journal. 2021;14(3):1595-1612. https://dx.doi.org/10.13005/bpj/2262
2. Victora CG, Bahl R, Barros AJD, et al. Breastfeeding in The 21st Century: Epidemiology, Mechanisms, and Lifelong Effect. The Lancet. 2016;387(10017):475-490.
https://doi.org/10.1016/S0140-6736(15)01024-7
3. Tenenbaum Weiss YO. Protective Characteristics of Human Breast Milk on Early Childhood Otitis Media: A Narrative Review. Breastfeeding Medicine. 2024;19(2):73–80. https://doi.org/10.1089/bfm.2023.0237
4. Susanti IE. Determinan Kegagalan ASI Eksklusif Pada Ibu Bekerja: A Literature Review. Jurnal Medika Nusantara. 2024;2 (1):311–324. https://doi.org/10.59680/medika.v2i1.936
5. Nisa HK. Terapi Komplementer Untuk Meningkatkan Produksi ASI: Scoping Review. Jurnal Kesehatan Tambusai. 2024;5 (2):2623–2630. https://doi.org/10.31004/jkt.v5i2.26941
6. Rito A, Buoncristiano M, Spinelli A, Salanave B, Kunešová M, Hejgaard T. Association between Characteristics at Birth, Breastfeeding and Obesity in 22 Countries: The WHO European Childhood Obesity Surveillance Initiative COSI 2015/2017. Obesity Facts. 2019;12(2):226–243. https://doi.org/10.1159/000500425
7. Mazzocchi AG. Hormones in Breast Milk and Effect on Infants’ Growth: A Systematic Review. Nutrients. 2019;11(8):1845. https://doi.org/10.3390/nu11081845
8. Grzeskowiak LE, Wlodek ME, Geddes DT. What Evidence do We Have for Pharmaceutical Galactagogues in The Treatment of Lactation Insufficiency? A Narrative Review. Nutrients. 2019;11(5):1-21. https://doi.org/10.3390/nu11050974
9. Bermejo-Haro MY, Camacho-Pacheco RT, Brito-Pérez Y, Mancilla-Herrera I. The Hormonal Physiology of Immune Components in Breast Milk and Their Impact on The Infant Immune Response. Molecular and Cellular Endocrinology. 2023;572. https://doi.org/10.1016/j.mce.2023.111956
10. Ryan RA, Hepworth AD, Lyndon A, Bihuniak JD. Use of Galactagogues to Increase Milk Production Among Breastfeeding Mothers in the United States: A Descriptive Study. Journal of the Academy of Nutrition and Dietetics. 2023;123(9):1329-1339. https://doi.org/10.1016/j.jand.2023.05.019
11. Sinaga TR. Manfaat Buah Pepaya Terhadap Kelancaran Proses Menyusui Pada Ibu Nifas. Jurnal Penelitian Perawat Profesional. 2020;2(3):301-308. http://jurnal.globalhealthsciencegroup.com/index.php/JPPP
12. Yimyam S, Pattamapornpong S. Galactagogue Effect of Banana (Musa x paradisiaca) Blossom Beverage on Breast Milk Production Among Mothers Undergoing Cesarean Section. Nursing and Health Sciences Journal. 2022;2(3):190-197. https://doi.org/10.53713/nhs.v2i3.154
13. Us HS. Effect of Giving Banana Hearts on Breast Milk Production in Postpartum Mothers. Science Midwifery. 2024;12(1): 303–312. https://doi.org/10.35335/midwifery.v12i1.1448
14. Okinarum GY, Lestariningsih L, Dewi DP. Potensi Cookies Substitusi Tepung Biji Kelabat (Trigonella foenum–graecum) dan Jantung Pisang Batu (Musa balbisiana L.A.Colla) untuk Meningkatkan Volume ASI. Ilmu Gizi Indonesia. 2020;3(2):135. https://doi.org/10.35842/ilgi.v3i2.138
15. Foong SC, Tan ML, Foong WC, Marasco LA, Ho JJ, Ong JH. Oral Galactagogues (Natural Therapies or Drugs) for Increasing Breast Milk Production in Mothers of Non-hospitalised Term Infants. The Cochrane Database of Systematic Reviews 2020; 5(5):CD011505. https://doi.org/10.1002/14651858.cd011505.pub2
16. M.Z I. Musa paradisiaca L. and Musa sapientum L.: A Phytochemical and Pharmacological Review. Journal of Applied Pharmaceutical Science. 2011;1(5):14-20. https://japsonline.com/admin/php/uploads/78_pdf.pdf
17. Vilhena RO. Antidiabetic Activity of Musa x paradisiaca Extracts in Streptozotocin- Induced Diabetic Rats and Chemical Characterization by HPLC-DAD-MS. Journal of Ethnopharmacology. 2020;254:11266. https://doi.org/10.1016/j.jep.2020.112666
18. Arun K B. Musa paradisiaca Inflorescence Induces Human Colon Cancer Cell Death by Modulating Cascades of Transcriptional Events. Food & Function. 2018;9(1):511–524. https://doi.org/10.1039/c7fo01454f
19. Harahap HP, Agustina W, Mardhiah A. Efektivitas Serbuk Jantung Pisang Terhadap Produksi ASI pada Ibu Nifas. JOMIS (Journal of Midwifery Science) 2022;6(1):55-64. https://doi.org/10.36341/jomis.v6i1.2092
20. Behiry SIH. Antifungal and Antibacterial Activities of Musa paradisiaca L. Peel Extract: HPLC Analysis of Phenolic and Flavonoid Contents. Processes. 2019;7(4):215. https://doi.org/10.3390/pr7040215
21. Amornlerdpison D, Choommongkol V, Narkprasom K, Yimyam S. Bioactive Compounds and Antioxidant Properties of Banana Inflorescence in A Beverage for Maternal Breastfeeding. Applied Sciences. 2021;11(1):343. https://doi.org/10.3390/app11010343
22. Hassan AK. An Overview of Fruit Allergy and The Causative Allergens. European Annals of Allergy and Clinical Immunology. 2015;47(6):180–187. https://www.eurannallergyimm.com/wp-content/uploads/2015/11/volume-overview-fruit-allergy-causative-allergens-1041allasp1.pdf
23. Primadhani U. How to Increasing Prolactine Levels of Breastfeeding Mother with Consumption Katuk (Sauropus androgynous (L) Merr) Leaf. Eureka Herba Indonesia. 2021;2(2):100-103. https://doi.org/10.37275/ehi.v2i2.30
24. Zulkarnain Z, Fitriani U, Ardiyanto D, Saryanto, Wijayanti E, Triyono A, Novianto F. Galactagogue Activity of Poly-herbal Decoction from Indonesia: A Randomized Open Label Controlled Trial. Journal of Complementary & Integrative Medicine. 2024;21(4):532-539. https://doi.org/10.1515/jcim-2020-0246
25. Manoppo J. Functional Sterol Improves Breast Milk Quality by Modulating The Gut Microbiota: A Proposed Opinion for Breastfeeding Mothers. Frontiers in Nutrition. 2022;9:1018. https://doi.org/10.3389/fnut.2022.1018153
26. Srinivas R, Eagappan K, Sasikumar S. The Effect of Naturally Formulated Galactogogue Mix on Breast Milk Production, Prolactin Level and Short-Term Catch-Up of Birth Weight in The First Week of Life. International Journal of Health Sciences and Research. 2014;4:242-253. https://www.semanticscholar.org/paper/The-Effect-of-Naturally-Formulated-Galactagogue-Mix-Srinivas-Eagappan/f4a32400a3b0c45959a836afb779ef453f36ebbb
27. Mortel M, Mehta SD. Systematic Review of the Efficacy of Herbal Galactogogues. Journal of Human Lactation: Official Journal of International Lactation Consultant Association. 2013;29(2):154-162. https://doi.org/10.1177/0890334413477243
28. Prasad, M., Jayaraman, S., Eladl, M. A., El-Sherbiny, M., Abdelrahman, M. A. E., Veeraraghavan, V. P., Vengadassalapathy, S., Umapathy, V. R., Jaffer Hussain, S. F., Krishnamoorthy, K., Sekar, D., Palanisamy, C. P., Mohan, S. K., & Rajagopal, P. A Comprehensive Review on Therapeutic Perspectives of Phytosterols in Insulin Resistance: A Mechanistic Approach. Molecules (Basel, Switzerland). 2022;27(5):1595. https://doi.org/10.3390/molecules27051595
29. F Fatmawati, Z., Hartatik, N., & Suryani, L. Effectiveness of Hypobreastfeeding and Moringa Leaf Puddingon Breast Milk Production in Primipara Post Partum at RSPKT Prima Sangatta. Lux Mensana: Journal of Scientific Health, 2023;2(4)223-230. https://doi.org/10.56943/jsh.v2i4.449
30. N M F. The Histological and Physiological Study of Moringa Oleifera. MINAR International Journal of Applied Sciences. 2022;4(3):276–298. https://doi.org/10.47832/2717-8234.15.7
31. Indasar RN, Pasiriani N. The Effect of Giving Moringa Leaf Tea and Honey on Increasing Breast Milk (ASI) Production in Postpartum Mothers on Days 1-7 in the Working Area of the Handil Baru Community Health Center. Formosa Journal of Applied Sciences. 2023;2(10): 2411-2448. https://doi.org/10.55927/fjas.v2i10.6635
32. Bazzano AN, Hofer R, Thibeau S, Gillispie V, Jacobs M, Theall KP. A Review of Herbal and Pharmaceutical Galactagogues for Breast-Feeding. Ochsner Journal. 2016;16(4):511-524. https://pmc.ncbi.nlm.nih.gov/articles/PMC5158159/
33. Ibrahim A, Ipinloju N, Aiyelabegan AO, Alfa-Ibrahim AA, Muhammad SA, Oyeneyin OE. Discovery of Potential Phytochemicals from Carica papaya Targeting BRCA-1 in Breast Cancer Treatment. Applied biochemistry and biotechnology. 2023;195(12);7159–7175. https://doi.org/10.1007/s12010-023-04473-2
34. Mareta EW, Suwondo A, Djamaluddin I. Comparison of Effectiveness Benefits of Providing Young Papaya Fruit Extract and Breast Care for Normal Postpartum Mother’s Breast Milk Production: Systematic Review. STRADA: Jurnal Ilmiah Kesehatan. 2020;9(2):1141–1150. https://doi.org/10.30994/sjik.v9i2.446
35. Sugiharto S. Papaya (Carica papaya L.) Seed as A Potent Functional Feedstuff for Poultry A Review. Veterinary World. 2020;13(8): 1613–1619. https://doi.org/10.14202/vetworld.2020.1613-1619
36. Kharisma, Y., Rahimah, S. B., & Sastramihardja, H. S. Effects of Aqueous Extract of Unripe Papaya (Carica papaya L.) on Mice Milk Production. In Medical Technology and Environmental Health. CRC Press; 2020: 19-23. https://doi.org/10.1201/9781003016700-4
37. Molavi Vardanjani, H., Salehi, Z., Alembizar, F., Cramer, H., & Pasalar, M. Prevalence and The Determinants of Traditional, Complementary, and Integrative Medicine Use Among Breastfeeding Mothers: A Cross-Sectional Study. Journal of Integrative and Complementary Medicine. 2022;28(1):67-76. https://doi.org/10.1089/jicm.2021.0270
38. Garbacz, A., Juszczak, P., Nowicki, M., Łukasz Kowalczewski, P., & Człapka-Matyasik, M. Exploring Galactagogue Use Among Breastfeeding Women: Insights from an Observational Study. Plos one. 2024;19(10):e0310867. https://doi.org/10.1371/journal.pone.0310867
39. Lubis, S. R. H., & Susilowati, I. H. Related Factors of Work Stress Among Breastfeeding Working Women in Indonesia. Media Kesehatan Masyarakat Indonesia. 2023;19(4):175-184. https://doi.org/10.30597/mkmi.v19i4.27385
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