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Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery)Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery)

Optimal breastfeeding practices play a crucial role in enhancing the health of infants and children. However, increased anxiety among postpartum mothers can lead to higher cortisol levels. Moxibustion is a traditional therapy that has been shown to improve blood circulation, reduce discomfort, and influence the central nervous system by stimulating specific meridian points. This study aimed to examine the effect of moxibustion on cortisol levels in breastfeeding mothers. A quasi-experimental design with pretest and posttest was used. Participants were divided into two groups: an intervention group that received moxibustion and a control group that received acupuncture. A total of 32 breastfeeding mothers from Ngaliyan Public Health Center in Semarang participated in the study, with 16 individuals in each group. Moxibustion was applied to specific meridian points (CV17, LI4, SP6, ST16, ST18, ST36, BL17, and BL18). Cortisol levels were measured using the Enzyme-Linked Immunosorbent Assay (ELISA) method, and data were analyzed using the Mann-Whitney test. The results showed no significant difference in cortisol levels between the two groups (p = 0.864). The average cortisol change was -0.063 in the intervention group and -0.113 in the control group. It was concluded that moxibustion had no significant effect on cortisol levels. Further studies are recommended to explore other factors that may influence cortisol levels in postpartum mothers.

The study found no significant difference in cortisol levels between the moxibustion and acupressure groups, indicating that neither treatment effectively reduced cortisol levels in breastfeeding mothers.The occupation of the mothers was found to influence cortisol levels, suggesting that work-related stress may play a role.Therefore, further research is needed to investigate other factors that may affect cortisol levels in postpartum mothers.

Penelitian lebih lanjut perlu dilakukan untuk mengidentifikasi faktor-faktor lain yang dapat memengaruhi kadar kortisol pada ibu menyusui, seperti dukungan sosial, kualitas tidur, dan pola makan. Studi di masa depan dapat mengeksplorasi kombinasi terapi moksibusi dengan intervensi lain, seperti konseling psikologis atau teknik relaksasi, untuk melihat apakah pendekatan multimodal dapat memberikan hasil yang lebih baik dalam mengurangi stres dan kecemasan pada ibu postpartum. Selain itu, penelitian dengan desain studi yang lebih kuat, seperti uji klinis acak terkontrol dengan ukuran sampel yang lebih besar, diperlukan untuk mengkonfirmasi temuan ini dan memberikan bukti yang lebih meyakinkan tentang efektivitas moksibusi dalam memodulasi kadar kortisol pada ibu menyusui. Penelitian ini diharapkan dapat memberikan wawasan yang lebih mendalam tentang bagaimana meningkatkan kesejahteraan mental dan fisik ibu menyusui, yang pada akhirnya akan berdampak positif pada kesehatan bayi mereka.

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