SUCCESSFUL SUCCESS WITH THE EASYMASSAGE

OCTANI
S1 Nursing Study Program Faculty of
Nursing and Health
Sciences University of
Muhammadiyah Semarang Email:
machmudah@unimus.ac.id

ABSTRACT
Breastfeeding is a pleasant psychological experience for a mother. Some mothers experience difficulties and
failures of breastfeeding with the reason that breast milk has not come out, little milk or nipple blisters that
make mothers afraid to breastfeed. Some mothers need special breast care to facilitate the lactation process.
Oketani massage is one method of breast care that does not cause pain. Oketani massage can stimulate the
power of the pectoralis muscle to increase milk production and make the breasts softer and elastic so that the
baby can suck the milk. Octane massage will also provide overall relief and comfort to the respondent, improve
the quality of breast milk, prevent the nipple blisters and mastitis and can improve / reduce lactation problems
caused by a flat nipple, inverted nipples. Ohno, et al (2001) explained that an increase in protein levels is
caused by an increase in the activity of the protease enzyme stimulated by massage on the tissues and mammary
glands. Increased protease enzyme activity can increase protein synthesis. Oketani massage can also cause the
mammary glands to become mature and wider, so that the milk glands are increasing and the milk produced is
also more abundant.

A. Introduction increase bonding between mother and

Breastfeeding is the best way to meet
nutritional needs for baby's growth and
development. Breast milk participates in
cognitive, sensory, motoric development
and provides protection against infections
and chronic diseases. Breast milk
production is influenced by hormonal
factors (prolactin and oxytocin), food
intake, maternal psychological conditions,
breast care, frequency of suckling babies,
consumption of drugs / hormonal
contraception (Kompas, 2013). Breast
care will stimulate the breast and affect
hypopise to release more of the hormone
progesterone, estrogen and oxytocin. The
hormone oxytocin will cause contractions
in other cells around the alveoli so that
milk flows down to the putting.
Oketani Massage is a unique breast care
that was first popularized by Sotomi
Oketani from Japan and has been
implemented in several countries
including Korea, Japan and Bangladesh.
Sotomy explains that breastfeeding can
B.
baby while supporting children's physical
and mental growth naturally. Oketani
massage can help nursing mothers
overcome difficulties when breastfeeding
their babies. Oketani massage can
provide comfort and relieve pain in
postpartum mothers. The body of a
postpartum mother becomes more
relaxed. This is different from
conventional breast massage. Octane
massage will make the breasts softer, the
areola and nipples become more elastic,
making it easier for the baby to suckle.
Milk flow is more smooth because there
is emphasis on the alveoli (Kabir &
Tasnim, 2009). Machmudah and
Khayatil, 2013 explained that the
combination of oketani massage and
oxytocin can increase milk production
seen in the parameters of the frequency
of suckling babies, frequency of bowel
movements and BAK. In 2014,
Machmudah, Khayati and Isworo also
explained that Oketani massage can
increase the composition of protein and
carbohydrates in breast milk.
Breast Anatomy
 In the Oketani massage technique, the
breasts are divided into two, namely
the left side and the right side. The
first perpendicular line is pulled from
the putting to the breast line. Use this
as a baseline with an area of 105º
measured on both sides and named B
and C. A stands for the remaining
150º at the top of both breasts, B
stands for the inside of the right side
of the breast and the left outer side of
the breast, while C stands on the side
outside the right breast and the side in
the left breast. Both B and C are 105º
on each side. Then each part A, B and
C is divided into three parts. In both
the left and right breasts. Part A is
divided into three equal parts 1, 2, and
3 in a clockwise direction, while parts
B and C are divided equally from top
to bottom (1), (2) and (3). Namely, B-
(3) and C- (3) are close to each other
and specify limits B and C in the
middle. B (3) and C- (3) are located
on the breast axis that supports when
standing.
Image: Breast Anatomy based onMassage
Oketanisource: Kabir, 2009
C. Basic Implementation of Oketani Massage
Breast consists of mammary glands that are
surrounded by skin, connective tissue and
adipose tissue. Posteriorly, the mammary
gland is loosely connected to the inner fascia
of the pectoralis major. The breast can
move against the pectoralis of the thoracic
and muscular major. The location of the
breast is bound by connective tissue to the
skin and chest muscles.
This binding network supports elasticity and
spontaneously develops and contracts to
accommodate physiological functions of the breast.
Fascia acts as the base of the breast. If the
base loses its elasticity for any reason, a
major pectoral fascial fracture will appear. If
breast milk is not excreted in conditions such
as the pressure in the breast rises, venous
blood circulation will be disrupted and the
mammary blood vessels become dense. At
the same time the areola and nipple become
indurated (hardened). The manual Oketani
technique dissolves the disorder by
separating the separation of adhesion
between the breast base manually and the
main pectoral fascia to help restore normal
breast function. This technique is called
opening depth.mammae. The basic breast
mechanism is push ups and pull ups. The
idea is to mobilize the breast from its base
toits increasevascularity and thereby
increase milk flow.
D. Characteristics of Oketani Massage: Oketani
1. massage does not cause discomfort or
pain.
2. Patients can immediately feel recovered
and relieved (comfort and relief).
3. Can improve the lactation process
regardless of the size or shape of the
breast and nipples of the patient
4. Improve the quality of breast milk.
5. Can repair nipple deformities such as
inversion or putting flat.
6. Can prevent injuries to the nipples and
mastitis.
(Kabir & Tasnim, 2009; Machmudah et al,
2015)
E. Steps of Oxide Massage (Kabir & Tasnim,
2009; Jeongsug, et al, 2012)
a. Step I:
Push area C and pull it up (direction
A1) and B2 using the third finger of
the right hand and the little finger of
the left hand towards the shoulder.
Image:.
bStep II:
Push towards C 1-2 and pull it up
from the center of A (1-2) using the
fingers of both hands towards the
left armpit.
Picture:
c. Step III:
Push C (2) and pull it up A (3) and
B (1) by using the finger and thumb
of the right hand and the third
finger of the left hand placing the
thumb above the second joint of the
right thumb. Then push and pull
parallel to the opposite breast.
Push and pull numbers (1
), (2) and (3) used to separate the
hard part of the breast from the
fascia of the main pectoralis.
Picture:.
dStep IV:
Pressing the entire breast towards
the umbilicus places the right
thumb on C (1), middle, third, and
the little finger on the B side and
the left thumb on C (1), middle,
third, and pinkie on the side A.
Picture:
e. Step V:
Pull the breast towards the
practitioner with his right hand
while gently rotating it from the
upper edge to hold the lower
margin of the breast as step 4.
f. Step VI:
Pull the breast towards the
practitioner with the left hand of
the chili turning it gently from
upper edge to grip margin below
breast like technique no
5. This is the procedure opposite to
step no..
g.Step VII: Break
down the breast towards the
practitioner with his left hand
while gently rotating it from the
upper edge to hold the lower
margin of the breast like
manipulation 5. This is a procedure
contrary to operation (5). Manual
procedures (5) and (6) are
techniques for isolating the hard
base part of C-breast (2) to C (1)
from the main pectoralis fascia.

F. Discussion
Breastfeeding is the entire breastfeeding
process from breast milk produced to the
baby's process of sucking and ingesting
breast milk (Roesli, 2010). Breastfeeding
has many advantages for both mother and
baby. Breast milk is the most suitable
food for the digestive capacity of babies
because babies can absorb breast milk
well, never constipation, diarrhea and give
satisfaction to babies. Breast milk is also
free from germs because breast milk
contains antibodies so that babies who get
breast milk are rarely sick and allergic
compared to babies who get formula milk.
Babies who get ASI will get the
opportunity to be held by their mothers
who can facilitate the affection of mother
and baby (attachment).
After the mother shows the right
breastfeeding and implementation
position, some mothers need further
assistance to improve and improve the
lactation process. One of them is by
giving Oketani massage to nursing
mothers. Oketani massage can stimulate
the development of the baby's physical
and mental health, improve the mood and
sleep patterns of the baby with the
increased quality of breast milk secreted.
Oketani massage is a management skill to
deal with lactation problems such as
inadequate milk production, breast
swelling. Oketani massage will cause the
breasts to become soft, supple and the
areola to become more elastic, the
lactiferous ducts and nipples also become
more elastic. All breasts become more
flexible and produce good quality milk
because of the total content of solids, the
concentration of fat and gross energy
increases. Ohno, et al (2001) explained
that an increase in protein levels is caused
by an increase in the activity of the
protease enzyme stimulated
by massage on the tissues and mammary
glands. Increased protease enzyme
activity can increase protein synthesis.
Oketani massage can also cause the
mammary glands to become mature and
wider, so that the milk glands are
increasing and the milk produced is also
more abundant. Ohno et al (2001) also
explained that oketani massage would
cause decreased lipoxygenase activity.
Lipoxygenase is an enzyme - an enzyme
that catalyzes the addition of oxygen to
unsaturated fats and can affect the
development and development of cancer
in humans. (Machmudah, 2014).
Foda et al (2004) also explained that
octane massage can increase the
production of the hormone prolactin and
oxytocin. Prolactin is responsible for the
production of breast milk in the alveoli,
while the hormone oxytocin can
stimulate the mammary glands to secrete
breast milk. From the explanation above,
it can be concluded that oketani massage
in addition to increasing the amount of
ASI production can also improve the
quality of breast milk, namely the levels
of protein and carbohydrates of breast
milk.
Yuliati et al. (2017) explained that
oketani massage would cause the
mammary glands to become more mature
and wide so that milk production could
increase.
Bibliography
Foda. Et al (2004). Composition of Milk
Obtained From Unmassaged Versus
Massaged Breasts of Lactating Mothers.
Journal of Pediatric Gastroenterology
and Nutrition 38:484–487
Jeongsug., Hye Young., Sukhee & Myeong
Soo. (2012). Effects of Oketani Breast
Massage on Breast Pain, the Breast Milk
pH of Mothers and The Sucking Speed of
Neonates. Journal of Korean J Women
Health Nurs , Vol 18 No. 2, 149-158
Kabir & Tasnim. (2009). Oketani Lactation
Management: A New Method to
Augment Breast Milk. Journal of
 Bangladesh College of Physicians and
Surgeon, Vol. 27, No. 3
Machmudah & Khayati. (2013). The
production of breast milk in postpartum
mothers is carried out with oxytocin and
octane massage in the city of Semarang.

Machmudah ,. Khayati ,. Isworo. (2014).

Chemical composition of breast milk in
postpartum mothers performed by
oxytocin and octane massage in the city
of Semarang.

Ohno N. 2001. Change of composition and

physiological activity in milk obtained by
the Oketani breast massage method (PhD
thesis). Nagano, Japan: Shinshu
University.

Yuliati, et al. 2017. The impact of the

combination of rolling and exercise massage in
prolactin the level and breast milk production
in the post cesarean section of mothers.
Belitung Nursing Journal. 2017 August; 3 (4):
329-336