Daftar Isi:
  • Katuk  leaf  (Saoropus  androgynus)  is  known  in  South  Asia  and  South  East  Asia  as  a  traditional medicine  to  supplement  breast  milk  production.  The  objective  of  this  study  is  to  assess  the  efficacy  of katuk  leaf  extract  treatment  during  the  study  period  in  the  increase  of  breast  milk  production  for  the success  of  exclusive  breastfeeding.  As  a  matter  of  fact,  breastfeeding  practice  in  Indonesia  has  been decreasing  and  about  50-80%  of  pregnant  mothers  afterwards  complain  about  their  insufficient  breast milk  production  in  their  first  week  of  puerperium. A controlled randomized study  was conducted to 80 pregnant  women  with  >  37  weeks  gestational  age  who  later  delivered  at  Immanuel  Hospital  Bandung. The  study  group  obtained  the  katuk  leaf  extract,  while  the  control  group  obtained  placebo,  daily  for  4 weeks. Breastfeeding time was divided into 3 periods: < 1 hour, 1 – 24 hours, and > 24 hours postpartum. The participants were observed by phone for 4 weeks. Breastfeeding was considered to be successful if the baby  was  given  only  breast  milk  during  the  study  period  without  any  food  and  drink  supplement.  The result showed that in general, katuk leaf extract treatment did not have significant effect on breastfeeding success.  Some  effect  was  seen  in  the  earlier  breastfeeding:  < 1 hour postpartum breastfeeding had more effect tobreastfeeding success than 1 – 24 hours and > 24 hours (ρ < 0,001). In fact, breastfeeding at < 1 hour  pospartum  was  related  with  exclusive  breastfeeding  during  the  study  period  (ρ < 0,001).Thus, it was the earlier initiation of breastfeeding that had significant effect on breastfeeding success.   Keywords: Katuk leaf extract, breastfeeding initiation, breastfeeding success