Comparison Of Breast Milk Production In Lumpue Public Health Center

City Of Parepare Through Green Bean And Soybean Extract

Andi Sufiani1), Sitti Saleha2), dan Cipta Pramana 3)

1
Midwifery Masters Study Program, STIKES Guna Bangsa Yogyakarta
2
Midwifery Study Program, Alauddin Makassar State Islamic University
3
Jl. H. Andi Iskandar no.2 Parepare UPTD Public health center of lumpue pare
pare,91123
E-mail : andisufiani.maisya@gmail.com, hjstsaleha.uinmksr@gmail.com,
pramanacipta@yahoo.com

Abstract
BACKGROUND: Green beans and soybeans and their components have not been
scientifically demonstrated to boost breast milk production in nursing mothers or show
the effectiveness of mung bean and soybean seeds as laktagogums; instead, they have
only been used empirically (smooth milk secretion).
AIM: To compare how green bean extract (Vigna radiata) and soybean extract (Glycine
Max) affected postpartum mother's milk production at the UPTD of the Lumpue Health
Center in Pare Pare City.
METHODS: A two-group pretest and posttest design strategy is employed in the
research design, which is a quasi-experimental approach. Mung bean juice for group 1
and soybean juice for group 2 were provided to the two groups. Each group comprised
25 respondents, for a total of 50 subjects. The Wilcoxon t test, Mann Whitney test, and
independent t test were used to analyze the results of the test.
RESULTS: According to the findings, the average difference in breast milk production
between the two groups before the mung bean juice intervention and the other was
108.0 ounces and 103.6 ons, respectively; after the mung bean juice intervention, it
was 171.6 ons and 200.8 ons, respectively. The Wilcoxon test revealed a significant
difference in breast milk production between the groups receiving mung bean juice
and soy milk (p = 0.000 and p = 0.000, respectively) before and after the intervention.
CONCLUSION: The intervention group's average milk production increased and
significantly differed from the control group after receiving mung bean juice at the
Lumpue Health Center in Pare Pare City. At the Lumpue Health Center in Pare Pare
City, disparities in breast milk production for postpartum moms have increased more
and significantly as a result of changes in the average milk production of the
intervention group administered soy milk.

Keywords: Breast milk production, public health center, green beans, soybean
A. INTRODUCTION
One of the most significant
Leguminosae plants in Indonesia is the
mung bean. It comes in third place, after
peanuts and soybeans. The mung bean
plant (Vigna radiata) has wet-trunked
leaves and grows relatively briefly. The
beans are 2-4 cm long and oblong in
shape. The thick, light brown or dark
brown seed coat is outlined in black and
has white dots in the center. The nut or
seed is the component that is used. [1].
Green beans are consumed by
Indonesians as food, animal feed, and
green manure. Green beans are
consumed regularly as porridge,
vegetables (bean sprouts), and cakes, in
addition to their effectiveness as a
traditional remedy. Each 100 grams of
green bean sprouts comprises 4.2 g
protein, 3.4 g carbs, 1.0 g fat, 47 g
calories, 9.2 g water, and 15 g fat,
according to study conducted by the
Korean Human Health Research Institute
(KAISI)[2].
Additionally, green beans (Vigna
radiata), particularly vegetable protein,
are a good source of nourishment. Green
beans have a full nutritional profile and a
high nutritious value. Protein comes in
second place to carbohydrates in terms of
quantity. 20–25% of green beans are
protein. About 77% of the protein in
uncooked green beans is digestible.
Green beans include tannins
(polyphenols), antitrypsin, and other anti-
nutritional compounds that contribute to
their low level of digestibility [3]. Most
plant species contain polyphenols, which
may have an impact on how much breast
milk is produced. The hormones prolactin
and oxytocin also have an impact on the
increase in breast milk production[4].
Proteins, specifically the
polyphenols and amino acids found in
green beans, have an impact on the rise
in these two hormones. These proteins
also influence the prolactin hormone,
which affects the production of breast
milk by activating the alveoli, which are
actively involved in the process. The
oxytocin hormone will rise, causing breast
milk to flow more quickly than usual.
Vitamin B1 is included in green beans,
which is beneficial for breastfeeding
mothers[5].
According to a preliminary study
conducted by researchers at several
health centers in Lumpue, Pare Pare City,
mothers who did not exclusively
breastfeed did not agree to only give
breast milk without giving their babies
additional food or formula milk on the
grounds that breast milk did not come
out and the giving of additional food to
their babies felt that their babies'
nutritional needs would be met. The
explanation is that milk is not smooth,
therefore newborns frequently cry
because they are hungry and will cease
crying if given formula milk or additional
food, according to information from
mothers who feed their kids anything
other than breast milk. However, some
mothers choose not to breastfeed since
their milk does not release normally.
The explanation is that milk is not
smooth, therefore newborns frequently
cry because they are hungry and will descriptive summary of the data for the
cease crying if given formula milk or dependent and independent variables
additional food, according to information researched. Using a bivariate analysis, it
from mothers who feed their kids was determined how differently the
anything other than breast milk. amount of breast milk produced in the
However, some mothers choose not to group that received mung bean and
breastfeed since their milk does not soybean extracts varied. Because the
release normally[6]. sample consisted of 50 respondents, the
Green beans and soybeans and data were initially checked for normality
their components, which can boost breast using the Shapiro-Wilk Normality Test to
milk supply in nursing moms, have not yet see if they were distributed normally. The
been scientifically established; instead, statistical analysis test employed the
they have only been utilized empirically. paired T test. The value of sig. (2-tailed)
Based on the information provided above or p-value > 0.05 is said to be normally
regarding the advantages of protein for distributed, while the value of sig. (2-
promoting breastfeeding, it is necessary tailed) or p-value 0.05 is said to be not
to conduct research on "Comparison in normally distributed. Statistical
Postpartum Breast Milk Production significance is indicated by the symbols
Through Giving Green Bean Extract Sig. or 0.05.
(Vigna radiata) and Soybeans (Glycine
Max) at the UPTD of the Lumpue Health C. RESULTS
Center, Pare Pare City" to show the
effectiveness of mung bean and soybean Table 1's subject characteristics
seeds as laktagogums (smooth milk reveal that the majority of respondents
secretion). (39, or 78.0%) were between the ages of
20 and 35 (age not at risk) and had at
B. METHODS least a high school diploma. Of those
respondents, 41 had a bachelor's degree
A pre-test, post-test, and control (62.0% ).
group are all included in this kind of Table 1. Characteristic of respondent
research's quasi-experimental design. Intervention group
Green bean
Women who met the requirements for Characteristic
juice
Soy milk Total
inclusion were divided into two groups at n % n % n %
random. Mung bean juice was Risk 8 32,0 3 12,0 11 22,0
No risk 17 68,0 22 88,0 39 78,0
administered to the first group, while
Total 25 100,0 25 100,0 50 100,0
soybean juice was administered to the Elementary
second. In this study, a total of 50 school
3 12,0 1 4,0 4 8,0
postpartum mothers who attended the Junior high
6 24,0 8 32,0 14 28,0
school
UPTD Puskesmas Lumpue City of Pare Senior high
15 60.0 16 64,0 41 62,0
1 4,0 0 0,0 1 2,0
Pare comprised the sample, with 25 school
women in each group. University
Total 25 100,0 25 100,0 50 100,0
With a frequency table and the
distribution of study variables, perform a
univariate analysis to provide a
 Table 2 shows that the average milk
production before the intervention was
highest in the mung bean juice
intervention group at 108.0 ons, the
lowest at 103.6 ons in the soy milk
administration group, and the highest at
200.8 ons in the soybean extract
intervention group. The lowest was 171.6
ons in the mung bean extract category.
The Wilcoxon test was used because
the results of the normality test of breast
milk production before and after the
intervention in all intervention groups
were not normally distributed. The
Wilcoxon test revealed a significant
difference in breast milk production
between the groups receiving mung bean
juice and soy milk (p = 0.000 and p =
0.000, respectively) before and after the
intervention. At the Lumpue Health
Center in Pare Pare City, postpartum
moms' ability to produce breast milk can
be increased by giving them green bean
and soybean juice for a period of 14 days.
Table 2. Average breast milk production
before and after the intervention
Intervention group
Breast milk ( mean±SD)
production Sari kacang
P value
Sari kedelai
hijau
Before 108,0 ± 48,47 103,6 ± 37,40 0,977**
After 171,6 ± 63,84 200,8 ± 49,74 0,078***
P value 0,000* 0,000*
Δ breast 63,6 ± 68,61 97,2 ± 50,13 0,104**
milk
production
%Δ 58,9 93,8
There was no significant
difference in the postpartum mothers'
milk production before the intervention
in the mung bean juice and soybean
extract intervention group, according to
the independent t test results for breast
milk production after the intervention,
which obtained a significant value of
0.078 (p>0.05) (table 2). The information
regarding breast milk production prior to
the intervention and any changes was not
evenly distributed. After that, the analysis
was performed using the Mann Whitney
test, which produced significant results of
0.977 (p > 0.05) and 0.104 (p > 0.05) for
changes in breast milk production.
D. DISCUSSION
The majority of postpartum
moms, according to early findings from
this study, are between the ages of 20
and 35, which is the age range that is not
at risk both during childbirth and during
the breastfeeding mother's lactation
period. for nursing after childbirth and
during pregnancy. Breast milk production
will be enough during a healthy
reproductive phase since the
reproductive organs can continue to
function at their peak levels. 35-year-old
mothers are regarded as risky since their
reproductive organs as well as other
organs have diminished, increasing the
chance of difficulties during pregnancy,
childbirth, and lactation. The Lumpue
Health Center in Pare Pare City's
intervention group for postpartum moms
found that changes in breast milk
production were not statistically different
from changes in postpartum mothers'
milk production before the intervention
[7].
Ages 35 and up provide a concern
since they are strongly associated with
nutritional anemia, which can impact the
supply of breast milk. Hormone
production declines in primiparas after
the age of 35, which also affects the
lactation process. The optimal time for
moms to start nursing is when they are in
good health and able to start having
children, but mothers who are not in
good health and able to have children can
still nurse properly as long as they are
receiving enough nutrients [8].
The mother's age at the time of
breastfeeding affects breastfeeding. Age
under 20 years is a time of growth for all
organs, including the reproductive system
(breasts). Due to social demands,
maternal psychology, and social
influences that can affect breast milk
supply, mothers who are younger are less
likely to give breast milk. The best time to
produce breast milk is between the ages
of 20 and 35, when the mother is also at
her physical and spiritual prime. Over 35-
year-old reproductive organs are fragile
and not ideal for exclusive breastfeeding
[9].
The study's findings indicate that
the majority of the respondents have a
senior high school education and all of
them work as housewives. This shows
that even though the respondents' level
of education is still low, postpartum
mothers are aware of the advantages of
consuming foods like mung beans and
soybean juice, which can increase milk
production, thanks to the various sources
of information they have access to
regarding nutrition for infants while
breastfeeding. Healthy food management
for postpartum mothers and babies gets a
lot of time thanks to the labor of
postpartum mothers who concentrate on
their infants.
According to a study, there is no
connection between postpartum
depression and postpartum mothers'
education levels. Postpartum women
with college degrees had much lower
anxiety levels than they did for
depression. This can be explained by the
fact that highly educated postpartum
women have more effective control over
their lives and can thus make their own
decisions in order to create a better and
more respectable living. Higher educated
postpartum women are more likely to pay
attention to their baby's demands for
nursing in a variety of ways [10].
At the Lumpue Health Center in
Pare Pare City, the availability of mung
bean juice has been shown to improve
postpartum mother's milk production.
This is demonstrated by the Wicoxon test
analysis results, which had p value < 0.05.
Due of green beans' great nutritional
value and all of its components, mung
bean juice has been shown to stimulate
breast milk production. Other than the
20–25% of carbs that make up green
beans, protein makes up the majority of
them. Postpartum mothers require high
protein mung bean juice during nursing.
Protein's amino acids have the power to
increase milk production. Additionally,
polyphenols and flavonoids, which serve
to raise prolactin, are active substances
found in green beans. Prolactin hormone
levels rise, which causes an increase in
milk secretion [11].
The amount of breast milk
produced before and after the surgery
differs significantly. This is consistent with
research by Suksesty (2017), who found
that the numerous nutrients in mung
bean juice, which convert carbs into
energy and are accountable for speeding
breast milk production, enable mung
bean juice to assist breast milk
production in postpartum moms. It is
advised for mothers to drink mung bean
juice during breastfeeding since,
according to a different study employing
the chi square test, there is a significant
difference in the amount of breast milk
produced before and after mung bean
juice administration in Bakalan Village,
Malang [12].
The results of the study reveal the
association between maternal food intake
and the mineral content of breast milk in
20 postpartum moms in Malaysia. The
high mineral content in mung bean juice
has a significant impact in the growth and
development of newborns. The amount
of food consumed during a 24-hour
period depends on milk output. The
consumption of meals containing the
minerals potassium, salt, and iron is
significantly correlated with the
production of breast milk [13]. Mung
bean is a safe galactogogue to consume
since it includes 62–63% carbs, 0.7–1 g/kg
fat, 73–% unsaturated fat, and 27–%
saturated fat. Galactogogue will boost
lactation and avoid infants' lack of access
to breast milk. without adverse effects for
nursing mothers [14]. Green beans'
polyphenol and flavonoid active
compounds can stimulate prolactin to
boost milk production and oxytocin to
speed up the process of breast milk
ejection.
According to Yuniarti's research
(2020), the average amount of breast
milk produced before administering mung
bean juice was 56.82 ml, increasing to
69.55 ml on average after the
intervention. Average breast milk volume
before and after receiving mung bean
juice varied by 12.424 ml. Mung bean
juice was found to be beneficial in
boosting the volume of breast milk in
postpartum moms since it was further
reported that there was a significant
change in the volume of milk when it was
given, with a p value of 0.001. These
findings can be turned into a service
suggestion by offering breastfeeding
women the proper interventions and
recommending green bean juice to
increase the volume of breast milk so that
the requirement for exclusive
breastfeeding up until the age of 24
months is satisfied.
According to Ahmad's research
(2021), which involved combining green
bean cookies with gooseberry leaves as
an intervention, there was a significant
difference between the newborn weight
values in the intervention group and the
control group. A baby's weight can be
considerably increased when green beans
and star gooseberry leaves are combined.
Utilizing gooseberry leaves and green
beans will help breastfeeding women get
the critical nutrients they need to
produce more milk and gain weight for
both mother and child. This will enhance
their nutritional intake. Similar research
has been done by Iriani (2017), which
demonstrates that there is an effect of
eating mung bean juice on breast milk
production in postpartum moms. This
effect is statistically significant and is
shown by a p value of 0.007 or > 0.05.
Vitamin B1, which is present in green
bean juice ingested by postpartum
women, might alter a person's mood to
make them feel calmer, happier, and
more focused, which will level out milk
production and expenditure [15].
Breast milk production increased
by 93.8% in postpartum women who
received soy milk at the Lumpue Health
Center in Pare Pare City; the average
increase was higher in the mung bean
intervention group. Because soybean
juice contains chemicals that are similar
to those found in green beans, it was
chosen as a food that can boost breast which can boost breast milk production,
milk production. As a significant source of will contribute to the success of
polysaccharides, soluble fiber, government initiatives.
phytosterols, lecithin, saponins, and According to Vieira et al. (2018),
phytochemicals, especially isoflavones, soy eating for breastfeeding moms for a
the soybean (Glycine max) has a high oil period of 21 to 150 days had the impact
content (18%), high quality protein (40%), of raising the average milk output.
and other nutrients that either Breastfeeding mothers who consume soy
individually or collectively help to during pregnancy and during nursing
improve health by lowering the incidence develop blood triglycerides and
of disease [16]. cholesterol as metabolic byproducts from
Puspitasari (2018), for example, the lipid content of their breast milk.
found that among 40 responders, up to Soybeans ingested by postpartum
14 (or 35%) had previously complained mothers include isoflavones and fat
that their breast milk wasn't producing as variations that turn into substances that
much as they would have liked before stimulate the formation of breast milk.
receiving a soy milk intervention. Up to Isoflavones, often known as
35 people (77.5%) with extremely smooth phytoestrogens, are non-steroidal
breastfeeding and 5 people (12.5%) with phytochemical substances with
smooth nursing reported an increase in properties that are comparable to those
breast milk production after consuming of estrogens in terms of their chemical
soy milk. Bivariate analysis revealed p = makeup and biological actions.
0.000 when before and posttest values
were compared (p < 0.05). The E. CONCLUSION
isoflavones in soy milk, which can cause The intervention group's average
an increase in the hormone estrogen and milk production increased and
aid enhance milk production in significantly differed from the control
postpartum moms, are to blame for the group after receiving mung bean juice at
rise in the average amount of milk the Lumpue Health Center in Pare Pare
produced by postpartum mothers [17]. City. At the Lumpue Health Center in Pare
Isoflavones are amino acids found Pare City, disparities in breast milk
in soybeans that can be converted into production for postpartum moms have
flavonoids, which are pigments like those increased more and significantly as a
found in green leaves and offer numerous result of changes in the average milk
health advantages. Additionally, the production of the intervention group
isoflavones included in soybeans can administered soy milk.
speed up the body's metabolism.
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