Unripe Carica Papaya L. Extract as an Alternative for Midwifery Services in Primipara Postpartum Mothers for Breast Milk Adequacy

Introduction: Breast milk contributes greatly to infant growth, Exclusive breastfeeding can encourage the number of children who live past the age of five. However, many mothers stop the breastfeeding process for reasons of insufficient breastfeeding. Nonpharmacological efforts can be given with the aim of helping to facilitate breastfeeding. unripe papaya contains saponins and alkaloids which can stimulate the hormone prolactin and oxytocin which play a role in the process of breastfeeding, this fruit can be considered as an alternative material to facilitate the production of breast milk so that the adequacy of breast milk for frequency of defecation in infantsies can be fulfilled. Objectives: Prove the effect of unripe Carica papaya L extract on the adequacy of breast milk in primiparous postpartum mothers. Methods: This study used design for randomized control group the pretest-posttest group, a sample of 44 primiparous postpartum mothers divided into two groups; the intervention group was given unripe papaya fruit capsules for 14 days at a dose of 150 mg while the control group was given a placebo. Data analysis using Friedman test, Post Hoc Wilcoxon and Mann Whitney test. Results: indicators of adequacy of breastfeeding experienced an increase in the intervention group; babys weight gain to 327.3 grams, frequency of urination in infants increased 2 times, frequency of defecation in infants increased 2 times, sleep frequency increased 2.73 hours, frequency of breastfeeding increased 4 times compared to the control group that experienced an increase in the indicator of normal breastfeeding adequacy. Conclusion: Unripe papaya extract has potential as an alternative material for the adequacy of breast milk for primiparous postpartum mothers that can be applied to postpartum care in midwifery services.