Effectiveness of soybean extract on breast milk production adequacy among postpartum mothers
DOI:
https://doi.org/10.71357/hsij.v4i1.83Keywords:
Breast milk production, Galactagogue, Lactation adequacy, Postpartum mothers, Exclusive breastfeedingAbstract
Background: Exclusive breastfeeding remains a global public health priority, yet its coverage in Indonesia has declined in recent years. In Central Kalimantan, the prevalence of exclusive breastfeeding was only 55.78% in 2023, with some districts reporting even lower rates. One of the major barriers is inadequate breast milk production, which is often influenced by maternal physiology, psychological well-being, and nutritional status. Soybean extract, rich in isoflavones, proteins, and bioactive compounds, has been suggested as a natural galactagogue that stimulates prolactin and oxytocin release, thereby enhancing lactation.
Objective: This study aimed to evaluate the effectiveness of soybean extract in improving breast milk adequacy among postpartum mothers.
Method: A pre-experimental one-group pretest–posttest design was applied, involving 15 postpartum mothers (7–14 days after delivery) recruited through purposive sampling in the working area of Tumbang Talaken Health Center, Central Kalimantan. Participants consumed 220 ml of standardized soybean extract twice daily for seven consecutive days. Breast milk adequacy was assessed using a structured dichotomous questionnaire covering maternal (breast engorgement, milk leakage) and infant indicators (urination frequency, weight gain, sleep duration). Data were analyzed using McNemar’s test, with a significance level of p < 0.05.
Result: Prior to the intervention, only 4 mothers (26.7%) reported adequate milk production, while 11 (73.3%) experienced insufficiency. After seven days of soybean extract consumption, 13 mothers (86.7%) achieved adequate production, and only 2 (13.3%) remained insufficient. McNemar’s test confirmed a statistically significant improvement (p = 0.004).
Conclusion: Soybean extract significantly improved breast milk adequacy among postpartum mothers. As an affordable, accessible, and culturally acceptable intervention, soybean extract shows promise as a nutritional strategy to address lactation challenges and support national goals for improving exclusive breastfeeding coverage.
Downloads
References
Abdullah, V. I., Yuliani, V., & Makatita, M. L. (2023). Effectiveness of soybean juice on breast milk production among breastfeeding mothers in the working area of Malaimsimsa Health Center, Sorong City [in Indonesia]. Jurnal Medikes (Media Informasi Kesehatan), 10(2), 191–202. https://doi.org/10.36743/medikes.v10i2.520
Aini, Q., & Vidayati, L. A. (2019). Handling and nursing care of lactating mothers with mastitis at BPM Lukluatun Mubrikoh [in Indonesia]. Jurnal Paradigma (Pemberdayaan & Pengabdian Kepada Masyarakat), 1(1), 39–45. https://doi.org/10.36089/pgm.v1i1.473
Amaliah, A. R., Suarni, & Sriwulan Ndari. (2023). Effects of breastfeeding techniques on sore nipples in postpartum mothers at Siti Fatimah Hospital Makassar. Jurnal Life Birth, 7(1), 61–69. https://doi.org/10.37362/jlb.v7i1.1006
Bilgen, H., Kültürsay, N., & Türkyılmaz, C. (2018). Turkish Neonatal Society guideline on nutrition of the healthy term newborn. Turk Pediatri Arsivi, 53(Suppl 1), S128–S137. https://doi.org/10.5152/TurkPediatriArs.2018.01813
BPS. (2024). Percentage of infants under six months receiving exclusive breastfeeding by province (Persen), 2024. Statistik Kesehatan.
Chavan, D. P. (2024). Comprehensive exploration of Withania somnifera (Ashwagandha): A quantitative analysis of bioactive compounds and traditional applications. International Journal of Science and Research (IJSR), 13(2), 431–434. https://doi.org/10.21275/SR24202152227
de Lima, E. P., Laurindo, L. F., Catharin, V. C. S., Direito, R., Tanaka, M., Jasmin Santos German, I., Lamas, C. B., Guiguer, E. L., Araújo, A. C., Fiorini, A. M. R., & Barbalho, S. M. (2025). Polyphenols, alkaloids, and terpenoids against neurodegeneration: Evaluating the neuroprotective effects of phytocompounds through a comprehensive review of the current evidence. Metabolites, 15(2), 124. https://doi.org/10.3390/metabo15020124
Devina, Wardhani, U. C., & Murniasih, E. (2024). Effect of soy milk (Glycine max) administration on breast milk production among postpartum mothers [in Indonesia]. Protein : Jurnal Ilmu Keperawatan Dan Kebidanan. , 2(1), 56–68. https://doi.org/10.61132/protein.v2i1.58
Douglas, P. (2022). Re-thinking lactation-related nipple pain and damage. Women’s Health, 18. https://doi.org/10.1177/17455057221087865
Ewe, J.-A., & Yeo, S.-K. (2015). Fermented soymilk as a nutraceutical (pp. 133–159). https://doi.org/10.1007/978-3-319-23177-8_6
Hanifa, D., Rahayu, S., Nugrahaeni, I. K., & Putri, N. R. (2021). Herbal lactagogum and breastfeeding mother’s breast milk production: A sistematic review. Journal of Midwifery Science: Basic and Applied Research, 3(2), 55–68. https://doi.org/10.31983/jomisbar.v3i2.8115
Harmancıoğlu, B., & Kabaran, S. (2019). Breast milk: Its role in early development of the immune system and long-term health. Open Journal of Obstetrics and Gynecology, 09(04), 458–473. https://doi.org/10.4236/ojog.2019.94045
Hasibuan, D. A., Sari Dewi, S. S., & Donna, Y. B. (2022). The effect of soybean and meloon juice on increasing breast milk production in mothers. International Journal of Public Health Excellence (IJPHE), 1(1), 41–45. https://doi.org/10.55299/ijphe.v1i1.8
Heller, M. M., Fullerton‐Stone, H., & Murase, J. E. (2012). Caring for new mothers: diagnosis, management and treatment of nipple dermatitis in breastfeeding mothers. International Journal of Dermatology, 51(10), 1149–1161. https://doi.org/10.1111/j.1365-4632.2011.05445.x
Hidayati, K., Alfitri, R., & Purwati, A. (2024). Association of family support with exclusive breastfeeding in RW 3 and 4, Kedung Asem Subdistrict, Wonoasih, Probolinggo City [in Indonesia]. Jurnal Ilmiah Obsgin : Jurnal Ilmiah Ilmu Kebidanan & Kandungan P-ISSN : 1979-3340 e-ISSN : 2685-7987, 16(2), 209–213. https://doi.org/10.36089/job.v16i2.1991
Husna, F. Y., & Sihombing, S. F. (2024). Effect of soy milk intake on breast milk production in postpartum mothers. Zona Kebidanan: Program Studi Kebidanan Universitas Batam, 14(3). https://doi.org/10.37776/zkeb.v14i3.1484
Ida, E. I., & de Camargo, A. C. (2022). Soybean isoflavone profile. In Phytochemicals in soybeans (pp. 45–76). CRC Press. https://doi.org/10.1201/9781003030294-2
Isela García-Ríos, R., Mora-Pérez, A., Raquel Ramos-Molina, A., & Soria-Fregozo, C. (2020). Neuropharmacology of secondary metabolites from plants with anxiolytic and antidepressant properties. In Behavioral pharmacology - From basic to clinical research. IntechOpen. https://doi.org/10.5772/intechopen.90919
Juliani, S., Listiarini, U. D., Wulan, M., & Keresnawati, E. (2023). Effect of soy milk consumption on increasing breast milk production in postpartum mothers at Johan Pahlawan Health Center, Johan Pahlawan District, West Aceh [in Indonesia]. MAHESA : Malahayati Health Student Journal, 3(4), 1001–1009. https://doi.org/10.33024/mahesa.v3i4.10097
Kaur, P., Gandhi, S., Sharma, R., Kaur, L., Pal, M., Deswal, G., Chopra, B., Grewal, A. S., & Dhingra, A. K. (2024). Extraction, phytochemistry; pharmacological potential of camellia sinensis: A comprehensive review. The Natural Products Journal, 14(6). https://doi.org/10.2174/0122103155278901231122130727
Kelleher, S. L., Burkinshaw, S., & Kuyooro, S. E. (2024). Polyphenols and lactation: Molecular evidence to support the use of botanical galactagogues. Molecular Nutrition & Food Research, 68(9). https://doi.org/10.1002/mnfr.202300703
Kemenkes. (2023). Indonesia Health Survey – 2023 in Figures [in Indonesia]. Badan Kebijakan Pembangunan Kesehatan - Kementerian Kesehatan .
Kent, J. C., Christen, L., Hassiotou, F., & Hartmann, P. E. (2013). Role of breast milk. In Nutrition for the preterm neonate (pp. 311–335). Springer Netherlands. https://doi.org/10.1007/978-94-007-6812-3_16
Kim, I.-S., Kim, C.-H., & Yang, W.-S. (2021). Physiologically active molecules and functional properties of soybeans in human health—A current perspective. International Journal of Molecular Sciences, 22(8), 4054. https://doi.org/10.3390/ijms22084054
Lestiya, D., Purwati, A., & Purwanti, A. S. (2024). Effect of soy milk (Glycine max L. Merrill) consumption on breast milk production in postpartum mothers at Wajak Husada Hospital [in Indonesia]. Journal of Public Health Innovation, 4(02), 356–361. https://doi.org/10.34305/jphi.v4i02.1137
Madur, J. P., Kurniati, K., & Murti, N. (2024). Knowledge enhances exclusive breastfeeding among infants at Golodukal Auxiliary Health Center [in Indonesia]. MAHESA : Malahayati Health Student Journal, 4(11), 4828–4834. https://doi.org/10.33024/mahesa.v4i11.15509
Dwiyanti, M., S. (2020). Soybean and wild soybean genetic diversity for new functional food resources, focusing on tocopherol, lutein, and saponin. Journal of Functional Food and Nutraceutical, 2(1), 29–42. https://doi.org/10.33555/jffn.v2i1.53
Meek, J. Y., & Noble, L. (2022). Breastfeeding and the use of human milk. In Breastfeeding handbook for physicians. American Academy of PediatricsItasca, IL. https://doi.org/10.1542/9781610024433-appa
Modgil, R., Tanwar, B., Goyal, A., & Kumar, V. (2021). Soybean (Glycine max). In Oilseeds: Health attributes and food applications (pp. 1–46). Springer Singapore. https://doi.org/10.1007/978-981-15-4194-0_1
Mostrom, M., & Evans, T. J. (2011). Phytoestrogens. In Reproductive and developmental toxicology (pp. 707–722). Elsevier. https://doi.org/10.1016/B978-0-12-382032-7.10052-9
Newby, R. M., & Davies, P. S. W. (2016). Why do women stop breast-feeding? Results from a contemporary prospective study in a cohort of Australian women. European Journal of Clinical Nutrition, 70(12), 1428–1432. https://doi.org/10.1038/ejcn.2016.157
Devi, R. N., Dhisha, V., Suresh, B., & Mahalakshmi, S. (2023). In silico evaluation of isoflavones for its galactagogue activity in promoting lactation. Research Journal of Biotechnology, 18(11), 106–114. https://doi.org/10.25303/1811rjbt01060114
Nisa, Z. H. (2023). Effect of lactation massage on breast milk production before and after intervention among postpartum mothers at BPM Meilisa Afty, Depok, During June 14 – July 14, 2021 [in Indonesia]. Jurnal Ilmiah Bidan, 7(1), 1–8. https://doi.org/10.61720/jib.v7i1.348
Nuzzi, G., Trambusti, I., di Cicco, M. E., & Peroni, D. G. (2021). Breast milk: More than just nutrition! Minerva Pediatrics, 73(2). https://doi.org/10.23736/S2724-5276.21.06223-X
Olías, R., Delgado-Andrade, C., Padial, M., Marín-Manzano, M. C., & Clemente, A. (2023). An updated review of soy-derived beverages: Nutrition, processing, and bioactivity. Foods, 12(14), 2665. https://doi.org/10.3390/foods12142665
Palmeira, P., & Carneiro-Sampaio, M. (2016). Immunology of breast milk. Revista Da Associação Médica Brasileira, 62(6), 584–593. https://doi.org/10.1590/1806-9282.62.06.584
Tifanni, P. R., Sari, D. P., & Tarigan, R. A. (2024). Association of breastfeeding position and breast care practices with breast engorgement among mothers in the working area of Sei Langkai Health Center, Batam [in Indonesia]. Jurnal Ventilator, 2(3), 275–290. https://doi.org/10.59680/ventilator.v2i3.1377
Rahayu, S., Hadisaputro, S., Hidayat, S. T., & Anggorowati. (2022). Characteristics and related factors to breast milk production of postpartum: Preliminary study at Public Health Center of Semarang City. EMBRIO, 14(1), 118–125. https://doi.org/10.36456/embrio.v14i1.5292
Rauda, & Harahap, L. D. S. (2023). Soybean extract milk and its effect on enhancing breast milk production in postpartum women [in Indonesia]. Jurnal Keperawatan Priority, 6(1), 12–18. https://doi.org/10.34012/jukep.v6i1.3190
Skaaning, D., Brødsgaard, A., Kronborg, H., Kyhnæb, A., Pryds, O., & Carlsen, E. (2024). Maternal reasons for early termination of exclusive breastfeeding in premature infants. Journal of Perinatal & Neonatal Nursing, 38(1), 88–97. https://doi.org/10.1097/JPN.0000000000000693
Sutarno, M. (2018). Overview of breast engorgement among postpartum mothers at Midwife S Maternity Clinic in 2018 [in Indonesia]. Jurnal Antara Kebidanan, 1(1), 1–6. https://doi.org/10.37063/jurnalantarakebidanan.v1i1.61
Tsugami, Y., Matsunaga, K., Suzuki, T., Nishimura, T., & Kobayashi, K. (2017). Isoflavones and their metabolites influence the milk component synthesis ability of mammary epithelial cells through prolactin/STAT5 signaling. Molecular Nutrition & Food Research, 61(10). https://doi.org/10.1002/mnfr.201700156
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Fharamita, novalia.widiya@gmail.com , Siti Noor Hasanah, ifriscila

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Health Sciences International Journal (HSIJ) © 2023 by Ananda Health and Education Foundation is licensed under Attribution-ShareAlike 4.0 International
Deprecated: json_decode(): Passing null to parameter #1 ($json) of type string is deprecated in /var/www/html/plugins/generic/citations/CitationsPlugin.php on line 68




