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Breastfeeding is essential for the health of newborn infants and mothers. Basic health research in 2018 showed that exclusive breastfeeding in Bali has not reached the national target. High rates of cesarean section delay breastfeeding initiation, the important predictor of continued breastfeeding. Main concern for breastfeeding mothers about medications increased the use of herbal galactagogue to aid lactation. The use of traditional medicinal plant in Bali is 40% higher than national average and its existence is strengthened by the issuance of Bali Governor Regulation No. 55/2019 concerning Traditional Balinese Health Services. Despite increasing popularity of traditional medicine, there are currently limited data available on the plant list and pattern of use herbal galactagogue. This study aims to explore the galactagogue plants, pattern of use, perceived effectiveness of herbal galactagogues during breastfeeding among breastfeeding mother’s in Bali. This study was conducted using a questionnaires and in-depth interviews. The questionnaire and interview guideline were validated by lactation consultants and traditional health practitioners in Bali. The study was approved by Human Research Ethic Committee of Bina Usada Bali. The use of herbal galaktagogue is mostly practiced by highly educated mothers, mother’s occupation as health workers and primiparous. There are 26 types of plants that are often used by lactating mothers in Bali. Majority of respondent begin to use herbal galactagogue after giving birth (82%) for approximately less than 1 month. Majority of lactating mothers in Bali perceived effectiveness of herbal galactagogue usage based on breastfeeding adequacy indicators. About 95% respondents feel confidence and have self-empowerment after using herbal galactagogue, possessing  psychological benefits. The use of herbal galactagogue is common amongst breastfeeding mothers in Bali, while information about efficacy and safety is lacking. Further research is needed to give evidence-based information to support exclusive breastfeeding


Lactation Breastmilk Herbal Galactagogue Usada Balinese traditional medicine

Article Details

Author Biographies

Ni Luh Gde Mona Monika, Akademi Kesehatan Bintang Persada, Denpasar.

Prodi Farmasi, Akademi Kesehatan Bintang Persada, Denpasar, Indonesia.

Ella Yunita, Akademi Kesehatan Bintang Persada, Denpasar.

Prodi Farmasi, Akademi Kesehatan Bintang Persada, Denpasar, Indonesia.

How to Cite
Monika, N. L. G. M., & Yunita, E. (2021). Exploration of Types and Consumption Behaviour of Usada-based Herbal Galactagogue on Lactating Mothers in Bali : Explorasi Jenis dan Perilaku Konsumsi Galaktagogue Herbal berbasis Usada pada Ibu menyusui di Bali. Jurnal Farmasi Galenika (Galenika Journal of Pharmacy) (e-Journal), 7(1), 66-76.


  1. Arsana, I Nyoman. (2019). Keragaman Tanaman Obat dalam Lontar “Taru Pramana” dan Pemanfaatannya untuk Pengobatan Tradisional Bali. Journal of Bali Studies, 9 (1): 241-262.
  2. Badan Penelitian dan Pengembangan Kesehatan. Hasil Utama Riset Kesehatan Dasar 2018. Available online from: [Accessed 09 October, 2020].
  3. Dewi, A.A.A.P.K., Warditiani, N.K., Leliqia, N.P.E. (2013). Inventarisasi Tanaman Obat Dalam Usada Upas Dalam Bentuk Buku Elektronik. Jurnal Farmasi Udayana, 86-92.
  4. Hobbs, A.J., Cynthia A.M., Sheila W. McDonald, Meredith, B. and Suzanne C. T. (2016). The impact of caesarean section on breastfeeding initiation, duration and difficulties in the first four months postpartum. BMC Pregnancy and Childbirth, 16:90
  5. Jumadiah, Sri. 2009. Usada Taru Pramana. Denpasar : Yayasan Dharma Pura.
  6. Lemeshow, S. Hosmer Jr. D.W. Klar, J. and Lwanga, S.K. (1997). Besar Sampel dalam Penelitian Kesehatan, translated by Dibyo Pramono, Gadjah Mada University Press, pp 54-55, Yogyakarta
  7. Nommsen-Rivers, L., Chantry, C., Peerson, J., Cohen, R., and Dewey, K. (2010). Delayed onset of lactogenesis among first-time mothers is related to maternal obesity and factors associated with ineffective breastfeeding. The American journal of clinical nutrition, 574: 84-92.
  8. Odom, E.C., Li, R., Scanlon, K.S., Perrine C.G., Grummer-Strawn L. (2013). Reason for earlier than desired cessation of breastfeeding. Pediatrics, 131: 726-732.
  9. Othman N, Lamin RAC, Othman CN. (2014). Exploring Behavior on the Herbal Galactagogue Usage among Malay Lactating Mothers in Malaysia. Procedia - Soc Behav Sci., 153:199–208.
  10. Zuppa, A.A.; Sindico, P.; Orchi, C.; Carducci, C.; Cardiello, V.; Romagnoli, C. (2010). Safety and efficacy of galactogogues: Substances that induce, maintain and increase breast milk production. J. Pharm. Pharm. Sci. 13: 162–174.