Case Report: Effectiveness Of Aloe Vera Compress And Breast Care In Reducing Breast Pain And Engorgement Among Postpartum Mothers
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Abstract:
Background of study: Breast pain and breast engorgement are common problems experienced by postpartum mothers, especially during the early days after childbirth. These conditions may interfere with breastfeeding and reduce maternal comfort.
Aims and scope of paper: This study aimed to analyze the effectiveness of aloe vera compress combined with breast care in reducing breast pain and breast engorgement in postpartum mothers.
Methods: This study used a case report design involving three postpartum mothers who experienced breast pain and breast engorgement. Participants received aloe vera compress therapy for 30 minutes followed by breast care procedures for 20 minutes, twice daily for three consecutive days. Pain was measured using the Numeric Rating Scale (NRS), while breast engorgement was assessed using the Six Point Engorgement Scale (SPES).
Result: The results showed a reduction of 2,66 points in pain scores (NRS) and a decrease of 3,32 points in breast engorgement scores (SPES) after the intervention.
Conclusion: The combination of aloe vera compress and breast care was effective in reducing breast pain and breast engorgement in postpartum mothers and may be considered a complementary non-pharmacological nursing intervention
Keywords: Aloe Vera Compres, Breast Care, Breast Engorgement, Postpartum Mothers
Copyright (c) 2026 Tri Lestari Handayani, Dewi Oktaviani, Lisnadiyanti

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References
Abid, A. B., Javed, M., Zafar, S., Hamdani, S. U., Shah, H. B. U., Abid, J., & Ahmad, A. M. R. (2025). The green healer: an updated review on the phytochemical profile and therapeutic potential of Aloe vera. Frontiers in Nutrition, 12, 1689700. https://doi.org/10.3389/fnut.2025.1689700
Academy of Breastfeeding Medicine. (2022). ABM clinical protocol: Engorgement.
Breastfeeding Medicine, 17(3), 190–198.
Agushybana, F., Siramaneerat, I., Raksamat, W., & Siriphakhamongkhon, S. (2018). Population-Based Survey of Exclusive Breastfeeding in Indonesia: A Secondary Analysis. 22(1), 6–17. https://www.tci-thaijo.org/index.php/PRIJNR/article/view/85934
Agustina, Z. A., & Fitrianti, Y. (2020). Utilization Of Jamu In Puerperal Mother In Sumatera And Java Island (Literature Review Of Health Ethnographic Research 2012-2016). The Indonesian Journal of Public Health, 15(1), 93. https://doi.org/10.20473/ijph.v15i1.2020.93-102
Alamolhoda, S. H., Mirabi, P., & Mojab, F. (2019). Effects of both Aloe Vera gel and breast milk on the improvement of nipple soreness in lactating women A randomized controlled trial. Journal of Herbal Medicine, 21, 100327. https://doi.org/10.1016/j.hermed.2019.100327
Aloustani, S., Parsai, M., Siyasari, A. R., Sharifi Rizi, M., Papi, S., & Zafarramazanian, F. (2025). Applications of Kolcaba’s Comfort Theory to improve nursing practice: A narrative review. Journal of Nursing Reports in Clinical Practice, 4(2), 110-115. doi: 10.32598/JNRCP.2505.1186
Amsalu, R., Oltman, S. P., Baer, R. J., Medvedev, M. M., Rogers, E. E., & Jelliffe‐Pawlowski, L. L. (2022). Incidence, Risk Factors, and Reasons for 30-Day Hospital Readmission Among Healthy Late Preterm Infants. Hospital Pediatrics, 12(7), 639–649. https://doi.org/10.1542/hpeds.2021- 006215
Berliana, Viancha samiera. 2021. “Pengaruh kompres lidah buaya terhadap penurunan nyeri pada ibu menyusui dengan pembengkakan payudara di puskesmas beringin raya kota bandar lampung.” (2016): 7–55. http://repository.poltekkes-tjk.ac.id/id/eprint/157
Cai, H., Lü, Y., Kang, X., & Chen, L. (2025). Effect of midwife-led continuity of care combined with individualized breast management on postpartum recovery and lactation function in women undergoing cesarean section. Frontiers in Medicine, 12, 1608027.
https://doi.org/10.3389/fmed.2025.1608027
Chelu, M., Musuc, A. M., Popa, M., & Moreno, J. C. (2023). Aloe vera-Based Hydrogels for Wound Healing: Properties and Therapeutic Effects. Gels, 9(7), 539.
https://doi.org/10.3390/gels9070539
Committee, T. A. of B. M. P. (2009). ABM Clinical Protocol #20: Engorgement. Breastfeeding Medicine, 4(2), 111–113. https://doi.org/10.1089/bfm.2009.9997
Dencik, D. A. (2024). The Effect of Warm Compresses on the Breasts on the Smoothness of Breast Milk Production in Postpartum Mothers at PMB Lismarini Palembang. Journal of
Educational Innovation and Public Health, 2(4), 211-216. doi: 10.55606/innovation.v2i4.3269
Dong, D., Ru, X., Huang, X., Sang, T., Li, S., Wang, Y., & Feng, Q. (2020). A Prospective Study on Lactation Status and Breastfeeding Challenges of Mothers Giving Birth to Preterm Infants. Research Square (Research Square). https://doi.org/10.21203/rs.3.rs-92675/v1
Gao, H., Wang, J., Li, Y., Ding, S., Zhang, V. W., Chen, S., Zhang, H., & Liu, H. (2022). Effects of breast massage by non-medical personnel on the clinical characteristics and treatment of breast abscess. Research Square (Research Square). https://doi.org/10.21203/rs.3.rs-1718243/v1
Hassan, H. E., Sheha, E. A. A. E. M., Hassanine, S. T., & Gamel, W. M. A. (2020). Fenugreek seed poultice versus cold cabbage leaves compresses for relieving breast engorgement: An interventional comparative study. Journal of Nursing Education and Practice, 10(5), 82. https://doi.org/10.5430/jnep.v10n5p82
Huda, M. H., Chipojola, R., Lin, Y. M., Lee, G. T., Shyu, M.-L., & Kuo, S. (2021). The Influence of Breastfeeding Educational Interventions on Breast Engorgement and Exclusive Breastfeeding: A Systematic Review and Meta-Analysis. Journal of Human Lactation, 38(1), 156–170. https://doi.org/10.1177/08903344211029279
Kaur, S., & Bains, K. (2023). Aloe Barbadensis Miller (Aloe Vera). International Journal for Vitamin and Nutrition Research, 94, 308–321. https://doi.org/10.1024/0300-9831/a000797
KemenKes. (2021). Kesehatan Indonesia 2014-2021. (online). Retrieved from http://www.depkes.go.id/resource/download/profil-kesehatan
Kent, J. C., Prime, D. K., & Garbin, C. P. (2011). Principles for Maintaining or Increasing Breast Milk Production. Journal of Obstetric, Gynecologic & Neonatal Nursing, 41(1), 114–121. https://doi.org/10.1111/j.1552-6909.2011.01313.x
Ladyvia, F., Suryani Siagian, R. I., Yatini, & Barus, E. S. B. (2025). The effect of breastcare on the smoothness of breast milk in postpartum mothers. Jurnal Kebidanan Kestra, 7(2), 210-
216. doi: 10.35451/jkk.v7i2.2732
Maleki, A., & Youseflu, S. (2022). The Effectiveness of Aloe Vera on Relief of Irritation and Nipple Pain in Lactating Women: Systematic Review and Meta‐Analysis. Obstetrics and gynecology international, 2022(1), 7430581. doi: 10.1155/2022/7430581
Mogensen, N., Portman, A., & Mitchell, K. (2020). Nonpharmacologic Approaches to Pain, Engorgement, and Plugging in Lactation: Applying Physical Therapy Techniques From Breast Cancer Care to Breastfeeding Patients. Clinical Lactation, 11(1), 35–42. https://doi.org/10.1891/2158-0782.11.1.35
Munsittikul, N., Tantaobharse, S., Siripattanapipong, P., Wutthigate, P., Ngerncham, S., & Yangthara,
B. (2022). Integrated breast massage versus traditional breast massage for treatment of plugged milk duct in lactating women: a randomized controlled trial. International Breastfeeding Journal, 17(1), 43. https://doi.org/10.1186/s13006-022-00485-6
Napisah, P., Widiasih, R., Maryati, I., Hermayanti, Y., & Natasya, W. (2021). The Effectiveness of Cabbage Leaf Compress and the Education of Lactation Management in Reducing Breast Engorgement in Postpartum. Open Access Macedonian Journal of Medical Sciences, 9, 106–110. https://doi.org/10.3889/oamjms.2021.7318
Pevzner, M., & Dahan, A. (2020). Mastitis While Breastfeeding: Prevention, the Importance of Proper Treatment, and Potential Complications. Journal of Clinical Medicine, 9(8), 2328. https://doi.org/10.3390/jcm9082328
Pradhan, B. (2023). Phytochemistry, Pharmacology And Toxicity Of Aloe Vera : A Versatile Plant With Extensive Therapeutic Potential. Plant Archives, 23(2). https://doi.org/10.51470/plantarchives.2023.v23.no2.056
Prastyoningsih, A., Wijayanti, W., Prawistya, A., & Julia, J. (2023). Management Application of Aloe Vera Compresses and Back Massage for Breast Engagement in Postpartum Mothers: Experiment Study. International Journal of Public Health Excellence (IJPHE), 3(1), 200–205. https://doi.org/10.55299/ijphe.v3i1.550
Pujiastuti, N., & Winarni, S. (2025). Back Acupressure, Baby Positioning and Latching, and Breast Massage Increase Breast Milk Production: A Controlled Clinical Trial. Acta Medica Philippina,
59(16), 93–99. https://doi.org/10.47895/amp.vi0.9130
Rahayuningsih, T., Mudigdo, A., & Murti, B. (2016). Effect of Breast Care and Oxytocin Massage on Breast Milk Production: A study in Sukoharjo Provincial Hospital. Journal of Maternal and Child Health, 1(2), 101–109. https://doi.org/10.26911/thejmch.2016.01.02.05
Raihanah, S., Jasmawati, J., & Siregar, N. (2023). Effect of aloe vera gel compresses on breast engorgement among postpartum mother. Healthcare in Low-resource Settings. https://doi.org/10.4081/hls.2023.11788
Rauf, A., Jehan, N., Ahmad, Z., & Mubarak, M. S. (2017). Analgesic Potential of Extracts and Derived Natural Products from Medicinal Plants. In InTech eBooks. https://doi.org/10.5772/intechopen.68631
Safaah, N., Wijayanti, E. E., & Qonitun, U. (2023). THE EFFECT OF ALOE VERA COMPRESSES ON
BREAST ENGORGEMENT PAIN IN POSTPARTUM MOTHERS. Indonesian Midwifery and Health Sciences Journal, 7(4), 327–337. https://doi.org/10.20473/imhsj.v7i4.2023.327-337
Sandhi, A., Lee, G. T., Chipojola, R., Huda, M. H., & Kuo, S. (2020). The relationship between perceived milk supply and exclusive breastfeeding during the first six months postpartum: a cross-sectional study. International Breastfeeding Journal, 15(1). https://doi.org/10.1186/s13006-020-00310-y
Sharma, R. (2018). Effectiveness of Chilled Cabbage Leaf Application on Breast Engorgement among Post Partum Women’s. Journal of Medical Science And clinical Research, 6(6). https://doi.org/10.18535/jmscr/v6i6.147
Srivastava, S. C., Kharkar, V., More, S. S., Kalsi, H., & Sachdev, S. (2024). Efficacy of a novel combination of aloe vera gel and pineapple extracts in improving post-extraction pain and healing: A Randomized Controlled Trial. Journal of Clinical and Experimental Dentistry. https://doi.org/10.4317/jced.61640
Surjushe, A., Vasani, R., & Saple, D. G. (2008). Aloe vera: A short review. Indian Journal of Dermatology, 53(4), 163–166. Victora, C. G., et al. (2016). Breastfeeding in the 21st century: Epidemiology, mechanisms, and lifelong effect. The Lancet, 387(10017), 475–490.
Tateoka, Y. (2022). Effectiveness of aloe fomentation for nipple-related complications during the early puerperium period: a randomized, controlled, interventional study. BMC Research Notes, 15(1), 94. https://doi.org/10.1186/s13104-022-05980-x
Thakur, M. S., B, M. G., & Bala, M. K. (2018). Effectiveness of Hot Application with Breast Massage on Breast Engorgement Among the Postnatal Mothers. International Journal of Trend in Scientific Research and Development, 1149–1153. https://doi.org/10.31142/ijtsrd18801
Witt, A. M., Bolman, M., & Kredit, S. (2016). Mothers Value and Utilize Early Outpatient Education on Breast Massage and Hand Expression in Their Self-Management of Engorgement. Breastfeeding Medicine, 11(9), 433–439. https://doi.org/10.1089/bfm.2016.0100
Wizia, Lady, & Susanti, E. (2021). Aloe Vera Gel Compression as Breast Engorgement Pain Relief. Women Midwives and Midwifery, 1(3), 13–19. https://doi.org/10.36749/wmm.1.3.13-19.2021 Yustiza, N. R., Wijayanti, K., Sunarjo, L., & Widyawati, M. N. (2023). Potency of Aloe Vera Extract Transdermal Patch Treatment in Relief Pain and Breast Engorgement. Jurnal Aisyah Jurnal
Ilmu Kesehatan, 8(3). https://doi.org/10.30604/jika.v8i3.2304
Zagloul, M. C., Naser, E. G., & Hassan, H. E. (2020). Influence of Hot Compresses Versus Cabbage Leaves on Engorged Breast in Early Puerperium. International Journal of Studies in Nursing, 5(2), 7. https://doi.org/10.20849/ijsn.v5i2.740
Zakarija‐Grković, I., & Stewart, F. (2020). Treatments for breast engorgement during lactation.
Cochrane library, 2020(9). https://doi.org/10.1002/14651858.cd006946.pub4