Perempuan yang melahirkan dengan cara sectio caesarea sering mengalami ketidaklancaran pengeluaran asi yang menyebabkan timbulnya masalah keperawatan menyusui tidak efektif. hal ini merupakan masalah yang harus diperhatikan karena pemberian asi eksklusif dapat berdampak besar baik bagi bayi maupun ibu. meningkatkan kelancaran produksi asi dapat dilakukan dengan pijat oksitosin atau back rolling massage. tujuan penulisan ini untuk menganalisa hasil penerapan tindakan back rolling massage pada asuhan keperawatan klien post sc dengan masalah menyusui tidak efektif. desain penulisan ini adalah studi kasus dengan sampel 2 klien post operasi sc di rumah sakit umum kota tarakan. klien pertama diberikan tindakan inovasi back rolling massage dan klien kedua diberikan tindakan sesuai sop rumah sakit berupa pijat oksitosin. kedua klien diberikan tindakan selama 3 hari setiap pagi dan sore. durasi waktu tindakan back rolling massage selama 30 menit sedangkan pijat oksitosin hanya 2-3 menit. hasil penelitian menunjukkan setelah diberikan tindakan pada hari kedua, klien pertama sudah dalam kategori asi lancar sedangkan klien kedua pada hari ketiga baru dalam kategori asi lancar. tindakan back rolling massage dapat melancarkan asi sehingga masalah menyusui tidak efektif teratasi. back rolling massage dapat dijadikan salah satu alternatif tindakan untuk melancarkan asi. kata kunci: air susu ibu, back rolling massage, pijat oksitosin, sectio caesarea

Women who give birth by sectio caesarea often experience ineffectiveness of breast milk release which causes the nursing problem of ineffective breastfeeding. this is a problem that must be considered because exclusive breastfeeding is beneficial for both the baby and the mother. increasing the fluency of breast milk production can be done with oxytocin massage or back rolling massage. the objective ofthis study was to analyze the results of the application of back-rolling massage actions in nursing care for post-sc clients with ineffective breastfeeding problems. the design of this study was a case study with a sample of 2 clients post-sc surgery at tarakan city general hospital. the first client was given an innovative back¬ rolling massage and the second client was given an action according to hospital operational procedures in the form of oxytocin massage. both clients were given action for 3 days every morning and evening. the duration of action time for back rolling massage for 30 minutes while oxytocin massage was only 2-3 minutes. the results showed that after being given action on the second day, the first client was already in the fluent breast milk category while the second client on the third day was only in the fluent breast milk category. the action of back rolling massage was effective in increasing breast milk so that the problem of ineffective breastfeeding was resolved. back rolling massage could be used as one of the alternative actions to improve breast milk. keywords: breast milk, back rolling massage, oxytocin massage, sectio caesarea