HUBUNGAN SENAM NIFAS DENGAN PENURUNAN TINGGI FUNDUS UTERI PADA IBU NIFAS HARI KE 3 DI TPMB I DAN TPMB S

Abstrak

The postpartum period begins after the placenta is born and ends when the womb returns to its original state (before pregnancy), which lasts approximately six weeks or 42 days. It is a period of adjustment for the mother to a new role, during which the mother experiences physical and psychological changes. Several factors, including postpartum exercise, influence the uterine involution process. If the involution process is disturbed, it can cause uterine subinvolution. The aim of this research was to determine the relationship between postpartum exercise and a decrease in uterine fundal level in postpartum mothers on the third day. This research uses a quasi-experimental treatment group and a control group. The population was 15 multiparous postpartum mothers who gave birth at TPMB Ida Priyanti and 15 multiparous postpartum mothers who gave birth at TPMB Sidemiarti. Sampling used a purposive sampling technique. Data was collected using postpartum exercise observation sheets, and the uterine fundal level was decreased with the use of the fingers. Data analysis used the Chi-Square test and then continued with the Mann-Whitney test. The research findings are significant, indicating that postpartum mothers who engaged in postpartum exercise (40%) experienced a rapid decrease in uterine fundal level. In contrast, postpartum mothers who did not engage in postpartum exercise (30%) experienced a delay in decreasing uterine fundal levels. The Mann-Whitney test analysis further underscores the importance of these findings, showing a significance value of <0.001. It suggests that postpartum exercise can significantly influence the reduction in uterine fundal height in postpartum mothers on the third day. This research concludes that postpartum exercise can influence a decrease in the level of the uterine fundus because postpartum exercise on the third day includes exercises to return the uterus to its original shape and position and reduce heartburn in postpartum mothers