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Upaya yang dapat dilakukan untuk mempercepat involusi uterus adalah dengan pijat oksitosin ataupun senam nifas. Fenomena yang ditemukan di Puskesmas Pangkalan, upaya yang dilakukan untuk merangsang kontraksi uterus hanya dengan memberikan terapi farmakologi dan menganjurkan ibu menyusui sesering mungkin. Tujuan penelitian untuk mengetahui efektifitas pijat oksitosin dan senam nifas terhadap penurunan fundus uteri pada Ibu post partum hari I III. Jenis penelitian pra eksperimen, dengan rancangan Statis Group Comparison. Penelitian dilakukan pada tanggal 20 Juli 20 Agustus 2017. Populasi adalah seluruh ibu post partum hari I-III yang terdapat di Puskesmas Pangkalan, rata-rata 15 orang. Sampel berjumlah 10 orang, diambil secara accidental sampling. Analisa data menggunakan uji statistik Chi Square. Hasil analisis univariat diketahui rata-rata penurunan tinggi fundus uteri pada ibu yang dilakukan pijat oksitosin adalah 3,5 cm dan pada ibu yang dilakukan senam nifas adalah 4,2 cm. Hasil analisa bivariat ada perbedaan tinggi fundus uteri sebelum dan sesudah dilakukan pijat oksitosin (p = 0,0005), ada perbedaan tinggi fundus uteri sebelum dan sesudah senam nifas (p = 0,0005), dan senam nifas efektif terhadap penurunan fundus uteri pada Ibu post partum hari I III (p = 0,004). Disimpulkan bahwa senam nifas efektif terhadap penurunan tinggi fundus uteri ibu post partum. Diharapkan pada petugas di Puskesmas agar mengajarkan dan menganjurkan pada ibu post partum untuk melakukan senam nifas guna mempercepat penurunan tinggi fundus uteri.

Efforts that can be made to accelerate the involution of the uterus is by massage of oxytocin or puerperal gymnastics. The phenomenon found in Pangkalan Puskesmas, that about 40% of mothers have postpartum hemorrhage due to poor uterine contractions. Efforts are made to stimulate uterine contractions by simply providing pharmacological therapy and encouraging nursing mothers as often as possible. The purpose of this research is to know the effectivity of oxytocin massage and gymnastics gymnast on the decrease of fundus uteri on post partum mothers day I III. Type of pre experimental research, with a Statis Group Comparison design. The study was conducted on July 20 - August 20, 2017. The population is all post-partum mothers day I-III located at Pangkalan Health Center, with an average of 15 people per month. Samples totaling 10 people, taken by accidental sampling. Data analysis using Chi Square statistical test. The univariate analysis showed that the average of uterine fundus decrease height in the mother by oxytocin massage was 3.5 cm and in the mother performed by puerperal exercises was 4.2 cm. The result of bivariate analysis was the difference of fundal uteri level before and after the oxytocin massage (p = 0.0005), there was difference of fundus uteri fund before and after puerperal exercises (p = 0.0005), and gymnastics effective against uterine fundus decrease post partum days I - III (p = 0.004). It was concluded that postpartum exercise was effective against the decrease in uterine fundus height of post partum mother. It is expected that officers at Puskesmas should teach and encourage post partum mothers to perform postnatal gymnastics in order to accelerate the reduction of fundal height of uteri.