Search Repository Universitas Fort De Kock

Upaya yang dapat dilakukan untuk mempercepat involusi uterus adalah dengan senam nifas ataupun pijat oksitosin. Fenomena yang ditemukan di BPM B upaya yang dilakukan untuk merangsang kontraksi uterus hanya dengan memberikan terapi farmakologi seperti injeksi oksitosin intra-muskular. Tujuan penelitian untuk mengetahui efektifitas pijat oksitosin dan senam nifas terhadap penurunan fundus uteri pada Ibu post partum. Jenis penelitian quasi eksperimen, dengan rancangan pre post test with Control group. Penelitian dilakukan pada tanggal 30 Mei 27 Juli 2018. Populasi adalah seluruh ibu post partum hari I-III yang terdapat di BPM B. Pengambilan sampel yang digunakan yaitu teknik purposive sampling yang berjumlah 20 orang, terdiri dari 10 orang responden yang dilakukan pijat oksitosin dan 10 orang responden yang melakukan senam nifas. Analisa data menggunakan uji statistik Wilcoxon. Hasil analisis univariat diketahui rata-rata penurunan involusi uterus sebelum dilakukan senam nifas adalah 14,20 cm dan pada ibu yang dilakukan pijat oksitson adalah 14.00 cm. Sedangkan rata-rata penurunan involusi uterus sesudah dilakukan senam nifas adalah 9,20 cm dan pada ibu yang dilakukan pijat oksitson adalah 10,20 cm. Hasil analisis bivarat menggunakan uji wilcoxon didapatkan p value 0,046 < 0,05 terdapat perbedaan yang signifikan penurunan involusi uteri antara kelompok senam nifas dengan pijat oksitosin pada Ibu post partum. Disimpulkan bahwa senam lebih efektif dalam menurunkan involusi uterus pada ibu post partum dibandingkan pijat oksitosin. Diharapkan pada petugas di BPM B Bukit tinggi agar mengajarkan dan menganjurkan pada ibu post partum untuk melakukan senam nifas dan pijat oksitosin guna mempercepat penurunan involusi uterus.

An efforts that can be used to accelerate uterine involution is by postpartum exercise or oxytocin massage. The phenomenon found in BPM B attempts to stimulate uterine contractions only by providing pharmacological therapies such as intra-muscular oxytocin injection. The purpose of this research was to determine the effectiveness of oxytocin and postpartum gymnastics to reduce uterine fundus in post partum mothers. The type of this research was quasi-experimental with the design prepost test Control group. It was conducted on may 30 to July 27 2018. The population was all post partum mothers on day I-III found in BPM B. Purposive sampling technique had been used to take the samples. They were 20 people, 10 respondents did oxytocin massage and others did postpartum exercise. The data was analyzed by Wilcoxon statistical test. The results of univariate analysis showed that the average decrease in uterine involution before the postnatal exercise on the first day was 14.20 cm and the mother who had an oxitsone massage was 14.00 cm. While, the average decrease in uterine involution after puerperal exercise on the third day was 9.20 cm and the mother who did the oxitsone massage was 10.20 cm. The result of bivarat analysis found p = 0.046 <0.05. There was a significant difference in the decreasing of uterine involution between postpartum gymnastic group and oxytocin massage in post partum mothers. In short, it was concluded that exercise was more effective in reducing uterine involution in post partum mothers than oxytocin massage. Last, it is expected that the officers in BPM B Bukittinggi to teach and recommend the postpartum mothers to do puerperal exercise and oxytocin massage to accelerate the decrease in uterine involution.