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Angka Kematian Ibu (AKI) melahirkan disebabkan oleh beberapa faktor, diantaranya karena perdarahan, Perdarahan adalah penyebab utama kematian ibu di Indonesia yaitu 28%, kedua eklampsia 24%, lalu infeksi 11%, abortus 5% partus lama/macet, 5% emboli, obstetri 3% dan factorfaktor lainnya yang tidak diketahui 1%. Penelitian ini bertujuan untuk melihat pengaruh senam nifas terhadap penurunan tinggi fundus uteri pada ibu postpartum di wilayah Kerja Puskesmas Parit Kabupaten Pasaman Barat tahun 2019. Jenis penelitian yang digunakan adalah Pra eksperimen dengan pendekatan one group Pretest Postest yang dilakukan di wilayah Kerja Puskesmas Parit Kabupaten Pasaman Barat pada bulan Juni-Juli 2019. Populasi semua ibu post partum normal pada bulan Juni-Juli 2019, dengan teknik pengambilan sampel purposive sampling yang berjumlah 10 orang. Data dikumpulkan menggunakan lembar observasi. Data dianalisis secara univariat dan bivariat dengan menggunakan uji statistik t-test dependen. Hasil didapatkan rata-rata tinggi fundus uteri sebelum adalah 11,2 cm dan sesudah dilakukan senam nifas pada ibu post partum adalah 4,27 cm. Ada pengaruh senam nifas terhadap penurunan tinggi fundus uteri pada ibu post partum (p = 0,000) Dapat disimpulkan bahwa ada pengaruh senam nifas terhadap penurunan tinggi fundus uteri pada ibu post partum, maka diharapkan kepada tenaga kesehatan di Puskesmas agar memasukkan program senam nifas atau memberikan program penyuluhan tentang senam nifas untuk meningkatkan pelayanan khususnya pelaksanaan senam nifas pada ibu post partum dan memberikan buku panduan melaksanakan senam nifas lanjutan untuk di rumah.

Maternal Mortality Rate (AKI) is caused by some factors such as bleeding. Bleeding is the main cause of maternal death in Indonesia (28%), eclampsia 24%, infection 11%, abortion 5% old parturition / loss, 5% embolism, obstetrics 3% and other unknown factors 1%. This study aimed to look at The Effect of Puerperal Gymnastics toward Uterine Fundus Height in Postpartum Mothers in Parit Community Health Center, Pasaman Barat Regency in 2019. The type of this study was pre-experiment with one group pretest posttest approach. It was conducted on Parit Community Health Center, Pasaman Barat District on June-July 2019. The populations were all normal post partum mothers. Then, by using purposive sampling technique,10 people were chosen as the samples. The data were collected through observation sheet. Then, it was analyzed by univariate and bivariate by using dependent t-test statistical tests. The results of this study obtained the average height of the uterine fundus before was 11.2 cm and after the postpartum exercise performed it became 4.27 cm. Then, there was an effect of puerperal exercise on decreasing height of fundus of uteri of post partum mothers (p = 0,000) It can be concluded that there is the effect of puerperal gymnastics in decreasing height of fundus uteri in post partum mothers. Last, it is expected that health workers to do puerperal gymnastics programs or provide counseling programs about puerperal gymnastics to improve services, especially the implementation of puerperal exercises for post partum mothers and provide books guidelines for implementing puerperal gymnastics that can be applied at home.