PENGARUH SENAM NIFAS TERHADAP TINGGI FUNDUS UTERI DAN JENIS LOCHEA PADA PRIMIPARA
Abstract
Salah satu penyebab kematian ibu berdasarkan SDKI adalah perdarahan pasca salin (20%). Ketidaklancaran involusi berakibat buruk pada ibu nifas seperti perdarahan yang bersifat lanjut. Ambulasi dini dengan senam nifas bertujuan memperlancar involusi. Penelitian ini bertujuan mengetahui pengaruh senam nifas terhadap tinggi fundus uteri dan jenis lochea pada ibu nifas primipara. Metode Penelitian: Jenis penelitian ini adalah “quasy experimenal study” dengan desain pre test – post test with control group. Lingkup penelitian di wilayah UPT Puskesmas Kaliori Kabupaten Rembang. Sampel sebanyak 46 ibu nifas yang dipilih secara simple random sampling. Sampel terdiri 2 kelompok yaitu 23 ibu kelompok kontrol, dan 23 ibu kelompok perlakuan dengan senam nifas selama seminggu. Data dianalisis dengan Wilcoxon test, Mann Whytney, dan Spearman Rho. Hasil penelitian: Ada pengaruh senam nifas terhadap tinggi fundus uteri dengan p=0,000 (< 0,05). Ada pengaruh senam nifas terhadap jenis lochea pada hari ke-4 dan ke-7 dengan p=0,000 (< 0,05). Ada pengaruh senam nifas terhadap penurunan tinggi fundus uteri hari ke-2, ke-4, dan ke-7 dengan p=0,000 (< 0,05). Ada pengaruh senam nifas terhadap jenis lochea pada hari ke-7 dengan nilai p=0,001 (< 0,05). Simpulan: Ada pengaruh positif senam nifas terhadap penurunan tinggi fundus uteri dan pengeluaran jenis lochea pada ibu primipara. Disarankan bahwa pelayanan kesehatan khususnya bidan menganjurkan ibu postpartum untuk melakukan senam nifas.
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