Effectiveness of Early Exercise Against Uterine Involution in Spontaneous Postpartum Patients

Abstract

Effectiveness of Early Exercise Against Uterine Involution in Spontaneous Postpartum Patients Dian Nurafifah1 & Dadang Kusbiantoro2 1Midwifery Lecture STIKES Muhammadiyah Lamongan 2Nursing Lecture STIKES Muhammadiyah Lamongan Article Info Article History: Submitted November 2017 Accepted May 2019 Published July 2019 Keywords: Early exercise, involution, fundus, lochea DOI https://doi.org/10.15294/ kemas.v15i1.11936 Abstract It is estimated that 50% of puerperal mortality occur within the first 24 hours. At this time the involution process occured. Involutionary disorders cause complications which is the leading cause of maternal mortality. Most of postpartum women do not obtain exercise guidance after giving birth. They are only advised to do simple mobilization without planned guidance. The purpose of this study was to determine the effectiveness of early exercise against uterine involution (fundus and lochea). The research method used Quasi Experimental (pre-post test non equivalent control group design). It was conducted from May to August 2017. The samples were 40 respondents spontaneous primiparous postpartum mother. The study was started by 1) divided the samples into control group and treatment group, 2) measured the fundus and lochea, 3) provided early exercise on treatment group, 4) re-measured fundus and lochea in both groups, 5) analyzed the effectiveness of early exercise to fundus and lochea expenditure decrease. The data analysis used Mann Whitney with α = 0.05. The results showed p value is 0.000 (fundus) and p value are 0.001 (lochea). It means that early exercise is effective against uterine involution (fundus and lochea). The results can provide positive contribution in preventing maternal mortality caused by puerperal complications.