Institusion
Poltekkes Kemenkes Tanjung Karang
Author
Yuliawati, Yuliawati
Angraini, Yetti
Rajiani, ismi
Subject
RG Gynecology and obstetrics
Datestamp
2020-06-05 05:21:24
Abstract :
ABstRACt
Background: Maternal Mortality Rate (MMR) in Indonesia is 81% due to complications during pregnancy
and childbirth and 25% during delivery where one of the causes of bleeding is the occurrence of sub uterine
involution. This can be prevented by giving oxytocin massage when providing care to normal postpartum
mothers and post-cesarean section.
Methods: The population was all postpartum mothers in the midwifery room of Ahmad Yani Hospital,
Metro City, Indonesia. Determination of the sample is by accidental sampling technique by including all
subjects who meet the sample selection criteria until the number of research subjects is fulfilled, namely 17
exposed groups and 13 not exposed groups. The research instrument used was a questionnaire. Data were
analyzed by univariate and bivariate analysis with a statistical test of Chi-square.
Results: The results showed that the proportion of normal uterine fundus in normal postpartum mothers
was 64.7% and the post-cesarean section was 61.5%, whereas ordinary postpartum mothers who performed
oxytocin massage were 53% and post-cesarean section mothers who completed oxytocin massage were
46.1%.
Conclusion: The oxytocin massage effect on changes in uterine fundus height in ordinary postpartum
mothers with p = 0.002 with OR = 4.000 and the oxytocin massage effect on changes in uterine fundus height
in post-cesarean mothers with p = 0.016 with OR = 3.500. Midwives are expected to be able to teach mothers
how to measure the height of the uterine fundus in the first week using their fingers at home to ensure normal
fundus uterine height before delivering babies.
Keywords - Fundal Height, Oxytocin Massage, Post- Partum, Caesar Section