FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN INVOLUSIO UTERI PADA IBU NIFAS DI RUMAH BERSALIN WILAYAH KERJA PUSKESMAS RAWASARI TAHUN 2011

Abstract

Uterine involution is the process of the return of the uterus after the baby is born until it reaches the pre- pregnant state . Uterine involution can be observed from the outside by checking the fundus uteri after delivery of the placenta . Within 2-4 hours after delivery , uterine fundus decreased 1 cm ( 1 finger ) every day . Early mobilization has proven successful in reducing thromboembolic events and uterine involusio accelerate the process , then after the first rest period and ended around 2 hours , the mother is expected to perform early mobilization .

This study is a descriptive study with cross- sectional design which aims to determine the factors associated with maternal postpartum uterine involusio at the maternity hospital in Puskesmas Rawasari . The population is all postpartum women on the first day up to three with a sample of 44 respondents , sampling techniques accidental sampling . Collecting data using questionnaires tersruktur . Data processed by univariate and bivariate analysis with the chi-square statistical test .

The results showed that 34 (77.3 %) of respondents did early mobilization immediately after 2-6 hours postpartum, on the third day involusio occur with decreased uterine fundus height 2 cm below the center of the largest occurred in 16    (36.4%) respondents. Statistical test results showed no significant relationship between early mobilization with uterine involusio with the p-value of 0.000 , there was a significant association between breast-feeding early to involusio uteri with    p-value 0.041 and no significant relationship between parity against uterine involusio (p-value 0.355)

Based on the above results it can be concluded that on the third day postpartum uterine involusio occur with decreased uterine height of about 2 cm below the center of the next there is a significant association between early mobilization and early breast feeding against uterine involusio, it is expected that the results of this study can be used as a reference in an effort improve the quality of obstetric care services especially early mobilization activities at 2 hours postpartum mothers.

Keywords : Early mobilization , and uterine Involusio