Effectiveness of Postpartum Gymnastics on The Decrease of Uterine Fundus Height in Post-Sectio Caesarea Patients

Abstract

The SC delivery rate in Indonesia is rapidly increasing, from 12.1% in 2013 to 17.6% in 2018. This triggers an increased risk of uterine subinvolution, a dangerous condition that caused maternal mortality in West Java to reach 2.82% in 2021. One way to prevent uterine subinvolution is by doing puerperal exercises. This study aims to provide an overview of nursing care for postoperative SC mothers with the application of postpartum exercises to prevent uterine subinvolution. The data collection technique used in this scientific paper is qualitative, with a case study approach on two nursing care documentation of postoperative SC mothers, where the author performs puerperal gymnastics and observes uterine involution. Changes in fundus uteri height with the application of puerperal gymnastics were measured using an observation sheet. The results of nursing care for three consecutive days with a duration of 15-30 minutes in 1 administration showed a decrease in the height of the fundus uteri with an average decrease of 1.8 cm. In this study, postpartum gymnastics can work effectively to help reduce the height of the fundus uteri.