Meta-Analysis the Effect of Postpartum Exercise on Uterine Fundal Height
DOI:
https://doi.org/10.26911/thejmch.2024.09.03.01Abstract
Background: Postpartum is a period that is at risk of causing complications and often contributes to maternal mortality rates in Indonesia. One of the causes of maternal death is an irregularity in the involution process, resulting in the risk of postpartum hemorrhage. This study aims to analyze and estimate the influence of postpartum exercise on reducing TFU in postpartum mothers.
Subjects and Method: This study is a systematic review and meta-analysis. Search for articles through journal databases including: Google Scholar, PubMed, and Springer Link by selecting articles published from 2013 to February 2023. The population in the study was postpartum mothers with intervention in the form of postpartum exercise, comparison in the form of no intervention or no postpartum exercise, and the outcome is a decrease in TFU. The keywords used were (effect OR Influence) AND (“Parturition Gymnastics” OR “Postpartum Gymnastics” AND “fundal height” OR “decline of fundal height” OR “high uterine fundus” OR “Symphysial fundal height” OR “SFH” OR TFU”) AND (postpartum). The inclusion criteria were full paper articles using the Randomized Controlled Trial (RCT) research method, the analysis results used the Mean SD value, the intervention provided was postpartum exercise, the research subjects were postpartum mothers, with an outcome of decreasing TFU. Articles were collected using PRISMA flow diagrams and analyzed using the Review Manager 5.3 application.
Results: Meta-analysis of 6 articles showed that postpartum exercise has an effect on reducing TFU in postpartum mothers by 0.46 units, which was higher than other interventions or no intervention, but this was not statistically significant. (SMD -0.46; 95% CI= -1.99 to 1.07; p=0.550).
Conclusion: Postpartum exercise has an effect on reducing TFU in postpartum mothers.
Keywords:
postpartum exercise, uterine fundal height, postpartum mothersReferences
Anggraeni NPDA, Herawati L, Widyawati MN (2019). The effectiveness of postpartum yoga on uterine involution among pospartum women in Indonesia. IJNHS, 2(3): 124–134. doi:10.35654/ijnhs.v2i3.164.
Anggraini Y (2017). Asuhan kebidanan Masa nifas (Midwifery care during the postpartum period). Yogyakarta: Pustaka Rihamma.
Asyima, Nasrudin A, Idris I (2019). Influence of oxytocin massage on oxytocin concentration level and involution on post partum mothers in Siti Khadijah I Maternity Hospital Makassar City. Indian J Public Health Res Dev, 10(4): 965. doi:10.5958/09765506.2019.00832.5.
Azizah N, Rosydah R, Mahfudloh H (2018). The comparison of the effectiveness back massage with clary sage essential oil and postpartum exercise for postpartum uterus involution. J Phys Conf Ser, 1114: 012009. doi:10.1088/17426596/1114/1/012009.
Colin V, Keraman B, Sundari AD (2019). Effect of postpartum gymnastics on decreasing height of uterine fundus in postpartum mothers in BPM Midwife Susi Irma Navia, S.ST Bengkulu City. J Farm Sains, 26(1): 70–78. doi: 10.37638/jsk.26.1.70-78.
Fadhli WM, Indriani (2022). Pengaruh senam nifas terhadap involusi uterus pada ibu post partum hari 1-3 di RSUD Kabelota 9 The effect of postpartum exercise on uterine involution in postpartum mothers on days 1-3 at Kabelota Regional Hospital). CHMK Midwifery sci J, 5(1): 361–370.
Gunawan TAI (2017). Tinggi fundus uteri pada postpartum yang melaksanakan senam nifas (Uterine fundal height in postpartum when carrying out postpartum exercises). Jurnal Ilmu keperawatan Sai Betik, 11(2), 183–188.
Haslan H, Sulfianti (2022). The effect of post partum gymnastics on the decreased uterine fundal height in postpartum mothers. J La Medihealtico, 01(01): 8–12. doi: 10.37899/journallamedihealtico.v3i3.643.
Isti I (2015). Efektifitas pijat oksitosin dan senam nifas terhadap proses involusio uteri ibu pasca persalinan spontan di RS PKU Temanggung (The effectiveness of oxytocin massage and postpartum exercise on the maternal uterine involution process after spontaneous labor at PKU Temanggung Hospital), J Hlist Nurs Midwifery, 2(2): 18–28.
Kasiati, Rosmalawati, Dwi NW (2019). Model massage effleurage, pijat oksitosin senam nifas mempercepat involusi uterus pada ibu pasca persalinan (Effleurage massage model, oxytocin massage postpartum exercise accelerates uterine involution in postpartum mothers). J Pen Kes, 8(1): 58–68.
Kemenkes RI (2020). Profil Kesehatan RI Tahun 2020 (RI Health Profile 2020). Jakarta: Kementerian Kesehatan RI.
Kholisotin K (2021). Efektifitas puerperal gymnastic dan kegel exercises terhadap involusi uterus pada ibu pasca persalinan hari 1 – 3 (The effectiveness of puerperal gymnastics and Kegel exercises on uterine involution in postpartum mothers on days 1 – 3). Jurnal Kebidanan Harapan Ibu Pekalongan, 8(2): 92–99. doi: 10.37402/jurbidhip.vol8.iss2.110.
Kusumastuti K, Mutoharoh S, Rahmadhani W (2021). Comparison on the effectiveness of post partum exercise and oxytocin massage for uterine involution of postpartum women in Kebumen, Indonesia. Jurnal Aisyah : Jurnal Ilmu Kesehatan, 6(3): 483–487. doi: 10.30604/jika.v6i3.647.
Mahishale AV, Ulorica LPAM, Patil HS (2014). Effect of postnatal exercises on quality of life in immediate post partum mothers: a clinical trial. J. South Asian Fed. Obstet. Gynecol, 6(1): 11–14. doi:10.5005/jpjournals100061258.
Mardiya R, Rahmita H (2022). Efektifitas senam nifas terhadap involusi uteri pada ibu pasca persalinan di BPM (Bidan Praktik Mandiri) Rosita Pekanbaru (The effectiveness of postpartum exercise on uterine involution in postpartum mothers at BPM (Independent Practicing Midwives) Rosita Pekanbaru). J Ilm Farm Imelda, 8(2): 41–47. doi:10.52943/jikebi.v8i2.941.
Murti B (2018). Prinsip dan metode riset epidemiologi (5th ed.) (Principles and methods of epidemiological research (5th ed.)). Program Studi Ilmu Kesehatan Masyarakat, Program Pascasarjana, Universitas Sebelas Maret.
Murti B (2023). Penilaian kritis (critical appraisal) studi kasus kontrol untuk penelitian meta-analisis (Critical appraisal of case control studies for meta-analysis research). Program Studi Ilmu Kesehatan Masyarakat, Program Pascasarjana, Universitas Sebelas Maret.
Priyanti S, Syalfina AD (2017). Buku ajar kesehatan reproduksi dan keluarga berencana (Textbook of reproductive health and family planning). Surakarta: Penerbit CV Kekata Group.
Rahayu S, Solekah U (2020). Pengaruh senam nifas terhadap involusi uterus pada ibu postpartum di Puskesmas Mariana Kabupaten Banyuasin tahun 2020 (The effect of postpartum exercise on uterine involution in postpartum mothers at the Mariana Community Health Center, Banyuasin Regency in 2020). J Kebidanan, 12(02):157. doi: 10.35872/jurkeb.v12i02.388.
Rianti E (2019). Effectiveness of the otaria’s post partum gymnastic model and caregiver assistance on decreasing of uterine fundal height in postpartum mothers’, Indian J Public Health Res Dev, 10(8): 1247. doi:10.5958/09765506.2019.02066.7.
Rullynil NT, Ermawati E, Evareny L (2014). Pengaruh senam nifas terhadap penurunan tinggi fundus uteri pada ibu post partum di RSUP DR. M. Djamil Padang (The effect of postpartum exercise on reducing uterine fundal height in postpartum mothers at RSUP DR. M. Djamil Padang). JKA, 3(3): 318–326. doi: 10.25077/jka.v3i3.111.
Sari I (2019). Pengaruh senam nifas terhadap penurunan tinggi fundus uteri (tfu) pada ibu pasca persalinan normal di Wilayah Kerja Puskesmas Prabumulih Barat (The effect of postpartum exercise on decreasing uterine fundal height (tfu) in mothers after normal delivery in the West Prabumulih Public Health Center Working Area). J Kebidanan, 8(1): 23–30. doi: 10.35325/kebidanan.v8i1.121.
Silviani YE, Maryana I (2020). Pengaruh senam nifas terhadap kecepatan involusi uteri pada ibu nifas di PMB Wilayah Kerja Puskesmas Basuki Rahmad Kota Bengkulu Tahun 2019 (The influence of postpartum exercise on the speed of uterine involution in postpartum women in the PMB Basuki Rahmad Community Health Center Working Area, Bengkulu City in 2019). J Inf Kesehatan Indonesia,6(1):50–58.
Siregar N (2019). Pengaruh senam nifas terhadap involusi uterus pada ibu post partum primipara pervaginam di Klinik Bersalin Tutun Sehati Tanjung Morawa Tahun 2013 (The effect of postpartum exercise on uterine involution in postpartum primiparous vaginal mothers at the Tutun Sehati Maternity Clinic, Tanjung Morawa, 2013), J Ilm PANNMED, 9(1): 1–7. doi:10.36911/pannmed.v9i1.326.
Syaflindawati (2017). Hubungan senam nifas dengan penurunan involusi uteri pada ibu post partum hari ke 1-3 di RSIA Cicik Padang (The relationship between postpartum exercise and decreased uterine involution in postpartum mothers on days 1-3 at Cicik Hospital, Padang). JIK. 1(1):1-10.
Szabo A, Griffiths MD, Demetrovics Z (2019). Psychology and exercise in nutrition and enhanced sports performance. Elsevier, 2(2) 63–72. doi: 10.1016/B9780128139226.000059.
Timlin D, Simpson EEA (2017). A preliminary randomised control trial of the effects of dru yoga on psychological well-being in Northern Irish first time mothers. Midwifery, 4(6): 29–36. doi: 10.1016/j.midw.2017.01.005.
Utami G (2015). Perbandingan efektivitas senam nifas dan pijat oksitosin terhadap involusi uteri pada ibu pasca persalinan (Comparison of the effectiveness of postpartum exercise and oxytocin massage on uterine involution in postpartum mothers). In JOM, 2(2): 51-60.
Walyani, Siwi E (2017). Asuhan kebidanan masa nifas & menyusui (Midwifery care during the postpartum & breastfeeding period). Yogyakarta: Pustaka Baru Press.
Zakiyyah M (2018). Pendidikan kesehatan dan pelatihan senam nifas (Health education and postpartum exercise training). J ABDIMAS, 2(1): 11–16.
Zourladani A (2015). The effect of physical exercise on Post Partum fitness, hormone and lipid levels: a randomized controlled trial in primiparous, lactating women, Arch Gynecol Obstet, 291(3): 525–530. doi: 10.1007/s004040143418y.
