Pineapple Juice for Uterine Fundal Height Reduction in Postpartum Mothers
DOI:
https://doi.org/10.26911/thejmch.2021.06.04.08Abstract
Background: Uterine subinvolution occurs because the uterus cannot contract properly, causing bleeding, leading to death. Pineapple fruit is one of the herbal plants that can prevent uterine subinvolution and accelerate uterine involution. This study aimed to determine pineapple's effect on the reduction of uterine fundal height in postpartum mothers in Bengkulu City.
Subjects and Method: This was a quasi-experiment. This study was conducted in Bengkulu City, Bengkulu, and using maternal postpartum injected oxytocin in the management stage III with one intervention group, namely the given juice pineapple. The sample used as many as 32 mothers postpartum in Bengkulu were taken by purposive sampling, by predetermined criteria. The dependent variable was uterine fundal height. The independent variables were pineapples juice, age, parity, early mobilization, and early initiation of breastfeeding. Data collection was carried out by the means of the direct interview using a questionnaire and observation sheet. The data were analyzed using independent t-test.
Results: The bivariate analysis test results using the independent t-test showed that the group that consumed pineapples experienced a decrease in uterine fundal height for three days more than the control group. Pineapples juice (Mean= 2.55; SD= 1.66), without pineapples juice (Mean= 8.39; SD= 1.48; p <0.001). Age for interventions group, (Mean= 33.19; SD= 7.57) and control group (Mean= 27.56; SD= 8.45; p= 0.057). Parity for interventions group, (Mean= 2.38; SD= 1.45) and control group, (Mean= 2.12; SD= 1.31), p= 0.613. Early mobilization for interventions group, (Mean= 0.84; SD= 0.37) and control group, (Mean= 1.26; SD= 0.58), p= 0.022. Early initiation of breastfeeding for interventions group, (Mean= 16.44; SD= 6.64) and control group, (Mean= 16.38; SD= 5.69), p= 0.978.
Conclusion: Pineapple juice and early mobilization affect lowering a uterine fundal height in mothers postpartum three days and can help speed up uterine involution in postpartum mother in Bengkulu City, Bengkulu.
Keywords:
pineapple juice, uterine fundal height, postpartumReferences
Ambarwati ER, Wulandari, D (2010). Postpartum midwifery care. Yogyakarta: Nuha Medika.
Apriana R, Wulandari P, Aristika NP (2016). Pengaruh mobilisasi dini terhadap penurunan tinggi fundus uteri pada ibu postpartum spontan di RSUD Tugurejo Semarang. MUSWIL IPEMI Jateng. 138–144. https://ppnijateng.org/wpcontent/uploads/2016/11/PROSIDING-MUSWIL-II-IPEMI-JATENG_MAGELANG-17-SEPTEMBER-2016.147153.pdf.
Apsari DD, Purwatiningrum DA, Soeharto S (2016). Perbandingan efek pemberian ekstrak buah nanas muda dan ekstrak buah nanas tua terhadap kontraktili-tas uterus terpisah marmut (Cavia porcellus) (Comparison of the effects of giving young pineapple extract and old pineapple extract against contractility of marmot (Cavia porcellus). Majalah Kesehatan Faksultas Kedokteran, Universitas Brawijaya. 1(2): 117-124. https://majalahfk.ub.ac.id/index.php/mkfkub/article/view/32/30.
Bateman BT, Berman MF, Riley LE, Leffert LR (2010). The epidemiology of postpartum hemorrhage in a large, nationwide sample of deliveries. Anesth and Analg. 110(5): 1368–1373. https://doi.org/10.1213/ane.0b013e3181d74898.
Bilek SE, Bayram SK (2015). Fruit juice drink production containing hydrolyzed collagen. J Functional Foods. (14): 562–569. doi: 10.1016/j.jff.2015.02.024.
BPS et al. (2013). Indonesian demographic and health survey 2012. IDHS: 16. doi: 10.1111/j.14710528.2007.01580.x.
Harianja WY, Setiani O, Umaroh U, Widyawati MN, Mashoedi ID, Pujiastuti SE (2017). The impact of pineapple (Ananas Comosus (L.) Merr.) juice on fundal height in primigravida mothers during postpartum period. Belitung Nursing Journal. 3(2): 134–141. https://doi.org/10.33546/bnj.76.
Ho M, Li TC, Su SY (2011). The association between traditional Chinese dietary and herbal therapies and uterine involution in postpartum women. Evid Based Complement Alternat Med. 2011: 918291. https://doi.org/10.1155/2011/918291.
Katno, Pramono S (2010). Level of benefits and safety of medicinal plants and traditional medicines.
Maryam S (2009). Ekstrak enzim bromelain dari buah nanas (ananas sativus shuclt) dan pemanfaatannya pada isolasi DNA. Fakultas Matematika dan Ilmu pengetahuan Alam Universitas Negeri Semarang. 1-32.
Masri M, Musa M (2014). Isolasi dan pengukuran aktivitas enzim bromelin dari ekstrak kasar bonggol nanas (Ananas comosus) pada variasi suhu dan pH. Biogenesis: Jurnal Ilmiah Biologi. 2(2): 119–125. doi: 10.24252/bio.v2i2.478.
Moedjiarto S (2011). Post Partum di RB medika utama wonokupang Balongbendo sidoarjo tahun 2009. Hospital Majapahit. 3(1) : 87–103.
Muzzaman MAK (2009). Effect of young pineapple extract (Ananas Comosus L. Merr) on the contractility of the uterine plain muscle separated from female marmots (Cavia Porcellus).
Paul PA, Williams B (2015). Brunner and suddarth’s canadian textbook of medical-surgical nursing in surgery. 3rd edn. Canada: Wolters Kluwer.
Pavan R, Jain S, Shraddha, Kumar A (2012). Properties and Therapeutic application of Bromelain: A Review. Biotechnol Res Int. 1–6. https://dx.doi.org/10.1155%2F2012%2F976203.
Prawirohardjo S (2008). Midwifery. 4th edn. Edited by S. Prawirohardjo et al. Jakarta: PT Bina Pustaka Sarwono Prawirohardjo.
Priya SP, et al. (2017). Immobilization and kinetic studies of bromelain: a plant cysteine protoase from pineapple (Ananas Comosus) Plant Parts. Int J Med Health Sci. 6(1): 27–33. https://www.cabdirect.org/cabdirect/abstract/20173140127.
Purwaningsih I (2017). Potensi enzim bromelin sari buah nanas (ananas comosus l.) dalam meningkatkan kadar protein pada tahu. Jurnal Teknologi Laboratorium. 6(1): 39. doi: 10.29238/teknolabjournal.v6i1.86.
Sherwood C (2018). Collagen Function. Available at: https://healthfully.com/collagen-functions-4176583.html.
Silaban I, Rahmanisa S (2016). Pengaruh enzim bromelain buah nanas (Ananas comosus L.) terhadap awal kehamilan (The effect of bromelin in pineapple (Ananas comosus L.) on early pregnancy. Majority, 5(4): 80–85. https://juke.kedokteran.unila.ac.id/index.php/majority/article/view/889.
Susiwati, Wagiyo, Elisa (2016). Pengaruh Pijat Oksitosin dan Mobilisasi Dini Terhadap Penurunan Tinggi Fundus Uterus pada Ibu Post Partum di BPM Demak. Jurnal Ilmu Keperawatan dan Kebidanan. 1-9.
Warochmah M (2017). Amobilisasi enzim bromelin dari buah nanas (Ananas Comosus L. Merr.) menggunakan matriks kitosan matriks kitosan untuk pengurangan untuk pengurangan kandungan protein pada air limbah kandungan protein pada air limbah pabrik tahu. Institut Teknologi Sepuluh November. doi: 10.1017/CBO9781107415324.004.
