Efektifitas Mobilisasi Dini dalam Mempercepat Involusi Uteri Ibu Post Partum

Abstract

Jumlah kematian ibu di Kudus tahun 2015 ada 18 Jiwa, 8 kematian ibu hamil (44,4 %), 1 kematian ibu bersalin (5,56 %) dan 9 kematian ibu nifas (50 %). Angka kematian ibu 115 per 100.000 kelahiran hidup. Angka ini sudah diatas target nasional 2015 yaitu 105 per 100.000 kelahiran hidup. Jumlah kematian paling banyak pada kecamatan Gebog, 4 kasus, disusul Kecamatan Mejobo, Jekulo, Bae dan Dawe masing-masing 3 Kasus. Perdarahan pascapersalinan merupakan penyebab utama dari 150.000 kematian ibu setiap tahun di dunia dan hampir 4 dari 5 kematian karena perdarahan pascapersalinan terjadi dalam waktu 4 jam setelah persalinan. Penyebab perdarahan paling sering adalah atonio uteri seta retensio plasenta, penyebab lain terjadi perdarahan adalah laserasi serviks atau vagina (rupture perineum), inversi uteri, dan rupture uteri. Penelitian ini bertujuan menganalisis efektifitas mobilisasi dini dalam mempercepat involusi uteri ibu post partum. Sebagai responden adalah ibu nifas di Puskesmas Mejobo Kudus pada Bulan Januari 2020. Penelitian menggunakan desain penelitian eksperimen dengan randomized pretest posttest control group design. Perbedaan involusi uteri dianalisis menggunakan uji beda. Analisis data dilakukan dengan independent t test dan paired t test untuk data yang berdistribusi normal, Mann Whitney dan Wilcoxon test untuk data berdistribusi tidak normal.

Kata kunci: involusi uteri, mobilisasi dini, post partum

ABSTRACT

The number of maternal deaths in Kudus in 2015 there were 18 lives, 8 deaths of pregnant women (44.4%), 1 maternal mortality (5.56%) and 9 postpartum maternal deaths (50%). The maternal mortality rate is 115 per 100,000 live births. This figure is above the 2015 national target of 105 per 100,000 live births. The highest number of deaths was in Gebog sub-district, 4 cases, followed by Mejobo District, Jekulo, Bae and Dawe each with 3 cases. Postpartum hemorrhage is the main cause of 150,000 maternal deaths every year in the world and nearly 4 out of 5 deaths due to postpartum hemorrhage occur within 4 hours after delivery. The most common causes of bleeding are uterine atonio and retention of the placenta, other causes of bleeding are cervical or vaginal laceration (perineal rupture), uterine inversion, and uterine rupture. This study aims to analyze the effectiveness of early mobilization in accelerating uterine involution of post partum mothers. The respondents were postpartum mothers at Mejobo Kudus Public Health Center in January 2020. The study used an experimental research design with a randomized pretest posttest control group design. Differences in uterine involution were analyzed using different tests. Data analysis was performed with independent t test and paired t test for normally distributed data, Mann Whitney and Wilcoxon test for abnormally distributed data.

Keywords: early mobilization, post partum, uterine involution