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It is estimated that 60% of deaths in pregnancy occur after delivery and 50% of deaths postpartum within the first 24 hours. After the baby is born, the uterus which during labor contracts and retracts will become hard so that it can close the large blood vessels that lead to the former implantation of the placenta. If the involution process does not go well, a condition called uterine sub involution will arise. If the sub involution of the uterus is not handled properly, it will result in bleeding, for that the mother needs certain exercises that can accelerate the process of involution. According to several studies, to speed up the process of uterine involution, one of the recommended exercises is postpartum gymnastics, an integration model of relaxation techniques and exercises for the 'Otaria' abdominis muscles. The purpose of this study was to determine whether postpartum exercise model integration of relaxation techniques and 'Otaria' abdominis muscle exercises had an effect on the speed of uterine involution in post partum mothers at PKM Sayung 2, Demak Regency. This study uses a quantitative approach, the method used in this study is a quasi-experimental or quasi-experimental. The design used in this study was Post-test Only Control Group Design. Data analysis used univariate analysis and bivariate analysis. The results showed that respondents who did puerperal exercise 'otaria' experienced uterine involution faster than respondents who did postpartum exercise with a value of (p-value <0.05) at TFU and (p-value <0.05) at lochia.   Keywords: Otaria Postpartum Gymnastics, Uterine Involution Speed

Puerperal gymnastics is a series of body movements performed by maternal postpartum that aims to restore and maintain muscle strength associated with childbirth. Results of preliminary studies commencing on January to April 2016, there are six post-partum mothers experience postpartum hemorrhage. A puerperal gymnastics counseling to postpartum mothers has been done but not all postpartum mothers doing gymnastics parturition. This is due to postpartum mothers are not unaware that puerperal gymnastics will affect the muscles needs for oxygen, blood flow becomes smooth so it can help the process of health recovery after childbirth. The purpose of this study is to find the effect of puerperal gymnastics to involution of uterus to primipara maternal in Majalaya Hospital Bandung District in 2016. The type of research is a quasi-experimental design with posttest only non-equivalent control group method. Sampling technique in this study using purposive sampling with the number of sample in this study as many as 20 people. From the results, it is found that an average reduction of TFU intervention group is 6.3 cm while the control group is 9.6 cm. Statistical test results of T-Independent Samples Test are t count = 8.222, t table = 1.734 which means t count > t table and sig.t count ρ Value (0.000<0.05) and there are differences in the effect of puerperal gymnastics to the involution of uterus to the primipara maternal in Rose Room of Majalaya Hospital 2016, seen from the decline of TFU between the puerperal gymnastics intervention group and the control group that does not given puerperal gymnastics. Advice for the health workers in the Rose Room is to make SOP of puerperal gymnastics and implement puerperal gymnastics by implementing puerperal gymnastics programs of postpartum mothers which is beneficial to the healing process of self-postpartum.

Diastasis rectus abdominis (DRA) merupakan kondisi dimana terjadi peregangan otot abdomen oleh karena proses kehamilan dan persalinan. Salah satu upaya untuk mengembalikan keadaan normal dan meningkatkan kekuatan otot abdomen ibu serta mencegah terjadinya DRA pada ibu post partum yaitu dengan senam nifas. Tujuan penelitian adalah menganalisa pengaruh senam nifas terhadap kejadian diastasis rectus abdominis. Penelitian ini menggunakan desain pra eksperiment dengan pendekatan one group pretest-posttest design. Populasi adalah ibu postpartum dan besar sampel yaitu 20 responden. Hasil: Diastasis rectus abdominis sebelum dilakukan senam nifas berkisar antara 4.30-5.75 cm sedangkan sesudah dilakukan senam nifas berkisar antara 4.15-5.50 cm. Hasil uji statistic menggunakan paired t-test diketahui ? value 0.001 dimana kurang dari ? 0.05, dimana terdapat perbedaan kejadian Diastasis rectus abdominis pada ibu sebelum dan sesudah dilakukan senam nifas.. Kesimpulan secara statistik terdapat pengaruh senam nifas terhadap kejadian Diastasis rectus abdominis pada ibu post partum di Wilayah Kerja Puskesmas Namrole.