PENGARUH PIJAT OKSITOSIN TERHADAP TINGGI FUNDUS UTERI PADA IBU POST PARTUM HARI KE 1 DAN 2 DI KLINIK IBU DAN ANAK NABILA BALIKPAPAN

Abstrak

Perdarahan post partum dapat terjadi akibat kontraksi uterus yang kurang baik dan uterus yang lembek. Involusi uterus merupakan proses yang sangat penting karena ibu memerlukan perawatan khusus. Salah satu indikator dalam proses involusi adalah tinggi fundus uteri. Salah satu cara untuk mempercepat tinggi fundus uteri adalah pijat oksitosin. Tujuan penelitian ini yaitu untuk mengetahui pengaruh pijat oksitosin terhadap tinggi fundus uteri pada ibu post partum hari 1-2 di Klinik Ibu dan Anak Nabila Balikpapan. Metode menggunakan jenis penelitian penelitian kuantitatif dengan pendekatan prosfektif, metode yang digunakan quasi experiment. Rancangan penelitian yang digunakan adalah one group pretest-posttest design. Teknik pengambilan sampel adalah consecutive sampling dengan jumlah 17 orang. Data dikumpulkan menggunakan lembar observasi. Analisa data secara univariat dan bivariat dengan uji paired t test. Uji statistik didapatkan adanya pengaruh pijat oksitosin terhadap penurunan tingi fundus uteri dibandingkan dengan pijat oksitosin pada ibu post partum hari 1-2 di Klinik Ibu dan Anak Nabila Balikpapan (p-value = 0,000). Tinggi fundus uteri sebelum melakukan pijat oksitosin diperoleh data nilai rata-rata (mean) 12,324 cm, SD 0,6600, nilai minimal 11,5 cm dan nilia maksimal 13,5 cm. Tinggi fundus uteri sesudah melakukan pijat oksitosin diperoleh data nilai rata-rata (mean) 10,118 cm, SD 0,6002, nilai minimal 9,5 cm dan nilia maksimal 11,5 cm. dengan nilai p value 0,000. Diharapkan direkomendasikan pada  asuhan kebidanan pada persalinan dengan penerapan tindakan non farmakologi berupa pijat oksitosin untuk mempercepat penurunan tinggi fundus uteri.

Post partum bleeding can occur due to poor uterine contractions and a soft uterus. Uterine involution is a very important process because the mother requires special care. One indicator of the involution process is the height of the uterine fundus. One way to speed up the height of the uterine fundus is oxytocin massage. The aim of this research was to determine the effect of oxytocin massage on uterine fundal height in post partum mothers on days 1-2 at the Nabila Balikpapan Mother and Child Clinic. The method uses a quantitative research type with a prospective approach, the method used is a quasi experiment. The research design used was one group pretest-posttest design. The sampling technique was consecutive sampling with a total of 17 people. Data was collected using an observation sheet. Univariate and bivariate data analysis using paired t test. Statistical tests showed that there was an effect of oxytocin massage on reducing the height of the uterine fundus compared with oxytocin massage on post partum mothers on days 1-2 at the Nabila Balikpapan Mother and Child Clinic (p-value = 0.000). The height of the uterine fundus before carrying out oxytocin massage obtained an average value (mean) of 12.324 cm, SD 0.6600, a minimum value of 11.5 cm and a maximum value of 13.5 cm. The height of the uterine fundus after carrying out oxytocin massage obtained an average value (mean) of 10.118 cm, SD 0.6002, a minimum value of 9.5 cm and a maximum value of 11.5 cm. with a p value of 0.000. It is hoped that it will be recommended for midwifery care during childbirth by implementing non-pharmacological measures in the form of oxytocin massage to accelerate the reduction in uterine fundus height.