The effect of oxytocin massage on changing of Symphysis-Fundal height (SFH) in post normal and post caesarean birth delivery

Abstract

Background: Maternal Mortality Rate (MMR) in Indonesia is 81% due to complications during pregnancy and childbirth and 25% during delivery where one of the causes of bleeding is the occurrence of sub uterine involution. This can be prevented by giving oxytocin massage when providing care to normal postpartum mothers and post-cesarean section. Methods: The population was all postpartum mothers in the midwifery room of Ahmad Yani Hospital, Metro City, Indonesia. Determination of the sample is by accidental sampling technique by including all subjects who meet the sample selection criteria until the number of research subjects is fulfilled, namely 17 exposed groups and 13 not exposed groups. The research instrument used was a questionnaire. Data were analyzed by univariate and bivariate analysis with a statistical test of Chi-square. Results: The results showed that the proportion of normal uterine fundus in normal postpartum mothers was 64.7% and the post-cesarean section was 61.5%, whereas ordinary postpartum mothers who performed oxytocin massage were 53% and post-cesarean section mothers who completed oxytocin massage were 46.1%. Conclusion: The oxytocin massage effect on changes in uterine fundus height in ordinary postpartum mothers with p = 0.002 with OR = 4.000 and the oxytocin massage effect on changes in uterine fundus height in post-cesarean mothers with p = 0.016 with OR = 3.500. Midwives are expected to be able to teach mothers how to measure the height of the uterine fundus in the first week using their fingers at home to ensure normal fundus uterine height before delivering babies. Keywords - Fundal Height, Oxytocin Massage, Post- Partum, Caesar Section