Height Of Uterine Fundus Research Articles

Ambulation Support for Reduction of Pain and Uterine Fundal Height in Post-Cesarean (Case Study)

Cesarean sections continues to increase globally and now accounts for more than 1 in 5 (21%) of all births. A common problem after a cesarean section is discomfort. One of the discomforts felt after surgery is pain. The pain experienced by post-cesarean mothers is related to two main factors: surgical wounds and uterine contractions. This study aims to describe the effect of implementing ambulation support on pain and the reduction of uterine fundal height post-cesarean. The writing method is a case study. Ambulation support intervention was carried out gradually over 48 hours. After the implementation, the NRS pain scale results decreased from 5 to 3. The WBPRS pain scale decreased from 6 to 3. The uterine fundal height decreased from 12.5 cm to 8 cm, decreasing more rapidly by 4.5 cm on the second day. The results show that ambulation support can help reduce pain and uterine fundal height more quickly. It is hoped that through patient education, accompaniment, and support during ambulation, and supervision during implementation, it can significantly facilitate the recovery of cesarean patients.

The Effect of Post-Placental Intrauterine Contraceptive Devices on Decreasing in Uterine Fundus Height in Postpartum SC Mothers

Introduction: Contraception and family planning services are an essential part of reproductive health. Postpartum IUDs in SC postpartum have a much lower expulsion rate than vaginal delivery. Objective: to determine the effect of post-placental intrauterine devices on the decrease in fundus uteri. Methods: Using a correlational analytical research design, the research design used is a prospective cohort with a sample size of 30 for the treatment group and 30 for the control group. Result: It can be concluded that the effect 2 hours after the installation of post-placental IUD is known (p-value = 0.279), which indicates that there is no influence between the variable of post-placental IUD installation of SC delivery mothers and the decrease in fundus uteri height. The effect of post-placental IUD insertion on the decrease in fundus uteri height in SC postpartum mothers at Karanganyar Regional Hospital on day 3 shows a p-value of 0.262, and it shows that there is no influence between the variable post-placental IUD insertion of SC mothers and the decrease in fundus uteri height. On day 7, the p-value = 0.008 means that the p-value is smaller than the value of α = 0.05 (p-value < 0.05) and that there is an influence between the variable of post-placental IUD insertion of SC mothers and the decrease in fundus uteri height. Post-placental IUD is a reference for making birth control choices during the postpartum period without interfering with breast milk. Conclusion: The conclusion does not prove the hypothesis in part because the rapid effect on the decrease in TFU in SC postpartum mothers is only after 7 days from the insertion of the IUD, while at 2 hours of IUD insertion and day 3 of IUD insertion, it does not have a rapid effect on reducing TFU in SC postpartum mothers. implications for the management of maternity women who plan to postpone the next pregnancy and this research can be used as empirical evidence that a post-placental intrauterine device acceptor has the potential to increase uterine contractions and accelerate the decrease in fundus uteri height on day 7.

Meta-Analysis the Effect of Postpartum Exercise on Uterine Fundal Height

Background: Postpartum is a period that is at risk of causing complications and often contributes to maternal mortality rates in Indonesia. One of the causes of maternal death is an irregularity in the involution process, resulting in the risk of postpartum hemorrhage. This study aims to analyze and estimate the influence of postpartum exercise on reducing TFU in postpartum mothers. Subjects and Method: This study is a systematic review and meta-analysis. Search for articles through journal databases including: Google Scholar, PubMed, and Springer Link by selecting articles published from 2013 to February 2023. The population in the study was postpartum mothers with intervention in the form of postpartum exercise, comparison in the form of no intervention or no postpartum exercise, and the outcome is a decrease in TFU. The keywords used were (effect OR Influence) AND (“Parturition Gymnastics” OR “Postpartum Gymnastics” AND “fundal height” OR “decline of fundal height” OR “high uterine fundus” OR “Symphysial fundal height” OR “SFH” OR TFU”) AND (postpartum). The inclusion criteria were full paper articles using the Randomized Controlled Trial (RCT) research method, the analysis results used the Mean SD value, the intervention provided was postpartum exercise, the research subjects were postpartum mothers, with an outcome of decreasing TFU. Articles were collected using PRISMA flow diagrams and analyzed using the Review Manager 5.3 application. Results: Meta-analysis of 6 articles showed that postpartum exercise has an effect on reducing TFU in postpartum mothers by 0.46 units, which was higher than other interventions or no intervention, but this was not statistically significant. (SMD -0.46; 95% CI= -1.99 to 1.07; p=0.550). Conclusion: Postpartum exercise has an effect on reducing TFU in postpartum mothers.

Effect of low-intensity focused ultrasound therapy on postpartum uterine involution in puerperal women: A randomized controlled trial.

Short-term poor uterine involution manifests as uterine contraction weakness. This is one of the important causes of postpartum hemorrhage, posing a serious threat to the mother's life and safety. The study aims to investigate whether low-intensity focused ultrasound (LIFUS) can effectively shorten lochia duration, alleviate postpartum complications, and accelerate uterine involution compared with the sham treatment. A multicenter, concealed, randomized, blinded, and sham-controlled clinical trial was conducted across three medical centers involving 176 subjects, utilizing a parallel group design. Enrollment occurred between October 2019 and September 2020, with a 42-day follow-up period. Participants meeting the inclusion and exclusion criteria based on normal prenatal examinations were randomly divided into the LIFUS group or the sham operation group via computer-generated randomization. Patients in the LIFUS group received usual care with the LIFUS protocol, wherein a LIFUS signal was transmitted to the uterine site through coupling gel, or sham treatment, where no low-intensity ultrasound signal output was emitted. The primary outcome, lochia duration, was assessed via weekly telephonic follow-ups post-discharge. The involution of the uterus, measured by uterine fundus height, served as the secondary outcome. Among the 256 subjects screened for eligibility, 176 subjects were enrolled and randomly assigned to either the LIFUS group (n = 88) or the Sham group (n = 88). Data on the height of the uterine fundus were obtained from all the patients, with 696 out of 704 measurements (99%) successfully recorded. Overall, a statistically significant difference was noted in time to lochia termination (hazard ratio: 2.65; 95% confidence interval [CI]: 1.82-3.85; P < 0.001). The decline in fundal height exhibited notable discrepancies between the two groups following the second treatment session (mean difference: -1.74; 95% CI: -1.23 to -2.25; P < 0.001) and the third treatment session (mean difference: -3.26; 95% CI: -2.74 to -3.78; P < 0.001) after delivery. None of the subjects had any adverse reactions, such as skin damage or allergies during the treatment. This study found that LIFUS treatment can promote uterine involution and abbreviate the duration of postpartum lochia. Ultrasound emerges as a safe and effective intervention, poised to address further clinical inquiries in the domain of postpartum rehabilitation.

The Effect of Yoga Exercises on the Uterine Involution Process in Postpartum Mothers in the Working Area of Wanayasa Health Center, Purwakarta Regency, Indonesia

Uterine involution is the process of the uterus returning to its pre-pregnancy size and weight. This process is influenced by several factors, one of which is physical activity. Yoga exercise is one of the physical activities that postpartum mothers can do. This study aims to determine the effect of yoga exercises on the uterine involution process in postpartum mothers in the work area of the Wanayasa Health Center, Purwakarta Regency, Indonesia. This research uses quantitative methods with a quasi-experimental research design. The research sample was 60 postpartum mothers who were divided into two groups, namely the intervention group (30 people) and the control group (30 people). The intervention group was given yoga exercises for 1 week, while the control group was given no intervention. The results showed that there were significant differences between the intervention group and the control group in the uterine involution process. The average decrease in uterine fundal height (TFU) in the intervention group was 0.27 cm/day, while in the control group, it was 0.67 cm/day. This shows that yoga exercise can speed up the process of uterine involution in postpartum mothers.

Penyuluhan tentang Massase Uterus dan Pijat Oksitosin pada Ibu Nifas

The postpartum period is a phase from 2 hours after delivery to 6 weeks where the uterus shrinks (involutions) back to its pre-pregnancy size. The uterine involution process can be assisted with uterine massage. The results of Elisa's (2018) research on uterine fundus massage with health education using videos of uterine fundus massage on reducing uterine fundus height showed that there was an influence where the p value was 0.000 (&lt;0.05). Massage the spine or what is known as oxytocin massage can stimulate the hormone oxytocin which functions for uterine contractions so that the uterus shrinks. Apart from stimulating contractions, the hormone oxytocin also plays a role in producing breast milk so that it can help the breastfeeding process. The aim of this activity is to provide information as well as teach postpartum mothers to perform uterine massage at home. This activity is carried out using demonstration methods via video and direct simulation by postpartum mothers. The results of the service were found from 15 counseling participants, 13 of whom could perform uterine massage well, 2 people did not understand. Community service activities that have educational value are very beneficial for postpartum mothers. For this reason, it needs to be improved and maximized by all parties involved.

UTERINE INVOLUTION IN DAWANESSE POSTPARTUM MOTHERS WITH TATOBI PRACTICES

Background: The Dawan tribe is a tribe on the mainland of Timor Island that owns a tradition of caring for postpartum mothers called Tatobi. Tatobi is a tradition done by compressing the vagina, perineum, abdomen, and mother's breast using a traditional cloth dipped in hot water. Heat stimulation can cause vasodilation, possibly affecting the process of returning the uterus to its original state, known as uterine involution.&#x0D; Objectives: This study aims to determine differences of uterine involution in postpartum mothers who did and did not practice tatobi.&#x0D; Methods: This quantitative study uses a comparative descriptive study design involving 15 exposed groups and 15 control group people. Determination of respondents using the quota in Binaus Health Center, Kapan Health Center, and Fatumnasi Health Center. Technique data collection using direct lochia observation, measurement of uterine fundus height, and interviews to find out the practice of Tatobi. The data were then analyzed using the paired t-test.&#x0D; Results: The study showed no significant difference in FH of exposed and control groups on the first and third days of postpartum, which showed a p-value of 0.325 and 0.261, respectively. In contrast, there was a significant difference in FH on the seventh day, with a p-value of 0.000 at a 95% confidence level. The results also showed no significant difference in lochia’s volume on the 1st and the third day of postpartum (p-values 0.764 and 0.426, respectively). However, the lochia’s volume differed in the exposed and control groups with a p-value of 0.048). The results of this study could be due to the lax practice of tatobi, which is supported by factors of early mobilization, fulfilment of nutria&#x0D; ents, age, and parity.&#x0D; Conclusion: This research concludes that there is a difference of the process of uterine involution in the exposed group and the control group on the seventh day.&#x0D;

Comparison of Postpartum Exercises and Consumption of Purple Sweet Potato Leaves on Reduction of Uterine Fundamental Height in Postpartum Women

The bleeding after childbirth is caused 50 - 60%by weakness or absence of uterine contractions. It is important to provide postpartum services for mothers as one of the main pillars in the strategy to reduce the Maternal Mortality Rate (MMR). Postpartum exercise and administering decoction of purple sweet potato leaves are non-pharmacological techniques that can accelerate uterine involution. This study aims to determine the comparison of postpartum exercise and giving purple sweet potato leaves to reduce uterine fundal height in postpartum women at the Taman Sari Clinic, Pekanbaru City in 2023. This research is quantitative with a quasi-experimental design using one control group and one experimental group with the two method. The number of samples for this study was 20 people per group. Data collection method using observation method. The test used is the Independent T test with a significance level of 95%. The research results showed that the difference in TFU reduction after giving purple sweet potato leaves to postpartum mothers was 8.85 cm. The difference in TFU reduction after postpartum exercise was 10.4 cm. This shows that there is a difference between postpartum exercise and purple sweet potato in reducing TFU in postpartum women with a value of p=0.006. It is hoped that decoction of purple sweet potato leaves can reduce TFU in postpartum mothers

Development and Feasibility Testing of Digital Measurement Tools for the Height of Uterine Fundus

Background: Uterine Fundus Height (TFU) is an indicator for monitoring fetal well-being during pregnancy. So far, TFU measurements are still carried out manually with several weaknesses such as human error, takes a long time, and less efficiency, which requires new innovations. This study aims to develop a tool for measuring uterine fundal height by utilizing an artificial intelligence-based rotary encoder sensor to determine gestational age and estimated fetal weight.&#x0D; Subjects and Method: This study used Research and Development (R&amp;D) in the R&amp;D stage with stages carried out at the Adem Ayem Clinic from January to February 2023. Expert validation testing and small-scale product trials. A total of 10 pregnant women were selected in this study, they were divided into two groups: (1) Five pregnant women using a digital TFU measuring instrument; and (2) Five pregnant women used a measuring tape. The dependent variables are uterine fundal height, gestational age and estimated fetal weight. The independent variable is a tool for measuring uterine fundal height. Differences in TFU in the intervention and control groups were analyzed using the Mann Whitney test. &#x0D; Results: Development of a tool for measuring uterine fundal height that provides feasible and valid results in measuring uterine fundal height and determining gestational age and estimating fetal weight.&#x0D; Conclusion: Development of a tool for measuring uterine fundal height that provides feasible and valid results in measuring uterine fundal height and determining gestational age and estimating fetal weight.&#x0D; Keywords: uterine fundal height, gestational age, estimated fetal weight, rotary encoder sensor, pregnant women.&#x0D; Correspondence: Mar’atu Mutiah. Applied Masters Program, Health Polytechnic, Ministry of Health Semarang. Jl. Tirto Agung, Pedalangan, Banyumanik, Semarang, 50239, Central Java, Indonesia. Email: mara220792@gmail.com.

Asuhan Kebidanan Pada Kehamilan Trimester III Di TPMB Rupi’ah Suparman

The aim of the research is to provide midwifery care to pregnant women in the third trimester using a midwifery management approach. Data collection instrument method is a tool used to collect research data. The instruments used are in accordance with pregnancy care, namely using a mother's card, MCH book, scales, tensimeter, metelin, LILA tape, fundoscope or Doppler, Poedji Rochjati score card, instruments for simple laboratory examinations in the form of Hb, urine protein and urine reduction. Physiological pregnancy results, if calculated from the time of fertilization to the birth of the baby, a normal pregnancy will take place within 40 weeks or 9 months according to the international calendar. Pregnancy is divided into three trimesters, where the first trimester lasts 0-12 weeks, the second trimester 13-24 weeks, and the third trimester 25-41 weeks. Midwifery care in pregnancy given to Mrs "I" aged 28 years GIP0A0 has been carried out in accordance with Minimum 10 T Standard Care service program policies include weighing and measuring height, measuring blood pressure, measuring LILA, measuring uterine fundal height, TT immunization, administering iron tablets, determining fetal presentation and fetal heart rate, interviewing, laboratory tests, and management.

Comprehensive Obstetric Care In Ny "Y" With Oxytocin Massage Intervention Against Uterine Involution In Postpartum Mothers

The number of maternal mortality in South Sumatra Province in 2020 is 128 people per 100,000 live births. The highest cause of death in mothers was bleeding by 42 people (31.25%). Bleeding can be prevented if the mother's uterine contractions are good. Uterine contractions are both obtained from the hormone oxytocin. The hormone oxytocin can be obtained from oxytocin massage. The goal is to provide obstetric care to Mrs. "Y" comprehensively. From the period of pregnancy, childbirth, puerperium, by applying oxytocin massage The method used is a case study, the subject of this report is postpartum mothers the application of oxytocin massage is carried out 2x a day for 7 consecutive days since giving birth. Data collection techniques through interviews, observations, physical examinations, SOAP forms, giving questionnaires to patients before oxytocin massage and after oxytocin massage. The result is that after comprehensive obstetric care, the mother did not experience any dangerous cases. The labor process takes place normally, during the puerperium there are no special complaints that are dangerous, the mother is given oxytocin massage for 7 days postpartum in a duration of 10-15 minutes. The results of the study on Mrs. "Y" there was a significant influence of uterine involution when the mother was given oxytocin massage. On day 7, the decrease in uterine fundal height occurred faster than in mothers who did not do oxytocin massage. In conclusion, oxytocin massage care affects the decrease in fundus height of the uteri.

PEMBUATAN MATERNITY JACKET SEDERHANA SEBAGAI ALAT PERAGA PRAKTIKUM PEMERIKSAAN TINGGI FUNDUS UTERI DENGAN METODE LEOPOLD

Uterine fundal height measurement using Leopold method is the one of the learning outcome in antenatal care course that must be achieved by midwifery students. For practical teaching in laboratory, the lecturer and the students usually use a phantom with synthetic rubber material. As it made of synthetic rubber, this phantom become stiff and lack of real tactile sensation to measure fundal height. This research aimed to make a simple maternity jacket as practical teaching aid which fabricable and affordable so the students can determine the fundal height boundary. This study used research and development method. The number of respondents was 32 with purposive sampling and 2 experts. This research taken place in Midwifery Laboratory of Poltekkes Kemenkes sorong from April to November 2021. The research instrument use questionnaire. The data was analyzed by converting the qualitative form to quantitative using Likert scale, and the mean score result was converted back to qualitative form. Feasibility analysis by calculating the score of the respondents’ assessment results compared to the ideal score. The results showed that the respondents strongly agreed that this product is feasible with feasibility percentage of 96.5%. Based on the results of the assessment, it is expected that this product can be used as a practical teaching aid and can improve students' skills in fundal height measurement. Further research is needed for the development of this practical teaching aids so that it can be used for a complete Leopold examination.

A Combination of Thunder-Fire Moxibustion and Shenghua Decoction Enhances Uterine Involution After Cesarean Section and Postpartum Lactation

This study aimed to analyze the therapeutic effect of thunder-fire moxibustion plus Shenghua Decoction on uterine involution after cesarean section and its influence on lactation. One hundred and twenty parturients with post-cesarean section uterine involution were recruited from our hospital between October 2021 to July 2022. Participants were grouped into A, B, C, and D groups and treated with conventional therapy, Shenghua Decoction, thunder-fire moxibustion, and Shenghua Decoction+thunder-fire moxibustion, respectively. Groups B, C and D, especially group D, had shorter duration of lochia and faster descending speed of uterine fundus height than group A. All the four groups showed decreased uterine cavity volume after treatment, with the lowest volume found in group D. In terms of clinical efficacy, group D also had better treatment outcomes than the other three groups. Furthermore, the breast fullness degree and lactation yield scores were higher in group D than other groups, whilst the four groups were not statistically different in the incidence of adverse reactions. Shorter length of maternal hospital stays, and uterus recovery time were found in group D. In summary, thunder-fire moxibustion plus Shenghua Decoction should be treatment of choice for post-cesarean section uterine involution that can promote maternal breast milk secretion.

Predicting a clinically narrow pelvis using neural network data analysis

Aim: to improve the efficiency of predicting a clinically narrow pelvis (СNP) using neural network data analysis and to evaluate its prognostic characteristics.Materials and Мethods. The study was designed as a retrospective non-randomized clinical trial. An analysis of 184 born neonates was carried out: group 1 included 135 female patients whose delivery occurred through the natural birth canal, group 2 – 49 patients whose delivery was complicated by СNP development and ended up with emergency caesarean section. Examination of patients was carried out on the eve of childbirth (1–2 days) and included anamnesis, general and special obstetric examination, including pelvimetry, a clinical assessment of cephalopelvic disproportion was carried out during childbirth. The condition of newborns was assessed using the Apgar scale, height and body weight were measured. Neural network analysis was performed using the built-in Neural Networks module of SPSS Statistics Version 25.0 (IBM, USA).Results. Despite hypothetically important role of anatomically narrowed pelvis in development of cephalopelvic disproportion, no significant inter-group differences were found. Significant parameters (abdominal circumference, uterine fundus height and woman’s weight, fetal head circumference, as well as data on the presence or absence of oligohydramnios and fetal macrosomia) were determined, which were included in the test database to create the basis for training the multilayer perceptron. Out of 135 patients of group 1, the prognosis was negative in 131 (97.0 %), positive in 4 (3.0 %); out of 49 patients in group 2, negative in 0 (0.0 %), positive in 49 (100.0 %). The forecast accuracy of the developed model was 98 % (sensitivity – 100 %, specificity –97 %). The information content of neural network data analysis in СNP predicting is presented in ROC analysis: area under the curve (AUC) = 0.99 (95 % confidence interval = 0.97–1.00). Neonatal anthropometric parameters were significantly higher in group 2 vs. group 1, and the Apgar score at 1 minute was correspondingly lower.Conclusion. The use of neural network analysis of clinical data obtained on the eve of childbirth allows to predict СNP development at sufficient degree of accuracy (98.0 %), which, in the future, after being introduced into clinical practice, will optimize a choice of delivery method in patients at risk (anatomically narrow pelvis, large fetus), reduce emergency caesarean sections and improve birth outcomes.

PERBEDAAN KONSUMSI BUAH NANAS SEGAR DENGAN BUAH NENAS OLAHAN TERHADAP PENURUNAN TINGGI FUNDUS UTERI PADA IBU NIFAS NORMAL DI PMB ROSITA KOTA PEKANBARU

In postpartum women, the process of returning the uterus to its pre-pregnant form is very important for increasing uterine contractions which can accelerate the involution process. This study aims to compare the effectiveness of consumption of fresh pineapple with processed pineapple (dried pineapple) to decrease uterine fundal height in normal postpartum mothers. This type of research is a quasi-experimental research design with two-groups pre-test-post-test design. The study was conducted at PMB Rosita Pekanbaru City with a population of all postpartum women giving birth at PMB Rosita from February to July 2022 with a sample of 36 people divided into 18 respondents consuming fresh pineapple and 18 consuming dried pineapple (pineapple chips). The sampling technique is purposive sampling. The results of data analysis showed that the average decrease in uterine fundus height after the intervention was an average of 12.17 cm for fresh pineapple consumption and 5.13 cm for processed pineapple fruit consumption (mean). Data analysis using independent t test consumption of fresh pineapple is more effective in accelerating the decrease in uterine fundal height compared to processed pineapple (dried pineapple) with a value of (p: 0.000). It is hoped that this research can be useful for health workers in providing education to postpartum mothers by utilizing pineapple to accelerate the decrease in uterine fundal height.

Hubungan Mobilisasi Dini Terhadap Penurunan Tinggi Fundus Uteri Ibu Nifas Di Bidan Praktek Mandiri (BPM) Susiyanti Tahun 2022

The postpartum period (puerperium) is the period after the release of the placenta until the reproductive organs recover as before pregnancy and normally the postpartum period lasts for 6 weeks or 40 days. . This study aims to determine the relationship between early mobilization and decreased uterine fundal height for postpartum women at BPM Susiyanti in 2022. This type of research is an analytic survey with a cross sectional approach. The number of samples used was 32 people. The data analysis technique uses the Chi Square test. the results obtained from 32 respondents, there is a relationship between early mobilization and acceleration of fundal height reduction in post partum mothers on the first and second days at the Independent Practice Midwife (BPM) Susiyanti.

The Effect of Postpartum Exercise on Decreasing Uterine Fundal Height (TFU) in Postpartum Mothers at the Long Iram Health Center

This study aims to determine the effect of postpartum exercise on reducing uterine fundal height (TFU) in postpartum women at the Long Iram Health Center. This type of research uses the pre-experiment one group pretest-posttest design method. The population in this study were all postpartum mothers who gave birth at the Long Iram Health Center in June-July 2022, totaling 10 people. The sampling technique used is total sampling. Data analysis technique using the Wilcoxon test Based on the research that has been conducted and the data obtained, it can be concluded that there is an effect of postpartum exercise on a decrease in TFU in postpartum women at the Long Iram Health Center in 2022 with a p-value = 0.000 (&lt;0.05).

Standard Operating Procedures of antenatal care and its relation with pregnant women's satisfaction during pregnancy examination: Results of a survey at Gamping I Public Health Center, Yogyakarta, Indonesia

Background: The achievement parameter for maternal health services program is the access of pregnant health services, as indicated by measuring the coverage of antenatal care services. In Indonesia, examination of pregnant women according to antenatal standards is regulated by Ministry of Health Indonesia Number 21 of 2021, where pregnancy checks must fulfill the standard 10 T criteria. Aims: This study aimed to identify the Standard Operating Procedures of antenatal care in Gamping I Public Health Center, Yogyakarta, Indonesia, and determine its relation with pregnant women's satisfaction during pregnancy examination. Methods: Of 70 TM III pregnant women, who routinely visit for antenatal care service at the Public Health Center Gamping I, a total of 40 pregnant women were selected using consecutive sampling with 10% margin of error. A set of questionnaires was distributed to the respondents to asses: (1) The implementation of the antenatal care service standard (20 questions, and weighted using a dichotomy scale) and (2) The pregnant women satisfaction (22 questions, and weighted using the Likert scale. The data obtained from respondents were then tabulated and processed using Microsoft Office Excel 2010 and then analyzed using the SPSS Statistics 16.0 program (Pearson Product Moment formula with an error rate of 5%). Results: There are 10 pregnancy tests (10T) received by the pregnant women at the health center including the measurement of Height, Weight, Blood pressure, upper arm circumference, Uterine fundus height, Presentation &amp; Fetal heart rate, Provision of 90 Fe Tablets, Laboratory examinations, Case handling, TT Immunization Screening, and Counseling &amp; mental health assessment. According to the findings of the research conducted by the researchers, antenatal examinations were not carried out in a comprehensive and thorough manner in instances. This article provides the women satisfaction to the antennal care on different dimensions of satisfaction including Physical Proof, Reliability, Responsiveness, Guarantee, and Empathy. Even though the analysis shows that the respondents was satisfied with the antennal care services; however, the relation is not statistically significant (p-value of 0.652). Conclusion : One's satisfaction is very difficult to measure and someone's satisfaction is different from the satisfaction of someone else. According to the findings of the study, every time a midwife performed an antenatal checkup, she had never provided complete 10T-based antenatal care. In addition, this research has been carried out through direct observation of prenatal care, where pregnant women and midwives' perceptions of antenatal care examinations do not differ.

Manajemen Beberapa Fibroid Rahim Pada Kehamilan

ABSTRACT Uterine Fibroids is a benign tumors originating from the smooth muscle of the uterus. In general, uterine myomas are asymptomatic and are found incidentally during ultrasound examination of pregnancy. We report that a 39-year-old woman with G2P1001 who admitted she was 40 weeks pregnant came with complaints of intermittent abdominal pain since 04.00 in the morning, which was getting worse 2 hours before being admitted to the hospital. Complaints are accompanied by the discharge of blood mucus through the vagina. The patient was married 2 times and the distance between the first child and the second was 19 years. The patient's vital signs were within normal limits. On physical examination, there was a palpable mass with a smooth surface that seemed to stick to the uterus. Obstetrical examination revealed: uterine fundal height: 32cm, HIS + adequate, fetal heart rate 140 beats/minute, performance; head position. When a vaginal touch was performed, it was found that there was an opening of 1 cm with 25% thinning, and the membranes were still intact. The patient was diagnosed with G2P10001 40-41 weeks of gestation + single alive Intra uterine + old secondary primary + uterine fibroids. The patient underwent a cesarean section, and the outcome of the baby and mother was good. Intraoperative findings found that 2 uterine myomas were measuring more than 5 cm located in the subserosa and intramural so the patient underwent a supravaginal hysterectomy. The age of the patient above 35 years is one of the considerations for tubectomy.

Pengaruh Senam Nifas Terhadap Tinggi Fundus Uteri Pada Ibu Nifas Di Wilayah Kerja Puskesmas Cimanggu Kabupaten Pandeglang Banten Tahun 2022

Introduction: The puerperium undergoes physiological changes, including the uterine system undergoing a process of shrinking (involution). Postpartum exercise is one of the efforts to help accelerate uterine involution. The results of a preliminary study at Cimanggu Public Health Center, Pandeglang Regency, Banten to 10 postpartum mothers, found 6 of them with TFU exceeding the middle of the center and the symphysis. The purpose of the study was to determine the effect of postpartum gymnastics on uterine fundal height in postpartum women in the work area of Cimanggu Health Center, Pandeglang Regency, Banten in 2022. Methods: The research method was a quasi-experimental design with pre-test and post-test design with control groups design, the number of samples was 64 respondents, and the sampling technique was purposive sampling. The data analysis used an Independent T-test test. Results: The results of this study of TFU before the postpartum exercise intervention in postpartum women on average = 12,094 cm and after the intervention the average = 3,375 cm, TFU before the control group on average = 11,969 cm and after the intervention the average = 6,0 cm. The results of the bivariate analysis showed that there was an effect of postpartum gymnastics on the decrease in uterine fundal height in postpartum women in the work area of Cimanggu Public Health Center, Pandeglang Regency, Banten in 2022 with a p-value of 0,000. Discussion: The conclusion of the research is that there is an effect of puerperal exercise on decreasing uterine fundal height in postpartum women. It is recommended that postpartum mothers can do postpartum exercises at home regularly every morning and evening according to the midwife's recommendations.