Comparison on the Effectiveness of Postpartum Exercise And Oxytocin Massage for Uterine Involution of Postpartum Women in Kebumen, Indonesia

Background. Traditional Chinese postpartum care is believed to help in the recovery of women after delivery.Objective. This study investigated the association of elements in dietary and herbal therapy with uterine involution.Methods. Indices of uterine involution were measured ultrasonographically in 127 postpartum women between 4-6 weeks after delivery. A self-reported retrospective questionnaire was used to query women about their frequencies of taking herbal medicines and consuming special diets during the first month after delivery. Correlation coefficients were calculated to identify the associations, then the regression models were used to identify the predictors.Result. Among the herbal medicines and diet, consumption ofEucommia ulmoides(E. ulmoides) negatively correlated with the AP diameter of the uterus and the cavity.E. ulmoideswas also the only predictor of maximum AP diameter of the uterus, AP diameter of the uterus 5 cm from the fundus, and the maximum AP diameter of the cavity. Moreover, consumption of Sheng-hau-tang was significantly correlated with anteverted uterus and was a predictor of anteverted uterus.Conclusion.E. ulmoidesand Sheng-hau-tang positively correlated with the degree of uterine involution after delivery, implying that both therapies might possess the pharmacological efficacy of uterine contraction in postpartum women.

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Sonographic Evaluation of Uterine Dimensions in Postpartum Women of Reproductive Age-Study from Enugu, Southeast Nigeria

JOURNAL FOR CLINICAL AND DIAGNOSTIC RESEARCH ◽

10.7860/jcdr/2020/44409.13899 ◽

2020 ◽

Author(s):

Chidimma Nonyelum Okwor ◽

Chuka Chike Agunwa ◽

Joseph Tochukwu Enebe ◽

Amaka Obiageli Nnamani ◽

Ikechukwu Emmanuel Obi ◽

...

Keyword(s):

Radiation Risk ◽

Uterine Cavity ◽

Reproductive Age ◽

P Value ◽

Postpartum Women ◽

Test Analysis ◽

Maternal Risk ◽

Uterine Involution ◽

The Mean ◽

Prospective Longitudinal

Introduction: Uterine involution, a physiological process in which the uterus reverts to prepregnant size, occurs during puerperium. The latter is a time of substantial maternal risk. Ultrasound is considered the most appropriate tool in monitoring the progression of uterine involution because it is cheap, convenient and repeatable with no radiation risk. Aim: To sonographically evaluate the involution of the uterus and uterine cavity in postpartum women in Enugu, Nigeria. Materials and Methods: This was a prospective longitudinal cohort study on 400 postpartum women at the University of Nigeria Teaching Hospital, Enugu, Nigeria. Transabdominal ultrasonography to measure uterine dimensions was done on day 1, day 3 and day 42 of puerperium using a 3.5-5 MHz curvilinear probe of a portable ALOKA ultrasound machine. Statistical analysis was done with the Statistical Package for Social Sciences (SPSS) software version 20.0. The uterine dimensions were expressed as mean±standard deviation and student's t-test analysis was used to compare the values for day 1, day 3 and day 42 of puerperium. Regression analysis was carried out to measure the relationship between uterine measurements on days 1, 3 and 42. A p-value of <0.05 was considered statistically significant. Results: The mean longitudinal, anteroposterior and transverse diameters of the uterus at day 1 were 14.51 cm, 8.54 cm and 10.97 cm, respectively. The corresponding values for day 42 were 8.27 cm, 4.78 cm, and 6.22 cm. The uterine diameters decreased significantly as puerperium advanced (p<0.001). The mean uterine cavity diameters also decreased significantly as puerperium advanced (p<0.001). There was significant regression between longitudinal diameters of both uterus and uterine cavity on days 1 and 3 but not between days 3 and 42. Conclusion: This study has established a normal range of diameters for the uterus and uterine cavity on day 1, day 3 and day 42 of puerperium. It can serve as reference data for further studies in the study area.

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Physiological Uterine Involution in Primiparous and Multiparous Women: Ultrasound Study

Obstetrics and Gynecology International ◽

10.1155/2017/6739345 ◽

2017 ◽

Vol 2017 ◽

pp. 1-10 ◽

Cited By ~ 6

Author(s):

V. Paliulyte ◽

G. S. Drasutiene ◽

D. Ramasauskaite ◽

D. Bartkeviciene ◽

J. Zakareviciene ◽

...

Keyword(s):

Early Detection ◽

Uterine Artery ◽

Uterine Cavity ◽

Normal Vaginal Delivery ◽

Postpartum Women ◽

Uterine Involution ◽

Ultrasound Study ◽

Angle Deviation ◽

Endometrial Cavity ◽

Multiparous Women

Purpose. To examine the uterine involution period after uncomplicated delivery in primiparous and multiparous women.Methods. Longitudinal prospective study. Repeated parameters were measured and endometrial contents and diastolic notch were observed. Measurements of primiparous and multiparous women were carried out after labour on the 1st, 3rd, 10th, 30th, 42nd, and 60th postpartum days. The analysis was performed using SPSS version 21.Results. The median uterus parameters are bigger in multiparous group in physiological puerperium, but the decreasing trend is the same. The endometrial cavity on the 10th day was significantly wider in multiparous women and mainly echo-negative view of the uterine cavity was observed. The evaluation of the uterine angle deviation changes from an extremely retroverted position to a more anteverted position. RI of the uterine artery in both groups was low immediately after labour and significantly increased one month postpartum. Notching of the uterine artery undergoes changes, but diastolic notch does not appear in all postpartum women even after two months following labour.Conclusions. The puerperium period after normal vaginal delivery depends on parity. The trend of involution in primiparous and multiparous women follows a similar pattern, yet, it lasts longer in the multiparous women. Ultrasound of uterine is certainly a useful tool after labour and may be important in facilitating an early detection of postpartum uterine complications.

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The THE EFFECTIVENESS OF POSTPARTUM YOGA ON UTERINE INVOLUTION AMONG POSTPARTUM WOMEN IN INDONESIA

International Journal of Nursing and Health Services (IJNHS) ◽

10.35654/ijnhs.v2i3.164 ◽

2019 ◽

Vol 2 (3) ◽

pp. 124-134

Author(s):

Ni Putu Dian Ayu Anggraeni ◽

Lucky Herawati ◽

Melyana Nurul Widyawati

Keyword(s):

Postpartum Period ◽

Intervention Group ◽

Control Group ◽

P Value ◽

Postpartum Women ◽

Breathing Exercises ◽

Uterine Involution ◽

Significant Difference ◽

Post Test ◽

Quasi Experimental

Sub uterine involution is one of the pathological symptoms of the postpartum period, which causes complications. This is indicated by the size of the fundus uterine, which is greater than the normal size and elongated outflow of lochia. One of the non-pharmacological methods for preventing sub uterine involution is postpartum yoga which focuses on physical and breathing exercises, strengthening of the pelvic floor muscles, and relaxation of autosuggestions. The study aimed to analyze the effectiveness of postpartum yoga on uterine involution. A quasi-experimental, pre-test and post-test with the control group was applied in this study. Thirty-eight postpartum women received postpartum yoga as the intervention group. The control group was comprised of 19 women. The gain score of uterine involution in the intervention group was 9.14 ± 1.27 and in the control group 7.20 ± 1.11. The Cohen’s effect size test is 1.63. The result of the mann whitney test showed that there was a significant difference between the intervention group and the control group with p value 0,000. The result of determination (R Square), postpartum yoga had an effect of 40.3% on uterine involution after being controlled simultaneously with parity, frequency of breastfeeding, and anxiety. Postpartum yoga is effective to strengthen the uterine muscles, facilitate blood circulation, and stimulate neurohormonal so it could accelerate uterine involution. Further studies could measure of fundus uterine daily. Future researchers can develop postpartum yoga research with other variables such as anxiety, urinary incontinence, quality of life for postpartum women, and hormonal variables including oxytocin, endorphins, and cortisol. Keywords: postpartum yoga, postpartum period, postpartum exercise, uterine involution

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THE EFFECTIVENES OF MORINGA LEAVES AND YELLOW SWEET POTATO NOODLES FOR THE UTERINE INVOLUTION AND BREAST MILK PRODUCTION

Midwifery and Nursing Research ◽

10.31983/manr.v3i2.7727 ◽

2021 ◽

Vol 3 (2) ◽

pp. 52-58

Author(s):

Tuti Sukini ◽

Sri Widatiningsih ◽

Siti Rofi'ah

Keyword(s):

Breast Milk ◽

Sweet Potato ◽

Milk Production ◽

Local Food ◽

Control Group ◽

P Value ◽

Postpartum Women ◽

Adequate Treatment ◽

Uterine Involution ◽

Breast Milk Production

Background: Breast swelling or engorgement breast is the blocking up of breast milk because of the narrowing of the lactiferous duct or glands that are not emptied completely and the percentage incidence of it to postpartum women is 72%-85%. Breast swelling that is not handled properly can cause complications such as obstructions that lead to breast infection that can hinder the realization of exclusive breastfeeding in the future and without adequate treatment, the engorgement with moderate severity can become the obstructions of ducts and breast infections/mastitis. The purpose of this study is to determine the effect of the moringa leaves and yellow sweet potato noodles for the uterine involution and breast milk production of postpartum women.Methods: This research was conducted in the Tembarak Public Health Center, Temanggung Regency using a quantitative approach with Quasi Experiment method. The design was post test only with control group. The population in this study was postpartum women who gave birth in September and October 2016. The sampling technique used was total sampling.Results: The results of this study showed that there were effects from the consumption of moringa leaves noodles for breast milk production of postpartum women, showed by the p value of 0.034 and there was no effect from the consumption of yellow sweet potato noodles for the uterine involution, showed by the p value of 0.767.Conclusion: The suggestions for professional organizations were to cooperate with the relevant authorities (Health Offices) in disseminating the results of this evidence-based research to help increasing breast milk production by using local food, and also to cooperate in cross-programs and cross-sectors in order to incorporate the use of local food based on the evidence as a procedure in providing health education for postpartum women

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