Corresponding
Author; Vyola Chania Arefti
INTRODUCTION
Period
postpartum is considered as the fourth trimester of pregnancy and defined as
time between childbirth and recovery of reproductive organs to circumstances
before pregnancy. This is the most important thing but also stages the most
fragile pregnancy (Shuo-Shin et al., 2020).
Body
women experience Lots change after giving birth and will need a long time to
finish changing this. Strength woman decreased at the start period postpartum.
Will be happen complaint physical, like Sick back, problem emotional, capacity
motion, power stand muscle, flexibility, composition body, and limitations
related functional with parenting child. Complaint the caused by the decline
fitness physical Mother postpartum (Mouchard et al., 2022).
Fitness physical be marked with ability for do activity daily with enthusiasm (Erick, 2018).
Therapy pharmacology
that can be given for enhancement breast milk production with giving drug
facilitating breast milk, meanwhile safe non - pharmacological therapy given
such as massage, postpartum exercises, acupressure, therapeutic touch and mind
body healing. A number of research ever carried out in Indonesia mentioned that
possible methods used for help expedite post breast milk production give birth
to among them is Postpartum Yoga and postpartum exercise. Breast milk is not go
out after the birthing process is common thing happens, because That Mother
must do movements around the chest and back so you can increase breast milk
production (Nolan et
al., 2019).
There
is Lots class sports such as yoga, zumba and aerobics during the postpartum
period. However yoga is recommended For Mother postpartum For increased
physique well-being and psychology postpartum. (Renityas, 2020)
From various methods the just a yoga approach holistic that
focuses on interconnections body, mind, and soul. It combines physical poses
(asanas), techniques of breathing (breathing), meditation, and restorative
relaxation to balance self with nature and neutralize inconveniences physical,
emotional, and mental. Postpartum Yoga is a special program For Mother
postpartum with technique and intensity that has been customized with
circumstances and needs physical and psychological mother. Postpartum Yoga focuses
on practice physical and respiratory, strengthening muscle base pelvis, and
relaxation autosuggestion (Anggraeni et al., 2019). Because
has observed that continued yoga practice continuously increases body fitness (Na Nongkhai et al., 2021).
Easy
yoga done by mother breast-feed Because No need expensive, yes done at home and
can give relaxation for mother. Yoga for mothers breast-feed beneficial for
expedite breast milk production due to Yoga movements can be done to stimulate
gland pituitary For stimulate enhancement hormone prolactin For produce more
breast milk many and all at once can fulfill need of a baby. Home Yoga
exercises for Mother breast-feed is for the surrounding area breast; Breast
exercise movements are more strong when done on base Respiratory complete or
Ujayyi as well as relaxation and meditation. Movements the will give relaxation
and trust myself to mother For breastfeeding success (Huggins, 2022).
On
studies introduction that has been done there are 6 health centers from 37
health centers in the city of Semarang with breastfeeding below 50%, amount
Mother The most postpartum in the city of Semarang is in coverage public health
center Padangsari and Pundakpayung with an average of only 9.46 months of
breastfeeding. Factors that
make mother no giving breast milk is because breast milk doesn't Want to Get
out , mother Busy work , knowledge low and incessant mother
advertising about use of formula milk
METHOD
Deep
sample study This is Mother postpartum. Population study on research This is
Mother giving birth in the month February at the Padang Sari health center,
Pudak Payung health center, community health center Bangetayu, community health
center Prescription and health center Srondol Semarang city. Taking samples
determined use Purposive Sampling. 88 that is technique taking
samples with consideration certain.
Criteria
in study This is :
a. Criteria Inclusion
1.� Normal postpartum mother
2. Baby weight ≥ 2500 gr
3. Just a baby drinking
breast milk/ not yet Once given formula milk
4. Reflex Suck
5. Normal Delivery
6. Mother's BMI is
normal
b. Criteria Exclusion
Postpartum mothers who consume herbal medicine to increase breast
milk Type of research used in the research This is study experiment
quasi (Quasi Experiment Research) with design Non Equivalent Control Group
Design. This involves group control and group treatment. In research This
carried out in 2 (two) groups can depicted as following :
1.
Intervention Group given Postpartum Yoga
treatment for 15 minutes 2 times in One Sunday for 2 weeks
2. Control Group
given intervention class Mother postpartum 15 minutes 2 times in One Sunday for
2 weeks
RESULT AND DISCUSSION
Analysis univariate in study This used for give description
characteristics family respondents in the city of Semarang.
Table 1 . Distribution
Frequency Characteristics Respondent
|
Characteristics
|
Intervention
Group (n=30)
|
Control Group
(n=30)
|
* P Value
|
|
|
N
|
%
|
N
|
%
|
|
|
Age
<20 and >35
20-35
|
3
27
|
10%
90%
|
2
28
|
6.7%
93.3%
|
0.358
|
|
Parity
Primipara
Multiparous
|
7
23
|
23.3%
76.7%
|
10
20
|
33.3%
66.7%
|
0.095
|
|
Education
elementary school
middle
school high school
College _
|
0
2
22
6
|
0%
6.7%
73.3%
20.0%
|
0
2
20
8
|
0%
6.7%
66.7%
26.7%
|
0.383
|
|
Work
Work
Doesn't work
|
10
20
|
33.3%
66.7%
|
14
16
|
46.7%
53.3%
|
0.079
|
|
Rest
Pattern
<7
≥7
|
6
24
|
20%
80%
|
10
20
|
33.3%
66.7%
|
0.367
|
Source: Primary Data
Based on table 1 shows
that age mother in the group experiment including in category reproduction
healthy (age Mother between 20-35 years) is there were 27 (90%) and the
respondents were aged category reproduction No healthy (age mother < 20
years & > 35 years) is there are 3 (10%). Meanwhile in the group
controls included in category reproduction healthy (age Mother between 20-35
years) is there were 28 (93.3%) and aged respondents category reproduction No
healthy (age mother < 20 years & > 35 years) is there are 2 (6.7%)
Parity Mother differentiated become Primiparous
mothers (count child 1), multiparous (number children 2-5) and grand
multiparous (number child > 5). Based on Table 5 shows that parity in groups
experiment deep respondents. The primipara category was 7 (23.3%), multipara 23
(76.7%) and grande multipara 0 (0%). Meanwhile in the group control deep
respondents 10 (33.3 %) primipara categories, 20 (66.7%) multipara.
Mother's education
differentiated from elementary school, finished middle school, finished high
school and finished college tall. Based on table 4.1 shows that level education
mother in the group experiment 0 respondents who graduated from elementary school
(0 %), respondents who graduated from junior high school were 2 (6.7%),
respondents who graduated from high school were 22 (73.3%), respondents who
graduated from college tall as many as 6 (20.0%). Meanwhile in the group
control respondents who completed elementary school were 0 (0%). Respondents
who graduated from junior high school were 2 (6.7%), respondents who graduated
from high school were 66.7%), respondents who graduated college tall as many as
8 (26.7%).
Work mothers
differentiate between working mothers (traders, civil servants, entrepreneurs,
employees, health workers, police, soldier) and mothers who do not work
(Housewife). Based on table 5 shows that work in groups experiment deep
respondents category Mother Work as many as 10 (33.3%), respondents did not
Work as many as 20 (66.7%). Meanwhile in the group control deep respondents _
category Mother Work as many as 14 (46.7%) and respondents who did not Work as
many as 16 (53.3%).
Rest pattern Mother
differentiated become mother who gave birth in a way normal and section
cesarean. Based on table 5 shows that pattern group break _ resting experiment
_ 
�as
many as 24 (80%) and respondents who rested as much 
is as many as 6 (20%%). Meanwhile in the
control group respondents who rested 
�as
many as 10 (33.3%) and respondents who rested �as
many as 26 (66.7%).
Homogeneity test results show variable age,
parity, education, occupation and pattern Rest own variations in the same data
across groups experiment and control have p-value > 0.05 so can conclude
that variance age, parity, education, occupation and pattern Rest is
homogeneous.
Table 2 . Influence Postpartum Mother�s Fitness in
Groups Intervention and Control
|
Measurement
Mom Fitness
|
Group
|
**P
Value
|
|
Experiment
|
Control
|
|
Mean�SD
|
Min-Max
|
Mean�SD
|
Min-Max
|
|
Pre
Test
|
57.8�7.5
|
42-77
|
57.2�6.95
|
43-76
|
0.468
|
|
Post Test
|
70.03
� 7.8
|
58-87
|
63�7.18
|
49-80
|
0.001
|
|
*P Value
|
0.00
|
0.00
|
|
|
Difference
|
12.23�4.3
|
|
5.8�2.8
|
|
0.00
|
�� *Wilcoxon **Mann Whitney
Based on table 4.4. Measurement pretest fitness
in groups experiment minimum score 42, maximum 77 with average his namely 57.8,
while in group control own score Minimum fitness 43, maximum 76 with mean 57.2.
Measurement Posttest fitness in groups experiment own minimum score 58, maximum
87 with the average namely 70.03, while in group control own score Minimum
fitness 49, maximum 80 with average 63.
Change average fitness
after given intervention in groups experiment with providing Postpartum Yoga
and groups control, change fitness can seen in the picture graph 4.2 as
following.
Picture 1. Influence Postpartum Mother's Fitness in Groups Intervention and
Control
Statistical test results using Wilcoxon fitness
Mother postpartum in the group experiment and control show p-value < 0.05,
namely good in the group experiment and control p- value equals 0.00. This
matter shows that giving Postpartum Yoga to group experiments is effective to enhance
fitness in mothers postpartum. Likewise giving care Mother postpartum in the
group control is also effective in increasing fitness in mothers postpartum.
Statistical test results will use Mann Whitney
variable fitness on the pre-test between group experiments and groups control
No different meaningful seen the p- value is 0.468. mark fitness
(P-value>0.05), whereas for group post-test experiment and control different
meaning seen the p- value is 0.001 meaning enhancement fitness in mothers
postpartum after given intervention providing Postpartum Yoga to groups
experimentation and giving care Mother postpartum in the group control. In
groups experiment enhancement fitness is Good compared to group control. This matter
was proven with enhancement average value in the group experiment to 70.03 and
group control to 63.
Statistical test results with Mann Whitney
effectiveness delta value (Δ) pre-posttest different meaning seen p- value
0.00 (p-value < 0.05) means giving Postpartum Yoga to group experiment more
effective compared to giving care Mother postpartum just to group control. This
matter proven with enhancement mean delta (Δ) value in the group
experiment more Lots namely 12.23 while in group control namely 5.8
Effects of
Postpartum Yoga to Enhancement Fitness in postpartum mothers.
Variable data effectiveness test results pair
with using the Wilcoxon statistical test on variables fitness seen p-value in
the group experiment nor group control happen enhancement fitness with p- value
0.00 (p-value < 0.05) means providing Postpartum Yoga to groups
experimentation and giving care Mother postpartum in the group control
effective increase fitness in mothers postpartum. Success providing Postpartum
Yoga and care Mother postpartum this can also be done seen from the results of
the data effectiveness test are not pair show Mann test value Whitney Pretest
on Fitness group experiments and groups control with p- value 0.468
(p-value> 0.05), while in the post test p- value 0.001 (p-value < 0.05)
means that giving Postpartum Yoga more effective increase fitness in mothers
postpartum compared to with giving care Mother postpartum just in groups
control.
During
the postpartum period Mother will find a number of changes to the body or
emotion. 16 A number of adjustments are required by some women in
face activities and roles new as mother in the weeks First after giving birth,
okay from facet physique nor psychological. 17 More than 80% of
failures in mothers breast-feed are caused by: condition psychological Mother
breast-feed namely stress, fatigue, vitality (level energy), quality sleep,
calm, and attention. 18
Changes
in the body of a woman after giving birth will need a long time for return like
the beginning. Strength woman decreased at the start period postpartum. Will be
happen complaint physical, like Sick back, problem emotional, capacity motion,
power stand muscle, flexibility, composition body, and limitations related
functional with parenting child. Complaint the caused by the decline fitness
physical Mother postpartum. 19 Fitness physical be marked with
ability for do activity daily with enthusiasm. 20
The decline fitness of
a physical Mother postpartum will influence mother 's breast milk production
cause the baby will lack intake nutrition. Lack of nutrition in babies will
give rise to disturbance in growth and development, if not overcome in a way early
can continue until mature. Age 0 � 24 months is a period of rapid growth and
development or also called period gold at a critical time period. Period gold
can materialize if at this time babies and children obtain intake appropriate
nutrition for growing optimal flowering. 98
One
of the problems period long from disturbance growth and disruption development
consequence lack nutrition is stunting. Stunting is failure of the growth
process development in children under five years (babies under five years),
namely be marked with short life or very short Because malnutrition chronic
intrauterine from period beginning baby new just born visible at least 2 years
of age. 5 Maximum breastfeeding Possible is an activity important in
maintaining children and preparing generation successors in Century front. The
amount of breast milk is sufficient for growth and development baby when breast
milk is given exclusively. 6
Enhancement fitness in mothers postpartum
because giving Postpartum Yoga done to the mother postpartum to House
respondents with procedure stare advance one respondent trained by one trainer
so that the result become maximum , training No only done One day just but 4
days for 2 weeks so that repetitive movements can increase memory Mother
postpartum For memorize Postpartum Yoga movements and after researcher finished
do study Mother get knowledge new namely Postpartum Yoga For increase fitness
so that Mother Can repeating his At home.
Difference
Influence Providing Postpartum Yoga to Postpartum Mothers between Experimental
and Control Groups.
Test data effectiveness does not pair with using
statistical tests Mann whitney delta (Δ) on variables breast milk
production shows pre- post test scores different meaningful seen p- value 0.00
(p-value < 0.05) means giving Postpartum Yoga to group experiment more
effective increase fitness compared to with giving standard care Mother
postpartum just to group control. This matter proved with decline mean delta
(Δ) value in the group experiment more Lots namely 522.6 while in group
control namely 340.
Success giving Postpartum Yoga This can seen
from test results of the influence of delta (Δ) on fitness show pre- post
test scores different meaningful seen p- value 0.00 (p-value < 0.05) means
giving Postpartum Yoga to group experiment more effective raise fitness
compared to with giving standard care Mother postpartum just. This matter is
proven with enhancement mean delta (Δ) value in the group experiment more
Lots namely 12.23 while in group control namely 5.8. This matter in line with
research conducted by Romadlon et al (2019) that yoga movements will increase
fitness 100
CONCLUSIONS
On research This can
concluded that non- pharmacological therapy in the form of Postpartum Yoga effectively can increase breast milk
production and maternal fitness postpartum. This matter can be seen from difference enhancement breast milk production and
maternal fitness postpartum given to the group experiment compared to group control.����
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