Vivin Sari Sukmawati
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Manajemen Fisioterapi pada Post Sectio Caesarea Puji Eva Annisaa; Adnan Faris Naufal; Vivin Sari Sukmawati
Jurnal Anestesi Vol. 3 No. 2 (2025): Jurnal Anestesi: Jurnal Ilmu Kesehatan dan Kedokteran
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/anestesi.v3i2.1781

Abstract

Sectio Caesarea (CS) is a method of childbirth through surgery with an incision in the abdomen and uterus. The causative factors include narrow pelvis, placenta previa, fetal malpresentation, and fetal distress. According to WHO, the global caesarean delivery rate ranges from 5-15% per 1000 births. Physiotherapy plays an important role in improving functional ability after CS through movement, reducing pain, increasing muscle strength, and accelerating recovery. A 30-year-old female patient, G3P2A0, 39+5 weeks of gestation, came to Simo Boyolali Hospital with complaints of tight stomach and premature rupture of membranes. The CS operation was performed at 16.00 WIB. Postoperatively, the patient experienced abdominal pain that worsened when moving and had difficulty sitting and breast milk had not come out. The patient was given breathing exercises, pelvic floor exercises, and mobilization exercises every 2 hours with 8 repetitions. The results showed a decrease in pain and an increase in functional ability. The post-CS physiotherapy program with breathing exercises, pelvic floor exercises, and mobilization exercises was effective in reducing pain and increasing the patient's functional ability.
Efektivitas Latihan Curl-up dan Core Activation pada Pemulihan Wanita Post-partum dengan Diastasis Recti Abdominis : Case Report Nadia Salsabiela Mumtazi Luthfiah; Mahendra Wahyu Dewangga; Vivin Sari Sukmawati
OBAT: Jurnal Riset Ilmu Farmasi dan Kesehatan Vol. 3 No. 4 (2025): July: OBAT: Jurnal Riset Ilmu Farmasi dan Kesehatan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/obat.v3i4.1548

Abstract

Diastasis Recti Abdominis (DRA) is a common postpartum condition in women, characterized by separation of the rectus abdominis muscles due to a weekend linea alba. This case study aimed to evaluate the effectiveness of e combined core activation.and curl-up exercise program in reducing intra-recti distance in a postpartum patient.The subject was a spontaneous postpartum woman at 39 weeks of gestation. Initial assessment revealed intra-recti distance of 28 mm above and 17 mm below the umbilicus, exceeding normal limits. The intervention consisted of a 4-day program including curl-up and five core activation excercises : diaphragmatic breathing, abdominal drawing-in manuver, supine pelvic tilt, heel slide and knee fall out. Measurements showed no significant reducyion in intra-recti distance; however, the patient reported improved abdominal tightness and core stability. The study concludes that although measurable changes were not significant within a short evaluation period, the intervention had positive subjective effects. Longer-term assessment is recommended for more conclusive results.