The effectiveness of postnatal gymnastics on reducing diastasis rectus abdominis and improving knowledge in postpartum women: A case study
https://doi.org/10.52235/lp.v6i3.582
Keywords:
exercise theraphy, postnatal gymnastics, postpartum period, rectus abdominisAbstract
Background: Diastasis rectus abdominis (DRA) is a common condition in postpartum women characterized by abdominal muscle separation, which may lead to functional disorders and reduced quality of life. One of the effective interventions is postpartum exercise, a simple physical activity designed to strengthen the abdominal muscles and accelerate recovery.
Objective: This study aimed to describe the implementation of education and postpartum exercise to reduce DRA and increase knowledge among postpartum mothers.
Methods: A descriptive case study design with a nursing care approach was applied to two multiparous postpartum mothers with DRA >2.5 cm. Interventions consisted of health education and postpartum exercise training conducted over seven consecutive days. Data were collected through interviews, observations, questionnaires, and DRA measurements using a simple caliper.
Results: The findings showed a reduction in DRA size, from 2.96 cm to 2.78 cm in client I and from 2.86 cm to 2.64 cm in client II. Knowledge scores also increased significantly, with correct responses on the questionnaire improving from 4–5 to 10 out of 10 items.
Conclusion: Education and postpartum exercise with a nursing care approach were proven to reduce DRA size and enhance maternal knowledge. Postpartum exercise can be recommended as a simple, cost-effective, and practical nursing intervention to support abdominal muscle recovery in postpartum mothers.
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References
Admasari, Y., dkk. 2022. Senam Nifas Sebagai Alternatif dalam Mempercepat Penurunan Tinggi Fundus Uterus Ibu Pasca Salin. Jurnal Kesehatan Tanbusai 3(1): 199 – 204.
Agustina, F., Darussalam, H., & Julia, I. (2024). Application of Breast Care to Prevent Breast Milk Dams in Postpartum Mothers. Lentera Perawat, 5(2), 209-217. https://doi.org/10.52235/lp.v5i2.344
Anggeriani, R., Sari, S. D., & Lamdayani, R. (2024). The effect of endorphin massage on reducing back pain in third trimester pregnant women. Lentera Perawat, 5(2), 196-200. https://doi.org/10.52235/lp.v5i2.338
Bai, M. K. S. dkk. (2024). Bunga Rampai: Konsep dan Keterampilan Masa Nifas. Jawa Tengah: Media Pustaka Indo.
Chen, B., dkk. 2023. Rehabilitation for Maternal Diastasis Recti Abdominis: An Update on Therapeutic Directions. Science, Health and Medical Journals 9(10): 1 – 14.
Dinas Kesehatan Kabupaten Ogan Komering Ulu. 2024. Profil Kesehatan Kabupaten Ogan Komering Ulu Tahun 2023.
Gasper, I. A. V., dkk. 2024. Keperawatan Maternitas. Jawa Tengah: Media Pustaka Indo.
Granados, P. H., dkk. 2021. European Hernia Society Guidelines on Management of Rectus Diastasis. British Journal of Surgery 108(10): 1189 – 1191.
Jatmika, S. E. D., dkk. (2019). Buku Ajar: Pengembangan Media Promosi Kesehatan. Yogyakarta: Penerbit K-Media.
Lestari, R. T. R. dan Fasimi, R. H. 2023. Buku Ajar Keterampilan Keperawatan Maternitas. Jawa Tengah: Media Pustaka Indo.
Purwani, R., Wijayanti, A., & Yulia, Y. (2025). The Effect of Peppermint Aromatherapy on the Frequency of Nausea and Vomiting in First Trimester Pregnant Women. Lentera Perawat, 6(1), 147-154. https://doi.org/10.52235/lp.v6i1.429
Rochmaedah, S., dkk. 2021. Pengaruh Senam Nifas Terhadap Kejadian Diastasis Rectus Abdominis pada Ibu Post Partum di Puskesmas Namrole Kab. Buru Selatan. Jurnal Keperawatan Sisthana 6(1): 39 – 45.
Saputri, dkk. 2020. Pengaruh Senam Nifas Terhadap Proses Involusi Uteri pada Ibu Postpartum. Jurnal Kebidanan Kestra 2(2):159 – 163.
Sulistyawati, H., dkk. 2023. Buku Ajar Nifas DIII Kebidanan Jilid I. Jakarta Selatan: Mahakarya Citra Utama.
Suparno, dkk. 2022. Modul Pelatihan Diastasis Rectus Abdominis. Yogyakarta: Bintang Semesta Madia.
Suparno, dkk. 2022. Pelatihan Mengenalkan Diastasis Rektus Abdominis pada Tenaga Kesehatan di Desa Talang Jawa UPTD Puskesmas Tanjung Agung. Indonesia Berdaya 3(2): 287 – 302.
Suparyanto, dkk. 2024. Efektivitas Pemakaian Korset dan Senam Nifas terhadap Diastasis Rekti Abdominal pada Ibu Postpartum di RS Krakatau Medika tahun 2023. Journal of Social Science Research 4(3):6141 – 6150.
Susilawati, dkk. 2024. Buku Ajar Keperawatan Maternitas. Jambi: Sonpedia Publishing Indonesia.
Tim Pokja SDKI DPP PPNI. 2017. Standar Diagnosis Keperawatan Indonesia: Definisi dan Indikator Diagnostik. Edisi 1. Jakarta: Dewan Pengurus Pusat PPNI.
Tim Pokja SIKI DPP PPNI. 2018. Standar Intervensi Keperawatan Indonesia: Definisi dan Tindakan Keperawatan. Edisi 1. Jakarta: Dewan Pengurus Pusat PPNI.
Tim Pokja SLKI DPP PPNI. 2019. Standar Luaran Keperawatan Indonesia: Definisi dan Kriteria Hasil Keperawatan. Edisi 1. Jakarta: Dewan Pengurus Pusat PPNI.
Tonasih dan V. M. Sari. 2019. Asuhan Kebidanan Masa Nifas dan Menyusui. Yogyakarta: K-Media.
Widayanti, A. F., dkk. 2023. Peran SDGs dalam Meningkatkan Kesehatan dan Kesejahteraan Masyarakat. Bantul: Mitra Edukasi Negeri.
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Copyright (c) 2025 Aisyah Aisyah, Eni Folendra Rosa, Lisdahayati Lisdahayati, Nelly Rustiati, Rahayu Dini Lestari
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