Littérature scientifique sur le sujet « Involution de Kato »

The involution process during postpartum is a crucial physiological mechanism to avoid postpartum complications. One effort to support uterine involution is with oxytocin massage. There has been a lot of research on oxytocin massage but its effectiveness has not been studied in a wider environment. This study aims to examine articles on the effect of oxytocin massage on uterine involution in postpartum mothers. Researchers used three databases, namely Google Scholar, PubMed and Scopus. Full text, free articles published in the 2014-2024 range with keywords. The keywords used are “pijat oksitosin”, “involusi uterus”, “ibu nifas” in Indonesian. The keywords used in English are "oxytocin massage", "uterine involution", "postpartum". The author uses the PRISMA method and the quality of the articles uses JBI for later review. The results showed that 17 articles met the criteria and were included in the literature review. A total of 14 articles showed results supporting oxytocin massage as having a positive effect on uterine involution compared to controls. Meanwhile, 3 other articles stated there was no difference compared to the control. Measurement of uterine involution using uterine palpation. It can be concluded that oxytocin massage has a significant effect on uterine involution. It is recommended for health workers to teach families in oxytocin massage. Abstrak Proses involusi pada postpartum merupakan mekanisme fisiologi krusial untuk menghindari komplikasi post partum. Salah satu upaya untuk mendukung involusi uteri adalah dengan pijat oksitosin. Telah banyak dilakukan penelitian pijat oksitosin namun belum dikaji tentang efektivitasnya pada lingkungan yang lebih luas. Penelitian ini bertujuan mengkaji artikel pengaruh pijat oksitosin terhadap involusi uterus pada ibu postpartum. Peneliti menggunakan tiga database yaitu google scholar, pubmed dan scopus. Artikel full teks, gratis yang terbit dalam rentang 2014-2024 dengan kata kunci Kata kunci yang digunakan adalah “pijat oksitosin”, “involusi uterus”, “ibu nifas” dalam Bahasa Indonesia. Kata kunci yang digunakan dalam Bahasa inggris adalah “oxytocin massage”, “uterine involution”, “postpartum”. Penulis menggunakan metode PRISMA dan kualitas artikel menggunakan JBI untuk kemudian di tinjau. Hasil didapatkan 17 artikel yang memenuhi kriteria dan dimasukkan dalam review literatur. Sebanyak 14 artikel yang menunjukkan hasil mendukung pijat oksitosin memberikan efek positif terhadap involusi uterus dibandingkan kontrol. Sedangkan 3artikel lainnya menyatakan tidak ada perbedaan dibandingkan dengan kontrolnya. Pengukuran involusi uteri menggunakan palpasi uterus. Dapat disimpulkan bahwa pijat oksitosin berpengaruh signifikan terhadap involusi uterus. Disarankan bagi tenaga kesehatan untuk mengajarkan keluarga dalam pijat oksitosin.

ABSTRACT Background Failed process involution uterus puerperal can cause bleeding. Back Massage and postpartum gymnastics can stimulate hormone oxytocin causes uterine contractions.Purpose identify Comparison of Back Massage and Postpartum Gymnastics on Involuntary Uterine in Post Partum. Method research design used quasi experimental with post test only non equivalent control group design. Samplings using quota sampling 90 respondents divided into 3 groups. Bivariable analysis using repeated measurement with clinical significance used mean 95% interval with P<0.05, multivariable analysis using linear regression. Result shows a significant difference of uterine involution in each group, overall mean -1.700 (95% CI:-2,26 - (-1,37) with P<0.05, back massage group using Clary-sage essential oil compared to gymnastics postpartum group. Back massage group using Clary-sage essential oil (salvia sclarea) showed faster processes of uterine involution than post-partum gymnastics group. Multivariable analysis showed value of P<0.05 with regression coefficient of back massage 0.835 (CI-0.799-1.091), suggesting significantly greater association of uterine involution in back massage intervention group after controlled by parity variables and maternal age, with adjusted values R2 0.621, it means reduction in fundal uteri level 62,1% in a day.Conclusion is mothers who received back massage using Clary-sage essential oil experienced faster uterine involutions compared with other groups of postpartum Suggestion Further research is needed in order to identify the effect of back using Clary sage essential oil on uterine involution of oxytocin hormone levels through venous blood tests before and after intervention, so as to identify with certainty the effect of back massage using Clary sage essential oil accurately in increasing hormone concentrations. oxytocin in the blood. Keywords : Back Massage, Postpartum Gymnastics, Involution uterus ABSTRAK Latar Belakang Involusi uteri masa nifas gagal mengakibatkan perdarahan. Back Massage dan senam nifas merangsang hormon oksitosin memicu kontraksi uterus. Tujuan mengidentifikasi Perbandingan Back Massage dan Senam Nifas terhadap Involusi Uteri.Metode penelitian menggunakan quasi eksperimental with post test only non equivalent control group design, pengambilan sampel dengan quota sampling sampel sebanyak 90 responden dibagi 3 kelompok. Analisis bivariabel menggunakan repeated measurement dengan kemaknaan klinis mean dan cofidence interval 95% dengan nilai P<0,05, analisis multivariabel menggunakan regresi linier. Analisis bivariabel menunjukkan terdapat perbedaaan involusi uteri pada masing-masing kelompok, Δoverall mean -1.700(95% CI:-2,26-(-1,37) dengan nilai p<0.05 yakni kelompok back massage menggunakan minyak esensial Clary sage menunjukkan involusi uteri lebih cepat dibandingkan dengan kelompok senam nifas secara signifikan.Hasil analisis multivariabel menunjukkan nilai p<0,05 dengan koefisien regresi pijat punggung sebesar 0,835 (CI-0,799-1,091). Adanya hubungan yang bermakna bahwa involusi uteri lebih cepat pada kelompok intervensi pijat punggung setelah dikontrol dengan variabel paritas dan umur ibu, dengan nilai adjusted R2 sebesar 0,621, yakni penurunan tinggi fundus uteri mencapai 62,1% perhari.Kesimpulan dari penelitian ini Ibu yang mendapatkan intervensi pijat punggung menggunakan minyak esensial Clary sage mengalami involusi uteri lebih cepat dibandingkan dengan kelompok lain.Saran Perlu dilakukan penelitian lanjutan agar dapat mengidentifikasi pengaruh back menggunakan minyak esensial Clary sage terhadap involusi uteri terhadap kadar hormon oksitosin melalui pemeriksaan darah vena sebelum dan sesudah dilakukan intervensi, sehingga dapat mengidentifikasi secara pasti pengaruh pijat punggung menggunakan minyak esensial Clary sage secara akurat dalam meningkatkan kosentrasi hormon oksitosin dalam darah. Kata kunci : Back Massage, Senam Nifas, Involusi uterus

ABSTRAKLatar Belakang : Involusi uterus adalah suatu proses dimana uterus kembali ke kondisi sebelum hamil. Proses ini dimulai segera plasenta lahir akibat kontraksi otot-otot polos uterus (Ambarwati, 2009). Senam nifas adalah latihan jasmani yang dilakukan setelah melahirkan, dimana fungsinya adalah untuk mengembalikan kondisi kesehatan, untuk mempercepat penyembuhan, mencegah timbulnya komplikasi, memulihkan dan memperbaiki regangan pada otot – otot setelah kehamilan (Ervinasby, 2008). Tujuan : Penelitian ini bertujuan untuk Mengetahui Pengaruh senam nifas terhadap involusi uterus pada ibu post partum Di Puskesmas Mariana Kabupaten Banyuasin tahun 2020. Metodologi : Penelitian ini Merupakan penelitian Kuantitatif dengan pendekatan quasi eksperimen dengan rancangan pretest posttest dengan kelompok kontrol (pretest-posttest with control group). Hasil : Hasil Penelitian menunjukan bahwa rerata involusi uterus pada kelompok Kontrol (Tidak melakukan senam Nifas) adalah 5,30+0,67 cm, rerata kelompok perlakuan (melakukan Senam Nifas) adalah 3,00+1,05 cm. Analisis kemaknaan dengan uji Mann Withney menunjukkan bahwa nilai p = 0,000. Hal ini berarti bahwa kedua kelompok sesudah diberikan perlakuan, rerata Involusi Uterus berbeda secara bermakna (p<0,05). Kesimpulan : Involusi uterus kelompok kontrol (Tidak melakukan senam) sesudah/Pengukuran ke dua terjadi penurunan involusi uterus dan Involusi uterus kelompok Perlakuan (melakukan senam nifas) sesudah senam nifas terjadi penurunan involusi uterus secara signifikan. Berdasarkan hasil tersebut, dapat disimpulkan bahwa Ada pengaruh senam nifas terhadap involusi uteri. Kata kunci : senam nifas, involusi uterusTHE EFFECT OF PUERPERAL GYMNASTICS ON UTERINE INVOLUTION IN POST PARTUM MOTHERS AT MARIANA PUBLIC HEALTH CENTER BANYUASIN DISTRICT IN 2020 ABSTRACTBackground : Uterine involution, a process by which the uterus returns to its pre-pregnancy. This process begins as soon as the placenta is born as a result of contraction of the smooth muscles of the uterus (Ambarwati, 2009). Postpartum gymnastics is a physical exercise performed by mothers after childbirth, where its function is to restore health, to accelerate healing, prevent complications, restore and improve stretch in the muscles after pregnancy (Ervinasby, 2008). Purpose : This study aims to determine the effect of postpartum exercise on uterine involution in post partum mothers at the Mariana Health Center, Banyuasin Regency in 2020. Methods : This research is a quantitative research with a quasi-experimental approach with a pretest-posttest design with a control group (pretest-posttest with control group). Results : The results showed that the mean uterine involution in the Control group (not doing postpartum exercise) was 5.30 + 0.67 cm, the mean for the treatment group (doing postpartum exercise) was 3.00 + 1.05 cm. The analysis of significance using the Mann Withney test showed that the value of p = 0.000. This means that after being given treatment, the mean Uterine Involution was significantly different (p <0.05). Uterine involution in the control group (did not do exercise) after / The second measurement there was a decrease in uterine involution and uterine involution in the Treatment group (doing puerperal exercise) after the puerperal exercise decreased uterine involution significantly. Based on these results, it can be concluded that there is an effect of postpartum exercise on uterine involution. Keywords : puerperal gymnastics, uterine involution

ABSTRAKLatar Belakang Masalah. Kegagalan involusi uterus untuk kembali pada keadaan tidak hamil akan menyebabkan sub involusi yang menyebabkan perdarahan masa postpartum. Angka Kematian Ibu karena perdarahan post partum mempunyai peringkat tertinggi dimana salah satu penyebab perdarahannya adalah subinvolusi uteri. Swedish Massage Therapy (SMT) mempertahankan kesehatan dan menambah baiknya fungsi tubuh, merangsang pengeluaran hormone endorphin yang melancarkan reflek let down untuk mengeluarkan hormon oksitosin. Tujuan penelitian untuk mengetahui pengaruh Swedish Massage Therapy (SMT) pada ibu pospartum sebagai upaya penatalaksanaan involusi uteri di wilayah Cilacap Kota. Metode: Studi eksperimental dengan Posttest Only Control Group Design. Alat yang digunakan dalam penelitian berupa metline. Diberikan perlakuan SMT pada kelompok intervensi dan tidak diberi perlakuan SMT pada kelompok kontrol, kemudian dilakukan pengukuran tinggi fundus uteri hari ke-3 dan hari ke-5. Pengambilan sampel menggunakan teknik incidental sampling sebesar 30 responden. Data dianalisis dengan uji Mann Whitney melalui program SPSS 20. Hasil penelitian. Terdapat perbedaan yang signifikan penurunan tinggi fundus uteri antara kedua kelompok pada hari ke-3 (p=0,31) dan hari ke 5 (p=0,33). Dari hasil penelitian dapat disimpulkan bahwa Swedish Massage Therapy (SMT) berpengaruh pada ibu postpartum sebagai upaya percepatan involusi uteri di wilayah Cilacap Kota. Kata Kunci: SMT, Involusi, Pospartum SWEDISH MASSAGE THERAPY ATTEMPTS TO ACCELERATE INVOLUTION OF UTERI IN THE POSPARTUM MOTHER REGION IN CILACAP CITYABSTRACTBackground problem. Failure of the involution of the uterus to return to the Unexpectant state will cause a sub involution that causes the bleeding of postpartum period. The maternal mortality rate of post-partum hemorrhage has the highest ranking in which one of the causes of the land is the uterine atony or the involution of utero. Swedish Massage Therapy (SMT) maintains health and augments body function, stimulating the production of endorphin hormone that launches a quick reflec let down to secrete oxytocin hormones. The research aims to determine the effect of the Swedish Massage Therapy (SMT) on the Pospartum mother as an effort to manage utero involution in Cilacap Kota. Methods: Experimental studies with Posttest Only Control Group Design. The tools used in the study of the Metline. Administered SMT treatment in the intervention group and was not given SMT treatment in the control group, then carried out the high measurement of Fundus utero Day 3 and day-5. Sampling using the incidental sampling technique of 30 respondents. The Data is analyzed by Mann Whitney test statistic through the SPSS 20 program. Research results. There is a significant difference in the high decline of utero fundus between the two groups on day 3 (P = 0.31) and day 5 (P = 0.33). From the results of the study can be concluded that the Swedish Massage Therapy (SMT) has an effect on the mother postpartum as an attempt to accelerate utero involution in the area of Cilacap Kota. Keywords: SMT, Involusi, Pospartum

Latar Belakang: Masa nifas merupakan masa krusial bagi petugas kesehatan untuk memantau kondisi ibu. Pada masa ini, organ reproduksi mengalami involusi dan kembali ke kondisi sebelum hamil. Namun jika proses involusi uterus gagal maka dapat terjadi subinvolusi uterus. Kegagalan ini dapat disebabkan oleh tertahannya fragmen plasenta, infeksi, atau pendarahan yang terus menerus. Beberapa faktor seperti usia, paritas, senam nifas, inisiasi menyusui dini (IMD), mobilisasi dini, nutrisi, dan penggunaan stagen dapat mempengaruhi dan mempercepat proses involusi. Stagen mengacu pada cara tradisional yang digunakan masyarakat Jawa untuk merawat penampilan fisik wanita pasca melahirkan. Penggunaan stagen selama 40 hari diyakini efektif mengencangkan perut dan membantu involusi rahim.Tujuan: Penelitian ini dilakukan untuk menilai efektivitas penggunaan stagen terhadap involusi uterus pada ibu nifas di TPMB Ponirah Kota Metro Lampung Tahun 2023.Metode: Penelitian dilakukan dengan menggunakan desain penelitian quasi eksperimen dengan pendekatan dua kelompok dan jumlah responden sebanyak 30 orang, yang terbagi menjadi 15 kelompok kontrol dan 15 kelompok intervensi. Analisis data meliputi analisis univariat, bivariat, dan multivariat.Hasil: Hasil penelitian menunjukkan efektivitas penggunaan stagen terhadap involusi uterus pada ibu nifas di TPMB Ponirah Kota Metro tahun 2023 dengan nilai P value sebesar 0,014.Kesimpulan: Terdapat pengaruh penggunaan stagen terhadap tinggi fundus uteri ibu nifasSaran : Wanita pasca melahirkan disarankan menggunakan stagen untuk mempercepat proses pemulihan di masa nifas. Kata Kunci: Stagen, Involusi Uterus, Masa Nifas, Wanita Nifas ABSTRACT Background: The postpartum period is a crucial time for health workers to monitor the mother's condition. During this time, the reproductive organs go through involution, returning to their pre-pregnancy state. However, if the uterine involution process fails, it can lead to uterine subinvolution. This failure can be caused by retained placental fragments, infection, or continued bleeding. Several factors, such as age, parity, postpartum exercises, early breastfeeding initiation (IMD), early mobilization, nutrition, and the use of stagen can influence and accelerate the process of involution. Stagen refers to traditional methods used by the Javanese community to care for postpartum women' physical appearance. The use of stagen for 40 days is believed to be effective in firming the abdomen and aiding in uterine involution.Aim: This study was conducted to assess the effectiveness of stagen use on uterine involution in postpartum women at TPMB Ponirah Metro City, Lampung in 2023.Methods: The research was conducted using a quasi-experimental research design with a two-group approach and a total of 30 respondents, split into 15 control group and 15 intervention group. Data analysis involved univariate, bivariate, and multivariate analysis.Results: The results showed the effectiveness of using stagen for uterine involution in postpartum women at TPMB Ponirah Metro City in 2023, with a P value of 0.014.Conclusion: There is an effect of stagen use on the uterine fundal height of postpartum womenSuggestion: Postpartum women are advised to use stagen to accelerate the recovery process during the postpartum period. Keywords: Stagen, Uterine involution, Postpartum period, Postpartum women

Abstrak: Masa nifas dapat diartikan masa dimana dimulainya dari plasenta telah keluar dan selesai saat alat-alat kandungan kembali seperti keadaan semula atau seperti sebelum hamil, masa ini terjadi sekitar 6 minggu. Tujuan pada penelitian kali ini untuk mengetahui hubungan senam nifas otaria dengan involusi uteridi PMB Juwarti Amd. Keb Desa Tanon Kecamatan Papar Kabupaten Kediri. Jenis penelitian yang digunakan adalah penelitian kuantitatif analitik dengan metode One group pre-post test design yang dilakukan pada bulan Juni hingga Juli 2021 dengan total jumlah populasi sejumlah 27 orang. Sampel semua ibu nifas di PMB Juwarti Amd. Keb Desa Tanon Kecamatan Papar Kabupaten Kedirisejumlah 15 orang. Hasil uji analisa menunjukkan hubungan yang bermakna tentang frekuensi senam nifas otaria terhadap resiko mengalami involusi uteri selama masa nifas. diperoleh hasil nilai signifikan < α yaitu 0.002, sehingga dapat disimpulkan bahwa frekuensi senam nifas otari yang lebih sering menurunkan faktor ibu nifas mengalami involusi uteri selama masa nifas.Kesimpulan pada penelitian ini adalah hasil nilai signifikan < α yaitu 0.002, sehingga dapat disimpulkan bahwa frekuensi senam nifas otari yang lebih sering menurunkan faktor ibu nifas mengalami involusi uteri selama masa nifas. Bagi Bidan diharapkan agar mempertahankan pelayanan senam nifas otaria sehingga dapat mempercepat terjadi uterus ke bentuk normal serta kondisi ibu nifas cepat pulih seperti sebelum hamil. Kata Kunci :Senam Nifas Otaria, Involusi Uteri Abstract : The puerperium can interpreted as the period that begins after the placenta comes out and ends when the uterine organs return to their original state (before pregnancy), the puerperium periode lasts about 6 weeks. The purpose of this study was to determine the relationship between postpartum otaria exercise and uterine involution at PMB Juwarti Amd. Keb, Tanon Village, Papar District, Kediri Regency. This research is a quantitative research in analytical from using the One group pre-post test design method and was carried out from June to July 2021 with a population of 27 people. Based on a sample of all postpartum mothers at PMB Juwarti Amd. Keb, Tanon Village, Papar District, Kediri Regency. There are 15 people in the PMB Juwarti Amd. Keb, Tanon Village, Papar District, Kediri Regency. The results of the analysis test showed a significant relationship about the frequency of otarial puerperal exercise to the risk of experiencing uterine involution during the puerperium period. The results obtained a significant value < α 0.002, so it can be concluded that the frequency of otaria puerperal exercise which is more frequent decreases the postpartum mother’s factor. Uterine involution during the puerperium. The conclusion in this study is the result of a significant value < α which is 0.002, so it can be concluded that the frequency of otaria puerperal exercise which is more frequent reduces the factor that postpartum women experience uterine involution during the postpartum period. Midwives are expected to maintain otaria puerperal gymnastics services so that it can accelerate the occurrence of the uterus to a normal shape and the condition of the postpartum mother recovers quickly as before pregnancy. Keywords : Otaria Postpartum Gymnastics, Uterine Involution

Background: One of the factors that influence uterine involution is early initiation of breastfeeding (IMD). When breastfeeding occurs stimulation and the release of hormones, including oxytocin, which functions in addition to stimulating contraction of the smooth muscles of the breast, also causes uterine muscle contraction and retraction. This will put pressure on the blood vessels resulting in reduced blood supply to the uterus. This process helps to reduce the placenta implantation site or site as well as reduce bleeding. The Maternal Mortality Rate (MMR) in Indonesia is 250 / 100,000 (KH). one of them is caused by bleeding. One of the causes of bleeding is the sub-involution of the uterus. Uterine involution or uterine contraction is a process by which the uterus returns to its pre-pregnancy state.Purpose: To determine the influencing of early initiation of breastfeeding on uterine involution.Methods: The study was carried out by early initiation of breastfeeding and observation and measuring the height of the uterine fundus (TFU) to assess uterine involution. The design of this study used an analytical survey method with a Cohort research design. This study used primary data. The population in this study were all women with normal gestational age at the Independent Practice Midwives (BPM) Choirul Mala and PMB Fauziah Hatta. The sampling technique was non propability sampling with purposive technique. The sample size was n1 = n2 for each group of 48 people. The analysis used univariate and bivariate with Chi Square. The study was conducted at BPM Choirul Mala and BPM Fauziah Hatta from December 2018 to February 2019.Results: The results of data analysis from 96 respondents showed that the proportion of non-initiation of early breastfeeding with abnormal uterine involution was 45.8% smaller than those with early initiation of breastfeeding as much as 0%. The results of the Chi-square statistical test showed that the p value = 0.00 was smaller than 0.05, this indicated that there was an influencing of early initiation of breastfeeding on uterine involution with an OR: 0.083.Conclusion: There was an influencing of early initiation of breastfeeding on uterine involution in BPM Choirul Mala and BPM Fauziah Hatta in 2019 Suggestion: It is expected that midwives, to carry out their role in carrying out midwifery care by providing education to pregnant women about early initiation of breastfeeding and its benefits and consistently doing IMD in maternity mothers for at least 1 hour. Keywords: Early Initiation of Breastfeeding, Uterine Involution ABSTRAK Latar Belakang : Salah satu faktor yang mempengaruhi involusi uterus adalah Inisiasi menyusu Dini (IMD). Saat menyusui terjadi rangsangan dan dikeluarkannya hormon antara lain oksitosin yangberfungsi selain merangsang kontraksi otot-otot polos payudara, juga menyebabkan terjadinya kontraksi dan retraksi otot uterus. Hal ini akan menekan pembuluh darah yang mengakibatkan berkurangnya suplai darah ke uterus. Proses ini membantu untuk mengurangi situs atau tempat implantasi plasenta serta mengurangi perdarahan. Angka Kematian Ibu (AKI) di Indonesia adalah 250/100.000 (KH). salah satunya disebabkan oleh perdarahan. Penyebab perdarahan salah satunya yaitu sub involusi uterus. Involusi uterus atau pengerutan uterus merupakan suatu proses dimana uterus kembali ke kondisi sebelum hamil.Tujuan : Mengetahui pengaruh inisiasi menyusu dini terhadap involusi uterus.Metode : Penellitian dilakukan dengan cara melakukan inisiasi menyusu dini dan observasi serta mengukur Tinggi Fundus Uteri (TFU) untuk menilai involusi uteri. Desain penelitian ini menggunakan metode survey analitik dengan rancangan penelitian Cohort. Penelitian ini menggunakan data primer. Populasi dalam penelitian ini adalah seluruh ibu bersalin normal dengan usia kehamilan aterm di Bidan Praktik Mandiri (BPM) Choirul Mala dan PMB Fauziah Hatta. Tehnik Pengambilan sampel secaranon propability sampling dengan teknik purposive. Besar sampel n1 =n2 masing-masing 48 orang setiap kelompok.Analisa yang digunakan univariat dan bivariat dengan Chi Square. Penelitian dilakukan di BPM Choirul Mala dan BPM Fauziah Hatta pada bulan Desember 2018 sampai dengan Februari 2019.Hasil : Hasil analisis data dari 96 responden, didapatkanproporsi tidak inisiasi menyusu dini dengan involusi uterus tidak normal sebanyak 45,8 % lebih kecil daripada yang inisiasi menyusu dini sebanyak 0 %. Hasil uji statistik Chi-squarediperoleh nilai p value = 0,00 lebih kecil dari 0,05 hal ini menunjukkan bahwa ada pengaruh inisiasi menyusu dini terhadap involusi uterus dengan nilai OR : 0,083.Kesimpulan : Ada pengaruh inisiasi menyusu dini terhadap involusi uterus di BPM Choirul Mala dan BPM Fauziah Hatta tahun 2019Saran : Diharapkan kepada bidan, untuk menjalankan perannya dalam melakukan asuhan kebidanan dengan memberikan edukasi pada pada ibu hamil tentang inisiasi menyusu dini dan manfaatnya serta secara konsisten melakukan IMD pada ibu bersalin mimimal selama 1 jam. Kata Kunci : Inisiasi Menyusu Dini, Involusi Uterus

Kembalinya alat-alat reproduksi seperti sebelum hamil membutuhkan kandungan gizi yang cukup bagi ibu. Makanan yang dikonsumsi ibu nifas harus bermutu, bergizi, dan cukup kalori. Dimana makanan yang dikonsumsi berguna untuk melakukan aktifitas, metabolisme, proses memproduksi ASI, sebagai ASI sendiri yang akan dikonsumsi oleh bayi untuk pertumbuhan dan perkembangan bayi, serta mempertahankan tubuh terhadap infeksi. Tujuan penelitian yaitu untuk mencari pengaruh edukasi berbasis edutainment tentang gizi laktasi, involusio uteri dan lokhea terhadap peningkatan pengetahuan, sikap dan perilaku ibu nifas. Metode Penelitian menggunakan Quasi Eksperimen dengan rancangan Non Equivalent Control Group Design. Di dalam desain ini observasi dilakukan sebanyak 2 kali yaitu sebelum dilakukan perlakuan dan sesudah dilakukan perlakuan. Pada kelompok intervensi dan kelompok kontrol masing-masing dilakukan pretest dan post test. Populasi dalam penelitian ini adalah seluruh ibu Nifas yang berada di RSKDIA Pertiwi dan RSKDIA Siti Fatimah Makassar sebanyak 5843 ibu nifas. Berdasarkan dari hasil perhitungan diatas didapatkan jumlah sampel sebesar 47 orang kelompok intervensi di RSKDIA Pertiwi Makassar dan 47 orang kelompok kontrol di RSKDIA Siti Fatimah Makassar dengan menggunakan teknik Purposive Sampling. Hasil penelitian menunjukkan bahwa terdapat pengaruh signifikan antara pengetahuan dengan edukasi berbasis edutainment tentang gizi laktasi, involusi uteri, dan lochea. Hasil penelitian menunjukkan bahwa terdapat pengaruh signifikan antara sikap dengan edukasi berbasis edutainment tentang gizi laktasi, involusi uteri, dan lochea. Hasil penelitian menunjukkan bahwa terdapat pengaruh signifikan antara perilaku dengan edukasi berbasis edutainment tentang gizi laktasi, involusi uteri, dan lochea. Saran kepada bidan yang bertugas di daerah khususnya di RSKDIA Pertiwi Makassar dan RSKDIA Siti Fatimah Makassar agar lebih meningkatkan kinerja serta perhatiannya dalam memberikan informasi tentang gizi laktasi, involusi uteri, dan lochea Kata Kunci : Edukasi, Gizi Laktasi, Involusio Uteri, Lokhea, Pengetahuan, Sikap dan Perilaku. ABSTRACT The return of reproductive organs before pregnancy requires sufficient nutritional content for the mother. The food consumed by the puerperal mother must be of high quality, nutritious, and sufficiently caloric. Where the food consumed is useful for activities, metabolism, and the process of producing breast milk, as its own milk that will be consumed by the baby for the growth and development of the baby, as well as defending the body against infections. The purpose of this study is to find the influence of edutainment-based education on lactation nutrition, uterine and lochia involution on increasing the knowledge, attitudes and behaviors of puerperal mothers. This study used the Quasi-Experimental design method with a Non-Equivalent Control Group Design. In this design, observations are carried out as many as 2 times, namely before treatment and after treatment. In the intervention group and the control group, pre-test and post-test were carried out, respectively. The population in this study was all Puerperal mothers who were at RSKDIA Pertiwi and RSKDIA Siti Fatimah Makassar as many as 5843 puerperal mothers. Based on the results of the calculations above, the number of samples was obtained by 47 intervention groups at RSKDIA Pertiwi Makassar and 47 control groups at RSKDIA Siti Fatimah Makassar using the Purposive Sampling technique. The results showed that there was a significant influence between knowledge and edutainment-based education about lactation nutrition, uterine involution, and lochia. The results showed that there was a significant influence between attitudes and edutainment-based education about lactation nutrition, uterine involution, and lochia. The results showed that there was a significant influence between behavior and edutainment-based education about lactation nutrition, uterine involution, and lochia. It is recommended to midwives who serve in the regions, especially at RSKDIA Pertiwi Makassar and RSKDIA Siti Fatimah Makassar to further improve their performance and attention in providing information about lactation nutrition, uterine involution, and lochia Key Words: Education, Lactation Nutrition, Uterine Involution, Lochia, Knowledge, Attitudes and Behaviors.

Abstract Epidemiological data links higher parity and lack of breastfeeding with increased risk of breast cancer, specifically aggressive triple negative breast cancer, and associated higher mortality rate. Long-term breastfeeding and gradual weaning of an infant leads to gradual involution (GI) of the breast, while lack of or abrupt discontinuation of breastfeeding after birth leads to abrupt involution (AI), when rapid and massive cell death takes place. Our studies show several precancerous changes, such as increased collagen deposition, inflammation, and hyperplasia in the mammary gland (MG) of mice after AI1. Recent studies indicate peroxisome proliferator-activated receptor-gamma coactivator 1-apha (PGC1α) as a regulator of involution and energy metabolism. As metabolic reprogramming is a hallmark of cancer, metabolic changes in the MG related to involution warrant investigation. Objective: Our objective was to evaluate the metabolic effects of AI in MG. We hypothesized that AI leads to marked alteration in mammary lipid metabolism, mitochondrial biogenesis, and oxidative stress through elevations of PGC1α, which cause long-term metabolic reprogramming and genomic instability. Methods: FVB/n mice were paired for breeding. At partum, dams were randomized to AI or GI cohort and standardized to 6 pups per dam. AI mice had pups removed on day 7 postpartum (PPM). For GI mice 3 pups each were removed on day 28 and 31ppm. Tissues were harvested on day 28, 56, and 120 PPM. MG were subjected to Affymetrix, Gene Set Enrichment Analysis (GSEA), Seahorse Analysis, and lipidomics. Results were validated by qPCR and Western Blot. Superoxide species were detected by flow cytometry. DNA damage was analyzed via 8-hydroxy-2’-deoxygnuanosine (8-OHdG) ELISA. Results: Day 28 AI glands had significantly higher PGC1α expression than GI glands (p=0.006). Affymetrix and GSEA data showed day 28 AI glands to have enriched pathways related to fatty acid metabolism (p=0.004) and oxidative phosphorylation (p&lt;0.001). Lipidomics showed elevated levels of oxidized sphingolipids and production of prostaglandin J2 (PGJ2) in day 28 AI glands (all p&lt;0.02). Day 56 AI glands had higher levels of mitochondria superoxide species (p&lt;0.0001) and higher PGJ2 synthesis (p=0.01). Day 120 AI MG had upregulation of an oxidized lipid (p=0.0476). Day 120 AI glands had significantly higher 8-OHdG levels (p=0.02), higher reliance of fatty acid substrates for energy (p=0.0185), and elevated extracellular acidification rates (p=0.0194). Conclusion: Although histologically both GI and AI MG return to near pre-pregnancy state within a month, our data shows long-term metabolic reprogramming in the AI MG similar to what is shown in breast cancer cells. These metabolic changes link to early elevations in PGC1α. Addressing the metabolic changes by targeting PGC1α provide a potential option to reduce the risk of developing breast cancer if a woman is unable to breastfeed. PMID6637535 *Fellowship T32CA229114 Citation Format: Kate S Ormiston, Kirti Kaul, Neelam Shinde, Gautam Sarathy, Morgan Bauer, Djawed Bennouna, Rachel Kopec, Ramesh Ganju, Sarmila Majumder, Bhuvaneswari Ramaswamy. Elevated PGC1α during abrupt mammary gland involution leads to long-term metabolic reprogramming and genomic instability; hallmarks of breast cancer [abstract]. In: Proceedings of the AACR Special Conference in Cancer Research: Advances in Breast Cancer Research; 2023 Oct 19-22; San Diego, California. Philadelphia (PA): AACR; Cancer Res 2024;84(3 Suppl_1):Abstract nr A045.

Failure of the uterus to contract after childbearing is one in all the causes of maternal death. Numerous makes an attempts were created to enhanced the power of the uterus to contract. The aim of the study was to compare the effectiveness of postpartum exercise with early mobilization of uterine involution in normal postpartum. This type of research was a quasi-experimental design with a pretest and posttest design group. This research was implemented in midwives practicing independently. The population of this study was all normal postpartum. The sample of the study was 34 normal postpartum, aged 20-35 years, 2-4 parity, baby born healthy, postpartum haemoglobin ≥ 10.5 gr%, exclusively breastfeeding. Early mobilization was carried out after two hours postpartum and postpartum exercise was carried out for six days. Measurement of the postpartum fundal height was performed on days 1st, 3rd and 7th using a caliper pelvimeter. Consecutive sampling was used in this study. The difference between the two groups was analyzed by unpaired t-test and Mann Whitney U-test. There was a difference in the height of the uterine fundus on the third and seventh postpartum days between the two groups. Postpartum exercise was more effective than early mobilization in accelerating uterine involution. Therefore, it is expected that midwives can facilitate mothers to do postpartum exercise from the first day of postpartum. Keywords: postpartum exercise; early mobilization; postpartum; involution; uterus ABSTRAK Salah satu proses penting pada masa nifas adalah pemulihan organ reproduksi yang ditandai dengan penurunan tinggi fundus uteri dan derajat kontraksi uterus. Secara bertahap, uterus yang berkontraksi dengan baik akan berkurang ukurannya sampai tidak dapat dipalpasi lagi di atas simfisis pubis. Diantara faktor yang berperan dalam kontraksi uterus adalah mobilisasi dini dan senam nifas. Tujuan penelitian adalah untuk membandingkan efektifitas mobilisasi dini dan senam nifas terhadap involusi uterus pada ibu postpartum normal. Jenis penelitian adalah desain kuasi eksperimental dengan kelompok pre dan posttest. Responden penelitian adalah 34 orang ibu postpartum, usia 20-35 tahun di Bidan Praktek Mandiri Kota Pematangsiantar, Juni-September 2016. Teknik pengambilan sampel adalah consecutive sampling sesuai dengan kriteria inklusi. Dilakukan senam nifas pada kelompok intervensi dan mobilisasi dini pada kelompok kontrol. Pengukuran tinggi fundus uteri dilakukan sebelum dan setelah perlakuan pada hari ke-1, -3 dan -7. Analisa data menggunakan uji t-tak berpasanagn dan Mann Whitney menggunakan SPSS versi 20.0. Terdapat perbedaan tinggi fundus uteri hari ke-3 dan ke-7 antara senam nifas dan mobilisasi dini. Senam nifas lebih efektif menurunkan tinggi fundus uteri dibandingkan mobilisasi dini. Bidan diharapkan dapat memfasilitasi ibu melakukan senam nifas sejak hari pertama postpartum. Kata kunci: senam nifas; mobilisasi dini; postpartum; involusi; uterus

Dans cette thèse, nous présentons deux généralisations de la dualité d'Alvis-Curtis au cas des algèbres de Hecke : une version relative pour les algèbres de Hecke finies, basée sur le travail de Howlett-Lehrer, et une version à paramètres inégaux pour les algèbres de Hecke affines, basée sur le travail de S.-I. Kato (qui, sous certaines hypothèses, correspond à la dualité d'Aubert-Zelevinsky pour les représentations irréductibles lisses complexes de groupes p-adiques). Nous démontrons ensuite leur compatibilité avec la dualité d'Aubert-Zelevinsky lorsqu'elles sont restreintes à certains blocs de Bernstein. Enfin, motivés par le travail récent d'Aubert-Xu, nous fournissons des exemples de calculs du foncteur de dualité pour les séries principales du groupe exceptionnel G2
In this thesis, we give two generalizations of the Alvis-Curtis duality for Hecke algebras: a relative version for finite Hecke algebras, based on Howlett-Lehrer's work, and an unequal parameter version for affine Hecke algebras, based on S-I. Kato's work (which under certain assumptions, corresponds to the Aubert-Zelevinsky duality for complex smooth irreducible representations of p-adic groups). Then, we prove their compatibility with the Aubert-Zelevinsky duality when restricted to some Bernstein blocks. Finally, motivated by the recent work of Aubert-Xu, we provide examples of calculations of the duality functor for the principal series of the exceptional group G2