The Effect of Postpartum Exercise Practices on Uterine Fundal Height, Lochia, Diastasis Recti, Baby Blues in Accelerating Recovery in Postpartum

Abstract

The postpartum period is characterized by significant physiological and psychological changes in mothers, including uterine involution, digestive system adjustments like diastasis recti, and emotional challenges such as stress and anxiety. While postpartum exercise is known to provide various benefits, many mothers lack awareness of its importance. This study aimed to educate postpartum mothers and evaluate the impact of postpartum exercise on uterine fundal height (UFH), lochia discharge, diastasis recti, and symptoms of baby blues. Using a quasi-experimental design with a comparative pre-post analysis, the study assessed the effects of postpartum gymnastics. Results indicated that mothers who did not participate in exercise experienced a more gradual decrease in UFH, with the most significant changes occurring on the 11th and 14th days. Lochia alba changes were noted on the 14th day, while the longest changes were observed on the 17th day. Diastasis recti measurements varied, with lengths ranging from 0.5 cm to 6 cm and widths from 0.25 cm to 2 cm. Baby blues assessment scores ranged from 0 to 18. Conversely, mothers who engaged in postpartum exercise showed a quicker reduction in UFH, with significant changes noted by day 6 and continuing through day 11. The transition to lochia alba occurred by day 13, with the longest changes noted by day 14. Diastasis recti measurements improved significantly, with some mothers reporting complete resolution (0 cm) in both length and width by the last measurement. Baby blues scores for exercising mothers ranged from 0 to 14. In conclusion, postpartum exercise effectively accelerates the recovery of UFH, promotes the transition to lochia alba, reduces diastasis recti, and helps mitigate baby blues symptoms. However, challenges such as limited communication and time constraints due to childcare responsibilities hindered participation in exercise programs.