58 The Influence of Early Ambulation "Pelvic Floor Muscle Training" on Prevention of Defecation Disorder Post Partum Mustika Dewi 1 1 Midwifery Departement, Faculty of Medicine, Universitas Brawijaya, Malang, East Java, Indonesia Email* : mustikadewi.eka@gmail.com HP : 08126719106 ABSTRACT Labour have an impact on defecation function in postpartum periode, found 44% constipation. Usually laxative therapy used to resolves this problems. One of the early stimulation that can be done before the intervention is pelvic floor muscle training (PFMT). The purpose of this study was to determine the effect of PFMT on restoring the function of defecation in spontaneous postpartum.This study was a quasi-experimental study with a posttest only control group design, by doing pelvic floor muscle training for 2 hours postpartum as much as 3 sessions over 3 days, study was conducted in Kepanjen. The sampling technique used is to concecutive sampling with random blocks, as many as 28 respondents.This study found that mothers who did PFMT experience more normal defecation (76.9%), than mothers who did not PFMT (13.3%). Analyzis of statistical achieves p value 0.000. There is a significant relationship between PFMT with normal defecation postpartum spontaneous.The research showed that PFMT effects defecation in spontaneous postpartum. To be more effective PFMT should be introduced early and integrated with pregnancy exercise. Keyword : Pelvic Floor Muscle Training (PFMT). Defecation. Postpartum ABSTRAK Persalinan membawa dampak terhadap fungsi defekasi pada ibu post partum, 44% konstipasi postpartum. Untuk mengatasi keluhan konstipasi biasanya digunakan laksatif. Namun asuhan sebelum pemberian laksatif, ambulasi dini dapat dilakukan sebelum intervensi tersebut antara lain pelvic floor muscle training (PFMT). Penelitian ini bertujuan untuk mengetahui pengaruh PFMT terhadap pengembalian fungsi defekasi pada ibu postpartum spontan. Penelitian ini merupakan studi kuasi eksperimen dengan posttest only control group design, dengan melakukan ambulasi dini yaitu pelvic floor muscle training terhadap ibu setelah 2 jam postpartum sebanyak 3 sesi selama 3 hari. Pengumpulan data penelitian dilakukan selama 3 bulan di Polindes Kepanjen. Teknik pengambilan sampel secara concecutive sampling dengan random blok, sebanyak 28 responden. Analisis data dilakukan dengan uji Chi Square. Pada penelitian ini ditemukan bahwa ibu yang melakukan PFMT mengalami lebih banyak defekasi normal (76.9%), daripada ibu yang tidak melakukan PFMT (13.3%). Secara statistik perbedaan tersebut signifikan (p < 0.05), ada pengaruh PFMT terhadap defekasi normal pada ibu postpartum spontan. Kesimpulan penelitian ini, terdapat Journal of Issues in Midwifery OPEN ACCESS E-ISSN : 2549-6581 Artikel Hasil Penelitian Diterima : 4 Mei 2017 Direview : 11 Mei 2017 Dimuat : Agustus – November 2017