EDUKASI KESEHATAN DASAR PANGGUL DAN LATIHAN KEGEL BAGI IBU HAMIL: PROGRAM KEMITRAAN MASYARAKAT

Authors

  • Eighty Mardiyan Kurniawati Universitas Airlangga
  • Gatut Hardianto Universitas Airlangga
  • Riska Wahyuningtyas Universitas Airlangga
  • Nur Anisah Rahmawati Universitas Airlangga
  • Vina Firmanty Mustofa Universitas Negeri Surabaya
  • Cahyani Tiara Safitri Universitas Airlangga
  • Agde Muzaky Kurniawan Universitas Airlangga
  • Mardianti Mardianti Universitas Airlangga

DOI:

https://doi.org/10.33480/abdimas.v7i2.6447

Keywords:

community empowerment, Kegel exercise, pelvic floor, pregnant women

Abstract

Cesarean delivery is associated with complications in pregnant women, including pelvic floor disorders. Kegel exercises can help maintain pelvic floor health and support normal delivery. This community service activity aimed to provide education on pelvic floor health and Kegel exercises to empower pregnant women at Pucang Sewu Public Health Center, Surabaya, in 2024. The program was conducted in three stages: preparation, implementation, and evaluation. Preparation involved coordination, planning, and developing a physical activity book for pregnant women. The implementation phase included education sessions and Kegel exercise training using a two-way communication method. Evaluation was conducted through pretest–posttest and observation of participants’ practice skills. The activity was attended by 27 pregnant women and 10 healthcare workers. The results showed increased knowledge and skills among participants after the training, indicated by higher posttest scores and active participation during practice. More than half of the participants had never exercised regularly before. This program effectively improved participants’ understanding and ability to perform Kegel exercises. The health center is expected to continue providing education to encourage pregnant women to practice Kegel exercises independently at home.

References

M. M. Islam, M. N. Khan, and M. M. Rahman, “Factors affecting child marriage and contraceptive use among Rohingya girls in refugee camps,” Lancet Reg. Heal. - West. Pacific, vol. 12, p. 100175, 2021, doi: 10.1016/j.lanwpc.2021.100175.

S. Wyatt, P. I. I. Silitonga, E. Febriani, and Q. Long, “Socioeconomic, geographic and health system factors associated with rising C-section rate in Indonesia: A cross-sectional study using the Indonesian demographic and health surveys from 1998 to 2017,” BMJ Open, vol. 11, no. 5, 2021, doi: 10.1136/bmjopen-2020-045592.

Kemenkes RI, “Hasil Riset Kesehatan Dasar Tahun 2018,” Kementrian Kesehat. RI, vol. 53, no. 9, pp. 1689–1699, 2018.

KEMENKES RI, Profil Kesehatan Indonesia 2020. 2021. [Online]. Available: https://pusdatin.kemkes.go.id/resources/download/pusdatin/profil-kesehatan-indonesia/Profil-Kesehatan-Indonesia-Tahun-2020.pdf

Kemenkes dan BKPK, “Survei Kesehatan Indonesia 2023,” pp. 1–965, 2023.

D. K. J. Timur, “Profil Kesehatan Provinsi Jawa Timur 2023,” 2024.

T. Maguire, A. Abdelrahman, and A. Maguire, “Pilot study exploring the incidence of lower urinary tract symptoms during pregnancy in a district general hospital in Northern Ireland: a prospective survey,” International Urogynecology Journal, vol. 32, no. 10. pp. 2807–2817, 2021. doi: 10.1007/s00192-021-04718-w.

A. González-Timoneda et al., “Prevalence and impact of pelvic floor dysfunctions on quality of life in women 5–10 years after their first vaginal or caesarian delivery,” Heliyon, vol. 11, no. 3, p. e42018, 2025, doi: https://doi.org/10.1016/j.heliyon.2025.e42018.

N. Rodrigues-Denize, B. T. R. Zolnikov, and F. Furio, “A systematic review on the physical, mental, and occupational effects of exercise on pregnant women,” Dialogues Heal., vol. 4, p. 100181, 2024, doi: https://doi.org/10.1016/j.dialog.2024.100181.

V. Y. Watkins et al., “The impact of physical activity during pregnancy on labor and delivery,” Am. J. Obstet. Gynecol., vol. 225, no. 4, pp. 437.e1-437.e8, 2021, doi: https://doi.org/10.1016/j.ajog.2021.05.036.

D. Zhang, S. M. Ruchat, C. Silva-Jose, J. Gil-Ares, R. Barakat, and M. Sánchez-Polán, “Influence of Physical Activity during Pregnancy on Type and Duration of Delivery, and Epidural Use: Systematic Review and Meta-Analysis,” J. Clin. Med., vol. 12, no. 15, 2023, doi: 10.3390/jcm12155139.

C. P. Ojukwu et al., “Comparative effects of selected abdominal and lower limb exercises in the recruitment of the pelvic floor muscles: Determining adjuncts to Kegel’s exercises,” J. Bodyw. Mov. Ther., vol. 29, pp. 180–186, 2022, doi: https://doi.org/10.1016/j.jbmt.2021.09.009.

X. Yang, H. Li, Q. Zhao, R. Han, Z. Xiang, and L.-L. Gao, “Clinical Practice Guidelines That Address Physical Activity and Exercise During Pregnancy: A Systematic Review,” J. Midwifery Womens. Health, vol. 67, Nov. 2021, doi: 10.1111/jmwh.13286.

N. Ma, J. P. C. Chau, Y. Zang, Y. Deng, C. L. Wong, and D. R. Thompson, “Perceptions and experiences of exercise among pregnant women,” Midwifery, vol. 125, p. 103792, 2023, doi: https://doi.org/10.1016/j.midw.2023.103792.

Y. Qiu et al., “Exercise sustains the hallmarks of health,” J. Sport Heal. Sci., vol. 12, no. 1, pp. 8–35, 2023, doi: 10.1016/j.jshs.2022.10.003.

S. M. Yount, R. A. Fay, and K. J. Kissler, “Prenatal and Postpartum Experience, Knowledge and Engagement with Kegels: A Longitudinal, Prospective, Multisite Study,” J. Women’s Heal., vol. 30, no. 6, pp. 891–901, 2021, doi: 10.1089/jwh.2019.8185.

S. Liang et al., “Prevalence and predictors of help-seeking behavior among post-partum women with urinary incontinence in China and Indonesia: A cross-sectional survey based on Andersen Help-Seeking Model,” Midwifery, vol. 128, p. 103885, 2024, doi: https://doi.org/10.1016/j.midw.2023.103885.

S. Liang, S. Huang, E. Andarini, Y. Wang, Y. Li, and W. Cai, “Development and internal validation of a risk prediction model for stress urinary incontinence throughout pregnancy: A multicenter retrospective longitudinal study in Indonesia.,” Neurourol Urodyn, vol. 43, no. 2, pp. 354–363, 2024.

Y.-C. Huang and K.-V. Chang, “Kegel Exercises,” StatPearls [Internet]. Treasure Isl. StatPearls Publ., 2023, [Online]. Available: https://www.ncbi.nlm.nih.gov/books/NBK555898/

D. Cross, N. Waheed, M. Krake, and D. Gahreman, “Effectiveness of supervised Kegel exercises using bio-feedback versus unsupervised Kegel exercises on stress urinary incontinence: a quasi-experimental study,” Int. Urogynecol. J., vol. 34, no. 4, pp. 913–920, 2023, doi: 10.1007/s00192-022-05281-8.

M. Y. N. Farhana, A. M. Rosliza, I. Suriani, A. Parwathi, and J. Romizan, “Knowledge, Attitude and Practice of Antenatal Exercise among Pregnant Women in Kuala Selangor,” Malaysian J. Med. Sci., vol. 32, no. 1, pp. 127–140, 2025, doi: 10.21315/mjms-07-2024-493.

A. M. Wafi et al., “Awareness and Knowledge of the Physical Activity Guidelines and Their Association with Physical Activity Levels,” Sports, vol. 12, no. 7, pp. 1–14, 2024, doi: 10.3390/sports12070174.

D. Cross, M. N. Kirshbaum, L. Wikander, J. Y. Tan, S. Moss, and D. Gahreman, “Does a Kegel Exercise Program Prior to Resistance Training Reduce the Risk of Stress Urinary Incontinence?,” Int. J. Environ. Res. Public Health, vol. 20, no. 2, 2023, doi: 10.3390/ijerph20021481.

K. W. Shum, M. Q. Ang, and S. Shorey, “Perceptions of physical activity during pregnancy among women: A descriptive qualitative study,” Midwifery, vol. 107, p. 103264, 2022, doi: https://doi.org/10.1016/j.midw.2022.103264.

K. Snyder, E. Mollard, K. Bargstadt-Wilson, and J. Peterson, “‘We don’t talk about it enough’: Perceptions of pelvic health among postpartum women in rural communities,” Women’s Heal., vol. 18, 2022, doi: 10.1177/17455057221122584.

C. Bugge, H. Strachan, S. Pringle, S. Hagen, H. Cheyne, and D. Wilson, “Should pregnant women know their individual risk of future pelvic floor dysfunction? A qualitative study,” BMC Pregnancy Childbirth, vol. 22, no. 1, pp. 1–9, 2022, doi: 10.1186/s12884-022-04490-9.

B. A. Andargie, A. Legas, A. W/Sellassie, H. Abuhay, and D. A. Angaw, “Effects of physical exercise during pregnancy on delivery outcomes: Systematic review and meta-analysis of randomized controlled trials,” PLoS One, vol. 20, no. 7, p. e0326868, Jul. 2025, [Online]. Available: https://doi.org/10.1371/journal.pone.0326868

A.-M. Athinaidou, E. Vounatsou, I. Pappa, V. C. Harizopoulou, and A. Sarantaki, “Influence of Antenatal Education on Birth Outcomes: A Systematic Review Focusing on Primiparous Women,” Cureus, vol. 16, no. 7, 2024, doi: 10.7759/cureus.64508.

Downloads

Published

2025-10-28

How to Cite

[1]
E. M. Kurniawati, “EDUKASI KESEHATAN DASAR PANGGUL DAN LATIHAN KEGEL BAGI IBU HAMIL: PROGRAM KEMITRAAN MASYARAKAT”, abdimas, vol. 7, no. 2, pp. 252–259, Oct. 2025.