Early mobilization and post-cesarean delivery pain management

Abstract

Background: Sectio Caesarea causes a break in the continuity of the tissue that secretes pain receptors, especially after the anesthetic effect is gone. If pain, is not treated on time, the recovery period is delayed, the hospitalization time is longer, and the incidence of complications and the costs incurred are higher. The incidence of cesarean section in the world globally is 11%, and at Sartika Asih Hospital, Bandung in 2022 is 20% of all delivery, with a mother won’t move because of fear and pain after delivery. Early mobilization is one of the interventions to overcome the pain.

Purpose: To determine the effect of early mobilization carried out six hours after cesarean section surgery on pain at Bhayangkara TK II Sartika Asih Hospital, Bandung.

Method: This study used a quasi-intervention type with a pretest-posttest two-group design. The sample was total sampling which was divided into 15 people each in the intervention and the control group to measure the pain of post cesarean mothers with the Verbal Rating Scale (VRC)

Results: There were significant differences in pain levels before and after the intervention in the intervention group, with a median (5 ± 1.5) to (3 ± 0.4), and in the control group (8 ± 1.3), to (8 ± 1.2). In the Wilcoxon test, p-value of 0.001 in the intervention group and p-value of 0.250 in the control group.

Conclusion: Early mobilization had an impact on reducing the pain scale. Implementation for early mobilization since 6 hours can be used as non-drug pain management for Post Sectio Caesarea mothers to reduce pain levels.