ADVANTAGES OF ADHERING TO THE EARLY AMBULATION EXERCISE IN THE POST-CESAREAN PERIOD
Keywords:
early ambulation, post-caesarean exercise, post-caesarean recoveryAbstract
Objective: To determine the compliance rate and evaluate the effectiveness of early ambulation exercise of pregnant women post-cesarean delivery in pain relief and recovery of intestinal motility at Trung Vuong Hospital.
Subjects and methods: a cohort study, all women after their first cesarean section within 24 hours at Trung Vuong Hospital, undergo the spinal anesthesia; were instructed to start the early ambulation exercise according to the hospital procedures. The assessment of the compliance rate was accumulated over 3 periods (6 hours, 12 hours, 24 hours) and was classified into two groups: the active and the non-active collaborative groups.
Results: The percentage of women who actively participated in early ambulation exercise post-cesarean section was 65.2%. Across all three assessment periods, the VAS pain score in the active group was remarkably lower than in the non-active group, and the difference was statistically significant (p < 0.05). The recovery rate of early bowel motility (flatus < 18 hours) after the cesarean section in the active collaborative group was 90.0%, significantly higher than the non-active group (62.5%), p < 0.05.
Conclusion: The early ambulation exercise provides significant pain relief and helps restore early bowel motility for post-cesarean section women.
References
Entisar M. Youness W. H. I. (2017), “Effect of early and progressive exercises on post-caesarean section recovery among women attending women’s heath hospital”, International Journal of Advanced Nursing Studies, 6 (2), pp. 71-78.
Hà Hoàng Kiệm (2014), “Phục hồi chức năng cho bệnh nhân phẫu thuật ổ bụng”, Vật lý trị liệu và Phục hồi chức năng, NXB Quân đội Nhân dân.
Jyoti V. Dube N. S. K. (2014), “Effect of Planned Early Recommended Ambulation Technique on Selected Post caesarean Biophysiological Health Parameters”, Journal of Krishna Institute of Medical Sciences University, 3, pp. 41- 48.
Kaur H., Kaur, S., Sikka, P. (2015), “A quasi-experimental study to assess the effectiveness of early ambulation in post-operative recovery among postcaesarean mothers admitted in selected areas of nehru hospital”, Nursing and Midwifery Research Journal, 11 (1), pp. 33-44.
Kealy M. A., Small R. E., Liamputtong P. (2010), “Recovery after caesarean birth: a qualitative study of women’s accounts in Victoria, Australia”, BMC Pregnancy Childbirth, 10, pp. 47.
