Effect of early and progressive exercises on post-caesarean section recovery among women attending women's heath hospital

 
 
 
  • Abstract
  • Keywords
  • References
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  • Abstract


    Background: Cesarean section is the oldest surgery performed in obstetrics. Time needed for recovery of post cesarean section woman is more than those needed for vaginal delivery. The nursing role is to make women after C. S more independent in resuming their daily activities as soon as possible. This can be achieved by early exercises to faster her recovery and reduce complications associated with prolonged bed rest after C.S.

    The study aimed to assess the effect of early and progressive exercises on C. S recovery among post caesarean women for women attending Women’s Health Hospital, Assiut University, Egypt.

    Methods: A study and control quasi-experimental design used on 340 posts cesarean section women divided into two groups, study and control, each group contained 170 postpartum women. A structured interviewing questionnaire used as a tool which included Sociodemographic, Obstetric characteristics and follow-up data.

    Results: Findings of this study revealed that there were significant differences between both groups regarding post-cesarean section recovery variables, which included analgesics required, self-void after catheter removal, breast feeding, oral hydration, and first flatus passed after exercises as per the independent t-test (p<0.05).

    Conclusion: Early and progressive exercises had an effective role in improving post cesarean section women recovery.

    Recommendations: Early and progressive exercises should be encouraged as a routine part of care for women within 2 hours after cesarean section.


  • Keywords


    Progressive Exercises; Caesarean Section; Recovery.

  • References


      [1] Abdel-Aleem H, Shaaban OM, Hassanin AI, and Ibraheem AA (2013): Analysis of cesarean delivery at Assiut University Hospital using the Ten Group Classification System. Int J Gynecology Obstet. 123 (2): 119–123. https://doi.org/10.1016/j.ijgo.2013.05.011.

      [2] American College of Obstetricians and Gynecologists (2014): Society for Maternal-Fetal Medicine. Obstetric care consensus no. 1: safe prevention of the primary cesarean delivery. Obstet Gynecol. Mar. 123 (3):693-711.

      [3] Ana P B., Jianfeng Y., Anne-B. M., Jun Z., Metin A G., and Maria R T. (2016): The Increasing Trend in Caesarean Section Rates: Global, Regional and National Estimates: 1990-2014,http://dx.doi.org/10.1371/journal, 11(2): 54-68.

      [4] Feldheiser A., O. Aziz, Baldini G., Fearon, L. S. Feldman, Gan T. J., Kennedy R. H., O., Ljungqvist D. Lobo, Miller T., Radtke F. F., Ruiz T. Garces, Schricker T., Scott M., Thacker J. K., Ytreb L. M., and Carli F. (2015): Enhanced Recovery After Surgery (ERAS) for gastrointestinal surgery, part 2: consensus anesthesia practice, Acta Anaesthesiol Scand. Mar; 60(3): 289–334.

      [5] Frank H. C. and Greg V. S. (2012): Ambulation and Early Postoperative Performance Criteria; 13(29): 314-317.

      [6] Harmanjyot K., Sukhjit K., and Pooja S. (2015): A quasi-experimental study to assess the effectiveness of early ambulation in post-operative recovery among post-caesarean mothers admitted in selected areas of Nehru Hospital, PGIMER, Chandigarh, Nursing and Midwifery Research Journal; 11(1): 33-44.

      [7] Hedwige S. L. (2016), Cesarean Delivery, Births - Method of Delivery. Centers for Disease Control and Prevention. Available at http://www.cdc.gov/nchs/fastats/delivery.htm. July 6, 2016; Accessed: September 22,

      [8] Julie R. (2016): 13 ways to improve recovery after a C-section 12(3): 29-32, Published May 29, 2016

      [9] Jyoti V D, Kshirsagar N. S., and Durgawale P.M. (2013): Effect of Planned Early Ambulation on Selected Postnatal Activities of Post caesarean Patients, International Journal of Health Sciences & Research (www.ijhsr.org); 3 (2): 110-118.

      [10] Jyoti V. D, and Kshirsagar N. S. (2014): Effect of Planned Early Recommended Ambulation Technique on Selected Post caesarean Biophysiological Health Parameters, Journal of Krishna Institute of Medical Sciences University;3 (1): 41:48.

      [11] Michelle A. K., Rhonda E S., and Pranee L. (2010): Recovery after caesarean birth: a qualitative study of women’s accounts in Victoria, Australia, BMC Pregnancy and Childbirth, 8 (4):10-47 http://www.biomedcentral.com/1471-2393/10/47

      [12] Mikkelsen L.R, Mechlenburg I., and Soballe K. (2014): Effect of early supervised progressive resistance training compared to unsupervised home-based exercise after fast-track total hip replacement applied to patients with preoperative functional limitations. A single-blinded randomized controlled trial. Osteoarthritis Cartilage; 22(12):2051-8. https://doi.org/10.1016/j.joca.2014.09.025.

      [13] Ricochet L.S (2016): Pregnancy and Birth, Childbirth, Caesareans - get the facts to stay in control, © Ricochet Limited 2016 | Website by Bionic Media

      [14] Royal Australian and New Zealand College (2012): Royal Australian and New Zealand College of Obstetricians and Gynecologists (RANZCOG) - categories for urgency of access to OR for caesarean sections, Caesarean Section (CS) – Pre, Peri & Post-Op Care, Caesarean Section May 1, p 1:13

      [15] Sahar A.Al-Ghareeb, Eman R Ahmad, and Haifa A. T. (2013): Effect of Early Oral Hydration on Post Cesarean Outcomes, Journal of American Science; 9(8), http://www.jofamericanscience.org.

      [16] Suvarna V.M. and Jyoti A.S. (2014): A Study to Assess the Effectiveness of Early Ambulation on Selected Aspects of Post-Operative Recovery among the Women Who Have Undergone LSCS at Krishna Hospital, Karad, International Journal of Health Sciences & Research (www.ijhsr.org) ; 4(12): 230:239.

      [17] Valerie A. K., Rachel M. H., Dana E. J., Laura W. A., Shari L. J., and Nancy L. W. (2012): Early Postoperative Ambulation: Back to Basics A quality improvement project increases postoperative ambulation and decreases patient complications AJN , April 2012 ;112 (4) : 63-69.

      [18] National Comprehensive Cancer Network (2007): numerical rating scale of pain, developed by 2007.

      [19] Berghella V. R., (2015): Cesarean delivery: Postoperative issues. http://www.uptodate.com/home.


 

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Article ID: 7660
 
DOI: 10.14419/ijans.v6i2.7660




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