Pain relief in motion: The benefits of early mobilization for patient with post-sectio caesarea

Abstract

A cesarean section (sectio caesarea) is an alternative procedure when normal delivery is not possible due to factors related to the mother, fetus, or the birth canal. This surgical method involves making an incision to deliver the fetus. However, a cesarean section can lead to significant postoperative pain at the incision site, making early mobilization essential for improving blood circulation and reducing pain intensity. The study aimed is to describe the nursing care application of early mobilization in reducing postoperative pain intensity in patients after a cesarean section. In this case, Mrs. N, a 32-year-old patient, experienced early rupture of membranes and reported significant pain following her cesarean section. After implementing early mobilization, the results showed a decrease in pain intensity from a score of 6 to 5 on the first day post-surgery. The patient was able to perform right and left oblique mobilization just 6 hours after the procedure. On the second day, her pain score further decreased from 5 to 3, and she was able to sit up in bed and sit on the edge of the bed. By the third day, her pain score dropped to 1, and she was able to walk independently. These results indicate that early mobilization effectively resolved the problem, demonstrated by the reduction in pain intensity from a score of 6 to 1. Additionally, the patient progressed from being unable to move to walking independently after engaging in early mobilization exercises. In conclusion, the nursing intervention of early mobilization significantly lowers postoperative pain intensity after a cesarean section, enhances physical mobility, and promotes better breast milk production.

Keywords: Early mobilization; maternity nursing; post-sectio caesaria; complementary therapy; recovery