Determination of Mobility Status and Affecting Factors of Women with Cesarean Section


Abstract views: 84 / PDF downloads: 38

Authors

  • Elif Yağmur GÜR Eskişehir Osmangazi Üniversitesi
  • Ayşegül YAYLA

DOI:

https://doi.org/10.5281/zenodo.8402588

Keywords:

Cesarean delivery, Mobility, Puerperants, Woman giving birth

Abstract

Aim: Cesarean section is among the most common major surgical interventions performed in the world, and in recent years, the prevalence of cesarean sections has been on the rise. This study aims to determine the movement levels of women who gave birth by cesarean section after the first mobilization and factors affecting their mobility levels.

Methods: This descriptive cross-sectional study was conducted at a maternity hospital located in eastern Anatolia Region in Turkey. The data were collected through face-to-face interviews and observation at the patients’ rooms by a member of the research team.  A questionnaire form, the Patient Mobility Scale, and the Observer Mobility Scale were used during the collecting the data. Data collection process took approximately 15-20 minutes for each participant. The data were analyzed using SPSS (version 18.0) software.

Results: It was found that the women's Patient Mobility Scale mean scores were 77.78±18.48 and their Observer Mobility Scale mean scores were 12.01±0.61. It was found statistically significant difference between their education level, social support providers, the type of anesthesia and their Patient Mobility Scale and Observer Mobility Scale mean scores (p<0.05).

Conclusions: It has found that the women experienced more pain and difficulties when turning from one side to the other in the bed and when standing up on the bedside. And also, the women who had general anesthesia during cesarean section, low educational level, and high body mass index, whose primary social support was provided by their husband, and who did not desire the pregnancy had been lower mobility levels after cesarean section than the others.

References

Afolabi, B.B.,& Lesi, F. E. (2012). Regional versus general anaesthesia for caesarean section. Cochrane Database of Systematic Reviews, 17,10,CD004350. doi: 10.1002/14651858.CD004350.pub3

Apay, S. E., & Pasinlioglu, T. (2014). Using roy’s model to evaluate the care given to postpartum women following caesarean delivery. Open Journal of Nursing, 4(11),784. doi: 10.4236/ojn.2014.411084

Ayoğlu, T. (2011). Effect of preoperative education on patients' self - efficacy perception and recovery process [Unpublished Ph.D. thesis]. Istanbul University

Başar, F., & Yeşildere Sağlam, H. (2018). Women’s choice of delivery methods and the factors that affect them. Journal of Current Researches on Health Sector, 8(1),59-74. doi: 10.26579/jocrehes_8.1.6

Çapık, A., Ozlü, Z. K., Soydan, S., Apay, S. E., Avşar, G., Özer, N., & Arslan, S. (2016). The effect of progressive relaxation exercises on pain control in postpartum women having a cesarean section. Journal of Anatolia Nursing and Health Sciences, 19(1),58-64. doi:10.17049/ahsbd.04845.

Castelino, T., Fiore, J. F., Niculiseanu, P., Landry, T., Augustin, B., & Feldman, L. S. (2016). The effect of early mobilization protocols on postoperative outcomes following abdominal and thoracic surgery: A systematic review, Surgery. 159(4),991–1003. doi:10.1016/j.surg.2015.11.029

Cunningham, F. G., Gant, N. F., & Leveno, K. J. (2018). Cesarean section and postpartum hysterectomy. In: Williams Obstetrics, 25th ed. Mc Graw Hill Education https://accessmedicine.mhmedical.com/content.aspx?bookid=1918&sectionid=185053089

Demirbaş, M., Karabel, M.P., & İnci, M.B. (2017). Changing rates of cesarean section in Turkey and in the world and probable causes. Sakarya Medicine Journal, 7(4),158-163. doi: 10.31832/smj.368600

Ganer Herman., Kleiner, I., Tairy, D., Gonen, N., Zvi, M. B., Kovo, M., ... & Weiner, E. (2020a). Effect of digital step counter feedback on mobility after cesarean delivery: a randomized controlled trial. Obstetrics & Gynecology, 135(6), 1345-1352. doi:10.1097/AOG.0000000000003879

Ganer Herman, H., Ben Zvi, M., Kleiner, I., Tairy, D., Kuper Sason, L., Bar, J., & Kovo, M. (2020b). Mobility following cesarean delivery: an observational study utilizing pedometers. The Journal of Maternal-Fetal & Neonatal Medicine, 33(5), 774-779. doi:10.1080/14767058.2018.1500549

Ganer Herman, H., Ben Zvi, M., Tairy, D., Kleiner, I., Gonen, N., Kuper Sason, L., ... & Kovo, M. (2020c). Enhancing patient mobility following cesarean-delivery–the efficacy of an improved postpartum protocol assessed with pedometers. BMC Pregnancy and Childbirth, 20(1), 1-8. doi:10.1186/s12884-020-03046-z

Gençer, E., & Apay, S. E. (2020). Gebeliğin istenme durumu öznel mutluluğu etkiler mi? [Does the pregnancy intendedness affect subjective happiness?]. Journal Psychiatric Nursing, 11(2),88-97. doi:10.14744/phd.2019.63496

Ghaffari, S., Dehghanpisheh, L., Tavakkoli, F., & Mahmoudi, H. (2018). The effect of spinal versus general anesthesia on quality of life in women undergoing cesarean delivery on maternal request. Cureus, 10(12), e3715. doi: 10.7759/cureus.3715

Ghotbi, F., Akbari Sene, A., Azargashb, E., Shiva, F., Mohtadi, M., Zadehmodares, S., ... & Yasai, F. A. M. (2014). Women's knowledge and attitude towards mode of delivery and frequency of cesarean section on mother's request in six public and private hospitals in T ehran, I ran, 2012. Journal of Obstetrics and Gynaecology Research, 40(5), 1257-1266. doi:10.1111/jog.12335

Gürsoy, C., Ok, G., Aydın, D., Eser, E., Erbüyün, K., Tekin, İ., ... & Uyar, Y. (2014). Sezaryen Olgularında Anestezi Yöntemlerinin Günlük Yaşamsal Aktivitelere Dönüş Üzerine Etkileri. Turkish Journal of Anesthesia & Reanimation, 42(2), 71-79. doi:10.5152/TJAR.2014.96630.

Havey, R., Herriman, E., & O’brien, D. (2013). Guarding the gut, early mobility after abdominal surgery. Critical Care Nurse, 36(1),63-72. doi: 10.1097/CNQ.0b013e3182753237

Heye, M. L., Foster, L., Bartlett, M. K., & Adkins, S. (2002). A preoperative intervention for pain reduction, improved mobility, and self-efficacy. Applied Nursing Research, 15(3), 174-183. doi:10.1053/apnr.2002.34146

Kaneda, H., Saito, Y., Okamoto, M., Maniwa, T., Minami, K. I., & Imamura, H. (2007). Early postoperative mobilization with walking at 4 hours after lobectomy in lung cancer patients. General thoracic and cardiovascular surgery, 55, 493-498. doi:10.1007/s11748-007-0169-8

Karaca, I., Ozturk, M., Alay, I., Ince, O., Karaca, S. Y., Erdogan, V. S., & Ekin, M. (2019). Influence of abdominal binder usage after cesarean delivery on postoperative mobilization, pain and distress: a randomized controlled trial. The Eurasian journal of medicine, 51(3), 214. doi: 10.5152/eurasianjmed.2019.18457

Kılıç M, Öztunç G. Methods Used in Pain Control and the Role of the Nurse. Fırat Sağlık Hizmetleri Dergisi 2012; 7(21):35-51.

Leong, Y. L., Rasnah, A. R., Chong, M. C. (2017). Patient early mobilization: A Malaysia’s study of nursing practices. Journal of Intensive and Critical Care, 3(3),1-7. doi: 10.21767 / 2471-8505.100088.

Lertakyamanee, J., Chinachoti, T., Tritrakarn, T., Muangkasem, J., Somboonnanonda, A., & Kolatat, T. (1999). Comparison of general and regional anesthesia for cesarean section: success rate, blood loss and satisfaction from a randomized trial. Journal of the Medical Association of Thailand, 82, 672-680. https://europepmc.org/article/med/10511769

Mermer, G., Bilge, A., Yücel, U., & Çeber, E. (2010). Evaluation of perceived social support levels in pregnancy and postpartum periods. Journal of Psychiatric Nursing, 1,71-76. https://www.journalagent.com/phd/pdfs/PHD_1_2_71_76.pdf

Morris, B. A., Benetti, M., Marro, H., & Rosenthal, C. K. (2010). Clinical practice guidelines for early mobilization hours after surgery. National Association of Orthopaedic Nurses, 29, 290-316. doi: 10.1097/NOR.0b013e3181ef7a5d

Nazik, E., & Eryilmaz, G. (2013). The prevention and reduction of postpartum complications: Orem’s Model. Nursing Science Quarterly, 26(4), 360-364. doi:10.1177/0894318413500402

OECD Cesarean Sections (2019). https://www.statista.com/statistics/283123/cesarean-sections-in-oecd-countries/#:~:text=Among%20all%20countries%20that%20are,544%20per%201%2C000%20live%20births. Accessed April 2022

Polat, İ. (2018). Obstetric and Perinatologic Interventions and ERAS. İstanbul Kanuni Sultan Süleyman Tıp Dergisi, 10(4), 33-40. doi:10.5222/iksst.2018.18894

Ricci, F., Caterina, R., & Fedorowski, A. (2015). Orthostatic hypotension epidemiology, prognosis, and treatment. Journal of the American College of Cardiology, 66(7),848-860. doi:10.1016 / j.jacc.2015.06.1084.

Sharpe, E. E., Booth, J. L., Houle, T. T., Pan, P. H., Harris, L. C., Aschenbrenner, C. A., & Eisenach, J. C. (2019). Recovery of physical activity after cesarean delivery and its relationship with pain. Pain, 160(10), 2350-2357. doi: 10.1097/j.pain.0000000000001628

Smeltzer, S. C., Bare, B.G., & Hinkle, J. L. (2010). Brunner & Suddarth's Textbook of Medical-Surgical Nursing. 12th ed. Lippincott Williams & Wilkins, Philadelphia

The Ministry of Health Postpartum Care Management Guide (2018), https://ekutuphane.saglik.gov.tr/Home/GetDocument/319 Accessed August 2023

Turkey Demographic and Health Surveys- TDHS (2018). http://www.hips.hacettepe.edu.tr/tnsa2018/rapor/TNSA2018_ana_Rapor.pdf. Accessed May 2020

Vincent, H. K., Lamb, K. M., Day, T. I., Tillman, S. M., Vincent, K. R., & George, S. Z. (2010). Morbid obesity ıs associated with fear of movement and lower quality of life in patients with knee pain related diagnoses. Physical Medicine and Rehabilitation, 2(8),713-722. doi:10.1016/j.pmrj.2010.04.027

Yolcu, S., Akın, S., & Durna, Z. (2016). The evaluation of mobility levels of postoperative patients and associated factors. Journal of Education and Research in Nursing, 13(2),129-138. https://www.journalagent.com/kuhead/pdfs/KUHEAD_13_2_129_138.pdf

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Published

2023-10-04

How to Cite

GÜR, E. Y., & YAYLA, A. (2023). Determination of Mobility Status and Affecting Factors of Women with Cesarean Section. GEVHER NESIBE JOURNAL OF MEDICAL AND HEALTH SCIENCES, 8(Özel Sayı), 685–693. https://doi.org/10.5281/zenodo.8402588

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