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Published on: January 27, 2010
The effect of a targeted mobilization program applied after cesarean surgery on care outcomes: a randomized
Birnur Yesildag1, Kadriye Aldemir Atmaca2, Isa Temur3
1Niğde Ömer Halisdemir University, Zübeyde Hanim Faculty of Health Sciences, Department of Obstetrics and Gynecology Nursing - Niğde, Turkey.
Objective:
The aim of this study was to determine the effect of a targeted mobilization program applied after cesarean surgery on postoperative recovery outcomes.
Methods:
A randomized controlled trial was conducted with 64 women undergoing elective cesarean section at a training and research hospital in Central Anatolia, Turkey. Participants were randomly assigned to an experimental group (n=32) or a control group (n=32). All women received routine care, while the experimental group additionally received structured mobilization training beginning 6 h postoperatively and continuing for 48 h. Data were collected using the Preliminary Assessment Form, Personal Information Form, Gastrointestinal Function Form, Abdominal Distension Diagnosis Form, Walking Schedule Form, Visual Analog Scale, and Latch, Audible swallowing, Type of nipple, Comfort, and Hold Breastfeeding Diagnosis and Assessment Scale.
Results:
Women in the experimental group demonstrated significantly faster gastrointestinal recovery, with shorter times to first gas expulsion and first defecation. Abdominal distension scores at 12, 24, and 48 h postoperatively were consistently lower in the experimental group. Pain scores were also significantly reduced at 24 and 48 h. In addition, the experimental group showed a shorter milk let-down time and higher Latch, Audible swallowing, Type of nipple, Comfort, and Hold breastfeeding scores, indicating better early breastfeeding performance. These differences represent clinically meaningful improvements across multiple recovery indicators.
Conclusion:
The targeted mobilization program applied after cesarean surgery enhanced overall postoperative recovery by accelerating bowel function, reducing abdominal distension and pain, and improving breastfeeding outcomes. These findings support the integration of structured mobilization strategies into routine post-cesarean care.
