Improving Knowledge and Skills of Early Mobilization among Post-Cesarean Section Mothers as an Effort to Accelerate Postoperative Recovery
DOI:
https://doi.org/10.35451/w5b1fd02Keywords:
Post-Cesarean Section Mothers, Skills, Early Mobilization, Knowledge, Recovery AccelerationAbstract
The increasing rate of Sectio Caesarea (SC) deliveries has highlighted the need for effective postoperative care to minimize complications and promote maternal recovery. Early mobilization is a recommended intervention; however, its implementation is often limited by inadequate maternal knowledge and practical skills. This community service program aimed to improve the knowledge and skills of post-Sectio Caesarea mothers regarding early mobilization to accelerate postoperative recovery, reduce the risk of complications, and enhance maternal independence during the postpartum period. The program adopted an educational-participatory approach incorporating health education, demonstrations, hands-on practice, and direct mentoring. Program effectiveness was evaluated using a one-group pretest-posttest design involving 20 post-Sectio Caesarea mothers at Grandmed Hospital, Lubuk Pakam. Participants' knowledge was assessed using structured questionnaires administered before and after the educational intervention, while practical skills were evaluated through direct observation using a standardized checklist. Participant satisfaction was also measured through a feedback questionnaire. The findings demonstrated a substantial improvement in participants' knowledge, with the proportion of mothers categorized as having good knowledge increasing from 15.0% before the intervention to 80.0% afterward, whereas the proportion with poor knowledge declined from 50.0% to 0%. Furthermore, 45.0% of participants achieved a very good skill level and 40.0% achieved a good skill level, indicating that 85.0% successfully performed early mobilization according to the recommended procedures. Participant satisfaction was highly positive, with 70.0% reporting being very satisfied and 30.0% satisfied with the program. In conclusion, an educational-participatory approach integrating health education, educational media, demonstrations, practical training, and mentoring effectively improved maternal knowledge, practical skills, and readiness to perform early mobilization safely, thereby supporting faster postoperative recovery and improving the quality of postpartum care.
References
[1] World Health Organization. Caesarean section rates continue to rise, amid growing inequalities in access. Geneva: WHO; 2021.
[2] B. M. Gillespie, D. Ellwood, L. Thalib, S. Kumar, K. Mahomed, E. Kang, and W. Chaboyer, “Incidence and risk factors for surgical wound complications in women with body mass index >30 kg/m² following cesarean delivery: A secondary analysis,” AJOG Global Reports, vol. 2, no. 3, Art. no. 100069, 2022, doi: 10.1016/j.xagr.2022.100069..
[3] R. Hochstätter, A.-M. Schütz, N. Taumberger, H. Bornemann-Cimenti, P. Oppelt, C. Fazelnia, L. Petricevic, I. Tsibulak, L.-M. Batiduan, G. Tomasch, E.-C. Weiss, K. Tamussino, P. Metnitz, H. Fluhr, and W. Schöll, “Enhanced recovery after cesarean section (ERAC): Where are we in Austria?,” European Journal of Obstetrics & Gynecology and Reproductive Biology, vol. 285, pp. 81–85, Jun. 2023, doi: 10.1016/j.ejogrb.2023.03.043.
[4] Kementerian Kesehatan Republik Indonesia. Survei Kesehatan Indonesia (SKI) 2023. Jakarta: Badan Kebijakan Pembangunan Kesehatan; 2024.
[5] Society for Enhanced Recovery After Surgery. Guidelines for postoperative care in cesarean delivery: Enhanced Recovery After Surgery Society recommendations. American Journal of Obstetrics and Gynecology. 2025.
[6] D. Kurnia, W. Mariyana, and M. Oktiningrum, “Faktor-faktor yang berhubungan dengan proses penyembuhan luka post SC di Rumah Sakit Permata Medika Kota Semarang,” Vitamin: Jurnal Ilmu Kesehatan Umum, vol. 2, no. 1, pp. 1–9, 2023, doi: 10.61132/vitamin.v2i1.33.
[7] A. Viyana, F. Hanifa, and S. Darmi, “Hubungan pengetahuan, status gizi dan mobilisasi dini terhadap penyembuhan luka post sectio caesarea di RS Permata Pamulang Tahun 2023,” SENTRI: Jurnal Riset Ilmiah, vol. 2, no. 10, pp. 4036–4045, 2023, doi: 10.55681/sentri.v2i10.1644.
[8] P. Gasali, N. Mardiana, and C. Haloho, “Hubungan mobilisasi dini terhadap pengeluaran ASI post sectio caesarea di RSD Dr. H. Soemarno Sosroatmodjo,” SAINTEKES: Jurnal Sains, Teknologi dan Kesehatan, vol. 2, no. 4, 2023, doi: 10.55681/saintekes.v2i4.218.
[9] A. B. Fitriyani, F. B. Verdiawati, M. D. Listiyaningsih, A. Widyaningsih, and D. N. Suci, “Mobilisasi dini pada ibu post operasi Sectio Caesarea untuk mencegah komplikasi imobilisasi di Rumah Sakit Ken Saras,” Prosiding Seminar Nasional dan Call for Paper Kebidanan Universitas Ngudi Waluyo, vol. 3, no. 2, pp. 2181–2184, 2024.
[10] P. D. Saputri and R. Ambarika, “Peningkatan pengetahuan pasien post Sectio Caesarea melalui edukasi manajemen kesehatan pasca operasi,” Kolaborasi: Jurnal Pengabdian Masyarakat, vol. 6, no. 1, 2025, doi: 10.56359/kolaborasi.v6i1.773.
[11] Y. Sari, S. Nurhayati, and R. Fitriani, “The effectiveness of video and leaflet media on knowledge and early mobilization practice among post-caesarean section mothers,” Jurnal Gizi dan Kesehatan, vol. 16, no. 2, pp. 112–120, 2024. [Online]. Available: https://ejournal.poltekkesaceh.ac.id/index.php/gikes/article/view/1292
[12] Y. Safitri, Y. Fauziah, dan Y. F. Nasution, “Pengaruh Mobilisasi Dini terhadap Intensitas Nyeri pada Pasien Post Operasi Sectio Caesarea di RSU Sundari Medan,” Excellent Midwifery Journal, vol. 7, no. 1, 2024. [Online]. Available: https://jurnal.mitrahusada.ac.id/emj/article/view/273.
[13] I. R. Silitonga and G. Amalia, “Post-cesarean pain intensity and wound healing in ERACS and conventional method,” Majalah Kedokteran Bandung, vol. 56, no. 1, pp. 15–23, 2024. [Online]. Available: https://journal.fk.unpad.ac.id/index.php/mkb/article/view/3500
[14] E. Kusumawati, “The effectiveness of health education using video media and leaflets on the ability to mobilize early in post caesarean section patients,” Science Midwifery, vol. 12, no. 1, pp. 48–57, 2024, doi: 10.35335/midwifery.v12i1.1451.
[15] K. Weerasinghe, M. Rishard, S. Brabaharan, M. A. Rizmy, and A. Mohamed, “Effectiveness of face-to-face physiotherapy training and education for women who are undergoing elective caesarean section: A randomized controlled trial,” Archives of Physiotherapy, vol. 12, Art. no. 4, 2022, doi: 10.1186/s40945-021-00128-9.
[16] A. Supriani and N. N. Rosyidah, “Pengetahuan, sikap dan perilaku mobilisasi dini pasien post operasi Sectio Caesarea,” Enfermeria Ciencia, vol. 2, no. 2, pp. 90–102, 2024, doi: 10.56586/ec.v2i2.28.
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