EARLY MOBILIZATION AND PAIN MANAGEMENT AS DETERMINANTS OF RECOVERY QUALITY AMONG POSTPARTUM MOTHERS FOLLOWING CESAREAN SECTION AT GATOEL HOSPITAL, MOJOKERTO
DOI:
https://doi.org/10.29082/IJNMS/2026/Vol10/Iss2/846Keywords:
Early Mobilization, Pain Management, Quality of Recovery, Postpartum Mothers Following Cesarean SectionAbstract
The increasing rate of cesarean section deliveries contributes to a higher risk of postoperative pain and delayed mobilization among postpartum mothers, which may negatively affect both physical and psychological recovery. Inadequately managed pain and limitations in early mobilization can prolong the recovery period, increase the risk of complications, and reduce the quality of life of postpartum mothers. This study aimed to analyze the correlation between the implementation of early mobilization and pain management and the quality of recovery among postpartum mothers following cesarean section. This study employed a quantitative approach using an observational analytic design with a cross-sectional method. The study subjects were postpartum mothers following cesarean section who were hospitalized at Gatoel Hospital, Mojokerto. Data were collected using standardized instruments to assess pain intensity (Numeric Rating Scale), implementation of early mobilization, and maternal recovery quality. Data analysis was performed using bivariate analysis (Chi-Square test) and multivariate analysis (Ordinal Logistic Regression) to determine the most dominant relationship between early mobilization, pain management, and recovery quality. The results demonstrated a significant relationship between early mobilization and recovery quality (p = 0.001; p < 0.05). Likewise, a significant relationship was found between pain management and recovery quality (p = 0.003; p < 0.05). Ordinal logistic regression analysis revealed that early mobilization was the most dominant factor influencing the quality of recovery among postpartum mothers following cesarean section, with an odds ratio (OR) of 5.21. These findings indicate that early mobilization directly contributes to the restoration of physiological functions and enhances patient independence during the hospitalization period. Early mobilization and pain management are important factors influencing the quality of recovery among postpartum mothers following cesarean section. Early mobilization was identified as the most dominant determinant and should therefore become a primary focus of evidence-based nursing care at Gatoel Hospital, Mojokerto.
Downloads
References
Fowler, C., Stockert, E., Hoang, D., Guo, N., Riley, E., Sultan, P., & Carvalho, B. (2024). improvement impact study. BJA Open, 9(November 2023), 100242. https://doi.org/10.1016/j.bjao.2023.100242
Hussen, I., Worku, M., Geleta, D., Ahmed, A., Abebe, M., Molla, W., Wudneh, A., Temesgen, T., & Figa, Z. (2022). Post-operative pain and associated factors after cesarean section at Hawassa University Comprehensive Specialized Hospital , Hawassa , Ethiopia : A cross-sectional study. Annals of Medicine and Surgery, 81(August), 104321. https://doi.org/10.1016/j.amsu.2022.104321
Kemenkes, T. P. (2024). PROFIL KESEHATAN INDONESIA 2023. In Kementerian Kesehatan Republik Indonesia. Kementerian Kesehatan Republik Indonesia. https://kemkes.go.id/app_asset/file_content_download/172231123666a86244b83fd8.51637104.pdf
Lou, J., & Guo, F. (2026). The efficacy and safety of enhanced recovery after surgery ( ERAS ) protocols in cesarean delivery : a meta ‑ analysis of randomized controlled trials. Archives of Gynecology and Obstetrics.
Lucin, Y., Kunci, K., Mobilization, E., & Mobilization, E. (2020). Early Mobilization pada Ibu Post Pospartum Mempercepat Penyembuhan Luka Sectio Ceserea di RSUD dr Doris Sylvanus Early Mobilization in Post Posartum Mothers Accelates the Healing of Sectio Ceserea Wounds in RSUD dr Doris Sylvanus Abstrak. Jurnal Surya Medika.
Meng, X., Chen, K., Yang, C., Li, H., & Wang, X. (2021). The Clinical Efficacy and Safety of Enhanced Recovery After Surgery for Cesarean Section : A Systematic Review and Meta-Analysis of Randomized Controlled Trials and Observational Studies. Frontiers in Medicine, 8(August). https://doi.org/10.3389/fmed.2021.694385
Myles, P. S., Shulman, M. A., Reilly, J., Kasza, J., & Romero, L. (2022). Measurement of quality of recovery after surgery using the 15-item quality of recovery scale : a systematic review and meta-analysis. British Journal of Anaesthesia, 128(6), 1029–1039. https://doi.org/10.1016/j.bja.2022.03.009
Ningrum, A. D., Nulhakim, L., & Kaltim, P. (2023). ORIGINAL RESEARCH THE EFFECT OF EARLY MOBILIZATION ON UTERINE INVOLUTION. International Journal of Nursing and Midwifery Science (IJNMS), 7(2).
Ruspita, I., & Rosyidah, R. (2022). Pain Score and Quality of Post Cesarean Section Recovery with ERACS Metodh [ Skor Nyeri dan Kualitas Pemulihan Pasca Seksio Sesarea dengan Metode ERACS ]. Jurnal Ners Dan Kebidanan Indonesia, 10(2015), 1–6. https://ejournal.almaata.ac.id/index.php/JNKI/article/view/2607
Sangkum, L., Thamjamrassri, T., Arnuntasupakul, V., & Chalacheewa, T. (2021). The Current Consideration , Approach , and Management in Postcesarean Delivery Pain Control : A Narrative Review. Hindawi Anesthesiologu Research and Practice, 2021. https://doi.org/10.1155/2021/2156918
Ubom, E. O., Wang, C., Klocksieben, F., Flicker, A. B., Diven, L., Rochon, M., Recovery, E., & Surgery, A. (2023). Enhanced recovery protocol after cesarean delivery : impact on opioid use and pain perception. AJOG Global Reports, August, 1–11. https://doi.org/10.1016/j.xagr.2023.100220
WHO. (2021). Caesarean section rates continue to rise , amid growing inequalities in access Rising rates suggest increasing numbers of. WHO. https://www.who.int/news/item/16-06-2021-caesarean-section-rates-continue-to-rise-amid-growing-inequalities-in-access
Xavier, B., Vaithilingan, S., Avudaiappan, S., & Periasamy, P. (2024). The Impact of an Early Mobility Protocol on Recovery Outcomes in Patients Undergoing Abdominal Surgeries. Cureus, 16(12). https://doi.org/10.7759/cureus.75980
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Catur Prasastia lukita Dewi
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with IJNMS agree to the following terms
- Authors retain copyright licensed under a Creative Commons Attribution-ShareAlike 4.0 International License that allows others to share the work non-commercially with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access). Authors can archive pre-print and post-print or publisher's version/PDF.
How to Cite
_IJNMS.png)
