Effect of Nursing Intervention Guidelines for Women Undergoing Cesarean Section on the Occurrence of Postoperative Complication

Maha Ali

doi:10.21608/pssjn.2014.34451

Abstract

Background: Cesarean delivery is associated with increased maternal risks such as puerperal infection, hemorrhage, thromboembolism and death. Despite the gross increase in caesarean section rate, there is still high perinatal mortality. Aim: The aim of the study was to determine the effect of nursing intervention guidelines for women undergoing cesarean section on the occurrence of postoperative complication. Materials and Methods: The study was carried out in the obstetric and gynecological departments in Port Said Hospitals using a quasi-experimental study design. This study was carried out in the obstetric and gynecological department at three governmental hospitals located in Port Said city: Port Said general hospital, Port Fouad hospital and El-tadamon hospital. The sample constituted 250women; the study subjects were divided into two equal groups of 125 parturient women each, as follows: Group A; the study group, who receive postoperative care program. Group B; the control group who receive postoperative routine hospital care after cesarean section. Data were collected using four tools devised specifically for the study. Results: Women in the study group had lesser percentages of danger signals that denote wound infection than the control group. Majority of women in the study group had mild pain grade in the third day after the operation compared to the control group. The overall incidence of wound complication was higher in the control group than the study group. There was a statistically significant difference between the study and control groups in favor of the former regarding; sub-involution of the uterus, secondary PPH, breast problems In addition to DVT, abdominal distention, constipation Conclusion: The majority of women in the study group had mild pain grade in the third day after the operation compared to the control group. Incidence of wound complication was higher in the control group than the study group.

Highlights

THE intra-operative complications for elective and emergency CS are bleeding, lesion of the urinary bladder, urethra, intestines or arteries of the uterus
The majority of women in the study group had mild pain grade in the third day after the operation compared to the control group
Incidence of wound complication was higher in the control group than the study group

Summary

Introduction

THE intra-operative complications for elective and emergency CS are bleeding, lesion of the urinary bladder, urethra, intestines or arteries of the uterus. While the postoperative complications for elective and emergency cesarean section are bleeding, infection, anemia, increasing values of the blood pressure (140/100 or more), thrombosis, hematoma, high body temperature (38 0C and higher) as well as ileus (Elvidi-Gasparovic et al, 2006). Spinals and epidurals anesthesia can lower the blood pressure and cause headache. They make the patients feel local tenderness in the back for a few days (Hoppe and Popham, 2007). Uterine lacerations are more common at the lower uterine segment with a transverse uterine incision These lacerations can extend laterally or inferiorly and can be repaired (Harish & Sehdev, 2005). Despite the gross increase in caesarean section rate, there is still high perinatal mortality

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