Effectiveness of Scheduled Early Ambulation on Maternal Outcomes in Post caesarean in Odisha, Eastern India

Abstract

Abstract Background: Scheduled early ambulation on the day of surgery in post-operative women showed expedited recovery and prevented complications amongst women and newborns. Objectives: The study aimed to evaluate the effectiveness of scheduled early ambulation on maternal outcomes amongst post-caesarean women. Methods: A quasi-experimental post-test-only time series design was adopted. Post-caesarean women (142) were recruited to the experimental group (n 1 = 71) and the control group (n 2 = 71). Scheduled early ambulation was initiated from the day of surgery in the experimental group, while the control group received standard care. Post-operative recovery was assessed in both groups by a demographic pro forma, post-operative assessment tool and physical well-being tool. Results: The present study findings revealed a remarkable improvement in maternal outcomes such as a significant reduction in the mean post-operative pain score, speedy involution of the uterus, breastfeeding, lochia, first bowel movement, moving independently from the bed, catheter removal, initiation of oral intake and physical well-being amongst the women in the experimental compared to the control group. Conclusion: A scheduled early ambulation is crucial for improving maternal outcomes and restoring the sense of well-being in women after caesarean section (CS). The primary caregiver and health professionals should promote it to encourage women after CS to reduce post-operative complications and speedy recovery.