Abstract
Cesarean section is a surgical intervention that most significantly affects the central nervous system and slows down bowel movements post section Caesarea. Intestinal function in women undergoing section caesarian surgery is essential, starting early. The study aimed at examining the effect of chewing gum on increasing the intestinal peristalsis in post-cesarean section. This study used a quasi-experimental, pre, and post with a control group was applied in this study. Seventy-two samples were recruited using a non-probability sampling such as consecutive sampling. CG was given to the intervention group 3 times, per 3 hours for 5 minutes with a frequency of chewing 30 times. Data analysis was performed and presented in descriptive statistics, and significant findings were computed using the paired t-test. The results showed that the mean Intestine Peristaltic intervention group increases from 11,47+1,647 to 16,61+2,487 after the intervention. Meanwhile, in the control group, the mean Intestine Peristaltic level slightly increases from 11,31+1,470 to 14,22+1,290. The t-test obtained a p-value of 0.000, indicating that there were significant differences in the increase Intestine Peristaltic between the intervention and the control group. Chewing gum can increase intestinal peristalsis in cesarean section patients. Based on the findings, The nurse profession can use chewing gum to become one of the nursing independent interventions because easy.
 Keywords: cesarean section, peristaltic, chewing gum.
Highlights
Cesarean section is an abdominal operation associated with postoperative changes in the autonomic nervous system
The study aimed at examining the effect of chewing gum on increasing the intestinal peristalsis in post-cesarean section
The Samples of 72 post-cesarean section patients were divided into two groups, 36 chewing gum groups in the Dewi Sartika hospital and 36 control groups in the municipal general hospital Kendari
Summary
Cesarean section is an abdominal operation associated with postoperative changes in the autonomic nervous system. It caused decreasing in bowel movements and resulted in several problems[1]. Average peristalsis loss in 24 to 48 hours depends on the type and duration of surgery This is because anesthesia provides resistance to nerve stimulation for peristalsis. Feelings of discomfort in the stomach will cause anorexia (decreased appetite) if this happens, the nutritional intake for patients is not fulfilled[5] This will inhibit the recovery of the patient's condition and the wound healing process, which, requires higher nutrition than usual or before the illness. Interventions have been tested to improve non-pharmacological proper intestinal peristalsis is chewing gum[7]
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