Post-cesarean Section Patients Research Articles

The Effect of Giving Hot-Packs on The Grade of Shivering in Post-Surgery Caesarean Section Patients at Grandmed Hospital Lubuk Pakam

Shivering after anesthesia is a recovery mechanism in the body due to negative side effects such as discomfort and pain due to stretching of the surgical scar, and increased muscle activity following increased oxygen demand. When a client experiences shivering, it is necessary to warm the body with heat therapy given to clients whose temperature is ? 36?C. A hot-pack is a closed package containing gel with a temperature of 40?C. The hot-pack will be given on the right and left inner arms for about 15 minutes. The type of research used is pre-experimental with one group Pre-test and Post-test design. The technique used in sampling in this study is non-probability sampling, in the form of Accidental sampling with a sample size of 20 respondents, while the instrument used in this study is an observation sheet. This study uses univariate and bivariate analysis. In this study, bivariate analysis was carried out using the Paired T-Test. Based on the Statistical Test conducted using the Paired Sample T-test method, the value obtained was p value 0.000 (? <0.05) which means Ho is rejected and Ha is accepted. This means that there is an Effect of Giving Hot-Packs on the Degree of Shivering in Post-Caesarean Section Patients at Grandmed Hospital Lubuk Pakam. This study concludes that giving hot-packs reacts to skin receptors and channels the temperature effect on body heat so that it can reduce shivering.

Profile of Nausea and Vomiting After Sectio Caesarea Surgery with Spinal Anesthesia at ST. Teresa Marampa Hospital

Postoperative nausea and vomiting is a condition that can occur within 24 hours after surgery, and can impact patient harm and cause complications. This study aims to identify the incidence of nausea and vomiting in post-cesarean section patients with spinal anesthesia. This type of research is quantitative with descriptive retrospective research design. Researchers analyzed patient medical records at ST. Teresa Marampa Hospital from January to December 2023, with a sample of 80 respondents using the total sampling technique. The data collection tool used was an observation sheet. Of the 80 respondents, general characteristics based on age showed that most respondents were aged 26-35 years (45 people, 56.3%). Based on labor history, the majority were multiparous (43 people, 53.8%), and 100% of respondents had a history of at term pregnancy. Most respondents did not experience nausea and vomiting (62 people, 77.5%). The profile of nausea and vomiting after cesarean section with spinal anesthesia at ST Hospital. Teresa Marampa Hospital showed that 77.5% of respondents did not experience nausea and vomiting. This finding has important clinical implications, as these results may help in clinical decision making regarding postoperative management. By understanding the profile of nausea and vomiting, medical personnel can design more effective prevention strategies, improve patient comfort, and reduce the risk of complications.

Pengaruh Teknik Relaksasi Nafas Dalam terhadap Penurunan Nyeri Post Sectio Caesarea

Birth can be done in two ways: normal or spontaneous delivery (born through the vagina) and abnormal delivery or delivery with the help of a procedure such as Caesarea Sectio (SC). In the process of cesarean section, surgery is performed, including cuts in the abdomen of the mother (laparatomy) and the uterus (histerectomy) to remove the baby. The study aims to identify nursing orphanages and pain disorders in patients with post-caesarean sections with therapeutic breathing relaxation techniques. This research uses a type of qualitative research with a case study approach on a single subject in the Sakura Room of RSUD H. Andi Depu. The results of this study obtained major and minor data at the time of post-operative examination patients complained of pain, shivering, restlessness, difficulty sleeping, and protective behavior. With the data of the study can be formulated nursing diagnosis with discomfort pain. The evaluation was obtained after being given nursing care for 3x24 hours, nursing problems with pain and comfort disorders were resolved. The conclusion is that providing breath relaxation therapy can reduce the pain scale of post-cesarean section patients.

Pengaruh Footbath Therapy Terhadap Penurunan Skala Nyeri Pada Pasien Post Sectio Caesarea

Childbirth through cesarean section can cause discomfort for the mother, one of which is pain arising from the abdominal incision wound. Footbath therapy is one of the methods that can be used to alleviate this pain. The purpose of this study is to evaluate the effectiveness of footbath therapy in reducing pain intensity in patients who have just undergone a cesarean section. This research uses a descriptive method with a case study design in the context of nursing care. The subjects of this study are two patients who have just undergone a cesarean section and are experiencing mild to moderate pain. The instruments used in this study are an observation sheet in the form of a PQRST pain assessment questionnaire, NRS (Numerical Rating Scale) pain scale measurement, and standard footbath therapy procedures. The research was carried out from 14 May 2024 to 15 May 2024 for the first respondent and for the second respondent it was carried out from 17 May to 18 May 2024 with implementation for 2 days and in 1 day it was carried out for 20 minutes. The results of this study showed that both respondents experienced a decrease in pain after giving footbath therapy. So this therapy has proven to be effective for post-cesarean section patients who experience pain.

Autogenic Relaxation with Audiomusic Instrumental Media on Pain Scale in Post Sectio Caesarea Patients

Injuries to the abdominal wall and uterus cause pain by severing nerve fibers and also by pressure on the joints. One method of pain management is autogenic relaxation therapy with instrumental audiomusic media. The purpose of this study was to determine the effect of autogenic relaxation with instrumental audiomusic media on pain scales in postcesarean section patients at RSUD Dr. H. Abdul Moeloek Lampung Province This study used a quantitative approach with a one group pretest-posttest pre-experimental design. The time of the study was February-March 2023. The population in this study were post sectio caesarea patients. The sampling method in this study was to use accidental sampling technique and obtained a sample of 32 respondents. The instrument used to measure the pain scale uses a Numerical Rating Scale (NRS) and an observation sheet that records the pain scale before and after the procedure. Statistical tests used the Wilcoxon signed rank test. The results of the study obtained an average decrease in pain scale from 7.28 to 6.21 before and after the intervention. So that a p value of 0.000 (p value

Role of the nurse in post cesarean section patient with hellp syndrome in the obstetrics and gynecology service of a National Hospital

Pregnancy with hellp syndrome is life-threatening, it appears in 5-9 out of every 1000 pregnancies and in 10-20% of cases with severe preeclampsia, it causes the breakdown of red blood cells, causing liver problems , bleeding and blood pressure. The objective of this study is to manage nursing care for a patient with síndrome of hellp and hemoperitoneum with pelvic hematoma in the obstetrics-gynecology service. The present study is a research with a qualitative approach, clinical case type, study subject female, 21 years old. The nursing care process was used as a method, the assessment guide of Marjorie Gordon's 11 functional patterns was applied, by which altered patterns were found, formulating the nursing diagnoses: Decreased cardiac output, Acute Pain and CP: Shock hypovolemic. The activities were executed in a timely manner, the evaluation was through the difference in baseline and final scores of the indicators. We can conclude that hellp syndrome is a hypertensive disorder of pregnancy, however, the complication of this post-cesarean patient is hemoperitoneum with pelvic hematoma, timely nursing care against this was the main axis in the patient's restoration. It is concluded that, according to the problems identified in the patient, the nursing care process was managed in its five stages, improving the patient's health status, but the survival and success of the treatment provided depends on the timely identification of the problems and appropriate choice of treatment

Post cesarean patient care for severe preeclampsia and Covid-19

Cesarean section is a type of surgical procedure in which an incision is made in the mother's abdomen and uterus to remove one or more babies. Preeclampsia usually begins after 20 weeks of pregnancy in a woman with normal blood pressure. This work is the development of the nursing care process (PAE), as a tool to provide timely and effective care for the recovery of the patient. The objective of this study was to apply the Nursing Care Process to a post-cesarean section patient with severe pre-eclampsia, in light of the eleven functional patterns of Marjorie Gordon.Qualitative study, single case type, which included a 36-year-old patient selected at the convenience of the researchers. The five stages of the nursing care process were considered, it began with the comprehensive assessment of the patient where a framework validated by experts in the area was used, formulation of diagnoses and care planning according to the taxonomy of NANDA, NOC and NIC. The evaluation was obtained through the difference in final and baseline scores. Eleven altered patterns were identified, three were prioritized: cognitive perceptual, tolerance to situations and stress and metabolic nutritional. Eight nursing diagnoses were identified; Three were prioritized: Acute pain, Anxiety and Fluid volume deficiency, based on the SSPFR format (signs and symptoms, problem and related factor); change score of +2, +1 and +1 with a tendency to improve with scheduled treatments. It is concluded that the PAE is the scientific tool that leads the nurse to carry out care plans directly and individually in the face of a specific situation in a rational, logical and systematic way, however, survival and treatment success lies in timely detection of problems and their treatment.

The Effect of the Combination of Benson Relaxation and Lavender Aromatherapy on Pain in Post Sectio Caesarea Patients

Sectio caesarea is often associated with post-operative pain due to an incision in the stomach. Handling pain after cesarean section, apart from analgesics, requires non-pharmacological methods, including the Benson relaxation technique, which combines deep breathing relaxation and a person's belief system with lavender aromatherapy, which can release endorphins, thereby relieving pain. In a preliminary study at Dr. Abdul Rivai Hospital, there were ten mothers reporting pain in the area of ??the post-caesarean incision in the abdomen who had never used relaxation techniques, including Benson relaxation and lavender aromatherapy. This study aimed to determine the effect of Benson relaxation and lavender aromatherapy on pain in post-cesarean section patients. This study used pre-experimental and Group Pre-Test – Post-Test Design. A sample of post sectio caesarea patients became 38 people at Dr Abdul Rivai Hospital Berau. The instrument used the NRS scale. Data analysis used the Wilcoxon test. This study showed before being given the combination of Benson relaxation and lavender aromatherapy, the majority of post-cesarean section patients experienced severe pain, 76.3%, and after being given the combination of Benson relaxation and lavender aromatherapy, the majority of post-cesarean section patients experienced mild pain, 86.8%. Combining Benson relaxation and lavender aromatherapy affected pain in post-cesarean section patients (p-value = 0.000). This indicates that the combination of Benson relaxation and lavender aromatherapy is a non-pharmacological therapy that can reduce pain in post-cesarean section patients.

DESCRIPTION OF POST SECTIO CAESAREA PATIENTS WITH CONVENTIONAL METHODS AND ERACS METHODS

hysterotomy) through an incision in the front abdominal wall. The problem that often arises in post Section Caesarea patients is pain that is still felt 2-3 days after Sectio Caesarea so that it makes the mother reluctant to move her body. The purpose of this research is to describe the pain level of post section caesarea patients by conventional method and ERACS method in Melati Room at Immanuel Way Halim Bandar Lampung Hospital.The design of this research is descriptive research. The population of this study were conventional post-cesarean section patients and in patients with the ERACS method. The number of samples was 48 patients, 36 conventional post section caesarea patients and 12 post-caesarean patient with the ERACS method. This reseach used accidental sampling.

The Effect of Finger Hold Relaxation Technique on Pain Intensity in Post-Caesarean Section Surgery Patients in the Crysant Room at dr. Abdul Rivai Hospital Berau Regency

Post-caesarean section surgery causes pain, which has an impact on recovery. A preliminary study of post-caesarean section surgery patients in the Crysant Room was given pharmacological treatment. Appropriate intervention is needed to minimize the effects of pharmacological use, one of which is finger-hold relaxation technique as a breathing technique that has a relaxing effect. This study aimed to determine the effect of finger-hold relaxation techniques on pain intensity. This was quasi-experimental research with a group pre-test and post-test design without a control group. The population was post-section caesarea patients in the Crysant Room at dr. Abdul Rivai Hospital Berau, with a monthly average from July to September 2023, totaling 76 people. Thirty-four respondents obtained the Lameshow formula sample. The instrument used VAS observation sheet. Data analysis used the Wilcoxon test. The pain intensity score before the finger grip relaxation technique was a median value of 8, and after the finger grip relaxation technique, the median value was 6. The finger grip relaxation technique influenced pain intensity (p-value = 0.000). This indicates that the finger-hold relaxation technique is an alternative for reducing pain non-pharmacologically in post-cesarean section surgical patients. Midwives can teach finger-hold relaxation techniques post-cesarean section patients and the benefits

Effect of Hot Pack Administration on Shivering in Post Sectio Caesarea Patients with Spinal Anesthesia

The impact that often arises after spinal anesthesia in post-cesarean section patients is shivering which is characterized by fasciculations of the skeletal muscles in the face, head, jaw, trunk or extremities that last more than 15 seconds. The incidence of post-anesthesia shivering in patients undergoing spinal anesthesia reaches 33-56.7%. Giving hot packs has been proven to be effective in treating hypothermia in post-cesarean section patients. Heat therapy using hot packs will restore body temperature quickly. This study aims to identify the effect of giving hot packs with shivering. The research design was pretest posttest control group design with 32 respondents, consisting of 16 treatment groups and 16 control groups taken by accidental sampling. This research was conducted in January 2020 in the High Care Unit Room, Aminah Islamic Hospital, Blitar. The results of this study showed that the administration of shivering scale hot packs in the treatment group decreased significantly to 0 while the control group experienced a less significant decrease in the shivering scale, namely to 1. Statistical test This study used Mann Whitney with a p-value of 0.000. This means that giving hot packs has an effect on shivering in post sectio caesarea patients with spinal anesthesia. Hot packs can be used asalternative therapy to reduce shivering in post sectio caesarea patients with spinal anesthesia

Implementation of Nursing Education on Physical Exercise for Post-Section Caesarean Surgery Patients with Impaired Physical Mobility Problems in the Obstetrics Room at Lahat Regional Hospital

The problem of impaired physical mobility in post-cesarean section patients is caused by the presence of surgical scars which cause pain in the patient, so that the patient prefers to lie down and not move. The causes of caesarean section include fetal factors, maternal factors, and birth history. Research Objective: To determine the implementation of maternity nursing care with physical exercise education for post-cesarean section patients with physical mobility problems at Lahat Hospital 2023. Research Method: Descriptive in the form of a case study, with two post-SC clients who have physical mobility problems. The approach used is nursing care which includes assessment, nursing diagnosis, planning, implementation, evaluation and documentation. Research Results: After being given physical exercise education, namely patients 1 and 2, they were able to practice physical exercise independently. Conclusion: The implementation of nursing care with physical exercise education shows the effectiveness of reducing physical mobility disorders in post-SC patients. Exercises There is no charge, and each movement can be completed independently at home

PENGARUH TEKNIK RELAKSASI AUTOGENIK TERHADAP SKALA NYERI PADA PASIEN POST SPINAL ANESTESI DI RUMAH SAKIT PKU MUHAMMADIYAH GAMPING

If pain management is not optimal, it has detrimental consequences, which can cause disorders in the endocrine, metabolic, immune, and other body systems with clinical manifestations in the form of fever, hypertension, etc. Post spinal anesthesia pain is defined as pain experienced after post anesthesia anesthesia. Pain conditions often occur in post-cesarean section patients. One therapy that can reduce pain in post-spinal anesthesia patients is the autogenic relaxation technique. Autogenic relaxation is relaxation that comes from oneself which can calm the mind. The aim of this study was to determine the effect of autogenic relaxation therapy on the pain scale in post spinal anesthesia patients at PKU Muhammadiyah Gamping Hospital. This research design uses a pre-experimental design with one group pretest-post test design with the Wilcoxon test. The sample in this study was post spinal anesthesia patients aged 20-60 years, a total of 51 respondents using purposive sampling. Data were collected using the Numeric Rating Scale pain assessment sheet. The results obtained were the highest number of respondents based on the post spinal anesthesia pain scale before therapy, namely moderate pain of 47 respondents (92,2%) and severe pain of 4 respondents (7,8%), based on the post spinal anesthesia pain scale after therapy, namely mild pain of 12 respondents (23,5%), moderate pain was 35 respondents (68,6%), and severe pain was 4 respondents (7,8%). The results of the Wilcoxon sign rank test showed a p value of 0,001<0,05. The conclusion of this study is that there is significant influence between autogenic relaxation techniques on the pain levels of post-spinal anesthesia patients at PKU Muhammadiyah Gamping.

Comparison Between Eracs and Non Eracs Methods on The Level of Pain and Mobilization in Post-Caesarean Section Patients

Enhanced Recovery After Caesarean Section (ERACS) is a post-cesarean recovery method that can provide faster functional recovery results and can minimize the occurrence of complications, and reduce hospitalization time. ERACS is considered to be able to reduce pain levels and accelerate early mobilization of patients after delivery better than the non-ERACS method. This study aims to compare ERACS and non-ERACS methods on the level of pain and mobilization in post-cesarean section patients. The method used in this study was observational analytic with a cross-sectional design carried out on 66 respondents at Abby Lhokseumawe Mother Children's Hospital. The results showed that there were differences between the ERACS and non-ERACS methods in terms of pain levels with a p-value of 0.010 (<0.005) and early mobilization with a p-value of 0.000 (<0.005) in post-cesarean section patients which can be concluded that delivery with the ERACS method is better in reducing the degree of pain and accelerating early mobilization compared to non-ERACS methods

Frequency of Hysterectomy in Morbidly Adherent Placenta in Post Cesarean Section Patients: A Cross Sectional Study

ABSTRACT
 Introduction:
 Abnormal Implantation of the Placenta in uterine walls is the condition known as Morbidly Adherent Placenta. It includes Placenta accreta, increta and percreta. It is mostly reported after history of placental previa and C-section. The irreversible damages from Abnormal Placentation that includes morbidity and mortality in women can be prevented by a holistic approach of treatment.
 Objective:
 To determine the frequency of hysterectomy in morbidly adherent placenta in post-cesarean section patients.
 Methodology:
 A Hospital based descriptive cross-sectional study of 8 months, from September 2019 to April 2020 was carried out at the Obstetrics and Gynecology department. A total of 210 participants were selected for the study. Non probability consecutive sampling technique was used for data collection.
 Results:
 The Frequency of Hysterectomy in morbidly adherent placenta in post Cesarean section women was reported 166 (79.04%), out of the remaining 44 (20.96%) patients the Triple P was reported in 21 (10%) patients and B-Lynch done in 15 (7.14%) patients and 8 (3.8%) were reported with Balloon Tamponade. 
 Conclusion:
 The frequency of hysterectomy in MAP is high. Attention is required to be given to conservative methods to protect fertility.

PONV (Postoperative Nausea and Vomiting) Incidence among Patients with Caesarean Section, Enhanced Recovery After Surgery (ERAS), and Subarachnoid Block (SAB) Anesthesia

Background, ERAS has been widely demonstrated as an effective method for controlling postoperative pain, nausea, and vomiting. Pain management that cuts the dose of opioids by 50%, involves administering intravenous fluids, and using a combination of antiemetic drugs may have a better outcome. objective. This study aims to determine the incidence of PONV after the ERAS procedure in cesarean section patients with Subarachnoid Block (SAB) anesthesia. Method, This research is quantitative research with a descriptive design. This study was conducted from March to April 2022, involving 60 post-cesarean section patients with SAB and ERAS. Univariate analysis that presents the frequency distribution of PONV events was applied to answer the research objectives. Results, Most of the participants were between 30 and 35 years old (29; 48.3%), classified into the healthy weight group (33; 55%), and identified with a Bromage score of 1 (60; 100%). The majority of participants amounting to Fifty participants (83.3%) did not experience episodes of nausea and vomiting after the procedure. Only seven (11.7%) and three (5%) participants reported mild and moderate nausea and vomiting after the process, respectively. Conclusion, the ERAS method is an adequate technique presented in cesarean section procedures. The findings confirm its effectiveness in reducing the incidence of postoperative nausea and vomiting. Thus, proposing ERAS as an effective and promising protocol for cesarean section procedures.

Pain Management and Oxytocin Massage in Post-Cesarean Section Patients with Preeclampsia: A Case Report

Pregnant women with preeclampsia are advised to opt for a cesarean section. Cesarean section is a method of labor that in which the fetus is delivered through a place in front of the abdomen and uterine wall, provided that it is intact and the weight of the fetus is above 500 grams. This study aimed to find out how women with preeclampsia could manage pain and the effect of oxytocin massages. This paper is a case study on a 31-year-old female patient diagnosed with preeclampsia at Muhammadiyah Hospital Lamongan. After performing the Benson relaxation technique (in which the patient took deep breaths by silently saying the selected words (dhikr) for 10-15 minutes) showed that the pain in the abdomen was reduced to a scale of level 3 pain. After performing oxytocin massages the patient said the base started to come out and she can position the baby correctly while breastfeeding. Implementation of the relaxation technique and the oxytocin massage was in accordance with the existing data on the planning, namely pain management and oxytocin massage. The results of the evaluation showed that there was a decrease in pain and breast milk came out.
 Keywords: Pain management, Oxytocin massage, Sectio caesarea, Preeclampsia

Hubungan Gangguan Citra Tubuh dengan Tingkat Stres Pasien Pasca Operasi Sectio Caesaria (SC) di Ruang Madinah Rumah Sakit PKU Muhammadiyah Sekapuk

Caesarean section surgery often causes psychological problems in patients, namely fear that has an impact on anxiety which can cause a decrease in the condition of reproductive disorders, disruption of blood flow, comfort, pain. Personality image, and the way people see themselves affects the psychological aspect. A realistic and consistent self-image will also give them a steady capacity for awareness, which will help them succeed in life. In the research conducted, this type of Analytical Descriptive was applied through a cross-sectional approach. The independent variable in this study is body image. The dependent variable applied to the study uses stress levels. The study population was all patients who underwent Caesarian Section (SC) deliveries at PKU Muhammadiyah Sekapuk Hospital. Part of the research sample was secaria patients, non-probability sampling technique with purposive sampling of the study sample. The sample size is 24 post-cesarean section (SC) patients. statistical test using spearman rank. The body image of post SC patients at PKU Muhammadiyah Sekapuk Hospital is dominated by negative 70.8%. The stress level of post SC patients at PKU Muhammadiyah Sekapuk Hospital is quite dominant at 45.8%. The results of the Spearman rank test p = 0.008 <0, there is a link between body image disturbance and the stress level of post SC patients at PKU Muhammadiyah Sekapuk Hospital

Penerapan Teknik Relaksasi Foot Massage Untuk Mengurangi Nyeri Pada Pasien Post Sectio Caesarea Di Bangsal Firdaus PKU Gamping

Sectio caesarea delivery is a form of labor process that is carried out by making incisions in the abdominal wall and uterine wall to deliver the fetus from the uterus. Patients who give birth by cesarean section method will usually feel various discomforts. One of the discomforts felt is pain originating from an abdominal incision. So we need a management that can reduce complications and improve quality in post partum mothers, namely by doing foot massage relaxation techniques. The purpose of this case study was to determine the effect of foot massage in reducing pain in post-cesarean section patients. This study used a case study method with a nursing care approach, namely taking 1 patient as a descriptive analysis. Methods of data collection by interviews, observation, pre-test, intervention, and post-test. The research was conducted on March 16-18 2023 at the PKU Gamping Firdaus Ward. The results of the case study showed a decrease in the pain scale in post sectio caesarea patients after foot massage was performed. From the results of the case study, it can be concluded that there is a significant effect of foot massage on changes in pain in post-cesarean section patients.

Effect of Hot Pack Administration on Shivering in Post Sectio Caesarea Patients with Spinal Anesthesia

The use of anesthetic techniques is an option for patients with sectio caesarea because the patient is conscious and the recovery period is faster. The impact that often arises after spinal anesthesia is shivering. This study aims to determine the effect of hot packs on shivering in post-cesarean section patients with spinal anesthesia. The research design is a Quasi Experiment with a pre-test post-test control group design. The independent variable of this study is giving hot packs and the dependent variable is shivering. This research was conducted in the High Care Unit Room (HCU) of Aminah Islamic Hospital Blitar from 6 to 31 January 2020. The samples obtained were 32 respondents, 16 respondents in the treatment group and 16 respondents in the control group using accidental sampling. The results showed that the majority of respondents in the treatment and control groups experienced a shivering scale of 2 before administering the hot pack. After administration of the shivering scale hot packs in the treatment group experienced a significant decrease to 0 while the control group experienced a not very significant decrease in shivering scale, namely to 1. Statistical test This study uses Mann Whitney with a p-value of 0.000. This means that giving hot packs has an effect on shivering in post sectio caesarea patients with spinal anesthesia. After administration of hot packs, the shivering scale in the treatment group experienced a significant decrease to 0, while in the control group, the shivering scale decreased which was not too significant, namely to 1. The statistical test of this study used Mann Whitney with a p-value of 0.000. This means that giving hot packs has an effect on shivering in post sectio caesarea patients with spinal anesthesia. After administration of hot packs, the shivering scale in the treatment group experienced a significant decrease to 0, while in the control group, the shivering scale decreased which was not too significant, namely to 1. The statistical test of this study used Mann Whitney with a p-value of 0.000. This means that giving hot packs has an effect on shivering in post sectio caesarea patients with spinal anesthesia.