Cesarean Section
Conditions
Keywords
postcesarean physiotherapy, incisional pain, functional activity, connective tissue manipulation, transcutaneous electrical nerve stimulation
Brief summary
This study aims to investigate the effectiveness of physiotherapy applications in early postcesarean problems.
Detailed description
This study aims to investigate the effectiveness of physiotherapy applications in early postcesarean problems which make difficulties in functional activities, and includes a physiotherapy intervention group and a control group. Physical characteristics, obstetrical and surgical histories, and systemic problems, back pain, low back pain, headache, urinary/fecal incontinence problems and bowel habit of the subjects both in pregnancy and postpartum periods are recorded. First ambulation time after cesarean, presence of syncope, related vital signs, onset time of bowel peristalsis and defecation are also recorded. Intensities of incisional pain and difficulty in performing functional activities are evaluated by daily 0-10 cm visual analogue scales (VASs). Also, intensities of back pain, low back pain, headache, bloated feeling of the abdomen, and fatigue are also evaluated by daily VASs. Physiotherapy program included breathing exercises, active joint movements of the lower limbs, posture exercises, connective tissue manipulation and transcutaneous electrical nerve stimulation.
Interventions
OTHERPhysiotherapy
Thoracic expansion exercises and huffing technique Lower limb exercises TENS with frequency of 120 Hz and pulse width of 60 μs was used for 30 min in every session Connective tissue manipulation (CTM) to the sacral and lumbar regions, Education (proper use of body mechanics during baby caring and daily activities; improving posture; anatomy and functions of the pelvic floor and Knack maneouvre)
Sponsors
Hacettepe University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
19 Years to 42 Years
Healthy volunteers
No
Inclusion criteria
cesarean section giving birth to single baby having cesarean under general anesthesia
Exclusion criteria
giving birth to multiple babies being followed in intensive care unit after cesarean because of complications
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| incisional pain intensity | Intensity of incision pain was evaluated daily during hospitalization period before the physiotherapy program in the study group. | Intensity of incision pain was evaluated by horizontal 0-10 cm visual analogue scales (VASs:0 = no pain, 10 = unbearable pain). |
| intensity of difficulty in functional activities | Intensity of difficulty in functional activities was evaluated daily during hospitalization period before the physiotherapy program in the study group. | Intensity of difficulty in functional activities was evaluated by horizontal 0-10 cm visual analogue scales (VASs:0 = no difficulty, 10 = unable to perform the activity). |
| first ambulation time | From transfer to obstetric department room to first ambulation after cesarean | Time from transfer to obstetric department room to first ambulation after cesarean. |
| onset time of bowel peristalsis | Only once when breaking gas and defecation occured after Cesarean. | Time of breaking gas and defecation after Cesarean. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Vital signs | Vital signs were measured before and after first ambulation | Heart rate, blood pressure, breathing rate and body temperature |
| Length of staying at the hospital and number of analgesic/anti-inflammatory medication additional to the standard pain control procedure | Only once before discharge from the hospital | Length of staying at the hospital and number of analgesic/anti-inflammatory medication additional to the standard pain control procedure were recorded, and also cases were observed for any adverse effects which may be due to the physiotherapy applications. |
Countries
Turkey (Türkiye)
Outcome results
None listed