Research on the time of first off-bed exercise after cesarean section
10.3760/cma.j.issn.1674-2907.2018.04.011
- VernacularTitle:剖宫产产妇术后首次下床活动时间的研究
- Author:
Bo ZHANG
1
;
Zhiying DUAN
;
Yuanyuan CHENG
;
Xiao SUN
;
Hongchen LIU
;
Yanping HUANG
Author Information
1. 100034,北京大学第一医院妇产科
- Keywords:
Cesarean section;
The first time of off-bed activity;
Reasonability
- From:
Chinese Journal of Modern Nursing
2018;24(4):418-422
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the optimal time for first ambulation out of bed after cesarean delivery,so as to provide a scientific basis for postoperative exercise guidance after cesarean section. Methods From January to December 2016,a total of 531 cases of cesarean section were selected and randomly divided into three groups. In the first group,the first time of out of bed ambulation was 6 to 8 hours (Group A);the second group was 9 to 11 hours (Group B);and the third group was over 12 hours (Group C). The maternal vaginal blood loss within 24 hours after operation,the first time of postoperative exhaust,wound healing,urinary retention,lower limbs deep vein thrombosis and maternal comfort and pain scores were assessed in the 3 groups. Results The differences in the first exhaust time,the comfort degree of first time ambulation,the pain scores of the first ambulation and 24 hours after operation among the 3 groups were statistically significant (F=4.541, 10.731,12.060,3.214;P< 0.05),and the comfort degree of Group A was better than those of the other two groups. There was no statistical difference in wound healing,urinary retention,lower limbs deep vein thrombosis and 24 hours postoperative comfort score among the 3 groups (P>0.05). Conclusions The most reasonable time for the first off-bed ambulation after cesarean section is 6 to 8 hours.
